Browse content similar to 09/02/2016. Check below for episodes and series from the same categories and more!
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Good afternoon. Welcome to the programme and our weekly coverage of | :00:31. | :00:36. | |
questions to the First Minister. Politicians will be debating the ?15 | :00:37. | :00:41. | |
billion spending plans for next year later on this afternoon. After the | :00:42. | :00:45. | |
weekly questions session. And our weekly coverage of questions to the | :00:46. | :00:47. | |
First Minister. Politicians will be debating the ?15 billion spending | :00:48. | :00:50. | |
plans for next year later on this afternoon. After the weekly | :00:51. | :00:54. | |
questions session. From the the keep Sunday special campaign. You can | :00:55. | :00:57. | |
follow all the latest on our Twitter feed. Business in the chamber is | :00:58. | :01:04. | |
already underway. Let's take a look at the questions to the First | :01:05. | :01:11. | |
Minister. Good afternoon. The National Assembly of Wales is now in | :01:12. | :01:15. | |
session. Our first item, questions to the First Minister. What is the | :01:16. | :01:22. | |
Welsh Government doing to support the keep Sunday special campaign? It | :01:23. | :01:29. | |
is not a devolved matter and we are awaiting further details on the | :01:30. | :01:33. | |
proposals from the UK Government. It is hugely important that the | :01:34. | :01:36. | |
interests of those who work on a Sunday or protected and that the | :01:37. | :01:42. | |
privileges that they enjoy now continue in the future. It is | :01:43. | :01:49. | |
disappointing for those who have been campaigning to keep Sunday | :01:50. | :01:53. | |
special and in relation to the hundred thousand social workers in | :01:54. | :01:57. | |
Wales who thought that the UK Government had pledged not to tackle | :01:58. | :02:04. | |
-- tamper with Sunday trading laws. They are now doing it through the | :02:05. | :02:07. | |
back door by the Enterprise Bill. What can the Welsh Government do to | :02:08. | :02:11. | |
protect the family life of shop workers in Wales? We take the view | :02:12. | :02:17. | |
that this is an issue that should be devolved. We have argued for it to | :02:18. | :02:21. | |
be devolved. We look forward to a response from the UK Government to | :02:22. | :02:26. | |
that. Should these powers be default we will consult with local | :02:27. | :02:29. | |
authorities, businesses, shop workers and the public and we will | :02:30. | :02:32. | |
listen to what they say and act accordingly. Noting what he said, | :02:33. | :02:39. | |
you will acknowledge that the majority of local authorities would | :02:40. | :02:43. | |
rather like to have these powers so they can interpret them in the best | :02:44. | :02:46. | |
locally. Would you support such a move? I believe these powers should | :02:47. | :02:51. | |
be devolved to the people of Wales and we can decide where these powers | :02:52. | :02:56. | |
should go as is the case in Scotland and Northern Ireland. Will the First | :02:57. | :03:07. | |
Minister make a statement on action to reduce waiting times? We have set | :03:08. | :03:13. | |
up the planned care programme led by clinicians to set up sustainable | :03:14. | :03:19. | |
services in NHS Wales. We have invested an additional ?45 million | :03:20. | :03:23. | |
for the financial year to assist health boards in delivering | :03:24. | :03:25. | |
improvements in between times set out in their medium-term plans. We | :03:26. | :03:34. | |
know and do your tenure, winning plans have doubled here. In South | :03:35. | :03:38. | |
Wales Central there is an especial concern around orthopaedic waiting | :03:39. | :03:42. | |
times and the BBC statistics recently showed considerable wits | :03:43. | :03:48. | |
for Hoops. 197 debut it as opposed to 75 days in England. What comfort | :03:49. | :03:52. | |
can you give to my constituents in South Wales Central as to what | :03:53. | :03:56. | |
action the government will be taking to drive down waiting times so that | :03:57. | :04:00. | |
when they do present at hospital, a consultant is in a position to give | :04:01. | :04:03. | |
them a time they can count on to have the procedure? Let's look at | :04:04. | :04:09. | |
A The number of people spending 12 hours in in the department has | :04:10. | :04:16. | |
fallen, a 23% drop. That is compared to the previous month. We look for | :04:17. | :04:19. | |
the number of people reading in England in Indy has doubled to | :04:20. | :04:27. | |
124,000 people in two years. We know that delayed transfers of care are | :04:28. | :04:32. | |
increasing in England. Diagnostic waiting times are dropping in bills. | :04:33. | :04:37. | |
When the people reading is time for operations and we know that unlike | :04:38. | :04:43. | |
in England we do not have the chaos, Cameron's chaos, of a junior doctors | :04:44. | :04:49. | |
strike. We know that one of the contributors to reading list is the | :04:50. | :04:53. | |
impact upon adult social care which the Tories would separate from the | :04:54. | :04:58. | |
NHS in England. The example is that there has been a 15% cut in spending | :04:59. | :05:05. | |
on adult social care and a 100% increase in bed blocking, increasing | :05:06. | :05:10. | |
from 50,000 a month to 100,000 a month. The Tories would decimate | :05:11. | :05:14. | |
adult social care. Did he agree the position of the Welsh Government of | :05:15. | :05:19. | |
supporting adult social care as part and parcel of NHS treatment | :05:20. | :05:22. | |
contribute to better treatment and better outcomes for all? The | :05:23. | :05:29. | |
tendency of the Tories in England to suggest that somehow there is no | :05:30. | :05:33. | |
connection between health and social care... Can you count down and | :05:34. | :05:39. | |
listen to the First Minister reply. That is you in particular, Darren | :05:40. | :05:45. | |
Millar. Don't cheer. The Tories have a tendency to suggest there is no | :05:46. | :05:50. | |
connection between health and social care. They have cut social care to | :05:51. | :05:54. | |
the bone. They have off-loaded responsibility for providing social | :05:55. | :05:56. | |
care to local authorities to the poorest authorities will have the | :05:57. | :06:00. | |
greatest problem in providing social care. We in Wales spent more on | :06:01. | :06:05. | |
health and social services in England does. 7% more and we will | :06:06. | :06:09. | |
