30/09/2014 am.pm


30/09/2014

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Good afternoon. Welcome to the programme and our weekly coverage of

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questions to the First Minister. It is another busy day in the Senedd

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with Carwyn Jones' Government unveiling its draft budget for

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2025/16 later this afternoon. It is thought there will be plans to

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increase spending on health and it will be interest -- interesting to

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see if that gets raised in questions today.

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Business in the Chamber is already under way, so let's take a look at

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today's questions to the First Minister.

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The first item is Questions to the First Minister. Question one,

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Antoinette Sandbach. Will the First Minister provide an update on what

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the Welsh Government is doing to tackle dementia? Yes, together for

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Mental Health - our focus is on improving rates of timely diagnosis

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and increasing access to information.

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PRESIDING OFFICER: They call for a specific Dementia

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Strategy with clear lines of accountability. What guarantees can

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you provide to those patients and their families who live with

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dementia, that the Welsh Government is willing to listen and act upon

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the recommendations that have been launched in the report today? Well,

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Together for Mental Health provides that framework. I know that there

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are many who are aware of that framework. The memo will be aware of

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the dementia friendly communities and Dementia Friends campaign which

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we have supports a a Government. In January, the Minister launched the

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Alzheimer's Society Friends Initiative and that was funded by

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the Welsh Government. The Alzheimer's Society provides

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invaluable advice to those who are affected by dementia and by

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Alzheimer's. PRESIDING OFFICER: Elin Jones?

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TRANSLATION: First Minister, over 2,000 people have early dementia

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before they are 60 years of age. And services are mainly

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before they are 60 years of age. And years of age, 2,000 of them have

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different needs, especially if they have residential needs as well?

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TRANSLATION: That is correct. It is important and the strategy

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identifies the fact that there should be care available to them and

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dementia is entirely different in someone who is under 60 years of

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age. It progresses more swiftly and we expect the Health Boards, when

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they do consider services for people with dementia, to consider the needs

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of those under 60 also. PRESIDING OFFICER: Question 2, Jenny

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Rathbone. What is the Welsh Government doing to combat the

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commercialisation and sexualisation of childhood? We are committed to

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commercialisation and sexualisation protecting the rights of children

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across all protecting the rights of children

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PRESIDING OFFICER: Mohammed Asghar? I'm not aware of any companies that

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have fallen into that category, but if the member has any evidence of

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that, we will be pleased to consider it.

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PRESIDING OFFICER: We move to questions from the party leaders and

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first this afternoon we have the leader of the Welsh Liberal

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Democrats, Kirsty Williams. First Minister, 1 in 200 pregnancies ends

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in stillbirth, a figure that has not changed for some 20 years. Indeed,

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the most recent figures available show that the rate in Wales is

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increasing. What progress has your Government made in implementing the

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recommendations of the health and social care committee's inquiry into

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this heartbreaking tragedy? The incidents of stillbirths in Wales

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has not changed greatly in recent years. Whether it is the case that

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there is a level beyond which it cannot go down, that's a matter for

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the medics to determine, but certainly we do have one of the

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lowest rates in terms of stillbirths in the world. First Minister, I

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would state quite clearly it is possible to drive down the number of

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stillbirths in Wales. We just need concerted action to do so. The

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Government did establish the Welsh Initiative for Stillbirth Reduction

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which was charged with implementing the Committee's recommendation. That

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came to an end earlier this year. Are you now confident that without

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that initiative, measures around reduced foetal movement and growth

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assessment programmes are being routinely implemented across all

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obstetric units in Wales? Yes, we expect that to continue. The good

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work that has been put in place thus far, we would expect to see

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continued in the future. One method that seems to have a significant

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impact on levels of stillbirth is to make these scans... They have seen

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their stillbirth rate drop by 50% in three years. Would you commit to

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looking at introducing similar scanning regimes here for all

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first-time mothers in Wales? Well, based on the figures na the leader

