18/02/2014 am.pm


18/02/2014

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Transcript


LineFromTo

Good afternoon, welcome to the programme and our weekly coverage of

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Questions to the First Minister. Well, I hope you've already got into

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your armchair position ahead of what's likely to be a highly charged

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start to First Minister's Questions. Last week, the Conservative leader,

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Andrew RT Davies, sacked four of his group from the front bench. If that

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wasn't enough, it emerged over the weekend that there have been

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divisions within the group since Mr Davies took over as leader. So you

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expect questions from Carwyn Jones today to the Leader of the

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Opposition. Other than that, six of the first ten questions today are on

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health, with the future of our local councils and the impact of flooding

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also demanding answers. But remember, please get in touch with

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us if there's anything you want to talk about. You can comment on

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anything on this programme or any other political news. You can reach

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us via Twitter, we're @walespolitics. Or send us an email

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to [email protected]. Well, business in the chamber is already underway,

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so let's go over to the Senedd now and take a look at Questions to the

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First Minister. TRANSLATION:

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Good afternoon, the National Assembly has come to order.

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Questions to the First Minister. Question one, Kirsty Williams. Would

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he make a statement on ambulance services in Brecon and Radnorshire?

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The latest with available response to figures shows category a

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performance in Paris was better compared to the same period last

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year. -- in Powys. The figures recently released by the Welsh

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gamblers trust show ambulances in Powys Art and soaring muster theft

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of their cause in the local health board areas, so many of my

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constituents are potentially being left without the proper ambulance

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cover. When I raised this issue with you last June, you said you would

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investigate the matter. What did that reveal? There is no reason to

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suggest was a lack of cover. We see that because of the figures I have

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just mentioned from December of last year. In terms of responses

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including air ambulance responses, we know people in Powys to get to

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hospital quickly when they need to, despite the rural nature of the

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county. There will be some communities across the borders and

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20 batteries where that is necessary, but it does not

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necessarily mean there will be a lack of cover elsewhere. First

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Minister, the problems in the Ambulance Service are confined --

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are not confined to Brecon and Radnorshire. What we have found is

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that there are problems across Wales, including in my constituency,

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where 13 hospitals... I have cut your microphone off, Darren Miller.

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Because we are talking about Brecon and Radnorshire. I do not want

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examples of other areas. I am merely making the point the Ambulance

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Service is under pressure. As a result largely of the

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record-breaking cuts which Europe have made has imposed upon the Welsh

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NHS. What action are you taking to remedy that situation, to ensure our

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unscheduled care performance can improve, and what lessons can you

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learn from looking across the border, where the performance of the

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Ambulance Service is a lot better than here in Wales? It is important

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that were summary is on the front bench of any party -- somebody... It

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gives the shaggy dog is about record-breaking cuts. His own party

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has imposed cuts of ?20 billion on the NHS in England. In England, it

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is called efficiencies, but it is smoke and mirrors. We know in terms

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of the audit office, the reliance should not be placed on the figures

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are used for referral to treatment times. We take no lessons from the

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party opposite. We know that to them, the NHS is not important.

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TRANSLATION: There is no general hospital either

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within the boundaries of Brecon and Radnorshire and Powys, therefore,

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patients have to be taken to nearby hospitals, and those are currently

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under review. By the way down to south Wales. In that context, the

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Ambulance Service has admitted that patients will have to spend longer

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being transported over greater distances and they have admitted

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that this will require more training and enhanced skills for certain

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stuff. As the Ambulance Service is already suffering because of levels

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of sickness, twice the level of a service such as the police, how will

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you ensure that the staff and necessary skills are in place for

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these longer journeys in ambulances, which will come about as a result of

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the reorganisation of health care? It does not follow that people will

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have to travel further in numbers because the air ambulance is

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available and it has been true in Powys for a long time. We know it is

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entirely natural in Powys, where emergencies in terms of childbirth

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take place. Jenny Rathbone. Excuse me. I do beg your pardon, First

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Minister. Yes, I was referring to emergencies which are in terms of

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childbirth, where mothers are taken to hospitals in England, sometimes

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in Wales, by air ambulance. I do think that the paramedics already

