Part of the debate – in the Senedd at 4:32 pm on 21 January 2025.
The Member asked a range of questions; I'll do my best to answer at least the key ones. In relation to the £5 million, those were allocated to expand the workforce right across Wales in terms of allied health professionals. I think what we are seeing is actually the highest level of funding ever allocated to support a record number of training opportunities for the AHP workforce, and that's right across Wales. I touched on the developments in the Cwm Taf Morgannwg and in the Swansea bay health boards, but I could have pointed to the frailty practitioners in Powys Teaching Health Board, which I'm sure he will have an interest in, or the work that Cardiff and Vale are doing in relation to the orthopaedic programme; I mentioned that in my statement. But also Hywel Dda have launched an integrated community stroke service, which reduces hospital waiting times. So, there is a range of ways, right across Wales, in each of the health boards, in which that funding is being put to very good and productive use, and having demonstrable outcomes, demonstrable impacts on patient outcomes, which is obviously the measure of success in relation to that investment.
He makes an important point in relation to the pressure on GP practices. I think the thrust of my statement was really about highlighting the range of other ways in which people can access primary care services, which have two impacts: one is to reduce the demand on GP services, and also to make sure that patients get access to the treatment they need in the most convenient way possible. So, it has those two benefits, and I think, actually, it's important that people do continue to make those choices. We see increasing demand on GP services. Where that demand is capable of being better met elsewhere, frankly we should be seeking those alternatives. So, it should be more convenient for us, but we should also be doing that proactively. He makes an important point about how one can ensure that the public understand the range of those services, and, in a sense, what we're trying to do is to bring about generational change in people's access to healthcare. This will take, I think, many years to embed, as a way of understanding how the health service can provide the support that we need.
I was at a pharmacy, as I mentioned in my statement this morning, and discussing very much with the pharmacist there the strategies that they had used to work with local GP practices to highlight the range of alternatives. So, if someone calls up and asks for a GP, there’s a conversation that says, ‘Well, have you tried your local pharmacist? It's a prescribing pharmacy, so you’ll be able to get the support that you need there.’ So, it’s ensuring that that’s part of the discussion through GP practices, but also in terms of public information campaigns and also the work that pharmacies themselves do to promote the increasing range of services that they can provide. It’s also information that is available through NHS 111, both on the phone and online, so I encourage Members to point their constituents to those services, and we can all play a part, I think, to encourage people to take up those services.
He asked a series of questions in relation to the access to dentistry. Negotiating a contract is an exercise for two parties; it isn’t entirely in the gift of the Government. So, these things sometimes take longer than, frankly, any of us would wish. But I think it is important to say that there have been a number of reforms to the existing contract, and we’ve been in a period of annual variation, and, whilst each of those has sought to reflect the consequence and emerging understanding of changes in demand, and, obviously, there is a gap in provision in terms of NHS services, which we obviously know and have discussed in this Chamber many, many times, I also accept that having an annual set of variations doesn’t provide that stable platform that is important for the resilience of practices and for our ability to describe with confidence and in an attractive way what dental practice looks like. So, I’m sure we all look forward to the point at which we have that new contract in place, which will be a new platform to make dentistry, as I said in my statement, both fairer for patients and more attractive for the profession. I can say, as I did in my statement, that we expect to consult on that in the spring, and we will see what the responses to the consultation say. It’s obviously a negotiated contract with the BDA, and my expectation is that that will be in place for the early part of next year, so the spring of next year, at the latest. And what I’ve also heard, in talking to dentists, is that they appreciate a bit more lead-in time when there are changes to contracts, so they can make the necessary adjustments to their practice.
Finally, the Member made a point about children’s dental health, and, in particular, the changes that we’ve made have released additional appointment capacity for children and young people, and I know that you'll be pleased to hear that we continue to invest, for example, in our Designed to Smile programme, which the First Minister spoke about in First Minister’s questions earlier; 60,000 children have benefited from that scheme in the last year; 5,000 teachers and teaching assistants trained to provide those services. So, that is a successful programme, and we know that it makes a real difference.