continue to look at those who need care the most. That is an | :06:10. | :06:14. | |
interesting answer to that question because when Plaid Cymru talks about | :06:15. | :06:19. | |
integrating health and social care services neighbour accuses us of | :06:20. | :06:24. | |
wanting to abolish the NHS. Which is a blatant lie. Now, First Minister, | :06:25. | :06:35. | |
in some parts of south Wales Central obtaining a GP appointment can be a | :06:36. | :06:40. | |
long and drawn out process. The issue is particularly acute in the | :06:41. | :06:43. | |
northernmost part of the region where at The Royal College of | :06:44. | :06:48. | |
General practitioners tell us that half of all GPs are nearing | :06:49. | :06:54. | |
retirement. For members who are not aware, that region is in South Wales | :06:55. | :06:59. | |
Central. Access to a GP has not been helped by removal of the out of | :07:00. | :07:07. | |
hours service. One primary care is weak there is an inevitable knock on | :07:08. | :07:10. | |
effect on hospitals by increasing the demand on waiting times and | :07:11. | :07:17. | |
services. First Minister, you have previously admitted that you took | :07:18. | :07:21. | |
your eye of the ball when it comes to education, do you now admit that | :07:22. | :07:25. | |
you have taken your eye off the ball with health and Doctor recruitment | :07:26. | :07:31. | |
as well? The leader of Plaid Cymru things we are into leaderquestions. | :07:32. | :07:37. | |
Overall GP numbers have increased by ten and a half percent between 2004 | :07:38. | :07:42. | |
and 2015. There are now over 2000 GPs civic communities across Wales. | :07:43. | :07:47. | |
We note that this is a global market when it comes to attracting doctors | :07:48. | :07:51. | |
and that is why we launched the targeted campaign called meet your | :07:52. | :07:55. | |
future part of our future, external wire Wales is a good place to be a | :07:56. | :07:59. | |
junior doctor. Where our Hammonds, health boards have plans in place | :08:00. | :08:06. | |
where practices have decided to close their doors, salaried GPs have | :08:07. | :08:13. | |
been put in place. I do not accuse Plaid Cymru of trying to dismantle | :08:14. | :08:19. | |
the NHS. I know they want to see an improved public health service, as | :08:20. | :08:22. | |
we did. We do not agree with the structure they want to impose, but | :08:23. | :08:26. | |
we are in the same position in that regard. We have 2000 more GPs since | :08:27. | :08:32. | |
2004 and they are serving our communities well. First Minister, | :08:33. | :08:37. | |
there is a big discrepancy between the referral to diagnostic testing | :08:38. | :08:46. | |
times between cancer patients on the urgent route to the non-urgent route | :08:47. | :08:50. | |
and I wonder what additional support could the Welsh Government put in | :08:51. | :08:53. | |
place for primary care to make sure that, when it GPs are making this | :08:54. | :08:59. | |
decision between urgent and nonurgent referrals, that they are | :09:00. | :09:01. | |
confident they are making both safe and appropriate decisions? I don't | :09:02. | :09:08. | |
see this as a particular issue in South Wales Central, but | :09:09. | :09:11. | |
nevertheless, it is right to say more GPs are referring people at an | :09:12. | :09:15. | |
early stage, quite naturally, if they suspect cancer might be | :09:16. | :09:18. | |
present. The vast majority that is not the case but the referral is | :09:19. | :09:24. | |
made anyway. That diagnosis is made within 20 days. Although for some | :09:25. | :09:28. | |
cancers it can be more difficult to identify what the problem is. | :09:29. | :09:32. | |
Pancreatic cancer is a particular issue because the symptoms can be | :09:33. | :09:37. | |
general and can mimic the symptoms of other illnesses. We note that we | :09:38. | :09:42. | |
outperform England when it comes to 31 day target for urgent cancers and | :09:43. | :09:52. | |
the 62 date timetable for non-urgent care and -- cancers and we want that | :09:53. | :10:03. | |
to continue to be the case. First Minister, at the last National | :10:04. | :10:06. | |
Assembly elections, I party said we would provide more money for schools | :10:07. | :10:10. | |
by targeting additional monies at pupils who need it most. The budget | :10:11. | :10:15. | |
today means that the pupil premium will be worth ?1150 per pupil in | :10:16. | :10:20. | |
April thanks to the Welsh Liberal Democrats and the recent report said | :10:21. | :10:23. | |
that is making a material difference to those children. To qualify for | :10:24. | :10:29. | |
this support, parents must register for free school meals. Would work | :10:30. | :10:32. | |
with the government and take to ensure that every child who needs | :10:33. | :10:38. | |
this support will receive this help? I am not aware of this being a | :10:39. | :10:42. | |
particular issue. It is important that schools are able to community | :10:43. | :10:47. | |
and so parents are aware of the support that is available to them | :10:48. | :10:51. | |
and we have a responsibility to help them. Some families believe there is | :10:52. | :10:56. | |
a stigma in making an application for free school meals and they | :10:57. | :11:00. | |
should be assured that it is not only in their interests, but in the | :11:01. | :11:03. | |
interests of the children to make that application. It will make a | :11:04. | :11:07. | |
material difference to the school budget. The budget this afternoon | :11:08. | :11:11. | |
will also deliver additional funding -- funding for the health service. | :11:12. | :11:15. | |
That will only be worthwhile if it makes a material difference to the | :11:16. | :11:19. | |
outcome for people. What impact we expect from patients in Wales and | :11:20. | :11:28. | |
what fresh and new ideas do you have in each of the additional resources | :11:29. | :11:30. | |
going into the NHS make a genuine difference to patient experience is | :11:31. | :11:34. | |
much more can I recognise what she said about free school meals. There | :11:35. | :11:41. | |
are schools that have pioneered a plastic cards that are preloaded | :11:42. | :11:47. | |
with the money for some pupils but which can be used without money | :11:48. | :11:50. | |
preloaded for those on free school meals. No one knows the difference. | :11:51. | :11:58. | |
When I was in school, those on free school meals had a different | :11:59. | :12:03. | |