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have good skills in Wales, but we need to reconsider the skill set and

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we expect the Trust to do that. What can the Welsh, do to ensure that

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local authorities are future proofing public services to deliver

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more with less? The local authority is responsible for ensuring the

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sustainability of these services that delivers to individuals,

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families and communities. What we support local authorities to do this

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through legislation and policy, and funding. A recent report on the

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financial challenges facing local authorities indicates that only a

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quarter are looking beyond the immediate process. When we know that

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this is something that is going to affect, not just the short-term

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challenge, so what can we do to promote much more strategic

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conversation with local communities, as to what services communities

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want, and how we can deliver them sustainably? It is for local

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authorities to deliver those services, it is within their

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responsibilities, but as the member will know, the view of the

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Government is that there needs to be a restructuring of the local

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government in Wales. Once that is done, I believe it will be far more

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possible for the services to be delivered sustainability in future.

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Future proofing of services in Wales requires a change in service to,

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breaking down barriers between people who provide services and

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those who use them. How would you respond to their call for experts

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and links between service providers and citizens and communities,

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designing and delivering the services together, and sharing

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budgets? It is important that there is collaboration and what it sharing

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where that is appropriate. Of course, we would seek to ensure that

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where services are made available to members of the public either by

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local authorities or other public bodies, they work with the service

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recipients in order to ensure the services appropriate for the

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individual. TRANSLATION: Thank you very much. Referring to

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the report that Jenny Rathbone mentioned, the audit office is

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highly critical of the failure of local authorities to tackle these

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challenges. But in describing good practice in one council estate where

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the council benefits from financial management which is strong and

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robust, and has some success in planning effectively for the future

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and what would you join with me in congratulating the leadership and

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the officials on their vision and success? Of course, I could see that

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coming from a long way. But may I praise any local authority that

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ensures that they understand the challenges ahead, and Gwinnett and

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another -- the number of other authorities. Leanne Wood. Last week

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the South Wales programme reviewed that might reveal its proposals for

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the withdrawal of critical health services from some of our hospitals.

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You have fully supported their plans. You have repeatedly claimed

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that medical professionals themselves support centralisation.

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Now that the health board has voiced opposition to the proposals for the

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Royal Glamorgan Hospital, confirming there is no universal consensus

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among medical professionals, will the final decision on the future of

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the Royal Glamorgan Hospital be made by the Minister for health? There is

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the responsibility to ensure that the health service is sustainable

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and safe in the future. It has become clear that the consensus that

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you claimed on this matter never did exist. There is not consensus, even

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in your own party. The current number of Parliament for the Rhondda

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is saying that he is not happy and that assumptions that were made in

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reaching the hospital downgrade proposals are a mistake. -- member

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of Parliament for stuff I have reason to believe that there are

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embers of your own party sitting behind you to share those views. --

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members. Will you show some leadership today now, and assure us

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that we will not see any more Labour Party banners proclaiming your

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party's opposition to the South Wales programme? Will you give us an

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undertaking that your party will be straight with people on health from

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now on? Well, we have been straight. The question is, your party has not

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been, on any number of occasions. The Health Minister will take

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decisions with regard to the final structure of certain that Iraq if

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certain circumstances are met. If there is not agreement, it will have

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to be looked at. What we want, of course, is to ensure that there is a

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sustainable health service across the whole of that part of South

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Wales in the future. That means looking at every hospital, not just

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focusing on the Royal Glamorgan. You will no doubt most attempts at

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reconfiguration are now ending with costly judicial reviews. It is

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likely that the South Wales proposals will end up in the courts

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as well. Your party is split, your plans have been rejected by the

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public, senior health managers are in disagreement, as our medics.

