Browse content similar to 18/02/2014. 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 | :00:23. | :00:28. | |
Questions to the First Minister. Well, I hope you've already got into | :00:29. | :00:31. | |
your armchair position ahead of what's likely to be a highly charged | :00:32. | :00:35. | |
start to First Minister's Questions. Last week, the Conservative leader, | :00:36. | :00:38. | |
Andrew RT Davies, sacked four of his group from the front bench. If that | :00:39. | :00:44. | |
wasn't enough, it emerged over the weekend that there have been | :00:45. | 9:53:49 | |
divisions within the group since Mr Davies took over as leader. So you | 9:53:50 | 1:13:22 | |
expect questions from Carwyn Jones today to the Leader of the | 1:13:23 | 1:13:22 | |
Opposition. Other than that, six of the first ten questions today are on | 1:13:23 | 1:13:22 | |
health, with the future of our local councils and the impact of flooding | 1:13:23 | 1:13:22 | |
also demanding answers. But remember, please get in touch with | 1:13:23 | 1:13:22 | |
us if there's anything you want to talk about. You can comment on | 1:13:23 | 1:13:22 | |
anything on this programme or any other political news. You can reach | 1:13:23 | 1:13:22 | |
us via Twitter, we're @walespolitics. Or send us an email | 1:13:23 | 1:13:22 | |
to [email protected]. Well, business in the chamber is already underway, | 1:13:23 | 1:13:22 | |
so let's go over to the Senedd now and take a look at Questions to the | 1:13:23 | 1:13:22 | |
First Minister. TRANSLATION: | 1:13:23 | 1:13:22 | |
Good afternoon, the National Assembly has come to order. | 1:13:23 | 1:13:22 | |
Questions to the First Minister. Question one, Kirsty Williams. Would | 1:13:23 | 1:13:22 | |
he make a statement on ambulance services in Brecon and Radnorshire? | 1:13:23 | 1:13:22 | |
The latest with available response to figures shows category a | 1:13:23 | 1:13:22 | |
performance in Paris was better compared to the same period last | 1:13:23 | 1:13:22 | |
year. -- in Powys. The figures recently released by the Welsh | 1:13:23 | 1:13:22 | |
gamblers trust show ambulances in Powys Art and soaring muster theft | 1:13:23 | 1:13:22 | |
of their cause in the local health board areas, so many of my | 1:13:23 | 1:13:22 | |
constituents are potentially being left without the proper ambulance | 1:13:23 | 1:13:22 | |
cover. When I raised this issue with you last June, you said you would | 1:13:23 | 1:13:22 | |
investigate the matter. What did that reveal? There is no reason to | 1:13:23 | 1:13:22 | |
suggest was a lack of cover. We see that because of the figures I have | 1:13:23 | 1:13:22 | |
just mentioned from December of last year. In terms of responses | 1:13:23 | 1:13:22 | |
including air ambulance responses, we know people in Powys to get to | 1:13:23 | 1:13:22 | |
hospital quickly when they need to, despite the rural nature of the | 1:13:23 | 1:13:22 | |
county. There will be some communities across the borders and | 1:13:23 | 1:13:22 | |
20 batteries where that is necessary, but it does not | 1:13:23 | 1:13:22 | |
necessarily mean there will be a lack of cover elsewhere. First | 1:13:23 | 1:13:22 | |
Minister, the problems in the Ambulance Service are confined -- | 1:13:23 | 1:13:22 | |
are not confined to Brecon and Radnorshire. What we have found is | 1:13:23 | 1:13:22 | |
that there are problems across Wales, including in my constituency, | 1:13:23 | 1:13:22 | |
where 13 hospitals... I have cut your microphone off, Darren Miller. | 1:13:23 | 1:13:22 | |
Because we are talking about Brecon and Radnorshire. I do not want | 1:13:23 | 1:13:22 | |
examples of other areas. I am merely making the point the Ambulance | 1:13:23 | 1:13:22 | |
Service is under pressure. As a result largely of the | 1:13:23 | 1:13:22 | |
record-breaking cuts which Europe have made has imposed upon the Welsh | 1:13:23 | 1:13:22 | |
NHS. What action are you taking to remedy that situation, to ensure our | 1:13:23 | 1:13:22 | |
unscheduled care performance can improve, and what lessons can you | 1:13:23 | 1:13:22 | |
learn from looking across the border, where the performance of the | 1:13:23 | 1:13:22 | |
Ambulance Service is a lot better than here in Wales? It is important | 1:13:23 | 1:13:22 | |
that were summary is on the front bench of any party -- somebody... It | 1:13:23 | 1:13:22 | |
gives the shaggy dog is about record-breaking cuts. His own party | 1:13:23 | 1:13:22 | |
has imposed cuts of ?20 billion on the NHS in England. In England, it | 1:13:23 | 1:13:22 | |
is called efficiencies, but it is smoke and mirrors. We know in terms | 1:13:23 | 1:13:22 | |
of the audit office, the reliance should not be placed on the figures | 1:13:23 | 1:13:22 | |
are used for referral to treatment times. We take no lessons from the | 1:13:23 | 1:13:22 | |
party opposite. We know that to them, the NHS is not important. | 1:13:23 | 1:13:22 | |
TRANSLATION: There is no general hospital either | 1:13:23 | 1:13:22 | |
within the boundaries of Brecon and Radnorshire and Powys, therefore, | 1:13:23 | 1:13:22 | |
patients have to be taken to nearby hospitals, and those are currently | 1:13:23 | 1:13:22 | |
under review. By the way down to south Wales. In that context, the | 1:13:23 | 1:13:22 | |
Ambulance Service has admitted that patients will have to spend longer | 1:13:23 | 1:13:22 | |
being transported over greater distances and they have admitted | 1:13:23 | 1:13:22 | |
that this will require more training and enhanced skills for certain | 1:13:23 | 1:13:22 | |
stuff. As the Ambulance Service is already suffering because of levels | 1:13:23 | 1:13:22 | |
of sickness, twice the level of a service such as the police, how will | 1:13:23 | 1:13:22 | |
you ensure that the staff and necessary skills are in place for | 1:13:23 | 1:13:22 | |
these longer journeys in ambulances, which will come about as a result of | 1:13:23 | 1:13:22 | |
the reorganisation of health care? It does not follow that people will | 1:13:23 | 1:13:22 | |