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of the Liberal Democrats has provided, this is something that

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needs to be looked at. And I will ask the Minister to examine the

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findings of that pilot project to see is whether it can be applied in

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Wales. PRESIDING OFFICER: The Leader of the

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Opposition. First Minister, the recent cuts in the skills budget of

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?7 million along with other measures have realised a cut of ?10.7 million

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to the apprenticeship programme. These notices were given to the

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providers with only four days' notice of the contract starting on

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August 1st. Why was this undertaken in such a shambolic way that has

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jeopardised 9,000 apprenticeship places here in Wales? We have of

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course more than 12,000 young people who have been helped through Jobs

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Growth Wales. He needs to wait for the draft budget announcement in

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terms of what the future funding is. But certainly, we believe we have a

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very good record in Wales, particularly given the fact we have

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had to deal with ?1.5 billion deficit from his party. I note in

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the budget announcement today there is talk of additional money for

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apprenticeships for up to 5,000 places. This is in-year cuts that

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your Government has made to the current programme totalling ?10.7

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million, that has threatened 9,000 places. 9,000 apprenticeship places.

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Surely that reeks of shambles at the heart of the Government in dealing

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with the finances, the providers were expecting the figures to be

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delivered by March so that they could plan for the new contracts in

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August. Why, with only four days' notice, was this devastation wrought

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on this programme? We can't magic - I know he thinks there is a magic

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money tree somewhere - but we can't magic up money. The reality is that

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our record, when it comes to apprenticeships and providing young

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people with opportunities, it is much better than his party has ever

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come up with in any level of Government. First Minister, 1.8

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million apprenticeships have been generated by the UK Government since

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2010. What your Government has done has made in-year cuts. I am unaware

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of any substantial in-year cuts given to your Government by the UK

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and in fact we have had Barnett consequentials. What the people

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seeking those apprenticeships want are some straight answers. Why the

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chaos? I do take the point that apprenticeships have been successful

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here in Wales. 66% - I'm happy to acknowledge that - 66% of people who

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enter the apprenticeship programme find full-time employment at the end

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of that programme. 80% of people who go on the programme can finish their

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courses. There is a success story there. Sadly, your Government have

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taken 10.7 million out of that budget, in mid-year, with four days'

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notice. What does that say about the priorities for your Government? It

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says that the priorities are all wrong, does it? Well, he is generous

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in his praise - and I accept that. He can't say we have done well on

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the one hand and on the other we have done badly. There have been

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difficult decisions we have had to make. He mentions Barnett. Will he

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join me then and other parties in pursuing the need for dealing with

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the issue of underfunding in Wales? He keeps on saying - the reality is

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that we are underfunded to the tune of ?300 million a year. Some will

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say we are holding out the begging bowl. People whose parents and

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grandparents worked in coal, steel and tin plate, who contributed to

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the prosperity of the UK, is it asking too much that they should

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have a fair share of the pot now? I hope he would join me and, in

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fairness, other leaders in this chamber in standing up for Wales.

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PRESIDING OFFICER: Finally, the leader of Plaid Cymru. Over the

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summer, the Chancellor announced generous tax breaks for companies

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who were interested in using fracking as a means of extracting

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shale gas. There are varying estimates in terms of how much shale

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gas could be extracted in Wales. But the UK Government seems intent on

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pressing ahead with the granting of licences for drilling. Does the

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Welsh Government share the UK's Government enthusiasm for fracking?

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No, we take the precautionary approach. The planning issues are

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devolved and that precautionary approach has not changed. Among the

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many concerns raised by members of the public is the Department of

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Energy and Climate Change decision to press ahead with simplifying

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underground access for oil and gas developers, giving permission to

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companies to drill on private land and private property. 99% of

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respondents to the consultation objected to that. Should fracking be

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permitted without the consent of the owner? There are real issues with

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that. It is difficult to justify that to the public. If she is going

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to invite me in her third question to consider whether the licensing

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regime should be devolved, that is something I have some sympathy with.