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First Minister, this situation is a mess. I miss you could end right

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now. Instead of wishing your deeply unpopular centralisation plans --

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instead of pushing, now is the time to focus on boosting NHS

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recruitment, sorting out the Ambulance Service and merging health

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and social care, as proposed by Plaid Cymru. The problem she has is

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that we are Co greater health service in Wales that will be

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attracted -- attractive for people to working for them she wants no

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change and she will see a collapse of services in time. All the time,

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they claim to say that consultants do not supported, but they do, that

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is a fact. You should talk to more consultants, as I do, and you will

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understand that they will say, it is important we have hospitals that are

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able to offer the right level of training, that there that night and

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it is important that doctors find a hospital that is able to offer them

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an opportunity to practise. What she wants is a second cup --

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second-class health service, start with up who are not properly

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trained, or hospitals that are understaffed, because that is more

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important than having doctors of the right level of expertise. To give

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one example, what was her party's view on the centralisation on

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stomach cancer operations? They were against it, and what happened? A 20%

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increase in survival. But they would rather keep services local, even if

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those services are worse. Rather than sing to the people of Wales,

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there are some conditions that have to be centrally is in order that

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more people should live. That is the important aspect here. For her

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party, it is more important that they play political games, rather

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than deliver services that will ensure that more people have a

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better outcome. That is secondary to their own considerations. We moved

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to the leader of the Welsh Liberal Democrats, Kirsty Williams. First

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Minister, last April, I asked you about the number of ambulances'

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waiting hours outside A departments, and you told me you

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were seeing what could be done to alleviate the situation. I have

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figures that showed in December, there were over 2000 occasions when

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it took more than an hour to turn around an ambulance. Are you still

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looking for the solution? 85% of people at the last count do get into

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hospital within an hour. There will be occasions where people have to

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wait longer. But we're not in the situation that has existed in some

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hospitals in England where they are serial occasions where ambulances

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are waiting. I do not know what your definition of cereal is, but we had

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over 2000 incidents in one month alone. That fans like pretty cereal

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to me. -- that Sun is. Today we hear the number of amulets service staff

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with stress is increased by 60% and serious concerns have been raised

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about the frustration in wasting outside hospitals, watching patients

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deteriorate. -- waiting outside. Asked May, the Health Minister

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acknowledged this problem and said tackling stress for ambulance staff

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was his priority. What have you done to reduce the pressure on

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hard-working paramedics and Ambulance Service staff? She for the

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last month, there are 40 bits and fewer patients waiting for handovers

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than there was last year. We have monitored the situation

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between March and September last year. There was a vast improvement

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in those patients discharged or moved after a rival and A She

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talks about people having to bite and she mentions figures in the

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thousands, 940,000 people attend emergency departments every year in

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Wales. 940,000. The vast majority of those people get good treatment at

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the correct thing. Where that does not happen, it is important that we

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make improvements. White mac that did not answer my question. What had

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you done since last May to reduce the stress on ambulance staff.

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Despite what you said earlier and you do not seem to understand that

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senior angler 's trust managers -- Ambulance Trust managers in order to

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cope with these changes, it means more paramedics will be needed

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because services are moving. Will you commit on behalf of your

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government today to make sure that the Welsh Ambulance Service has all

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the resources that it needs in order to make sure that patients are not

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put at risk and are delivered to hospitals and a Thame Market,

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following the centralisation of the central government?

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She will understand, no doubt, that we are training more paramedics,

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because they understand the point that she makes. What she does not

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understand or grass is that the vast majority of patients are transferred

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and seen within one hour. There will be cases where this is not the case.

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We are not happy with the current quotas. But it shows that the vast

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majority of people are treated in good time and received good

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treatments. We are training more paramedics but let us make sure we

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understand that when it comes to the NHS in Wales, the vast majority of

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people received a good service. The patient service tells us that.

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We now move to the door of the opposition, Andrew RT Davies. -- the

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Leader of the Opposition. It is good to hear so much cheering from the

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benches opposite. Order, I am interested to know what

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the Leader of the Opposition wants to see this afternoon. Andrew RT

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Davies. I would like to ask the First

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Minister on the reports today on the case of Ian Watkins and the failure

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of children's services in that area and those charged to protect young

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people against such allegations and the lack of response when concerns

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are raised at the early stages. As the First Minister believe that the

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services as configurators did all they could to assist in addressing

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the concerns that were raised on this particular issue? These

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concerns have been raised today. I think it is correct that those

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concerns are given the full this consideration.