have to travel further in numbers because the air ambulance is | 1:13:23 | 1:13:22 | |
available and it has been true in Powys for a long time. We know it is | 1:13:23 | 1:13:22 | |
entirely natural in Powys, where emergencies in terms of childbirth | 1:13:23 | 1:13:22 | |
take place. Jenny Rathbone. Excuse me. I do beg your pardon, First | 1:13:23 | 1:13:22 | |
Minister. Yes, I was referring to emergencies which are in terms of | 1:13:23 | 1:13:22 | |
childbirth, where mothers are taken to hospitals in England, sometimes | 1:13:23 | 1:13:22 | |
in Wales, by air ambulance. I do think that the paramedics already | 1:13:23 | 1:13:22 | |
have good skills in Wales, but we need to reconsider the skill set and | 1:13:23 | 1:13:22 | |
we expect the Trust to do that. What can the Welsh, do to ensure that | 1:13:23 | 1:13:22 | |
local authorities are future proofing public services to deliver | 1:13:23 | 1:13:22 | |
more with less? The local authority is responsible for ensuring the | 1:13:23 | 1:13:22 | |
sustainability of these services that delivers to individuals, | 1:13:23 | 1:13:22 | |
families and communities. What we support local authorities to do this | 1:13:23 | 1:13:22 | |
through legislation and policy, and funding. A recent report on the | 1:13:23 | 1:13:22 | |
financial challenges facing local authorities indicates that only a | 1:13:23 | 1:13:22 | |
quarter are looking beyond the immediate process. When we know that | 1:13:23 | 1:13:22 | |
this is something that is going to affect, not just the short-term | 1:13:23 | 1:13:22 | |
challenge, so what can we do to promote much more strategic | 1:13:23 | 1:13:22 | |
conversation with local communities, as to what services communities | 1:13:23 | 1:13:22 | |
want, and how we can deliver them sustainably? It is for local | 1:13:23 | 1:13:22 | |
authorities to deliver those services, it is within their | 1:13:23 | 1:13:22 | |
responsibilities, but as the member will know, the view of the | 1:13:23 | 1:13:22 | |
Government is that there needs to be a restructuring of the local | 1:13:23 | 1:13:22 | |
government in Wales. Once that is done, I believe it will be far more | 1:13:23 | 1:13:22 | |
possible for the services to be delivered sustainability in future. | 1:13:23 | 1:13:22 | |
Future proofing of services in Wales requires a change in service to, | 1:13:23 | 1:13:22 | |
breaking down barriers between people who provide services and | 1:13:23 | 1:13:22 | |
those who use them. How would you respond to their call for experts | 1:13:23 | 1:13:22 | |
and links between service providers and citizens and communities, | 1:13:23 | 1:13:22 | |
designing and delivering the services together, and sharing | 1:13:23 | 1:13:22 | |
budgets? It is important that there is collaboration and what it sharing | 1:13:23 | 1:13:22 | |
where that is appropriate. Of course, we would seek to ensure that | 1:13:23 | 1:13:22 | |
where services are made available to members of the public either by | 1:13:23 | 1:13:22 | |
local authorities or other public bodies, they work with the service | 1:13:23 | 1:13:22 | |
recipients in order to ensure the services appropriate for the | 1:13:23 | 1:13:22 | |
individual. TRANSLATION: Thank you very much. Referring to | 1:13:23 | 1:13:22 | |
the report that Jenny Rathbone mentioned, the audit office is | 1:13:23 | 1:13:22 | |
highly critical of the failure of local authorities to tackle these | 1:13:23 | 1:13:22 | |
challenges. But in describing good practice in one council estate where | 1:13:23 | 1:13:22 | |
the council benefits from financial management which is strong and | 1:13:23 | 1:13:22 | |
robust, and has some success in planning effectively for the future | 1:13:23 | 1:13:22 | |
and what would you join with me in congratulating the leadership and | 1:13:23 | 1:13:22 | |
the officials on their vision and success? Of course, I could see that | 1:13:23 | 1:13:22 | |
coming from a long way. But may I praise any local authority that | 1:13:23 | 1:13:22 | |
ensures that they understand the challenges ahead, and Gwinnett and | 1:13:23 | 1:13:22 | |
another -- the number of other authorities. Leanne Wood. Last week | 1:13:23 | 1:13:22 | |
the South Wales programme reviewed that might reveal its proposals for | 1:13:23 | 1:13:22 | |
the withdrawal of critical health services from some of our hospitals. | 1:13:23 | 1:13:22 | |
You have fully supported their plans. You have repeatedly claimed | 1:13:23 | 1:13:22 | |
that medical professionals themselves support centralisation. | 1:13:23 | 1:13:22 | |
Now that the health board has voiced opposition to the proposals for the | 1:13:23 | 1:13:22 | |
Royal Glamorgan Hospital, confirming there is no universal consensus | 1:13:23 | 1:13:22 | |
among medical professionals, will the final decision on the future of | 1:13:23 | 1:13:22 | |
the Royal Glamorgan Hospital be made by the Minister for health? There is | 1:13:23 | 1:13:22 | |
the responsibility to ensure that the health service is sustainable | 1:13:23 | 1:13:22 | |
and safe in the future. It has become clear that the consensus that | 1:13:23 | 1:13:22 | |
you claimed on this matter never did exist. There is not consensus, even | 1:13:23 | 1:13:22 | |
in your own party. The current number of Parliament for the Rhondda | 1:13:23 | 1:13:22 | |
is saying that he is not happy and that assumptions that were made in | 1:13:23 | 1:13:22 | |
reaching the hospital downgrade proposals are a mistake. -- member | 1:13:23 | 1:13:22 | |
of Parliament for stuff I have reason to believe that there are | 1:13:23 | 1:13:22 | |
embers of your own party sitting behind you to share those views. -- | 1:13:23 | 1:13:22 | |
members. Will you show some leadership today now, and assure us | 1:13:23 | 1:13:22 | |
that we will not see any more Labour Party banners proclaiming your | 1:13:23 | 1:13:22 | |
party's opposition to the South Wales programme? Will you give us an | 1:13:23 | 1:13:22 | |
undertaking that your party will be straight with people on health from | 1:13:23 | 1:13:22 | |