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That's good. Fracking remains controversial, as you are aware.

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Plaid Cymru has suggested a moratorium on fracking operations

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until and unless safety and environmental concerns can be

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satisfied. Now, the issue highlights the wider problem that the country

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has little competence over its own natural resources and I thank you

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for your previous answer on that point. We do, however, currently

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have powers and competence over planning. Would Welsh Ministers

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support Welsh local authorities who wish to implement a de facto

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moratorium using existing planning legislation? A moratorium is

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difficult. If you impose a moratorium on fracking, there are

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other technologies that would be drawn into it as well. Some will

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argue, as I have heard from a moratorium on wind. What is

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important - and I don't think we are very far apart - that caution should

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be exercised when it comes to considering granting planning

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permission for fracking and full consideration has to be given to the

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environmental impact as well as the social impact. That much is true.

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I would reiterate the point. I have heard what the UK Government has

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said but our approach in planning terms remains the same. We moved to

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questions on a paper again, question three. With the First Minister make

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an announcement of the Welsh government's proposed back route

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around the city of Newport, please? Subject to the necessary

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investigations that have to take place, such as any potential public

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inquiry, our view is that the black fruit would improve access to Wales,

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and new junctions are included, and direct a simple Newport itself. It

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would create increased connectivity for existing businesses and

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employment sites across Newport and there are various stages of

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examinations that it would have to go through. Associated British ports

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have warned that the proposed black route will damage the economy of

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Newport, leading to trade going to Bristol and Liverpool. Another major

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Newport employer, I steel has called for an alternative route to be

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examined. Will you now agree that a full public consultation and

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examination of the suggested blue route needs to take place and that

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the current plans for the black route should be put on hold whilst

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this is done? With the Glasgow black route there are stages it must go

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through. With the blue route, it is not what it appears to be. It would

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cost about 800 million, not 300 million. It would be delivered in

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the same timescale. I have travelled along the blue route. It has traffic

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lights on it and it would need substantial amount of work. It goes

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past a housing estate. One of the issues that would need to be looked

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at is whether there's a danger in houses would have to be moved and

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whether businesses would have to be moved. It is not a pain-free option.

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It never was. Nor can it be delivered in a timescale that would

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be faster than the black route. That said, I repeat what I said earlier,

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there would need to be an environmental study, that much we

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understand. They might well be a public inquiry. It is important that

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these stages take place so that the can have transparency with regard to

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the black route. With the First Minister agree that the M4 in

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Newport and other businesses and jobs would benefit greatly from a

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more integrated Transport system? And that the Welsh government's

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pro-Iraqi should be public Transport including a south wales metro

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system. The Metro system is moving forward and that is something that

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we will develop. The traffic situation will get worse, it is not

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going to improve. It simply is not the case that traffic will suddenly

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disappear from that panel. -- panel. It is possible to develop the

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Metro proposals. As well as examining the difficulties on the

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road network. As indeed was done with the straightening of parts of

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the A470. And a full consultation will take place on the black route,

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but it is not the case of the development of the AM for having to

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take place instead of -- the M4. First Minister, I know that the

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announcement on the budget is subject to various votes in this

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institution before it is confirmed, but art of the agreement seems to

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relate to environmental assessment, another environmental assessment

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around the black route for the M4 relief road. Will this work take

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place of the budget deal is ratified or must the environmental assessment

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weight as well until 2016 when we draw a line on the construction

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phase? Another comment on a budget ahead of what the finance minister

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may or may not say. It is important to reiterate that the preferred

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route has been announced by the Minister. It is subject to various

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stages of consultation for it to be as transparent as possible. Will the

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First Minister make a statement on the implication of Welsh language

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standards? I issued a mission statement on the timetable /which

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standards in July and we continue to draft regulations according to that

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timetable, and implement in those standards is a matter for the Welsh

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language Commissioner. Can you state your intention to complete the three