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I am grateful for the First Minister answer on that. If the concerns are

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substantiated, and I see no reason that they will not be, will the

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Welsh Government be instigating an inquiry into the failure to address

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these concerns and actually make sure that they make safeguards

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available to ensure that these horrendous crimes are not

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perpetrated on other children across Wales, let alone and that specific

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area? It is difficult to predict that. The

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suggestion is that police are involved and they are not devolved

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and we cannot call them to account when it comes to any kind of

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inquiry, we have met that problem before been looking at other

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situations. What needs to happen and this needs to be looked at carefully

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before any consideration is getting to ensure that the public will have

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confidence in the system that exists at the moment. Thank you. Due not

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think a Serious Case Review would be a way to pull all of these agents

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together to look at the allegations regardless of whether this is

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devolved or non-devolved? Many outside of this institution will not

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be concerned about where that responsibility lies, they just want

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to make sure that the safeguards are in place and that action is the

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Internet address the real concerns that have been raised today and I do

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believe and teacher at your word that you will look at this, but I

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believe the Welsh Government has a key role in instigating such a

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review and taking the lead on it as the main executive body here in

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Wales. As I said to the Leader of the Opposition elder, and I am sure

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this is something that the Minister will look at with a view to

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determining the best way forward, but where such allegations are used,

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it is important that they are given due consideration within that

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regard. Will the First Minister make a statement on the provision of

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unscheduled care? The focus on winter planning means

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that resilience and the system is better than ever. We have seen that

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over the course of the past few months. Significant improvements

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have been achieved by NHS Wales when compared to the relevant performance

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indicators. Thank you. How are the health board discussing things to do

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with Withybush Hospital, can you confirm that they are looking at

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24/7 services which two the local health board have confirmed that

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they wish to see 24/7 emergency cover continue at with the Bush

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hospital. Thank you for that, following on

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from Rebecca Evans question, Minister, perhaps you would care to

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tell us what effect you think will happen to accident and make -- A

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as paediatrics is being moved to another hospital and will cover be

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available for within the hospital? The gadgets take up 25% of most A

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is and that is going through that hospital meaning that with the Bush

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hospital will have no option but to have a reconfiguration of hours and

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some honesty in this discussion from the health board to the public who

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are already very upset by the changes that have gone on and the

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Pembrokeshire area would be much appreciated. The Minster promised us

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to look at this. I can only see what I said previously and that is that

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24/7 emergency care as the wish of our hearty when it comes to this

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situation. I read recently that some patients

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wander into A departments with complaints about back-ups. Some

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patients go to A departments as many as 40 times per year. What at

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skin -- what action are taking to reduce these kinds of problems? It

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is not necessary for people to attend. A is the only area of the

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health service that cannot turn people away. I have spoken at length

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to consultants and my own hospital and they have often told me stories

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about how people will come to them when there is nothing wrong with

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them. They have also visited their GPs for or five times. They say that

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their GP has not done anything so they then attend A There is

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nothing wrong with them, of course. That is why the Health Minister has

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been clear that people should not attend A departments unless it is

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essential. People must be able to access GP services at a time that is

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convenient to them, that is why we have rolled out access to GPs at

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evenings and weekends and I have seen this happening, where GPs are

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now available in the evenings, and in those practices, they offer

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nurses as part of the practices and the county with a lot of minor

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injuries as well to take the pressure off A departments. People

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should not attend A unless absolutely essential.

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Will the First Minister make a statement on the Young Recruits

1:13:231:13:22

Programme? Yes, it has been a great success and demand has been high, we

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have exceeded the target for this financial year. I would endorse your

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comments, it has been an excellent initiative for job-seekers and small

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employers alight. In recent months, however, I have received concerns in

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relation to some of the lengthy delays and the payment processes and

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in particular to our sole traders and small businesses. And the July

1:13:231:13:22

2013 evaluation process, weaknesses were identified as an accurate

1:13:231:13:22

information sent to employers regarding funding criteria. Under

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resourcing of programme Administration, which was leading

1:13:231:13:22

small businesses working with very tight margins and low disposable

1:13:231:13:22

revenues and really struggling to participate. First Minister, will

1:13:231:13:22

you work with your deputy minister to speed up this process so that our

1:13:231:13:22

employers and all our job-seekers who wants to take advantage of this

1:13:231:13:22

initiative can do so? Yes, the programme is a very successful one.

