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Politics

It shouldn’t happen to a Health Minister

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IT’S NOT easy being a Welsh Government Minister.

There are so many new words to learn when you get into office and so many old ones to forget.

For example, take the word ‘cut’. It’s a very simple three letter word. But once you become a Welsh Government Minister, you are not allowed to use it.

Instead, at least as far as Welsh Government policies go, the word ‘cut’ has to be replaced with the far more unwieldy ‘transformation’ or the two-word mouthful ‘transformational change’.

ANGRY ANGELA ATTACKS

As you will see elsewhere in this newspaper, Hywel Dda UHB – to nobody’s surprise – has been caught on the hop by people discovering that when it talks about ‘transforming clinical services’ it means ‘cuts and closures’. You could argue that cuts are in themselves transformational, at least in the same way that being guillotined was transformational for the French aristocracy.

On Wednesday​ (Jan 24)​, Vaughan Gething was faced with a barrage of topical questions, which he confronted with the enthusiasm and delight of Louis XVI on his final journey to Place de la Révolution.

You wouldn’t want to get on the wrong side of Angela Burns, the Carmarthen West and South Pembrokeshire AM who speaks for her party on Health in the Senedd.

Crikey Moses! After a brief initial question, she tore into the Health Board, the Welsh Government, the First Minister, Labour backbenchers, Mr Gething and almost managed to get to Uncle Tom Cobley and all in a positively breathless display of genuine outrage.

Picking up a copy of the Parliamentary Review of Welsh Health Services, unanimously backed by Senedd members the previous week, she handled it between two fingers as though it was a particularly badly soiled nappy.

It was quite bad enough, Mrs Burns said, for the First Minister and his backbenchers to behave in a supercilious and arrogant fashion towards members raising their constituents’ concerns, it was quite another to obtain cross party agreement on the strategic direction of Welsh health services and then ignore the very principles that underpin it.

Mr Gething got to his feet and momentarily looked shell-shocked. Unlike the First Minister, there were almost no Labour members present to prop him up, bray, and snipe at the opposition with sarcastic remarks. However, the Cabinet Secretary is nothing if not smooth and polished. More than capable of bandying around banal generalities, Mr Gething soon adjusted himself into his usual smooth delivery of assurances about ‘meaningful consultations’.

Demonstrating the same sort of faulty memory that could yet come to unglue his leader, Vaughan Gething continued by saying that his boss had not been in any way supercilious.

Mr Jones’ stock in trade is supercilious.

Perhaps Mr Gething had not been paying attention; because having watched the previous day’s First Minister’s Questions and the business statement which preceded Mrs Burns’ questions, you would have to say that Mrs Burns had it pretty much nailed on.

ASK ME NO QUESTIONS

It didn’t get much better for Mr Gething, despite his stream of soothing words and assurances of good intentions. There used to be a saying that you couldn’t knit fog. Well, you certainly couldn’t weave whole fabric out of Mr Gething’s non-answers.

Mr Gething was very clear that he couldn’t answer direct questions because of protocol and the risk that he might have to make final decisions on a consultation which had not yet started. Which was very odd, because the previous day Carwyn Jones had decided he wouldn’t comment because the consultation was ‘open’. Open or closed, Mr Gething was prepared to fall back on the ‘all changes are difficult’ line. As an alternative tack, he attempted a switch to ‘difficult choices have to be made’.

So often did he repeat these lines, or variations on them, that it appeared as though poor Mr Gething had got stuck in one of those time loops beloved of science fiction programmes that need to create a cheap episode to make up for blowing the make-up budget on Slurb the Invincible or some such in a preceding one.

WHERE’S HELP WHEN YOU NEED IT?

Paul Davies had a go after Mrs Burns. Mr Davies doesn’t really do splenetic outrage, but he was clearly peeved – testy even. In a calm and measured way, he berated the Health Board for even proposing, never mind contemplating the closure of Withybush Hospital.

In response, Mr Gething tried a different tactic. While he appreciated that local sentiment was strong, it would be the same across Wales as tough decisions – hard choices – had to be made everywhere across the nation. This was, Mr Gething suggested, a national issue.

Mr Gething’s words would have had more weight on that score had he been accompanied by members of the Welsh Assembly from his own party. Apart from Mark Drakeford seated to his right, Mr Gething appeared terribly alone. The rest of the chamber was devoid of a Labour presence, demonstrating just how seriously west Wales’ concerns were being taken by all those south Wales AMs upon which the party depends for its majority.

Simon Thomas, incongruously seated next to Neil Hamilton, was next to tackle Mr Gething’s dead bat defence.

Pointing out the way in which the First Minister had sought to use the Parliamentary Review in an effort to deflect either criticism or inquiry, Mr Thomas told the Cabinet Secretary that the review was published too late to influence any proposals advanced by Hywel Dda.