coloured ticket. This will help us remove this stigma. The leader of | :12:04. | :12:06. | |
the Liberal Democrats is right that the stigma still exist. We want to | :12:07. | :12:11. | |
see diagnostic times gone down, in the waiting time going down, waiting | :12:12. | :12:14. | |
times for operations gone down, to see the timetables but in place for | :12:15. | :12:19. | |
cancer treatments improve and to see ambulance response times improve as | :12:20. | :12:23. | |
well. It is important that as more money goes in, that people can see | :12:24. | :12:30. | |
the output delivered at the end. One part of the NHS but does frustrate | :12:31. | :12:36. | |
people, and a problem you promised action on is accessing their GP when | :12:37. | :12:40. | |
they wanted. For many people, a three wait for appointment is not | :12:41. | :12:47. | |
uncommon. When you look at Liberal Democrat plans to invest in a | :12:48. | :12:52. | |
properly funded access to GPs scheme that would incentivise GPs to | :12:53. | :12:56. | |
broaden the primary health care team so they can only see people they | :12:57. | :13:01. | |
need to see and would you accept that spending money on expensive | :13:02. | :13:06. | |
locum cover to provide support when AGP retires is not an efficient use | :13:07. | :13:12. | |
of NHS money? First of all, there is a difference between a look and a | :13:13. | :13:17. | |
salaried GP. Most GPs are looking at the salaried model more favourably | :13:18. | :13:22. | |
than the contract model. They want the flexibility. They are not | :13:23. | :13:26. | |
interested in buying into a practice. More GPs want the | :13:27. | :13:31. | |
flexibility of being salaried. You do not have the bike in as a partner | :13:32. | :13:37. | |
in order to be seen as a proper GP. In terms of access to GPs, it does | :13:38. | :13:43. | |
vary, that is true. There are some GP surgeries were appointments can | :13:44. | :13:47. | |
be made and can be seen that day. There are others who are not as | :13:48. | :13:51. | |
efficient. There is a challenge there and we have improved on the | :13:52. | :13:55. | |
situation is regarding being able to access GPs at evenings and weekends, | :13:56. | :14:00. | |
but there is a challenge for some GP practices to catch up with the best | :14:01. | :14:03. | |
practice of others. There is no reason why there should be that | :14:04. | :14:08. | |
level of discrepancy. We are talking about independent contractors but | :14:09. | :14:13. | |
that will make sure that accessing England's and -- accessing GPs in | :14:14. | :14:25. | |
evenings will be better. The budget is laid for debate this afternoon | :14:26. | :14:27. | |
and flung from that debate, the draft local government settlement | :14:28. | :14:31. | |
has been laid for consideration. I see on the forward outlook that they | :14:32. | :14:34. | |
did for that to come to the assembly is March the 8th. Are you confident | :14:35. | :14:39. | |
that the draft settlement that is being made available to local | :14:40. | :14:42. | |
authorities, the length and breadth of Wales, will be the settlement we | :14:43. | :14:46. | |
will be voting on here unfortunately it, or do you see that there will be | :14:47. | :14:50. | |
changes to mitigate for the devastating impact of some of those | :14:51. | :14:54. | |
cuts to local authorities? Despite the Tory cuts imposed on us, we are | :14:55. | :14:59. | |
confident that the local government settlement will be fair in that | :15:00. | :15:05. | |
context. I take it from that that would be the settlement before dawn | :15:06. | :15:10. | |
on March the 8th and there will be no leveller stabiliser put in for | :15:11. | :15:14. | |
local authorities such as temperature were Monmouthshire that | :15:15. | :15:19. | |
devious Draconian cuts in their services come up to 4%? Another | :15:20. | :15:24. | |
thing you have in your budget First Minister is higher education and 32% | :15:25. | :15:28. | |
cuts to higher education here in Wales are being made by your | :15:29. | :15:33. | |
government if this budget passes, that will put a dramatic amount of | :15:34. | :15:38. | |
pressure on part-time courses on access to higher education and, | :15:39. | :15:43. | |
above all, research, research in universities. We know there is less | :15:44. | :15:48. | |
money around, but what will your government be doing to assist | :15:49. | :15:54. | |
universities making sure that there is access to | :15:55. | :16:00. | |
There is support for part-time courses, given that you have chosen | :16:01. | :16:07. | |
to cut 32% out of the support to higher education. The Leader of the | :16:08. | :16:12. | |
Opposition is trying to pre-judge the Budget Statement. He will have | :16:13. | :16:15. | |
to wait to see what is announced. I have to say to him that he has | :16:16. | :16:22. | |
declared that he wishes to see local government cut by 12%, he's declared | :16:23. | :16:27. | |
it. It's there in writing. In the document, that his party produced as | :16:28. | :16:33. | |
an alternative draft Budget. And he has not changed his position since | :16:34. | :16:36. | |
then. When he was asked this question on the radio, he said, "We | :16:37. | :16:40. | |
haven't crunched the numbers yet." It is not his question session, I | :16:41. | :16:44. | |
understand that. There will come a time when the people of Wales will | :16:45. | :16:47. | |
want to know what cuts his party proposes to make to local | :16:48. | :16:50. | |
government. He can't run from that question forever. At the moment, | :16:51. | :16:54. | |
it's 12%. That is the cut he wants. That is an equivalent of a 38% | :16:55. | :17:00. | |
increase in council tax. The second thing he mentions is higher | :17:01. | :17:05. | |
education. Well, he wants to triple tuition fees for students, to impose | :17:06. | :17:10. | |
a tax on students along the same lines as England. We have seen the | :17:11. | :17:13. | |
cuts in higher education in England. We are not going to sell our | :17:14. | :17:17. | |
students down the river. And we are not going to put our students in a | :17:18. | :17:20. | |
position where they leave college with enormous levels of debt. That | :17:21. | :17:28. | |
is exactly what he and his party wants to do. You have offered no | :17:29. | :17:31. | |
answers whatsoever, First Minister. You referred back to a Budget that | :17:32. | :17:37. | |