1:13:231:13:22

We welcome the fact that so many people have benefited from it and

1:13:231:13:22

working with the Minister we will continue to ensure that the

1:13:231:13:22

programme moves from success to success. We and Plaid Cymru are very

1:13:231:13:22

pleased to be a driving force working with your government to

1:13:231:13:22

greatly increase the number of apprenticeships. Do you, First

1:13:231:13:22

Minister, agree that oversubscription of the Young

1:13:231:13:22

Recruits Programme shows that the government needs to take urgent

1:13:231:13:22

action to further extend the programme, including increasing the

1:13:231:13:22

number of higher-level apprentices? Well, that is something for the next

1:13:231:13:22

budget, I suspect. We are very pleased that the programme has been

1:13:231:13:22

working very well and we acknowledge the agreement that was made at the

1:13:231:13:22

time of the last budget. And, of course, we acknowledge this and them

1:13:231:13:22

success of the jobs programme in Wales that has attracted a lot of

1:13:231:13:22

people into permanent employment. First Minister, how many of the

1:13:231:13:22

young people who do is accessible completely jobs growth Wales

1:13:231:13:22

placement transferred directly into the Young Recruits Programme? I do

1:13:231:13:22

not have that figure but what I can tell you is that the vast majority

1:13:231:13:22

of them to get a permanent job, those that do not often go into

1:13:231:13:22

other education or other apprenticeship schemes.

1:13:231:13:22

Thank you, will the First Minister make a statement on the services at

1:13:231:13:22

Withybush Hospital? It will continue to play a vital role for services to

1:13:231:13:22

the people of Pembrokeshire. Two weeks ago I asked you about the

1:13:231:13:22

downgrading of services at with a Bridge Hospital following the

1:13:231:13:22

decision of your government to close the special care baby unit at the

1:13:231:13:22

hospital. And your response you suggested that the Health

1:13:231:13:22

Minister's decision was supported by all doctors, however, I have

1:13:231:13:22

received copies from correspondence from GPs from Pembrokeshire stating

1:13:231:13:22

otherwise. Will you take this opportunity to explain for the

1:13:231:13:22

record that the Minister's decision was not supported why all doctors in

1:13:231:13:22

that area? Not at all, I have the record here. It says that the

1:13:231:13:22

decision was taken on the recommendation of doctors. Those who

1:13:231:13:22

were on the panel, of course, and it goes on to say that it was the view

1:13:231:13:22

of the doctors that the system must be changed and that is true.