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rounds before the Assembly elections and are you reconsidering the draft

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standards in January, when you mentioned a situation whereby it

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means to receive services that are contracted out, which would not be

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subject to standards? Now, one third of public services in Wales are

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contracted out, and therefore, there is a huge gap in the standards. And

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can I ask you to reconsider on that basis? I have to say, of course,

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that consultation has taken place or is going to take place in terms of

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the standards, and the regulations will be before the Assembly in March

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so there will be considered -- an opportunity to consider how the

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standards can be strengthened, given the situation that the member has

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spoken about. First Minister, you will be aware of the comments made

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by the SP, that the Welsh language Commissioner should use the

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standards and a commensurate way to ensure that standards are called

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with the needs of small businesses in Wales. Can you tell us whether

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you government supports the comments made by the FSB, and if so, will you

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be promoting this in your response to the consultation that you

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mentioned a few moments ago? We want to make sure that we listen to the

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views of everyone and every organisation that is associated with

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this. And we want to ensure that the standards are standards that have a

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strong and broad support across Wales, so we look forward to seeing

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the comments made by the FSB. Thank you very much. First Minister, the

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believe that when these standards are put to the Assembly four years

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into the term of this current government, that that demonstrates a

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clear commitment and an ability to plan efficiently and effectively in

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terms of the Welsh language? What is extremely important is to ensure

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that these standards are supported and are practical, and that means of

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course that the commission has to be part of the process, and also, to

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consult on the correct manner, and also to bring the regulations back

:23:09.:23:14.

to the Assembly, in order to get wings right. Things do take a bit of

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time. -- things right. Will the First Minister make a statement on

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youth unemployment in Wales? We want to make sure that young people get

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an opportunity to develop fully in life. We have mentioned jobs growth

:23:31.:23:37.

Wales and the engagement and progression framework. Does the

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First Minister and with me that the drop in youth unemployment in Wales

:23:41.:23:44.

is an example of the Welsh government leading the way in the UK

:23:45.:23:49.

with programmes like jobs growth Wales, and that the UK and Scottish

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governments could do well to follow them? The member will not be

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surprised if I say yes. We have seen substantial drops in unemployment

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amongst young people in Wales, particularly those between 16-17

:24:05.:24:08.

years old where there is a substantial difference to the better

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between Wales and the rest of the UK, and that shows that Jobs Growth

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Wales is having a significant positive effect on the prospects of

:24:24.:24:29.

young people. Whilst we welcome youth unemployment being the Jews,

:24:30.:24:33.

you will know that approximately 20% of young people have been out of

:24:34.:24:38.

work for more than a year, and 10% of 16-year-olds are not in

:24:39.:24:41.

education, employment or training. What will you now do to make sure

:24:42.:24:46.

that this effective programme, which is so vital to the needs of Wales,

:24:47.:24:52.

continues? We look at the progression framework which

:24:53.:24:55.

introduced the youth guarantee for Wales. We have been funding

:24:56.:24:59.

higher-level apprenticeships together with Jobs Growth Wales, and

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of course we see success, one example is that the figure for NEETs

:25:05.:25:16.

dropped in 2011-12, and we want to see that dropping further in future.

:25:17.:25:21.

Given that more than one in five young people is not employed in

:25:22.:25:30.

Wales, and that your government programme is being evaluated by

:25:31.:25:37.

Ipsos MORI to make sure that your spending 73% of the budget on jobs

:25:38.:25:42.

already in existence, why is the government cutting apprenticeship

:25:43.:25:45.

programmes such as this when we need more of these programmes in place,

:25:46.:25:52.

provided by the Welsh government? In terms of Jobs Growth Wales as a

:25:53.:25:55.

scheme, it has given people the opportunity, young people, the

:25:56.:26:00.

opportunity to have a job and develop skills. It is important that

:26:01.:26:05.

they have had a job, but not the job that they have as result of the

:26:06.:26:09.

scheme. We have to consider the value of the skills that they have

:26:10.:26:16.

learned. Jobs Growth Wales does not assist young people in long-term

:26:17.:26:20.

unemployment and is not accessible to many young people because of

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double funding issues with UK Government schemes. And it is not

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available in many parts of Wales, including the worst hotspot for

:26:31.:26:35.