now on? Well, we have been straight. The question is, your party has not | 1:13:23 | 1:13:22 | |
been, on any number of occasions. The Health Minister will take | 1:13:23 | 1:13:22 | |
decisions with regard to the final structure of certain that Iraq if | 1:13:23 | 1:13:22 | |
certain circumstances are met. If there is not agreement, it will have | 1:13:23 | 1:13:22 | |
to be looked at. What we want, of course, is to ensure that there is a | 1:13:23 | 1:13:22 | |
sustainable health service across the whole of that part of South | 1:13:23 | 1:13:22 | |
Wales in the future. That means looking at every hospital, not just | 1:13:23 | 1:13:22 | |
focusing on the Royal Glamorgan. You will no doubt most attempts at | 1:13:23 | 1:13:22 | |
reconfiguration are now ending with costly judicial reviews. It is | 1:13:23 | 1:13:22 | |
likely that the South Wales proposals will end up in the courts | 1:13:23 | 1:13:22 | |
as well. Your party is split, your plans have been rejected by the | 1:13:23 | 1:13:22 | |
public, senior health managers are in disagreement, as our medics. | 1:13:23 | 1:13:22 | |
First Minister, this situation is a mess. I miss you could end right | 1:13:23 | 1:13:22 | |
now. Instead of wishing your deeply unpopular centralisation plans -- | 1:13:23 | 1:13:22 | |
instead of pushing, now is the time to focus on boosting NHS | 1:13:23 | 1:13:22 | |
recruitment, sorting out the Ambulance Service and merging health | 1:13:23 | 1:13:22 | |
and social care, as proposed by Plaid Cymru. The problem she has is | 1:13:23 | 1:13:22 | |
that we are Co greater health service in Wales that will be | 1:13:23 | 1:13:22 | |
attracted -- attractive for people to working for them she wants no | 1:13:23 | 1:13:22 | |
change and she will see a collapse of services in time. All the time, | 1:13:23 | 1:13:22 | |
they claim to say that consultants do not supported, but they do, that | 1:13:23 | 1:13:22 | |
is a fact. You should talk to more consultants, as I do, and you will | 1:13:23 | 1:13:22 | |
understand that they will say, it is important we have hospitals that are | 1:13:23 | 1:13:22 | |
able to offer the right level of training, that there that night and | 1:13:23 | 1:13:22 | |
it is important that doctors find a hospital that is able to offer them | 1:13:23 | 1:13:22 | |
an opportunity to practise. What she wants is a second cup -- | 1:13:23 | 1:13:22 | |
second-class health service, start with up who are not properly | 1:13:23 | 1:13:22 | |
trained, or hospitals that are understaffed, because that is more | 1:13:23 | 1:13:22 | |
important than having doctors of the right level of expertise. To give | 1:13:23 | 1:13:22 | |
one example, what was her party's view on the centralisation on | 1:13:23 | 1:13:22 | |
stomach cancer operations? They were against it, and what happened? A 20% | 1:13:23 | 1:13:22 | |
increase in survival. But they would rather keep services local, even if | 1:13:23 | 1:13:22 | |
those services are worse. Rather than sing to the people of Wales, | 1:13:23 | 1:13:22 | |
there are some conditions that have to be centrally is in order that | 1:13:23 | 1:13:22 | |
more people should live. That is the important aspect here. For her | 1:13:23 | 1:13:22 | |
party, it is more important that they play political games, rather | 1:13:23 | 1:13:22 | |
than deliver services that will ensure that more people have a | 1:13:23 | 1:13:22 | |
better outcome. That is secondary to their own considerations. We moved | 1:13:23 | 1:13:22 | |
to the leader of the Welsh Liberal Democrats, Kirsty Williams. First | 1:13:23 | 1:13:22 | |
Minister, last April, I asked you about the number of ambulances' | 1:13:23 | 1:13:22 | |
waiting hours outside A departments, and you told me you | 1:13:23 | 1:13:22 | |
were seeing what could be done to alleviate the situation. I have | 1:13:23 | 1:13:22 | |
figures that showed in December, there were over 2000 occasions when | 1:13:23 | 1:13:22 | |
it took more than an hour to turn around an ambulance. Are you still | 1:13:23 | 1:13:22 | |
looking for the solution? 85% of people at the last count do get into | 1:13:23 | 1:13:22 | |
hospital within an hour. There will be occasions where people have to | 1:13:23 | 1:13:22 | |
wait longer. But we're not in the situation that has existed in some | 1:13:23 | 1:13:22 | |
hospitals in England where they are serial occasions where ambulances | 1:13:23 | 1:13:22 | |
are waiting. I do not know what your definition of cereal is, but we had | 1:13:23 | 1:13:22 | |
over 2000 incidents in one month alone. That fans like pretty cereal | 1:13:23 | 1:13:22 | |
to me. -- that Sun is. Today we hear the number of amulets service staff | 1:13:23 | 1:13:22 | |
with stress is increased by 60% and serious concerns have been raised | 1:13:23 | 1:13:22 | |
about the frustration in wasting outside hospitals, watching patients | 1:13:23 | 1:13:22 | |
deteriorate. -- waiting outside. Asked May, the Health Minister | 1:13:23 | 1:13:22 | |
acknowledged this problem and said tackling stress for ambulance staff | 1:13:23 | 1:13:22 | |
was his priority. What have you done to reduce the pressure on | 1:13:23 | 1:13:22 | |
hard-working paramedics and Ambulance Service staff? She for the | 1:13:23 | 1:13:22 | |
last month, there are 40 bits and fewer patients waiting for handovers | 1:13:23 | 1:13:22 | |
than there was last year. We have monitored the situation | 1:13:23 | 1:13:22 | |
between March and September last year. There was a vast improvement | 1:13:23 | 1:13:22 | |
in those patients discharged or moved after a rival and A She | 1:13:23 | 1:13:22 | |
talks about people having to bite and she mentions figures in the | 1:13:23 | 1:13:22 | |
thousands, 940,000 people attend emergency departments every year in | 1:13:23 | 1:13:22 | |
Wales. 940,000. The vast majority of those people get good treatment at | 1:13:23 | 1:13:22 | |
the correct thing. Where that does not happen, it is important that we | 1:13:23 | 1:13:22 | |