1:13:231:13:22

Especially from the point of view of colleges and the doctors and that is

1:13:231:13:22

a strong recommendation of doctors on the panel that change must

1:13:231:13:22

happen. Nobody sensible argues that there should be two levels of units

1:13:231:13:22

in different hospitals. The debate is regarding the location of that

1:13:231:13:22

one unit and the members' argument is that it should be in by the Bush

1:13:231:13:22

hospital. He knows well that his colleagues sitting next door to him

1:13:231:13:22

has made that decision on the grounds of what is best in terms of

1:13:231:13:22

securing a safe and sustainable service for the future. It is not

1:13:231:13:22

honest or true to say that this has been a decision that is completely

1:13:231:13:22

political. It is a decision that has been taken on the grounds of

1:13:231:13:22

evidence that has come from doctors on the basis of what the colleges

1:13:231:13:22

have said and on the recommendations emanating from a panel that looked

1:13:231:13:22

at this and a totally neutrally objective manner. How the Minister

1:13:231:13:22

could have come to another decision, I do not know, especially if you

1:13:231:13:22

want to keep a safe and sustainable operating unit. In discussing the

1:13:231:13:22

emergency care units, the health board quoted a document with the way

1:13:231:13:22

ahead from the wild College of emergency health care that said to

1:13:231:13:22

have a 24 hour a day emergency unit which would have to be supported by

1:13:231:13:22

seven special teams and amongst those as paediatrics. Paediatrics is

1:13:231:13:22

already intended to be cut from 24 hours at day to 12 hours a day at

1:13:231:13:22

Withybush Hospital. There you truly believe and argue of the opinion

1:13:231:13:22

that a 24 hour emergency unit will continue in Withybush Hospital? I

1:13:231:13:22

cannot go any further than my earlier answer and that is what the

1:13:231:13:22

health board has told us and that is that they want to ensure that there

1:13:231:13:22

is a 24 hour service available and the hospital and that is in an

1:13:231:13:22

emergency service. What discussions has the First Minister had with the

1:13:231:13:22

Minister for Health and Social Services in relations to the

1:13:231:13:22

Neurological Conditions Delivery Plan? The Mr has advised me that the

1:13:231:13:22

consultation has closed and his intention to publish the final plan

1:13:231:13:22

in April. White back -- I am deeper concerned about the lack of

1:13:231:13:22

community-based rehab service for brain injured patients in Gwent. I

1:13:231:13:22

have several constituents affected eye this alarming lack of revision.

1:13:231:13:22

While I am pleased that the health board plan to establish a local

1:13:231:13:22

service, detailed plans have been a place for awhile and progress

1:13:231:13:22

appears to be painfully slow. I am sure you can understand what a

1:13:231:13:22

difference this multi-agency support can make to patients with brain

1:13:231:13:22

injuries. Will you look this issue is that when this issue with a view

1:13:231:13:22

to urgently ending this serious inequity in provision affecting my

1:13:231:13:22

constituents rose-mac clearly, it is unacceptable. I had to stand that

1:13:231:13:22

you have corresponded with the executive on this matter and he has

1:13:231:13:22

said it is the plan to improve the provision of services. Thank you. I

1:13:231:13:22

have to practise throwing my voice from my new position! First

1:13:231:13:22

Minister, the Neurological Conditions Delivery Plan was

1:13:231:13:22

launched last year to help people with neurological conditions. The

1:13:231:13:22

Chief Executive of the NHS in Wales has said it is not going to work

1:13:231:13:22

unless local Governor and the voluntary sector all work together

1:13:231:13:22

that right local gum and -- local gum and. What are you doing to make

1:13:231:13:22

sure these different factors are coming together to proceed this

1:13:231:13:22

important plan? I am tempted to say I will text the answer to the

1:13:231:13:22

member! What I will afford him greater courtesy and say the plan is

1:13:231:13:22

designed to ensure that all the relevant bodies work together in

1:13:231:13:22

order to ensure the plan is delivered properly. That is why the

1:13:231:13:22

plan is in place. Trans -- First Minister, in some areas, there is no

1:13:231:13:22

epilepsy specialist nurse service available and Hywel Dda is one of

1:13:231:13:22

those areas. There is funding to bring development for an epilepsy

1:13:231:13:22

nurse in the West Wales area. Do you agree with me that for special

1:13:231:13:22

conditions such as this, it is important that there is specialist

1:13:231:13:22

services are available for people, wherever they may live in Wales?

1:13:231:13:22

Well, in terms of how that is practically delivered, we want to

1:13:231:13:22

ensure there are adequate numbers of nurses with that specialism

1:13:231:13:22

available so that people can access the treatment they need, but we do

1:13:231:13:22

have to bear in mind and consider how many are available, to consider

1:13:231:13:22

how many will be needed for the future, and the financial situation.