NEETs, Bridgend. Will you agree to review provisional support to those

:26:36.:26:38.

young people in places like Wrexham, Bridgend and the Vale of Glamorgan

:26:39.:26:42.

where long-term youth unemployment is a real problem, but Jobs Growth

:26:43.:26:50.

Wales does not help? Jobs Growth Wales is aimed at them in the first

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place. One of the first actions of her party in London was to cut the

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Future Jobs Fund which was supposed to help so many young people. I do

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not see that there is in Whitehall, an equivalent scheme that is

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anything like as successful in offering opportunities to young

:27:13.:27:17.

people as this scheme that we and the people of Wales are very proud

:27:18.:27:23.

of. First Minister, Jobs Growth Wales has been particularly

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successful, creating over 1000 jobs, 90% of them filled, and it is the

:27:31.:27:34.

most successful area in the whole of Wales. Will you congratulate the

:27:35.:27:41.

Labour-controlled carefully County Council have run in collaboration

:27:42.:27:44.

with that scheme the passport programme, and European funded

:27:45.:27:47.

scheme that has delivered an additional 176 work basements? --

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placements. I will offer my congratulations to Caerphilly

:28:01.:28:05.

Council. It is working well to provide opportunities for young

:28:06.:28:15.

people. Will the First Minister make a statement on the availability of

:28:16.:28:23.

cancer treatment in Wales? Cancer waiting times for treatment are

:28:24.:28:33.

better than in England. First Minister, patience in England are

:28:34.:28:36.

seven times more likely to gain access to cancer drugs and patience

:28:37.:28:43.

in Wales. The UK Government spends ?200 million per year on a Cancer

:28:44.:28:47.

Drugs Fund but as you know, here, we do not have one. There is a petition

:28:48.:28:50.

winging its way to the Welsh government with tens of thousands of

:28:51.:28:54.

signatures on it, calling for a cancer treatment fund, here in

:28:55.:28:59.

Wales. When will the government reconsider the current position and

:29:00.:29:02.

give cancer sufferers in Wales the treat and that they need and

:29:03.:29:09.

deserve? There are cancer treatments in Wales that are not available in

:29:10.:29:14.

England. Can we see a petition organised by his party complaining

:29:15.:29:19.

about that? I wonder what the petition says. Does it say that it

:29:20.:29:22.

once cancer treatment to be funded by taking funds away from the

:29:23.:29:27.

treatment of other drugs, the way that it

:29:28.:30:34.

treatment of other drugs, the way that the cancer treatment fund does,

:30:35.:30:34.

is not the way forward for Wales. The message

:30:35.:31:59.

world leaders, in terms of survival rates. Much of it depends on the

:32:00.:32:04.

underlying health of the individual, much of it depends on GPs referring

:32:05.:32:10.

early, which they are doing now. Certainly much more referral by GPs

:32:11.:32:15.

of suspected cancers, fortunately it turns out that it isn't cancer, but

:32:16.:32:21.

with lung cancer, early diagnosis is key. The GPs are keen to refer early

:32:22.:32:28.

to give people a better chance at least of survival beyond one year

:32:29.:32:31.

and hopefully beyond five. PRESIDING OFFICER: Kirsty Williams?

:32:32.:32:44.

First Minister, these are techniques that we have the clinicians in Wales

:32:45.:32:48.

who could carry out those interventions. Yet, to date, the

:32:49.:32:51.

Government has decided not to offer those treatments here in Wales. In

:32:52.:32:56.

June, I asked you this question. You said you would get the Health

:32:57.:32:59.