was offered in 2011 - I accept, you won that election, you formed the | :17:38. | :17:41. | |
Government. We are now in 2016. If our budget had come forward, there | :17:42. | :17:44. | |
would not have been ?1 billion worth of cuts to the Welsh NHS, that you | :17:45. | :17:53. | |
are trying to back pedal. Well done to you, First Minister. I | :17:54. | :17:57. | |
have asked you legitimate questions today on the Budget that will be | :17:58. | :18:03. | |
before us later and in that Budget you have also got an increase in | :18:04. | :18:08. | |
your central services budget of ?7.5 million. Yet, you are taking ?32 | :18:09. | :18:14. | |
million out of HE. That is a fact. That is there in black and white. | :18:15. | :18:19. | |
Why do you need ?7.5 million in the central services budget as an | :18:20. | :18:22. | |
increase for you being in Government, yet you are prepared to | :18:23. | :18:34. | |
take 32% out of HE? As I said to him, the Budget Statement will come | :18:35. | :18:37. | |
later. There will be opportunities to ask questions at the appropriate | :18:38. | :18:41. | |
time. It wouldn't be right for the statement to be pre-judged. He keeps | :18:42. | :18:46. | |
on saying that the figures I referred to are old. Fine. Where are | :18:47. | :18:50. | |
the up-to-date figures? There aren't any. So, again, I remind people, 12% | :18:51. | :18:57. | |
cut in local government, 30% cut in economy and transport, huge cuts in | :18:58. | :19:00. | |
housing, huge cuts in central services. He talks about ?1 billion | :19:01. | :19:04. | |
cuts from the Health Service. That is not true. We spend more on health | :19:05. | :19:08. | |
than England does per head. That is clearly untrue. He never says where | :19:09. | :19:15. | |
it would come from. In the cloud cuckoo land that exists over there, | :19:16. | :19:19. | |
money grows on trees! There is no question of making difficult | :19:20. | :19:21. | |
decisions. There is no question of having to make cuts to pay for | :19:22. | :19:26. | |
priorities. Money grows on trees, ?1 billion can be found at the drop of | :19:27. | :19:32. | |
a hat. The reality is, the people of Wales need to have a prudent and | :19:33. | :19:38. | |
realistic Government and not one, as the opposition would be, that is | :19:39. | :19:41. | |
away with the fairies. PRESIDING OFFICER: We move to the | :19:42. | :19:46. | |
leader of Plaid Cymru, Leanne Wood. Diolch, Llywydd. A fortnight ago, | :19:47. | :19:50. | |
First Minister, I asked you to reverse your plans to make savage | :19:51. | :19:54. | |
cuts to the funding of our universities. You declined and you | :19:55. | :19:59. | |
essentially told universities to put up with those cuts. Now, you further | :20:00. | :20:03. | |
rejected claims that there would be job losses as a result of those cuts | :20:04. | :20:09. | |
to the university sector. Can you confirm now, this afternoon, that | :20:10. | :20:15. | |
there won't be a last minute U-turn on university funding when your | :20:16. | :20:21. | |
Budget is presented later on? That will become clear when the Budget is | :20:22. | :20:25. | |
presented. Well, that is an interesting answer, First Minister. | :20:26. | :20:29. | |
I'm not quite sure whether or not this means that you continue to be | :20:30. | :20:34. | |
in denial about the impact of your proposals, so perhaps some evidence | :20:35. | :20:38. | |
from Cardiff University might be helpful to you. They said, "In | :20:39. | :20:52. | |
2015/16, direct funding was proposed to sustain undergraduate dentistry | :20:53. | :20:58. | |
and medicine." Further erosion or loss of this funding will put at | :20:59. | :21:04. | |
risk the education of doctors and dentists within Wales for Wales. | :21:05. | :21:09. | |
These subjects cost more than ?15,000 per student per year and | :21:10. | :21:16. | |
clearly cannot be delivered from the residual fee of ?6,230. At the time | :21:17. | :21:20. | |
when the health budget has been increased, reducing investment in | :21:21. | :21:25. | |
the next generation of doctors and dentists would be contradictory. | :21:26. | :21:28. | |
Cardiff University, therefore, believes that there will be | :21:29. | :21:32. | |
far-reaching consequences to your cuts to the higher education sector. | :21:33. | :21:37. | |
Do you accept that? No. Cardiff University is not the only | :21:38. | :21:41. | |
university in Wales. It also has ?300 million of the reserves. I | :21:42. | :21:46. | |
don't think it is unreasonable, when a sector has ?1.3 billion in | :21:47. | :21:51. | |
reserves in total, that they have to manage what will be small decreases | :21:52. | :21:56. | |
in their budget. Cardiff has ?300 million. So, yes, it is challenging. | :21:57. | :22:00. | |
It was challenging for further education last year. It's been | :22:01. | :22:03. | |
challenging across Government, but it is not asking too much for higher | :22:04. | :22:08. | |
education, whether income having expanded significantly since 2012 to | :22:09. | :22:12. | |
be able to manage what is in the context of things quite a small | :22:13. | :22:16. | |
budget cut. First Minister, Cardiff University is not the only | :22:17. | :22:21. | |
university in Wales and not all universities have the same levels of | :22:22. | :22:24. | |
reserves as Cardiff University might have. I reiterate to you today, | :22:25. | :22:30. | |
First Minister, drop those planned cuts, support Welsh education, | :22:31. | :22:34. | |
support a secure future for our NHS service. You are consistently | :22:35. | :22:40. | |
refusing to give us a vision for higher education in this country. | :22:41. | :22:45. | |
Why? You don't have one, do you? The only thing that we have had | :22:46. | :22:49. | |
confirmed is that you want to make a ?41 million cut, which is a 32% cut | :22:50. | :22:56. | |
to Welsh universities. Why are you meeting out Tory cuts to a sector | :22:57. | :23:02. | |
that this country relies upon for its future prosperity as well as its | :23:03. | :23:07. | |
future health professionals? Unless the leader of Plaid Cymru has a | :23:08. | :23:10. | |
crystal ball, she has no way of knowing what is going to be in the | :23:11. | :23:13. | |
Budget Statement. PRESIDING OFFICER: Order. Order. | :23:14. | :23:27. | |
Order. Order. First Minister? The shouting in that regard gives it | :23:28. | :23:31. | |
away. The statement is later, that is when you get the answers, OK? The | :23:32. | :23:37. | |