1:13:231:13:22

In saying that, no one would argue against a case which states that we

1:13:231:13:22

must ensure there are adequate numbers available. Thank you. First

1:13:231:13:22

Minister, there was a great deal of celebrating when the national

1:13:231:13:22

directive on epilepsy was launched. New guidelines have been issued

1:13:231:13:22

since 2012. But there has been no update and there is quite a bit of

1:13:231:13:22

criticism about how effective the health boards have been in implement

1:13:231:13:22

in the guidelines. Will epilepsy be included within the neurological

1:13:231:13:22

plan, or will you as a government ups -- update the epilepsy

1:13:231:13:22

guidelines was Mac AI to the Minister that this is a crucially

1:13:231:13:22

important question. It is a question that was... As was the question

1:13:231:13:22

asked by the member for Ceredigion. Will the First Minister make a

1:13:231:13:22

statement on the effects that recent severe weather conditions have had

1:13:231:13:22

on communities in Wales? Are responding agencies have worked hard

1:13:231:13:22

to reduce the impact of the recent severe weather. I would like to

1:13:231:13:22

express sympathy to the communities and the individuals who have

1:13:231:13:22

experienced the full force of the recent storms. But nevertheless,

1:13:231:13:22

given the difficulty surrounding the weather and the sheer force of the

1:13:231:13:22

weather, I believe we managed to deal with it as efficiently as

1:13:231:13:22

possible. I appreciate your answer. But those communities in Wales who

1:13:231:13:22

have been affected, particularly by the loss of our, to thousands of

1:13:231:13:22

homes and businesses, what they want to know is, what support they will

1:13:231:13:22

be getting. Can I ask what your government is doing to help secure

1:13:231:13:22

that support? What discussions have you had with energy companies about

1:13:231:13:22

the potential bill reductions to properties that have been affected

1:13:231:13:22

rose-mac has examined the package of business rate reduction for those

1:13:231:13:22

businesses that have been significantly affected by the impact

1:13:231:13:22

of the weather? Local authorities are able to approach the Welsh

1:13:231:13:22

Government in order to receive extra funding with regard to the weather.

1:13:231:13:22

Of course, we are in the position that we invested in our flood

1:13:231:13:22

defences, whereas we saw a 20% cut in England and we saw what the

1:13:231:13:22

result of that was. I am sure the Welsh people appreciate the fact we

1:13:231:13:22

have not seen the level of flooding that some in England have had,

1:13:231:13:22

despite the weather being exactly the same. At one point on Wednesday

1:13:231:13:22

last week, 100,000 homes were without power, that situation was

1:13:231:13:22

rectified very quickly and I would like to pay tribute to the power

1:13:231:13:22

companies for making sure that people were not left without power

1:13:231:13:22

for many days, and for ensuring people were not left in flood water

1:13:231:13:22

for many weeks. Thank you. Last week, I visited a farmer in the Vale

1:13:231:13:22

of Clwyd, who has cleared thousands of tonnes of fallen trees, branches

1:13:231:13:22

and material from the flood plain. You will be aware that there are

1:13:231:13:22

limitations on the river and the bridge because of damage that has

1:13:231:13:22

been caused by these materials being caught under the bridge, the same is

1:13:231:13:22

true on -- of Saint Asaph. I raised the issue of doing more to allow

1:13:231:13:22

farmers to tackle some of these problems that cause damage to our

1:13:231:13:22

infrastructure. Can he commit other Government will move swiftly as

1:13:231:13:22

possible to develop plans to avoid this can damage in the future?