make improvements. White mac that did not answer my question. What had | 1:13:23 | 1:13:22 | |
you done since last May to reduce the stress on ambulance staff. | 1:13:23 | 1:13:22 | |
Despite what you said earlier and you do not seem to understand that | 1:13:23 | 1:13:22 | |
senior angler 's trust managers -- Ambulance Trust managers in order to | 1:13:23 | 1:13:22 | |
cope with these changes, it means more paramedics will be needed | 1:13:23 | 1:13:22 | |
because services are moving. Will you commit on behalf of your | 1:13:23 | 1:13:22 | |
government today to make sure that the Welsh Ambulance Service has all | 1:13:23 | 1:13:22 | |
the resources that it needs in order to make sure that patients are not | 1:13:23 | 1:13:22 | |
put at risk and are delivered to hospitals and a Thame Market, | 1:13:23 | 1:13:22 | |
following the centralisation of the central government? | 1:13:23 | 1:13:22 | |
She will understand, no doubt, that we are training more paramedics, | 1:13:23 | 1:13:22 | |
because they understand the point that she makes. What she does not | 1:13:23 | 1:13:22 | |
understand or grass is that the vast majority of patients are transferred | 1:13:23 | 1:13:22 | |
and seen within one hour. There will be cases where this is not the case. | 1:13:23 | 1:13:22 | |
We are not happy with the current quotas. But it shows that the vast | 1:13:23 | 1:13:22 | |
majority of people are treated in good time and received good | 1:13:23 | 1:13:22 | |
treatments. We are training more paramedics but let us make sure we | 1:13:23 | 1:13:22 | |
understand that when it comes to the NHS in Wales, the vast majority of | 1:13:23 | 1:13:22 | |
people received a good service. The patient service tells us that. | 1:13:23 | 1:13:22 | |
We now move to the door of the opposition, Andrew RT Davies. -- the | 1:13:23 | 1:13:22 | |
Leader of the Opposition. It is good to hear so much cheering from the | 1:13:23 | 1:13:22 | |
benches opposite. Order, I am interested to know what | 1:13:23 | 1:13:22 | |
the Leader of the Opposition wants to see this afternoon. Andrew RT | 1:13:23 | 1:13:22 | |
Davies. I would like to ask the First | 1:13:23 | 1:13:22 | |
Minister on the reports today on the case of Ian Watkins and the failure | 1:13:23 | 1:13:22 | |
of children's services in that area and those charged to protect young | 1:13:23 | 1:13:22 | |
people against such allegations and the lack of response when concerns | 1:13:23 | 1:13:22 | |
are raised at the early stages. As the First Minister believe that the | 1:13:23 | 1:13:22 | |
services as configurators did all they could to assist in addressing | 1:13:23 | 1:13:22 | |
the concerns that were raised on this particular issue? These | 1:13:23 | 1:13:22 | |
concerns have been raised today. I think it is correct that those | 1:13:23 | 1:13:22 | |
concerns are given the full this consideration. | 1:13:23 | 1:13:22 | |
I am grateful for the First Minister answer on that. If the concerns are | 1:13:23 | 1:13:22 | |
substantiated, and I see no reason that they will not be, will the | 1:13:23 | 1:13:22 | |
Welsh Government be instigating an inquiry into the failure to address | 1:13:23 | 1:13:22 | |
these concerns and actually make sure that they make safeguards | 1:13:23 | 1:13:22 | |
available to ensure that these horrendous crimes are not | 1:13:23 | 1:13:22 | |
perpetrated on other children across Wales, let alone and that specific | 1:13:23 | 1:13:22 | |
area? It is difficult to predict that. The | 1:13:23 | 1:13:22 | |
suggestion is that police are involved and they are not devolved | 1:13:23 | 1:13:22 | |
and we cannot call them to account when it comes to any kind of | 1:13:23 | 1:13:22 | |
inquiry, we have met that problem before been looking at other | 1:13:23 | 1:13:22 | |
situations. What needs to happen and this needs to be looked at carefully | 1:13:23 | 1:13:22 | |
before any consideration is getting to ensure that the public will have | 1:13:23 | 1:13:22 | |
confidence in the system that exists at the moment. Thank you. Due not | 1:13:23 | 1:13:22 | |
think a Serious Case Review would be a way to pull all of these agents | 1:13:23 | 1:13:22 | |
together to look at the allegations regardless of whether this is | 1:13:23 | 1:13:22 | |
devolved or non-devolved? Many outside of this institution will not | 1:13:23 | 1:13:22 | |
be concerned about where that responsibility lies, they just want | 1:13:23 | 1:13:22 | |
to make sure that the safeguards are in place and that action is the | 1:13:23 | 1:13:22 | |
Internet address the real concerns that have been raised today and I do | 1:13:23 | 1:13:22 | |
believe and teacher at your word that you will look at this, but I | 1:13:23 | 1:13:22 | |
believe the Welsh Government has a key role in instigating such a | 1:13:23 | 1:13:22 | |
review and taking the lead on it as the main executive body here in | 1:13:23 | 1:13:22 | |
Wales. As I said to the Leader of the Opposition elder, and I am sure | 1:13:23 | 1:13:22 | |
this is something that the Minister will look at with a view to | 1:13:23 | 1:13:22 | |
determining the best way forward, but where such allegations are used, | 1:13:23 | 1:13:22 | |
it is important that they are given due consideration within that | 1:13:23 | 1:13:22 | |
regard. Will the First Minister make a statement on the provision of | 1:13:23 | 1:13:22 | |
unscheduled care? The focus on winter planning means | 1:13:23 | 1:13:22 | |
that resilience and the system is better than ever. We have seen that | 1:13:23 | 1:13:22 | |
over the course of the past few months. Significant improvements | 1:13:23 | 1:13:22 | |
have been achieved by NHS Wales when compared to the relevant performance | 1:13:23 | 1:13:22 | |
indicators. Thank you. How are the health board discussing things to do | 1:13:23 | 1:13:22 | |
with Withybush Hospital, can you confirm that they are looking at | 1:13:23 | 1:13:22 | |
24/7 services which two the local health board have confirmed that | 1:13:23 | 1:13:22 | |