After ungallantly pointing out that Labour’s candidate in the 2015 General Election, Paul Miller, had stood on a platform of restoring the paediatric services to Withybush – which had been removed temporarily without consultation – and had still not returned, he suggested this was the opportunity to test the strength of the Parliamentary Review’s framework.

NO STOPPING A CONSULTATION

Mr Gething lost his way a little as he said it wouldn’t be right for him ‘to attempt to instruct’ the health board to stop its consultation now. That would be the consultation that has not started, as the Cabinet Secretary had previously made clear just minutes before.

Difficult conversations needed to be had, tough choices had to be made, and the public would be properly engaged in the process of helping to make those tough choices after taking part in those difficult conversations.

You could see the cogs clicking away as Mr Gething spun new golden platitudes out of old strawmen.

Joyce Watson, whose support for retaining services in the past was less than fulsome, said it was very important that the public was told Withybush was not closing immediately. As this had never been suggested anywhere, it was hard to see what point Joyce Watson was trying to make; but having been thrown a life preserver, Mr Gething clung to it. He agreed that there was no plan to close Withybush in the immediate future. A relief for those attending outpatients next week to have their bunions filed.

Mr Gething then proceeded to point out that other hospitals were also mentioned in the options that had been leaked and that there could be those hard conversations and tough choices to be made in respect of them. But never mind, there would be a genuine and meaningful consultation and, if not, there would be a meaningful and genuine one. That’s what he expected the Board to do. Although, of course, he couldn’t tell them that was what was needed, because he might end up having to make one of those difficult choices after hard and tough conversations.

HAMILTON’S FORK

Neil Hamilton was next. Reaching for his pantomime pitchfork, he rather nastily skewered the Cabinet Secretary on its tines.

Remarking on Mr Gething’s status as the government’s fire blanket for successive health board failings everywhere, he posed the rather more difficult question of whether the threat to Withybush could be boiled down to death by a thousand cuts?

Tellingly, he suggested: “It must be regarded as a ridiculous proposal to close Withybush—even in contemplation in the medium term, let alone the short term. The health board should, when it produces the list of options for people to discuss, avoid causing unnecessary alarm and consternation by producing extreme proposals that are not going to be followed through.”

He then rather neatly suggested the real problem was a complete lack of accountability in the health service. Community Health Councils, Health Boards, were not elected bodies and the truth was that everything ended up on the Health Secretary’s desk. ‘People on the ground feel they have no voice at all,” Mr Hamilton said.

Vaughan Gething could see the home stretch coming.

There would be a meaningful conversation about tough choices in a difficult consultation, in which the views of clinicians would be heard as well as those of the public. It would be rather mean to point out that there is a difference between hearing and listening.

Particularly as those conversations will be tough, difficult, hard, meaningful, and genuine.

Then Mr Gething concluded on a point that he must now be grateful he did not open with.

Concluding he volunteered​,​ he didn’t want to be in the position in the future where the Government will be asked​:​ ‘Why didn’t you do something about a part of the service that really has gone wrong?’

That remark rather fortunately leaves the question unasked as to what all the previous tough choices after hard conversations and meaningful consultations over the last twelve years were actually for.

That would be a difficult – if not unanswerable – question.

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News

Local coronavirus restrictions imposed to control outbreaks in South Wales

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Coronavirus laws are being tightened in four more Welsh authorities – Blaenau Gwent, Bridgend, Merthyr Tydfil and Newport – following a sharp rise in cases, Health Minister Vaughan Gething today announced.

The new measures will come into force at 6pm on Tuesday 22 September 2020, to protect people’s health and control the spread of the virus in the four local authority areas.

The new restrictions will apply to everyone living in Blaenau Gwent, Bridgend, Merthyr Tydfil and Newport:

People will not be allowed to enter or leave these areas without a reasonable excuse, such as travel for work or education;
People will only be able to meet people they don’t live with outdoors for the time being. They will not be able to form, or be in, extended households;
All licensed premises will have to close at 11pm;
Everyone over 11 will be required to wear face coverings in indoor public areas – as is the case across Wales.
From 6pm on Tuesday 22 September, the requirement for all licensed premises to close at 11pm will also be extended to Caerphilly borough.

Health Minister, Vaughan Gething, said:

“Following the decision to place additional coronavirus restrictions in place in Caerphilly and Rhondda Cynon Taf, we have seen a worrying and rapid rise in cases in four other south Wales council areas – Blaenau Gwent, Bridgend, Merthyr Tydfil and Newport.

“In many cases, this is linked to people socialising indoors without social distancing. We are seeing evidence of coronavirus spreading. We need to take action to control and, ultimately, reduce its spread and protect people’s health.