statement is later. There will be a debate, you will get a chance to ask | :23:38. | :23:40. | |
those questions then. There are many in the university sector who | :23:41. | :23:44. | |
disagree with the tuition fee grant and with your proposals which is to | :23:45. | :23:47. | |
make sure that people who stay in Wales get their fees paid, which is | :23:48. | :23:50. | |
what you have always said in the past. It's not. It's not Plaid | :23:51. | :23:55. | |
Cymru's policy. We will wait to see what... I am accused of not having | :23:56. | :24:00. | |
vision for universities. We don't know what Plaid Cymru's policy is. | :24:01. | :24:04. | |
The Budget Statement will make it clear. If you had not ruled | :24:05. | :24:08. | |
yourselves out of the Budget discussions at the beginning, you | :24:09. | :24:12. | |
might have had a say in all of this. PRESIDING OFFICER: Thank you, | :24:13. | :24:15. | |
leaders' questions are now finished. We move back to questions on the | :24:16. | :24:20. | |
paper. Question three, Lindsay Whittle. What is the current Welsh | :24:21. | :24:24. | |
Government policy on funding for hospices in Wales? We continue to | :24:25. | :24:30. | |
support the development of end of life and specialist palliative care | :24:31. | :24:34. | |
services, including hospices in Wales, that includes ?3 million | :24:35. | :24:37. | |
worth of funding to support the new St David's Hospice in Newport. Thank | :24:38. | :24:42. | |
you. Could you please explain why over the past five years Welsh | :24:43. | :24:46. | |
Government funding for hospices in Wales has fallen from 24% of their | :24:47. | :24:52. | |
running cost to just 19%? Surely despite any stress on budget - and I | :24:53. | :24:57. | |
know it is tough - such a vital service provided by hospices surely | :24:58. | :25:01. | |
must be safeguarded and not threatened. I would urge you to | :25:02. | :25:05. | |
reconsider that. It would be extremely costly for the NHS if any | :25:06. | :25:09. | |
of the charities went into liquidation due to lack of funding, | :25:10. | :25:13. | |
as most of the service delivery would need to be picked up through | :25:14. | :25:18. | |
our core NHS services. The fact that we are funding the hospices in | :25:19. | :25:23. | |
Newport is a sign of our commitment. We are the only country in the UK to | :25:24. | :25:37. | |
provide 24/7 support. An additional ?1 million was announced in 2015/16 | :25:38. | :25:41. | |
to support the delivery of the "end of life" care plan, in addition to | :25:42. | :25:46. | |
that funding and over ?900,000 of that new money will be used to | :25:47. | :25:49. | |
expand hospice at home provision across Wales. The remaining money | :25:50. | :25:55. | |
will be used to fund "end of life" care initiatives. Thank you, | :25:56. | :26:12. | |
Presiding Officer. On the same day Marie Curie launched the daffodil | :26:13. | :26:16. | |
appeal, hospices are essential. "End of life" care, the focus of this | :26:17. | :26:24. | |
care is helping people to live well until they die. We need to ensure | :26:25. | :26:28. | |
that regardless of where you live in Wales, you will be able to access | :26:29. | :26:33. | |
hospices' care. Therefore, First Minister, will you ensure that | :26:34. | :26:38. | |
hospices receive sustainable funding? Yes. Which is why I | :26:39. | :26:42. | |
referred to the point I made earlier on. We have ensured that funding | :26:43. | :26:47. | |
remains. We have put extra money into care and we haven't cut funding | :26:48. | :26:52. | |
for social care as the member's party has done in England. Social | :26:53. | :26:56. | |
care has been hammered in England. We know that the responsibility has | :26:57. | :27:00. | |
been passed on to local authorities who are ill-placed to fund that | :27:01. | :27:04. | |
social care. We will not do that in Wales and we will continue to fund | :27:05. | :27:09. | |
social care at the level people expect. | :27:10. | :27:11. | |
PRESIDING OFFICER: Question 4, Gwenda Thomas. Diolch, Llywydd. Will | :27:12. | :27:15. | |
the First Minister make a statement on the development of businesses | :27:16. | :27:19. | |
that export? Yes, increasing exports from Wales is a key priority for the | :27:20. | :27:22. | |
Welsh Government. We offer a range of measures to support Welsh | :27:23. | :27:28. | |
exporters, including free one-to-one advice, help to find new customers | :27:29. | :27:33. | |
and help to access overseas markets. Thank you for that, First Minister. | :27:34. | :27:36. | |
I note that it comes to Wales this | :27:37. | :27:50. | |
month. If we leave the European Union, trading with this economic | :27:51. | :27:54. | |
bloc will be made far more difficult? There is no question | :27:55. | :27:57. | |
about it. We have seen the difficulties the Prime Minister has | :27:58. | :28:00. | |
had in negotiating a new settlement thus far. I support his position | :28:01. | :28:05. | |
that he wants us to stay in the EU. No-one else's party seems to. I | :28:06. | :28:09. | |
support his position. The reality is, that if we don't get access to | :28:10. | :28:17. | |
the European market, that is tariff free and open, Welsh business will | :28:18. | :28:22. | |
suffer. The idea that if the UK left the EU, the EU would fall over | :28:23. | :28:27. | |
itself to put forward a favourable deal for the UK is madness, frankly. | :28:28. | :28:31. | |
It isn't going to happen. Why on earth would the European Union want | :28:32. | :28:36. | |
to do that for a UK that had just left the European Union? From my | :28:37. | :28:39. | |
point of view, certainty is important for business. The Prime | :28:40. | :28:42. | |
Minister made the point, the Scottish Referendum created | :28:43. | :28:44. | |
uncertainty in Scotland. It did. The same thing is happening with this | :28:45. | :28:47. | |
referendum. The fact there is going to be a referendum is creating | :28:48. | :28:51. | |
uncertainty in the UK, it needs to be resolved, although June is not my | :28:52. | :28:55. | |
preferred date, nor others in the Chamber either. The reality is, if | :28:56. | :29:00. | |
you have access to a market of 500 million, if you can sell to those | :29:01. | :29:05. | |
people, anything you do to interfere with that access is bound to be bad | :29:06. | :29:10. | |
for manufacturers, for tourism and for farmers. | :29:11. | :29:15. | |
PRESIDING OFFICER: I had occasion to have a chat with you last week, | :29:16. | :29:18. | |