they wish to see 24/7 emergency cover continue at with the Bush | 1:13:23 | 1:13:22 | |
hospital. Thank you for that, following on | 1:13:23 | 1:13:22 | |
from Rebecca Evans question, Minister, perhaps you would care to | 1:13:23 | 1:13:22 | |
tell us what effect you think will happen to accident and make -- A | 1:13:23 | 1:13:22 | |
as paediatrics is being moved to another hospital and will cover be | 1:13:23 | 1:13:22 | |
available for within the hospital? The gadgets take up 25% of most A | 1:13:23 | 1:13:22 | |
is and that is going through that hospital meaning that with the Bush | 1:13:23 | 1:13:22 | |
hospital will have no option but to have a reconfiguration of hours and | 1:13:23 | 1:13:22 | |
some honesty in this discussion from the health board to the public who | 1:13:23 | 1:13:22 | |
are already very upset by the changes that have gone on and the | 1:13:23 | 1:13:22 | |
Pembrokeshire area would be much appreciated. The Minster promised us | 1:13:23 | 1:13:22 | |
to look at this. I can only see what I said previously and that is that | 1:13:23 | 1:13:22 | |
24/7 emergency care as the wish of our hearty when it comes to this | 1:13:23 | 1:13:22 | |
situation. I read recently that some patients | 1:13:23 | 1:13:22 | |
wander into A departments with complaints about back-ups. Some | 1:13:23 | 1:13:22 | |
patients go to A departments as many as 40 times per year. What at | 1:13:23 | 1:13:22 | |
skin -- what action are taking to reduce these kinds of problems? It | 1:13:23 | 1:13:22 | |
is not necessary for people to attend. A is the only area of the | 1:13:23 | 1:13:22 | |
health service that cannot turn people away. I have spoken at length | 1:13:23 | 1:13:22 | |
to consultants and my own hospital and they have often told me stories | 1:13:23 | 1:13:22 | |
about how people will come to them when there is nothing wrong with | 1:13:23 | 1:13:22 | |
them. They have also visited their GPs for or five times. They say that | 1:13:23 | 1:13:22 | |
their GP has not done anything so they then attend A There is | 1:13:23 | 1:13:22 | |
nothing wrong with them, of course. That is why the Health Minister has | 1:13:23 | 1:13:22 | |
been clear that people should not attend A departments unless it is | 1:13:23 | 1:13:22 | |
essential. People must be able to access GP services at a time that is | 1:13:23 | 1:13:22 | |
convenient to them, that is why we have rolled out access to GPs at | 1:13:23 | 1:13:22 | |
evenings and weekends and I have seen this happening, where GPs are | 1:13:23 | 1:13:22 | |
now available in the evenings, and in those practices, they offer | 1:13:23 | 1:13:22 | |
nurses as part of the practices and the county with a lot of minor | 1:13:23 | 1:13:22 | |
injuries as well to take the pressure off A departments. People | 1:13:23 | 1:13:22 | |
should not attend A unless absolutely essential. | 1:13:23 | 1:13:22 | |
Will the First Minister make a statement on the Young Recruits | 1:13:23 | 1:13:22 | |
Programme? Yes, it has been a great success and demand has been high, we | 1:13:23 | 1:13:22 | |
have exceeded the target for this financial year. I would endorse your | 1:13:23 | 1:13:22 | |
comments, it has been an excellent initiative for job-seekers and small | 1:13:23 | 1:13:22 | |
employers alight. In recent months, however, I have received concerns in | 1:13:23 | 1:13:22 | |
relation to some of the lengthy delays and the payment processes and | 1:13:23 | 1:13:22 | |
in particular to our sole traders and small businesses. And the July | 1:13:23 | 1:13:22 | |
2013 evaluation process, weaknesses were identified as an accurate | 1:13:23 | 1:13:22 | |
information sent to employers regarding funding criteria. Under | 1:13:23 | 1:13:22 | |
resourcing of programme Administration, which was leading | 1:13:23 | 1:13:22 | |
small businesses working with very tight margins and low disposable | 1:13:23 | 1:13:22 | |
revenues and really struggling to participate. First Minister, will | 1:13:23 | 1:13:22 | |
you work with your deputy minister to speed up this process so that our | 1:13:23 | 1:13:22 | |
employers and all our job-seekers who wants to take advantage of this | 1:13:23 | 1:13:22 | |
initiative can do so? Yes, the programme is a very successful one. | 1:13:23 | 1:13:22 | |
We welcome the fact that so many people have benefited from it and | 1:13:23 | 1:13:22 | |
working with the Minister we will continue to ensure that the | 1:13:23 | 1:13:22 | |
programme moves from success to success. We and Plaid Cymru are very | 1:13:23 | 1:13:22 | |
pleased to be a driving force working with your government to | 1:13:23 | 1:13:22 | |
greatly increase the number of apprenticeships. Do you, First | 1:13:23 | 1:13:22 | |
Minister, agree that oversubscription of the Young | 1:13:23 | 1:13:22 | |
Recruits Programme shows that the government needs to take urgent | 1:13:23 | 1:13:22 | |
action to further extend the programme, including increasing the | 1:13:23 | 1:13:22 | |
number of higher-level apprentices? Well, that is something for the next | 1:13:23 | 1:13:22 | |
budget, I suspect. We are very pleased that the programme has been | 1:13:23 | 1:13:22 | |
working very well and we acknowledge the agreement that was made at the | 1:13:23 | 1:13:22 | |
time of the last budget. And, of course, we acknowledge this and them | 1:13:23 | 1:13:22 | |
success of the jobs programme in Wales that has attracted a lot of | 1:13:23 | 1:13:22 | |
people into permanent employment. First Minister, how many of the | 1:13:23 | 1:13:22 | |
young people who do is accessible completely jobs growth Wales | 1:13:23 | 1:13:22 | |
placement transferred directly into the Young Recruits Programme? I do | 1:13:23 | 1:13:22 | |
not have that figure but what I can tell you is that the vast majority | 1:13:23 | 1:13:22 | |
of them to get a permanent job, those that do not often go into | 1:13:23 | 1:13:22 | |
other education or other apprenticeship schemes. | 1:13:23 | 1:13:22 | |