Minister to reply to me. I am still waiting for that response. Could you

:33:00.:33:03.

give a definitive answer here today about the Welsh Government's

:33:04.:33:11.

commitment to provide this treatment for Welsh patients in Welsh

:33:12.:33:16.

hospitals? I will rectify that. The Minister has heard today and I will

:33:17.:33:19.

make sure the response is provided as soon as possible.

:33:20.:33:23.

PRESIDING OFFICER: Question 7, Janet Finch-Saunders? Will the First

:33:24.:33:26.

Minister make a statement on the roll-out of broadband provision in

:33:27.:33:29.

North Wales? Yes, progress is good. It is being made with the roll-out

:33:30.:33:35.

of super-fast broadband. Some exchanges have been enabled with the

:33:36.:33:42.

fast fibre broadband. Thank you. As regards the super-fast broadband

:33:43.:33:46.

roll-out and the significant investment, constituents and many

:33:47.:33:51.

constituents are requesting more information than is currently

:33:52.:33:53.

available as to how, where and when they will be able to receive the

:33:54.:33:58.

service. Although more properties now access super-fast broadband,

:33:59.:34:04.

take-up is lower than in England. It appears that little has been done

:34:05.:34:08.

with regards the marketing and exploitation of the services

:34:09.:34:11.

forthcoming and available now. And BT maintain they have had no funding

:34:12.:34:15.

whatsoever for this. What steps is your Government taking to ensure

:34:16.:34:20.

awareness is raised regarding the availability of this service across

:34:21.:34:23.

Wales? Have you set a budget aside to do this? It is within BT's

:34:24.:34:29.

interest to do that themselves. They are not allowed to spend it on that.

:34:30.:34:33.

They are partners in terms of the roll-out. Nearly 234,000 premises

:34:34.:34:39.

have been given access to fast fibre broadband. I am not surprised that

:34:40.:34:43.

people are not using it as they should, probably because they

:34:44.:34:46.

haven't got access to it yet. I am sure that will change as a result of

:34:47.:34:50.

the super-fast coming. The market would never have delivered this,

:34:51.:34:54.

this is a Welsh Government initiative ensuring that many

:34:55.:34:58.

premises and settlements across Wales are getting access to

:34:59.:35:02.

super-fast broadband in a way that would otherwise not be possible.

:35:03.:35:05.

This is an investment in Wales' infrastructure and one that we are

:35:06.:35:11.

proud of. TRANSLATION: According to a recent

:35:12.:35:16.

report by the CAB on Anglesey, there is the highest percentage of people

:35:17.:35:21.

who haven't used the internet at all, that figure is almost 30%.

:35:22.:35:28.

Whilst I look forward to seeing super-fast broadband available

:35:29.:35:30.

across the whole of Wales, does the First Minister agree that we need to

:35:31.:35:34.

prioritise areas such as Anglesey and ensure that everyone has access

:35:35.:35:40.

to the internet because it's the disadvantaged who lose out most of

:35:41.:35:46.

not being able to access the service?

:35:47.:35:48.

TRANSLATION: It is difficult to say that. Every member in this place

:35:49.:35:52.

would say that their area is the one that should have priority. What is

:35:53.:35:55.

important is that this happens quickly to ensure, of course, that

:35:56.:36:01.

people of Anglesey have access to the broadband. If I could just say,

:36:02.:36:06.

in terms of individuals, there will be details available for them and

:36:07.:36:10.

also they will receive details whether there is a grant available

:36:11.:36:16.

for them, of course, or whether they wait for the fibres to arrive in

:36:17.:36:20.

their areas. But we have to remember that in a year-and-a-half, we will

:36:21.:36:24.

be in a situation where a high percentage of over 90% of the people

:36:25.:36:30.

of Wales will have access to broadband.

:36:31.:36:36.

PRESIDING OFFICER: Question 8, Llyr Gruffydd?

:36:37.:36:39.