1:13:231:13:22

Farmers do have a key role in ensuring that Lloyds do not occur,

1:13:231:13:22

and you were talking -- floods, about the fact that discussion took

1:13:231:13:22

place with the Minister. I am sure the Minister will ensure that if

1:13:231:13:22

there is any more help we can give to farmers, it will be available as

1:13:231:13:22

soon as possible. Will he establish a full public enquiry into care

1:13:231:13:22

standards at Abertawe Bro Morgannwg University Hospital? What I can say

1:13:231:13:22

to the member is that a number of steps have been taken to meet the

1:13:231:13:22

concerns that have been expressed. An external team is reviewing the

1:13:231:13:22

quality and safety of the Princess of Wales Hospital. There is a

1:13:231:13:22

quality and safety steering group. The board has announced a series of

1:13:231:13:22

concerns -- a series of clinics for patients and relatives to discuss

1:13:231:13:22

the issues with members of staff. Nurse staffing levels on medical

1:13:231:13:22

wards have increased. New clinical and executive managerial

1:13:231:13:22

arrangements are in place at the Princess of Wales Hospital, and of

1:13:231:13:22

course, there has been put in place a review into hospitals in the local

1:13:231:13:22

health board area. They were announced by the Minister for health

1:13:231:13:22

last year. So, a number of actions have been put in place in order to

1:13:231:13:22

deal with people's concerns and it is important that what has been put

1:13:231:13:22

in place has an opportunity to report back to the Minister and to

1:13:231:13:22

identify any problems. Thank you for that answer. But it is still plain

1:13:231:13:22

that neither of those families who have recently come forward, nor

1:13:231:13:22

those who continue to fight for answers, Dutch as the parents of

1:13:231:13:22

Robbie Powell, are happy with the solutions offered saw far stop if

1:13:231:13:22

the health service is about caring for patients and ensuring their

1:13:231:13:22

families are happy about their care, that is an apparent issue. You said

1:13:231:13:22

last week that people are calling for public enquiries at the drop of

1:13:231:13:22

a hat and I believe this is insulting to the families who have

1:13:231:13:22

lost people. Many of those you have commissioned may become more costly

1:13:231:13:22

than a public enquiry. So therefore, do you not believe that the cry from

1:13:231:13:22

the parents, the families of patients, is not worthy enough for

1:13:231:13:22

you as a government to enact upon the demand and have a full public

1:13:231:13:22

enquiry? I said you were calling for a public enquiry at the drop of a

1:13:231:13:22

hat. The member mentions the case of Robbie Powell, that is a case that

1:13:231:13:22

has been well aired in this chamber. It is a tragic case. He and his

1:13:231:13:22

family were treated appallingly. We understand there was an

1:13:231:13:22

investigation that took place. A number of events occurred which made

1:13:231:13:22

it difficult for Mr Powell and his family. I spoke to the GMC and the

1:13:231:13:22

police and the CPS. I initiated the investigation and there was an

1:13:231:13:22

apology, rightly so. It is by difficult to know what else can be

1:13:231:13:22

done, although Mr Powell quite rightly is angry and upset about the

1:13:231:13:22

loss of his son. I understand that. But I have to say, many people who

1:13:231:13:22

were at the meeting, I have been dealing with for some years. I have

1:13:231:13:22

done the work in terms of dealing with them and listening to their

1:13:231:13:22

concerns, in terms of taking those concerns for word. She only became

1:13:231:13:22

interested a fortnight ago when she went to the meeting. There are some

1:13:231:13:22

members who do hard work and there are some who will jump on a

1:13:231:13:22

bandwagon. First Minister, I find myself agreeing with Bethan

1:13:231:13:22

Jenkins's request for a full public enquiry into care standards.

1:13:231:13:22

Following on from that, I want to reiterate our request for a keyhole

1:13:231:13:22

style NHS enquiry in Wales, which would the cup this is effect

1:13:231:13:22

concerns of constituents. -- which would pick-up. So we have called for

1:13:231:13:22

it. But it will save lives and improve our NHS. Why will you not

1:13:231:13:22

agree to it and clear the air once and for all? Sorry, I thought that

1:13:231:13:22

was a resignation speech! There is no need for that style of enquiry.

1:13:231:13:22

That is a politically driven matter, as he knows. It is a shame that he

1:13:231:13:22

and other members did not take an interest in many of the people in

1:13:231:13:22

Bridgend who had their concerns aired, and they did not take an

1:13:231:13:22

interest before the meeting took place. And so, my concern as

1:13:231:13:22

somebody in his constituency the Princess of Wales Hospital is, as

1:13:231:13:22

someone who lives in Bridgend, is to make sure that what happened at the

1:13:231:13:22

hospital is thoroughly investigated in order to ensure that public

1:13:231:13:22

confidence is there in the future. From that, we will not shy away. It

1:13:231:13:22

is important that what has been put in place is able to report back, and

1:13:231:13:22

then it will be possible for the Government to decide what happens

1:13:231:13:22

next. Restoring public confidence will be ordered for many of us who

1:13:231:13:22

live in that town, even when other members have moved onto issues.

1:13:231:13:22

We will have to leave First Minister's Questions there, but you

1:13:231:13:22

can see more coverage of the National Assembly online from ABC

1:13:231:13:22

Wales's democracy life page at bbc.co.uk/walespolitics. -- BBC

1:13:231:13:22

Wales. That's it for today. The Assembly is in recess next week, so

1:13:231:13:22

there's no First Minister's Questions. But if you want more

1:13:231:13:22

Welsh politics before then, don't forget Y Sgwrs on S4C at 9:30pm

1:13:231:13:22

tomorrow evening. As for today though, from all of us on the

1:13:231:13:22

programme, goodbye.

1:13:231:13:23

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