“It’s always a difficult decision to introduce restrictions but coronavirus has not gone away – it is still circulating in communities across Wales and, as we are seeing in parts of South Wales, small clusters can quickly cause real issues in local communities.

“We need everyone’s help to bring coronavirus under control. We need everyone to pull together and to follow the measures which are there to protect you and your loved ones.”

The restrictions are being introduced following a rapid increase in the number of confirmed cases in coronavirus, which have been linked to people meeting indoors, not following social distancing guidelines and returning from summer holidays overseas.

The Welsh Government will call an urgent meeting of all local authority, health board and police forces from Bridgend to the English border tomorrow to discuss the wider situation in South Wales and whether further measures are needed across the region to protect people’s health.

The new local restrictions measures will be kept under regular review. They will be enforced by local authorities and by the police.

Keep Wales safe by:

Always keeping your distance
Washing your hands regularly
Working from home wherever you can
Following any local restrictions
Following the rules about meeting people
Staying at home if you or anyone in your extended household has symptoms.

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Politics

Julie James AM attends the launch in Swansea of new research on benefits of Community Led Housing

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JULIE JAMES AM, Minister for Housing and Local Government, attended the launch at Down to Earth in Swansea of new research from the Wales Co-operative Centre, with support from the Nationwide Foundation, which found that residents who live in community led housing (CCLH) experience improved mental wellbeing and happiness, as well as improved skills development.

Over 50 residents from 22 community led housing schemes across Wales and England were interviewed. The top benefits that residents highlighted were:

Residents felt less isolated, being surrounded by a supportive network
• Improved mental wellbeing and happiness
• A better quality of life with the potential for skills development and increased levels of confidence, as well as a better financial situation
• Wider benefits to the community including a reduction in antisocial behaviour and greater community collaboration
• Derek Walker, Chief Executive of the Wales Co-operative Centre, said of the research: “We were really pleased with the research findings and the range of softer benefits that residents have seen. As well as the expected financial benefits, there is a much wider impact on mental wellbeing and skills development which is great to see.”

Minister for Housing and Local Government, Julie James AM, said: “I have been overwhelmed in hearing the benefits residents gain from living in community-led housing. The difference tenants feel in terms of improved skills, increased confidence and improved mental wellbeing to name but a few – demonstrates why community-led housing can, and should be part of the solution to the housing crisis we face here in Wales. Building more affordable housing and providing people with safe, warm and secure homes is a key priority for this Welsh Government. I’m looking forward to watching community-led housing grow and flourish – and contribute towards our commitment to building 20,000 affordable homes during this Assembly term.”

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Politics

Lib Dems slam ‘botched’ scheme

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THE WELSH Liberal Democrats have slammed the Conservative Government for their “hapless treatment” of EU citizens after the Home Office released guidance on the new EU Settlement Scheme.

The Home Office has confirmed that for the duration of the trial period, until 30 March, EU citizens applying to stay in the UK must either use an Android phone or travel to one of 13 ‘document scanning’ centres instead.

For Holyhead, the closest ‘document scanning’ centre is Trafford.

According to an analysis by the Welsh Liberal Democrats, EU citizens travelling from Holyhead would face costs of £55 on the train for at least a six and a half hour round trip. The drive would be a 224-mile round trip costing around £56 in fuel.

The only document scanning centre in Wales is in Caerphilly. Travelling from Pembroke to Caerphilly and returning the same day by rail would cost £32.10 (the cheapest available fare at the time of enquiry), the cheapest off-peak fare from Aberystwyth would be £77.10 return. By car at an average of 40mpg, the cost of travel would be at least £27 to and from Pembroke, while from Aberystwyth the cost would be at least £25. Both car journeys represent round trips of over 180 miles.

Welsh Liberal Democrat Leader Jane Dodds said: “Too many people in Wales are deeply anxious about their right to stay. Many of them fill vital roles in the health service, our schools and the tourism sector. They want to register as soon as possible, but Theresa May’s hapless treatment of EU citizens could result in a new Windrush scandal.

“For anyone who doesn’t have an android phone, this botched scheme means they will have to travel. For people in Holyhead, that means facing a 224-mile round trip and paying over £50 for the privilege. This postcode lottery is simply unacceptable.”

Liberal Democrat Home Affairs Spokesperson Ed Davey MP said: “Following significant pressure, the Prime Minister said there will be no financial barrier for any EU nationals who wish to stay. How long did that commitment last?

“It is Conservative Ministers who have made a mess of Brexit. They should either pay the cost for EU citizens or change the application system and ensure EU citizens are made to feel welcome in the UK.

“Ultimately, the best way to avoid all of this mess is by giving the people the option to remain in the EU with a final say on Brexit.”

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