TRANSLATION: Will the First Minister make a statement on community

:36:40.:36:43.

hospitals in North Wales? TRANSLATION: People across Wales

:36:44.:36:46.

have equity of access to high quality care, designed to meet their

:36:47.:36:51.

individual needs as close to home as possible.

:36:52.:36:55.

TRANSLATION: Thank you for that response. I'm sure you will know on

:36:56.:37:01.

Thursday the people of Flint will vote in a local referendum for or

:37:02.:37:05.

against a community hospital. I am sure you will recall the hospital

:37:06.:37:09.

there closed some 18 months ago. That proved to be very unpopular

:37:10.:37:14.

locally and, according to many locals, it caused a decline in

:37:15.:37:17.

services locally. Can I ask you to respect the outcome of that

:37:18.:37:20.

referendum? If there is a street in favour of a hospital renewal,

:37:21.:37:25.

encourage the Local Health Board to consider that decision seriously?

:37:26.:37:29.

TRANSLATION: We can't re-open this. The decision itself has not been

:37:30.:37:35.

given to Welsh Ministers by the Community Health Council. There is

:37:36.:37:38.

no role for Welsh Ministers. This was their choice. Can I just say one

:37:39.:37:45.

thing? I understand that people always find it extremely difficult

:37:46.:37:48.

when they see something closing, when they have been used to it over

:37:49.:37:52.

the years - I have seen it in my own constituency. What happens is that

:37:53.:37:55.

when they see the new resources that are available, nobody wants to go

:37:56.:37:58.

back to the old system. So, what I would tell the people of Flint is, I

:37:59.:38:03.

know that there are plans there to ensure that new resources are

:38:04.:38:07.

available to the people of Flint, resources that would enable people

:38:08.:38:10.

to remain at home and have care there, instead of going to hospital.

:38:11.:38:13.

I would say you have to consider what else will be available and

:38:14.:38:22.

experience shows that when there is something new available, and there

:38:23.:38:25.

was a very strong campaign against closing a local hospital in one

:38:26.:38:29.

area, there is a brand-new centre that is popular in the community.

:38:30.:38:32.

What I would say to these people is, give these plans a chance. In terms

:38:33.:38:43.

of what Welsh Ministers can do, the system, the Community Health

:38:44.:38:46.

Council, of course, hasn't given this to Welsh Ministers to

:38:47.:38:50.

reconsider. PRESIDING OFFICER: Antoinette

:38:51.:38:54.

Sandbach? The figures that your Government published last week

:38:55.:38:56.

highlighted the problem of bed-blocking in the Welsh NHS. That

:38:57.:39:00.

is a direct consequence as a result of the closure of community

:39:01.:39:06.

hospitals. The Welsh average saw 63% of patients waiting to leave

:39:07.:39:12.

hospital, delayed by three weeks. When we are seeing delays like this,

:39:13.:39:16.

and getting people out of hospital, and particularly out into community

:39:17.:39:23.

hospitals, so they are not causing problems in the District General

:39:24.:39:26.

Hospitals. Surely, you should pay attention to referendums like that

:39:27.:39:30.

happening in relation to the Flint community hospital. Otherwise, how

:39:31.:39:34.

do you plan to deal with those delayed releases of care? First of

:39:35.:39:39.

all, the member gives the impression that delays have increased, they

:39:40.:39:43.

have not, they have gone down. The number of delays in July of this

:39:44.:39:47.

year is 10% lower than the figure in August of last year. So, her entire

:39:48.:39:53.

argument goes out of the window... 73% last time. I don't want people

:39:54.:39:57.

to be discharged from General Hospitals into other hospitals. I

:39:58.:40:00.

want people to go home, that is the whole point. I want to make sure

:40:01.:40:02.

there are opportunities for people to get the enhanced care they need

:40:03.:40:06.

to go home and not sit in hospitals for weeks upon weeks. Three weeks on

:40:07.:40:11.

average. I don't accept her premise that what we should do is to move

:40:12.:40:16.

people out of a DGH and into a community hospital and forget about

:40:17.:40:20.