Thank you, will the First Minister make a statement on the services at | 1:13:23 | 1:13:22 | |
Withybush Hospital? It will continue to play a vital role for services to | 1:13:23 | 1:13:22 | |
the people of Pembrokeshire. Two weeks ago I asked you about the | 1:13:23 | 1:13:22 | |
downgrading of services at with a Bridge Hospital following the | 1:13:23 | 1:13:22 | |
decision of your government to close the special care baby unit at the | 1:13:23 | 1:13:22 | |
hospital. And your response you suggested that the Health | 1:13:23 | 1:13:22 | |
Minister's decision was supported by all doctors, however, I have | 1:13:23 | 1:13:22 | |
received copies from correspondence from GPs from Pembrokeshire stating | 1:13:23 | 1:13:22 | |
otherwise. Will you take this opportunity to explain for the | 1:13:23 | 1:13:22 | |
record that the Minister's decision was not supported why all doctors in | 1:13:23 | 1:13:22 | |
that area? Not at all, I have the record here. It says that the | 1:13:23 | 1:13:22 | |
decision was taken on the recommendation of doctors. Those who | 1:13:23 | 1:13:22 | |
were on the panel, of course, and it goes on to say that it was the view | 1:13:23 | 1:13:22 | |
of the doctors that the system must be changed and that is true. | 1:13:23 | 1:13:22 | |
Especially from the point of view of colleges and the doctors and that is | 1:13:23 | 1:13:22 | |
a strong recommendation of doctors on the panel that change must | 1:13:23 | 1:13:22 | |
happen. Nobody sensible argues that there should be two levels of units | 1:13:23 | 1:13:22 | |
in different hospitals. The debate is regarding the location of that | 1:13:23 | 1:13:22 | |
one unit and the members' argument is that it should be in by the Bush | 1:13:23 | 1:13:22 | |
hospital. He knows well that his colleagues sitting next door to him | 1:13:23 | 1:13:22 | |
has made that decision on the grounds of what is best in terms of | 1:13:23 | 1:13:22 | |
securing a safe and sustainable service for the future. It is not | 1:13:23 | 1:13:22 | |
honest or true to say that this has been a decision that is completely | 1:13:23 | 1:13:22 | |
political. It is a decision that has been taken on the grounds of | 1:13:23 | 1:13:22 | |
evidence that has come from doctors on the basis of what the colleges | 1:13:23 | 1:13:22 | |
have said and on the recommendations emanating from a panel that looked | 1:13:23 | 1:13:22 | |
at this and a totally neutrally objective manner. How the Minister | 1:13:23 | 1:13:22 | |
could have come to another decision, I do not know, especially if you | 1:13:23 | 1:13:22 | |
want to keep a safe and sustainable operating unit. In discussing the | 1:13:23 | 1:13:22 | |
emergency care units, the health board quoted a document with the way | 1:13:23 | 1:13:22 | |
ahead from the wild College of emergency health care that said to | 1:13:23 | 1:13:22 | |
have a 24 hour a day emergency unit which would have to be supported by | 1:13:23 | 1:13:22 | |
seven special teams and amongst those as paediatrics. Paediatrics is | 1:13:23 | 1:13:22 | |
already intended to be cut from 24 hours at day to 12 hours a day at | 1:13:23 | 1:13:22 | |
Withybush Hospital. There you truly believe and argue of the opinion | 1:13:23 | 1:13:22 | |
that a 24 hour emergency unit will continue in Withybush Hospital? I | 1:13:23 | 1:13:22 | |
cannot go any further than my earlier answer and that is what the | 1:13:23 | 1:13:22 | |
health board has told us and that is that they want to ensure that there | 1:13:23 | 1:13:22 | |
is a 24 hour service available and the hospital and that is in an | 1:13:23 | 1:13:22 | |
emergency service. What discussions has the First Minister had with the | 1:13:23 | 1:13:22 | |
Minister for Health and Social Services in relations to the | 1:13:23 | 1:13:22 | |
Neurological Conditions Delivery Plan? The Mr has advised me that the | 1:13:23 | 1:13:22 | |
consultation has closed and his intention to publish the final plan | 1:13:23 | 1:13:22 | |
in April. White back -- I am deeper concerned about the lack of | 1:13:23 | 1:13:22 | |
community-based rehab service for brain injured patients in Gwent. I | 1:13:23 | 1:13:22 | |
have several constituents affected eye this alarming lack of revision. | 1:13:23 | 1:13:22 | |
While I am pleased that the health board plan to establish a local | 1:13:23 | 1:13:22 | |
service, detailed plans have been a place for awhile and progress | 1:13:23 | 1:13:22 | |
appears to be painfully slow. I am sure you can understand what a | 1:13:23 | 1:13:22 | |
difference this multi-agency support can make to patients with brain | 1:13:23 | 1:13:22 | |
injuries. Will you look this issue is that when this issue with a view | 1:13:23 | 1:13:22 | |
to urgently ending this serious inequity in provision affecting my | 1:13:23 | 1:13:22 | |
constituents rose-mac clearly, it is unacceptable. I had to stand that | 1:13:23 | 1:13:22 | |
you have corresponded with the executive on this matter and he has | 1:13:23 | 1:13:22 | |
said it is the plan to improve the provision of services. Thank you. I | 1:13:23 | 1:13:22 | |
have to practise throwing my voice from my new position! First | 1:13:23 | 1:13:22 | |
Minister, the Neurological Conditions Delivery Plan was | 1:13:23 | 1:13:22 | |
launched last year to help people with neurological conditions. The | 1:13:23 | 1:13:22 | |
Chief Executive of the NHS in Wales has said it is not going to work | 1:13:23 | 1:13:22 | |
unless local Governor and the voluntary sector all work together | 1:13:23 | 1:13:22 | |
that right local gum and -- local gum and. What are you doing to make | 1:13:23 | 1:13:22 | |
sure these different factors are coming together to proceed this | 1:13:23 | 1:13:22 | |
important plan? I am tempted to say I will text the answer to the | 1:13:23 | 1:13:22 | |
member! What I will afford him greater courtesy and say the plan is | 1:13:23 | 1:13:22 | |
designed to ensure that all the relevant bodies work together in | 1:13:23 | 1:13:22 | |
order to ensure the plan is delivered properly. That is why the | 1:13:23 | 1:13:22 | |