Andrew RT Davies, please don't keep muttering. If you want to speak, I | :29:19. | :29:27. | |
will call you. The latest Welsh Government published figures for | :29:28. | :29:30. | |
exports to the third quarter of 2015 show that in the year to the third | :29:31. | :29:36. | |
quarter of 2015 six of the 12 UK Nations and Regions saw an increase | :29:37. | :29:41. | |
in exports but Wales had the second largest fall at 8.6% rising to 16.8% | :29:42. | :29:49. | |
trade exports to other EU countries. How do you respond to the statement | :29:50. | :29:55. | |
in the CBI Business Manifesto that the Welsh Government should develop | :29:56. | :29:58. | |
enhanced export support for medium-sized businesses? Well, the | :29:59. | :30:02. | |
reduction is down to petroleum, which is a significant amount of | :30:03. | :30:07. | |
exports for us. Whenever there is a slowdown in the refineries, it does | :30:08. | :30:14. | |
affect our expor figures, we have seen that in the past. We have seen | :30:15. | :30:18. | |
George Osborne get his excuses in already, saying if things go badly, | :30:19. | :30:21. | |
it's the fault of China and the fault of the world economy. Well, | :30:22. | :30:27. | |
the reality is this: We export nearly half of what we manufacture | :30:28. | :30:32. | |
and produce to the European Union. To lose access to that market is a | :30:33. | :30:36. | |
disaster for business and for our economy. The converse is, that the | :30:37. | :30:42. | |
European Union only exports 10% of what it produces to the UK. We are | :30:43. | :30:46. | |
far more reliant on our export market in the EU than the other way | :30:47. | :30:50. | |
around. And it is important that we remember, as we look to the | :30:51. | :30:53. | |
referendum that will take place this year, that what is at stake here is | :30:54. | :30:58. | |
hundreds and thousands of jobs in Wales. And the decision should be | :30:59. | :31:02. | |
taken based on a dose of economic reality and not on some nationalism. | :31:03. | :31:17. | |
The First Minister will be aware that I have been: four steps to be | :31:18. | :31:25. | |
taken to increase the percentage of public contrast in Wales awarded to | :31:26. | :31:30. | |
Welsh companies and a Plaid Cymru government would legislate to move | :31:31. | :31:34. | |
in that direction. Would the First Minister agreed that promoting Welsh | :31:35. | :31:38. | |
companies by ensuring that more public contracts are awarded as a | :31:39. | :31:40. | |
means of ensuring those companies can grow stronger and develop in | :31:41. | :31:45. | |
their own ability to export and that the Welsh economy would have a | :31:46. | :31:53. | |
double benefit in that regard? That has happened, of course. A grip many | :31:54. | :31:57. | |
companies have had the chance to bid for contracts and a good number of | :31:58. | :32:00. | |
Welsh companies are able to win those contracts, as opposed to what | :32:01. | :32:04. | |
happened in the past. What I cannot agree with in that regard is | :32:05. | :32:10. | |
legislating on this. It is not legal to set legal targets with regard to | :32:11. | :32:15. | |
how much business should be given to local companies. That is against | :32:16. | :32:20. | |
European law. What is important is ensuring that we continue to promote | :32:21. | :32:25. | |
and assist companies so they are in a situation to take advantage of the | :32:26. | :32:32. | |
contracts when they come up. My region faces potential economic | :32:33. | :32:36. | |
devastation with the loss of many hundreds of jobs at Tata Steel. The | :32:37. | :32:40. | |
membership of the European Community is crucial in terms of trying to | :32:41. | :32:45. | |
regenerate that particular area. Can you confirm Woodward through | :32:46. | :32:49. | |
government is doing to do to get those losses and develop the export | :32:50. | :32:55. | |
led industries in the area? We have been in correspondence with European | :32:56. | :32:58. | |
Commission, people are a few that there needs to be stronger tariff | :32:59. | :33:02. | |
barriers against imports from outside. We are in the process of | :33:03. | :33:06. | |
putting together a financial package which will not be enough, it will | :33:07. | :33:09. | |
need to be supported by a bigger package from the UK Government and | :33:10. | :33:16. | |
that process is ongoing. What support is the Welsh Government | :33:17. | :33:21. | |
giving to help pancreatic cancer patients in Wales? As part of the | :33:22. | :33:25. | |
cancer delivery plan, we are taking forward a number of pieces of work | :33:26. | :33:30. | |
that will improve the recognition of symptoms for cancers including | :33:31. | :33:35. | |
pancreatic cancer and once symptoms are identified, to a book rack that | :33:36. | :33:39. | |
-- rabid active edge rapid access to treatment. Pancreatic cancer has the | :33:40. | :33:45. | |
worst survival rate of 21 most common cancers in Wales. The | :33:46. | :33:49. | |
National Institute of care and in excellence has said the cancer | :33:50. | :33:55. | |
drug... It should not be funded by the NHS in England due to the cost. | :33:56. | :34:01. | |
With the First Minister pressure hydraulic cancer sufferers in Wales | :34:02. | :34:05. | |
that this life extending drugs will continue to be available on NHS in | :34:06. | :34:10. | |
Wales? Yes. It was recently agreed that we would continue discussions | :34:11. | :34:18. | |
with the manufacturer to explore options regarding continued access | :34:19. | :34:21. | |
to the drug and it will continue to be available in Wales in the | :34:22. | :34:27. | |
interim. Will the First Minister make a statement on mental health | :34:28. | :34:32. | |
services in North Wales? On the 29th of January, the deputy minister | :34:33. | :34:37. | |
published the improvement framework and that set up our expectations for | :34:38. | :34:41. | |
improvement in each of the areas identified and a special measures, | :34:42. | :34:46. | |
including her constituency. Support and access for under 18-year-olds | :34:47. | :34:52. | |
experiencing severe mental health problems is seen as almost | :34:53. | :34:56. | |
inaccessible in my own constituency. Young sufferers have too weird for | :34:57. | :35:03. | |
up to two years to access some services. Such a delay at such a | :35:04. | :35:08. | |
vulnerable time in the lives of our youngsters is quite unacceptable. | :35:09. | :35:12. | |