them. I'm not prepared to do that. The Minister is not prepared to do

:40:21.:40:23.

that either. I want to see people back at home. That is exactly what

:40:24.:40:35.

we will do as a Government. First Minister, the problem you have is a

:40:36.:40:40.

lack of trust as far as North Wales' residents are concerned. Time after

:40:41.:40:43.

time, those new facilities have not been opened. We have lost 50

:40:44.:40:48.

community beds over the last 18 months. We have also lost 370 beds

:40:49.:40:54.

during the last four years from our District General Hospitals. So, the

:40:55.:40:58.

real issue is, not only are we faced with no new facilities being opened

:40:59.:41:02.

to replace the beds that are being taken out of the system, there is

:41:03.:41:07.

also a situation where care provision within the sector is also

:41:08.:41:11.

being blocked by local authorities due to the cuts in local authority

:41:12.:41:17.

social services' budgets. Can I say in relation to Flint, our there are

:41:18.:41:24.

proposals for a joint health and housing scheme, a new primary care

:41:25.:41:28.

resource centre in the town. I cannot see why people would be

:41:29.:41:34.

against that. I gave an example in my own constituency of a care home

:41:35.:41:37.

that closed. People were up in arms about it. It was an elderly

:41:38.:41:41.

building. People were sharing rooms, sharing bathrooms. But people were

:41:42.:41:44.

very attached to the building. We accepted that. Now, there is an

:41:45.:41:48.

extra care facility there and nobody wants to go back to the old system.

:41:49.:41:57.

So, the point I would make is, where you have new facilities, people who

:41:58.:42:01.

are very much against a change in provision, when they see the new

:42:02.:42:04.

provision and the new resources, they will often change their mind.

:42:05.:42:08.

My message would be to people - I understand people are very attached

:42:09.:42:11.

to hospitals, particularly hospitals that have been there for many years,

:42:12.:42:14.

but there comes a time when we have to move to a system which is better

:42:15.:42:18.

for patients and enables more people to be looked after at home, which is

:42:19.:42:22.

what we all want to see. PRESIDING OFFICER: Question 9,

:42:23.:42:30.

Rhodri Glyn Thomas? TRANSLATION: Will the First Minister

:42:31.:42:32.

make a statement on local government reform?

:42:33.:42:34.

TRANSLATION: The Minister made a statement on this last week.

:42:35.:42:38.

TRANSLATION: I am sure the First Minister would agree that if we are

:42:39.:42:42.

going to have a sustainable answer to how to provide public services in

:42:43.:42:46.

Wales, that we have to look at the public services as a whole. Why,

:42:47.:42:51.

therefore, did you prevent the Williams Commission from looking at

:42:52.:42:54.

the Health Service and other public services in Wales in the report that

:42:55.:42:57.

was prepared for you as a Government?

:42:58.:43:00.

TRANSLATION: That was not the case. What I told the Williams Commission

:43:01.:43:04.

is we don't want to reconsider the boundaries of the Health Boards as

:43:05.:43:09.

they were. Therefore, we didn't want to look at it again a few years

:43:10.:43:13.

after having done it. On everything else, the Williams Commission had

:43:14.:43:15.

the opportunity to consider and we must bear in mind that the Williams

:43:16.:43:20.

Commission itself considered all parts of the public sector, not just

:43:21.:43:25.

local government, although... STUDIO: We leave First Minister's

:43:26.:43:31.

Questions there. You can see more coverage of the National Assembly

:43:32.:43:41.

online. That is it for today. We will be

:43:42.:43:45.

back with more First Minister's Questions next week. Don't forget,

:43:46.:43:50.

for all the latest political news, watch Wales Today later today at

:43:51.:43:55.

6.30pm on BBC One Wales. As for am.pm, from all of us on the

:43:56.:43:57.

programme, goodbye. Well, of all the people

:43:58.:44:36.

that I've met,

:44:37.:44:39.

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