plan is in place. Trans -- First Minister, in some areas, there is no | 1:13:23 | 1:13:22 | |
epilepsy specialist nurse service available and Hywel Dda is one of | 1:13:23 | 1:13:22 | |
those areas. There is funding to bring development for an epilepsy | 1:13:23 | 1:13:22 | |
nurse in the West Wales area. Do you agree with me that for special | 1:13:23 | 1:13:22 | |
conditions such as this, it is important that there is specialist | 1:13:23 | 1:13:22 | |
services are available for people, wherever they may live in Wales? | 1:13:23 | 1:13:22 | |
Well, in terms of how that is practically delivered, we want to | 1:13:23 | 1:13:22 | |
ensure there are adequate numbers of nurses with that specialism | 1:13:23 | 1:13:22 | |
available so that people can access the treatment they need, but we do | 1:13:23 | 1:13:22 | |
have to bear in mind and consider how many are available, to consider | 1:13:23 | 1:13:22 | |
how many will be needed for the future, and the financial situation. | 1:13:23 | 1:13:22 | |
In saying that, no one would argue against a case which states that we | 1:13:23 | 1:13:22 | |
must ensure there are adequate numbers available. Thank you. First | 1:13:23 | 1:13:22 | |
Minister, there was a great deal of celebrating when the national | 1:13:23 | 1:13:22 | |
directive on epilepsy was launched. New guidelines have been issued | 1:13:23 | 1:13:22 | |
since 2012. But there has been no update and there is quite a bit of | 1:13:23 | 1:13:22 | |
criticism about how effective the health boards have been in implement | 1:13:23 | 1:13:22 | |
in the guidelines. Will epilepsy be included within the neurological | 1:13:23 | 1:13:22 | |
plan, or will you as a government ups -- update the epilepsy | 1:13:23 | 1:13:22 | |
guidelines was Mac AI to the Minister that this is a crucially | 1:13:23 | 1:13:22 | |
important question. It is a question that was... As was the question | 1:13:23 | 1:13:22 | |
asked by the member for Ceredigion. Will the First Minister make a | 1:13:23 | 1:13:22 | |
statement on the effects that recent severe weather conditions have had | 1:13:23 | 1:13:22 | |
on communities in Wales? Are responding agencies have worked hard | 1:13:23 | 1:13:22 | |
to reduce the impact of the recent severe weather. I would like to | 1:13:23 | 1:13:22 | |
express sympathy to the communities and the individuals who have | 1:13:23 | 1:13:22 | |
experienced the full force of the recent storms. But nevertheless, | 1:13:23 | 1:13:22 | |
given the difficulty surrounding the weather and the sheer force of the | 1:13:23 | 1:13:22 | |
weather, I believe we managed to deal with it as efficiently as | 1:13:23 | 1:13:22 | |
possible. I appreciate your answer. But those communities in Wales who | 1:13:23 | 1:13:22 | |
have been affected, particularly by the loss of our, to thousands of | 1:13:23 | 1:13:22 | |
homes and businesses, what they want to know is, what support they will | 1:13:23 | 1:13:22 | |
be getting. Can I ask what your government is doing to help secure | 1:13:23 | 1:13:22 | |
that support? What discussions have you had with energy companies about | 1:13:23 | 1:13:22 | |
the potential bill reductions to properties that have been affected | 1:13:23 | 1:13:22 | |
rose-mac has examined the package of business rate reduction for those | 1:13:23 | 1:13:22 | |
businesses that have been significantly affected by the impact | 1:13:23 | 1:13:22 | |
of the weather? Local authorities are able to approach the Welsh | 1:13:23 | 1:13:22 | |
Government in order to receive extra funding with regard to the weather. | 1:13:23 | 1:13:22 | |
Of course, we are in the position that we invested in our flood | 1:13:23 | 1:13:22 | |
defences, whereas we saw a 20% cut in England and we saw what the | 1:13:23 | 1:13:22 | |
result of that was. I am sure the Welsh people appreciate the fact we | 1:13:23 | 1:13:22 | |
have not seen the level of flooding that some in England have had, | 1:13:23 | 1:13:22 | |
despite the weather being exactly the same. At one point on Wednesday | 1:13:23 | 1:13:22 | |
last week, 100,000 homes were without power, that situation was | 1:13:23 | 1:13:22 | |
rectified very quickly and I would like to pay tribute to the power | 1:13:23 | 1:13:22 | |
companies for making sure that people were not left without power | 1:13:23 | 1:13:22 | |
for many days, and for ensuring people were not left in flood water | 1:13:23 | 1:13:22 | |
for many weeks. Thank you. Last week, I visited a farmer in the Vale | 1:13:23 | 1:13:22 | |
of Clwyd, who has cleared thousands of tonnes of fallen trees, branches | 1:13:23 | 1:13:22 | |
and material from the flood plain. You will be aware that there are | 1:13:23 | 1:13:22 | |
limitations on the river and the bridge because of damage that has | 1:13:23 | 1:13:22 | |
been caused by these materials being caught under the bridge, the same is | 1:13:23 | 1:13:22 | |
true on -- of Saint Asaph. I raised the issue of doing more to allow | 1:13:23 | 1:13:22 | |
farmers to tackle some of these problems that cause damage to our | 1:13:23 | 1:13:22 | |
infrastructure. Can he commit other Government will move swiftly as | 1:13:23 | 1:13:22 | |
possible to develop plans to avoid this can damage in the future? | 1:13:23 | 1:13:22 | |
Farmers do have a key role in ensuring that Lloyds do not occur, | 1:13:23 | 1:13:22 | |
and you were talking -- floods, about the fact that discussion took | 1:13:23 | 1:13:22 | |
place with the Minister. I am sure the Minister will ensure that if | 1:13:23 | 1:13:22 | |
there is any more help we can give to farmers, it will be available as | 1:13:23 | 1:13:22 | |
soon as possible. Will he establish a full public enquiry into care | 1:13:23 | 1:13:22 | |
standards at Abertawe Bro Morgannwg University Hospital? What I can say | 1:13:23 | 1:13:22 | |
to the member is that a number of steps have been taken to meet the | 1:13:23 | 1:13:22 | |
concerns that have been expressed. An external team is reviewing the | 1:13:23 | 1:13:22 | |