Also, though there has been a recent review, it has not made a difference | :35:13. | :35:19. | |
to my constituency. It has not been any change. Indeed, the borough | :35:20. | :35:23. | |
council cannot even access videos of those requiring treatment and | :35:24. | :35:28. | |
intervention. This is a huge girl on the part of your government and you | :35:29. | :35:32. | |
are letting our most vulnerable youngsters down at a time when they | :35:33. | :35:37. | |
are really troubled. What are you doing to address this? We have | :35:38. | :35:43. | |
provided an 18% increase for mental health services. ?7.6 million at the | :35:44. | :35:49. | |
service change and development programme is being supported by | :35:50. | :35:52. | |
Professor Dame Sue Bailey and there will be the recruitment of an | :35:53. | :35:56. | |
additional 130 members of staff who will improve services and reduce | :35:57. | :36:06. | |
waiting times. First Minister, someone from outside my constituency | :36:07. | :36:10. | |
approached me to help them with a case because they knew I had done | :36:11. | :36:14. | |
work on mental health and this woman had been waiting for years and had | :36:15. | :36:20. | |
told her GP that she had considered committing suicide and it was only | :36:21. | :36:24. | |
when I as an Assembly Member raised this with the GB locally that and | :36:25. | :36:27. | |
nothing actually happened in terms of providing assistance to stop that | :36:28. | :36:31. | |
could have been a media story where she could have done what no one in | :36:32. | :36:37. | |
this room would have wanted her to do. What sort of work are you doing | :36:38. | :36:41. | |
with GPs not to ask them to undertake training but to require | :36:42. | :36:45. | |
them to take training so there will not be further tragedies in Wales | :36:46. | :36:48. | |
when people do not actually get the treatment that they need in good | :36:49. | :36:55. | |
time? Additional funding will be used to ensure that psychological | :36:56. | :37:00. | |
treatment is available quickly and early intervention with regard to | :37:01. | :37:07. | |
ensuring that psychosis is dealt with and to fund an emergency | :37:08. | :37:15. | |
service for children and young people, especially in those | :37:16. | :37:18. | |
emergency departments in the hospitals. The funding will be | :37:19. | :37:25. | |
there, but it is also available across Wales. It will ensure that | :37:26. | :37:30. | |
services are able more quickly than was the case in the past and there | :37:31. | :37:36. | |
will be more staff available to give that assistance when it is required. | :37:37. | :37:41. | |
First Minister, you referred to earlier intervention. Your education | :37:42. | :37:49. | |
minister has acknowledged the importance of educational | :37:50. | :37:53. | |
psychologists in ensuring that the training in Cardiff will remain in | :37:54. | :37:59. | |
place and we are moving to wards implementation of new legislation in | :38:00. | :38:08. | |
terms of SDN. There are problems in North Wales in terms of | :38:09. | :38:10. | |
inconsistencies between local authorities on the fact that a | :38:11. | :38:14. | |
quarter is provided to schools in terms of the amount of hours that | :38:15. | :38:19. | |
educational psychologist can work in every school and there has been no | :38:20. | :38:23. | |
review since 2004 into this situation in Wales when | :38:24. | :38:28. | |
responsibility was passed to the local education authorities. Would | :38:29. | :38:31. | |
you be willing to look at this and reviewed a new so we can consider | :38:32. | :38:36. | |
this as part of new legislation? I will write to the member with regard | :38:37. | :38:41. | |
to that. It is an important part is that there should be consistency in | :38:42. | :38:45. | |
the education system and I will ensure I do write to the member to | :38:46. | :38:48. | |
set out the stance of the government. We'll be First Minister | :38:49. | :38:54. | |
make a statement on the progress NHS has made toward the Welsh Government | :38:55. | :38:59. | |
struggle of a planned? The annual report published last month | :39:00. | :39:04. | |
demonstrates the progress made. It includes increased awareness | :39:05. | :39:07. | |
raising, improved interventions, improved hospital care and improved | :39:08. | :39:14. | |
discharge and rehab services. This has improved survival rates and | :39:15. | :39:18. | |
improve -- reduced longer term disabilities. The recent | :39:19. | :39:23. | |
publications of the report shows that there are 1000 fewer people | :39:24. | :39:28. | |
buying Judah stroke than ten years ago. What does this tell us about | :39:29. | :39:32. | |
the continued dedication and then his best stuff and the role they | :39:33. | :39:35. | |
play in delivering this service? It tells us a huge amount. We have an | :39:36. | :39:45. | |
excellent track record. We have a system of intelligent targets so | :39:46. | :39:49. | |
that data is readily accessible to clinicians who can make improvements | :39:50. | :39:54. | |
to stroke services at a local level. Our paramedics, of course, are | :39:55. | :39:58. | |
highly skilled in the rapid identification of stroke patients | :39:59. | :40:01. | |
and our nursing staff have been working very hard to make sure that | :40:02. | :40:08. | |
those who present at hospitals with strokes are offered treatment as | :40:09. | :40:11. | |
rapidly as possible because we know that has a huge impact on their | :40:12. | :40:16. | |
ability to survive and to avoid long-term disability. It is very | :40:17. | :40:22. | |
welcome but there have been improvements in sport -- stroke | :40:23. | :40:26. | |
outcomes, but we are still at the bottom of the UK league table even | :40:27. | :40:30. | |
though we have made progress. What additional support you provide to | :40:31. | :40:34. | |
Welsh health boards so they can get up to the UK average and possibly | :40:35. | :40:40. | |
beyond that? Working with the voluntary sector particularly, that | :40:41. | :40:46. | |
is important to help those who have been victims of stroke. Also, | :40:47. | :40:53. | |
helping to improve early diagnosis. We have what's called the faster | :40:54. | :40:59. | |
process. That enables call takers and ambulance control to identify | :41:00. | :41:03. | |
people who may have had a stroke Lisa paramedics can get to them | :41:04. | :41:09. | |
early and to ensure that they get to clinicians who have used the | :41:10. | :41:12. | |