quality and safety of the Princess of Wales Hospital. There is a | 1:13:23 | 1:13:22 | |
quality and safety steering group. The board has announced a series of | 1:13:23 | 1:13:22 | |
concerns -- a series of clinics for patients and relatives to discuss | 1:13:23 | 1:13:22 | |
the issues with members of staff. Nurse staffing levels on medical | 1:13:23 | 1:13:22 | |
wards have increased. New clinical and executive managerial | 1:13:23 | 1:13:22 | |
arrangements are in place at the Princess of Wales Hospital, and of | 1:13:23 | 1:13:22 | |
course, there has been put in place a review into hospitals in the local | 1:13:23 | 1:13:22 | |
health board area. They were announced by the Minister for health | 1:13:23 | 1:13:22 | |
last year. So, a number of actions have been put in place in order to | 1:13:23 | 1:13:22 | |
deal with people's concerns and it is important that what has been put | 1:13:23 | 1:13:22 | |
in place has an opportunity to report back to the Minister and to | 1:13:23 | 1:13:22 | |
identify any problems. Thank you for that answer. But it is still plain | 1:13:23 | 1:13:22 | |
that neither of those families who have recently come forward, nor | 1:13:23 | 1:13:22 | |
those who continue to fight for answers, Dutch as the parents of | 1:13:23 | 1:13:22 | |
Robbie Powell, are happy with the solutions offered saw far stop if | 1:13:23 | 1:13:22 | |
the health service is about caring for patients and ensuring their | 1:13:23 | 1:13:22 | |
families are happy about their care, that is an apparent issue. You said | 1:13:23 | 1:13:22 | |
last week that people are calling for public enquiries at the drop of | 1:13:23 | 1:13:22 | |
a hat and I believe this is insulting to the families who have | 1:13:23 | 1:13:22 | |
lost people. Many of those you have commissioned may become more costly | 1:13:23 | 1:13:22 | |
than a public enquiry. So therefore, do you not believe that the cry from | 1:13:23 | 1:13:22 | |
the parents, the families of patients, is not worthy enough for | 1:13:23 | 1:13:22 | |
you as a government to enact upon the demand and have a full public | 1:13:23 | 1:13:22 | |
enquiry? I said you were calling for a public enquiry at the drop of a | 1:13:23 | 1:13:22 | |
hat. The member mentions the case of Robbie Powell, that is a case that | 1:13:23 | 1:13:22 | |
has been well aired in this chamber. It is a tragic case. He and his | 1:13:23 | 1:13:22 | |
family were treated appallingly. We understand there was an | 1:13:23 | 1:13:22 | |
investigation that took place. A number of events occurred which made | 1:13:23 | 1:13:22 | |
it difficult for Mr Powell and his family. I spoke to the GMC and the | 1:13:23 | 1:13:22 | |
police and the CPS. I initiated the investigation and there was an | 1:13:23 | 1:13:22 | |
apology, rightly so. It is by difficult to know what else can be | 1:13:23 | 1:13:22 | |
done, although Mr Powell quite rightly is angry and upset about the | 1:13:23 | 1:13:22 | |
loss of his son. I understand that. But I have to say, many people who | 1:13:23 | 1:13:22 | |
were at the meeting, I have been dealing with for some years. I have | 1:13:23 | 1:13:22 | |
done the work in terms of dealing with them and listening to their | 1:13:23 | 1:13:22 | |
concerns, in terms of taking those concerns for word. She only became | 1:13:23 | 1:13:22 | |
interested a fortnight ago when she went to the meeting. There are some | 1:13:23 | 1:13:22 | |
members who do hard work and there are some who will jump on a | 1:13:23 | 1:13:22 | |
bandwagon. First Minister, I find myself agreeing with Bethan | 1:13:23 | 1:13:22 | |
Jenkins's request for a full public enquiry into care standards. | 1:13:23 | 1:13:22 | |
Following on from that, I want to reiterate our request for a keyhole | 1:13:23 | 1:13:22 | |
style NHS enquiry in Wales, which would the cup this is effect | 1:13:23 | 1:13:22 | |
concerns of constituents. -- which would pick-up. So we have called for | 1:13:23 | 1:13:22 | |
it. But it will save lives and improve our NHS. Why will you not | 1:13:23 | 1:13:22 | |
agree to it and clear the air once and for all? Sorry, I thought that | 1:13:23 | 1:13:22 | |
was a resignation speech! There is no need for that style of enquiry. | 1:13:23 | 1:13:22 | |
That is a politically driven matter, as he knows. It is a shame that he | 1:13:23 | 1:13:22 | |
and other members did not take an interest in many of the people in | 1:13:23 | 1:13:22 | |
Bridgend who had their concerns aired, and they did not take an | 1:13:23 | 1:13:22 | |
interest before the meeting took place. And so, my concern as | 1:13:23 | 1:13:22 | |
somebody in his constituency the Princess of Wales Hospital is, as | 1:13:23 | 1:13:22 | |
someone who lives in Bridgend, is to make sure that what happened at the | 1:13:23 | 1:13:22 | |
hospital is thoroughly investigated in order to ensure that public | 1:13:23 | 1:13:22 | |
confidence is there in the future. From that, we will not shy away. It | 1:13:23 | 1:13:22 | |
is important that what has been put in place is able to report back, and | 1:13:23 | 1:13:22 | |
then it will be possible for the Government to decide what happens | 1:13:23 | 1:13:22 | |
next. Restoring public confidence will be ordered for many of us who | 1:13:23 | 1:13:22 | |
live in that town, even when other members have moved onto issues. | 1:13:23 | 1:13:22 | |
We will have to leave First Minister's Questions there, but you | 1:13:23 | 1:13:22 | |
can see more coverage of the National Assembly online from ABC | 1:13:23 | 1:13:22 | |
Wales's democracy life page at bbc.co.uk/walespolitics. -- BBC | 1:13:23 | 1:13:22 | |
Wales. That's it for today. The Assembly is in recess next week, so | 1:13:23 | 1:13:22 | |
there's no First Minister's Questions. But if you want more | 1:13:23 | 1:13:22 | |
Welsh politics before then, don't forget Y Sgwrs on S4C at 9:30pm | 1:13:23 | 1:13:22 | |
tomorrow evening. As for today though, from all of us on the | 1:13:23 | 1:13:22 | |
programme, goodbye. | 1:13:23 | 1:13:23 |