information they have received through the audit process. It is | :41:13. | :41:18. | |
true to say that a multidisciplinary dream have led the way in planning | :41:19. | :41:22. | |
improvements to services and that is why we see outcomes in prison. I | :41:23. | :41:29. | |
welcome the fact that progress has been made in Wales generally | :41:30. | :41:33. | |
speaking on this issue although there has been some retrograde steps | :41:34. | :41:40. | |
over the past 12 months in my local health board. We all want to see | :41:41. | :41:44. | |
people surviving and overcoming stroke, but in doing that, of | :41:45. | :41:47. | |
course, people have greater care needs in the months following a | :41:48. | :41:53. | |
stroke and much of that burden falls on social services, as much as it | :41:54. | :41:58. | |
does on the health service. What are you doing to ensure that we have | :41:59. | :42:02. | |
better reports after six months than we currently have in terms of the | :42:03. | :42:06. | |
way people did with the impacts of a stroke? The first thing is to ensure | :42:07. | :42:12. | |
the diagnosis happens quickly, that paramedics can go to the person | :42:13. | :42:15. | |
quickly and that they are taken to a specialist unit so they receive the | :42:16. | :42:25. | |
treatment as quickly as possible. Of course, one thing that affect people | :42:26. | :42:30. | |
following a stroke is bad they change the way they look at their | :42:31. | :42:33. | |
own lives, their spirit can be affected and it is important that | :42:34. | :42:39. | |
having that psychological and social help will help them on that path to | :42:40. | :42:44. | |
recovery. Working with families, working with the third sector, we | :42:45. | :42:51. | |
talked about that already, to ensure that there is a comprehensive, | :42:52. | :42:55. | |
holistic, system around the person to allow them to get better. | :42:56. | :43:00. | |
Treatment is important, but that is a first step in what is important | :43:01. | :43:04. | |
that we were with the third sector and with families to ensure that | :43:05. | :43:12. | |
that improvement continues. Will the First Minister provide an update on | :43:13. | :43:15. | |
the support available to communities affected by the development of the | :43:16. | :43:19. | |
solar farms? This is a matter for the local planning authority but we | :43:20. | :43:23. | |
will encourage any developer to consider best practice around | :43:24. | :43:26. | |
community involvement on supply chain opportunities and benefit | :43:27. | :43:31. | |
arrangements so that communities can benefit most. Construction work on a | :43:32. | :43:40. | |
38,000 panel solar farm has started just outside the village in my | :43:41. | :43:44. | |
constituency. The developer have had minimal discussions with the | :43:45. | :43:48. | |
community today to discuss committee benefits and have proven extremely | :43:49. | :43:51. | |
difficult to contact and communicate with. What support is the Welsh | :43:52. | :43:55. | |
Government able to offer to communities during the negotiation | :43:56. | :43:59. | |
period for community benefits to ensure they are not short-changed | :44:00. | :44:02. | |
and receive the full entitlement of benefit they are owed under the | :44:03. | :44:05. | |
registrar of community and economic benefits? It would be easy for us as | :44:06. | :44:12. | |
a government to facilitate this if the levy was devolved, it is not. | :44:13. | :44:17. | |
The difficulty is that section 106 is the current procedure for interim | :44:18. | :44:24. | |
committee benefits, but it bumps up against other issues and it puts | :44:25. | :44:28. | |
limits on what we can do to develop community benefits. My view is that | :44:29. | :44:33. | |
this is a planning levy and should be devolved. That is not the view of | :44:34. | :44:36. | |
the UK Government. It means we cannot have a copper heads of | :44:37. | :44:40. | |
approach to developing a process on community benefit to section 106 and | :44:41. | :44:44. | |
a replacement we would like to put in place. Last summer saw the | :44:45. | :44:51. | |
opening of the first Welsh local authority owned and run solar farm | :44:52. | :44:55. | |
in Wrexham. Much of the groundwork was done under the leadership of my | :44:56. | :45:00. | |
friend and colleague. The farm has nearly 9000 solar panels over 43 | :45:01. | :45:05. | |
acres and has the effect of reducing the carbon footprint by 1300 tonnes | :45:06. | :45:11. | |
of CO2 per year. As with the not for profit Robin Hood energy company | :45:12. | :45:15. | |
which has been rolled out in Nottinghamshire, I would argue that | :45:16. | :45:19. | |
those facilities show the opportunity that renewable energy | :45:20. | :45:23. | |
offers communities and local authorities working in partnership. | :45:24. | :45:26. | |
Did you agree with me we should work towards a greater roll-out of such | :45:27. | :45:31. | |
partnerships between local communities and principal local | :45:32. | :45:35. | |
authorities and what can the Welsh Government do concretely to | :45:36. | :45:36. | |
facilitate this? Yes, I do. The member makes it sound | :45:37. | :45:44. | |
like his colleague is digging holes for the new facility! | :45:45. | :45:49. | |
LAUGHTER The member is right. We know that | :45:50. | :45:59. | |
they have great potential, not just to contribute to renewable energy, | :46:00. | :46:02. | |
not just to contribute to a reduction in our carbon footprint, | :46:03. | :46:09. | |
but also to put money into our local economy as well. We would have a | :46:10. | :46:15. | |
full range of options to promote those schemes further. | :46:16. | :46:19. | |
PRESIDING OFFICER: Thank you. STUDIO: | :46:20. | :46:22. | |
There we are, that was First Minister's Questions. | :46:23. | :46:23. | |
If you want more more coverage of the National Assembly, | :46:24. | :46:24. | |
you can go online to BBC Wales's Senedd Live | :46:25. | :46:26. | |
But that's it for First Minister's Questions. | :46:27. | :46:36. | |
Don't forget for all the latest political news, watch Wales Today | :46:37. | :46:38. | |
later today at 6.30pm on BBC One Wales and Newyddion | :46:39. | :46:42. | |
As for am.pm, though, from all of us on the programme, goodbye. | :46:43. | :46:53. | |
We will be back in a fortnight's time. Half-term next week. | :46:54. | :46:58. | |
Hopefully, see you in a fortnight. Bye-bye. | :46:59. | :47:00. |