Meetings

2.1.    The Committee noted the response from the Minister for Health and Social Services to its letter.

2.2.    Committee Members agreed that the Chair should write to the Minister on the following matters:

• to request clarification on timescales for the delivery of carotid surgery;
• to express the Committee’s hope that the Minister would consider bringing forward the start time of the targeted campaign on stroke awareness, outlined as 2014/15 in the letter.

8.1 The Committee discussed the letter from the Minister for Health and Social Services regarding the follow-up inquiry into stroke risk reduction.

8.2 The Committee agreed that it would discuss actions in its public meeting on 20 March 2014.

6.1 The Committee considered and agreed a draft letter to the Minister for Health and Social Services on the stroke risk reduction follow-up inquiry.

6.1 The Committee discussed the key issues arising from the follow-up inquiry on stroke risk-reduction and agreed to write shortly to the Minister for Health and Social Services outlining its conclusions.

3a.1 The Committee noted the additional information relating to the follow-up inquiry on stroke risk reduction.

Mrs Jan Smith, Executive Director and Executive Lead for Stroke, Aneurin Bevan University Health Board

Dr Yaqoob Bhat, Stroke Physician, Aneurin Bevan University Health Board

Dr Hugo van Woerden, Director of Innovation and Development, Public Health Wales

Amanda Smith, Director of Therapies & Health Sciences, Quality and Safety, Powys Teaching Health Board.

4.1 Representatives of local health boards and the Public Health Wales responded to questions from committee members.

4.2 Dr van Woerden noted that a particular piece of work is on-going in Caerphilly County Borough that relates to the rehabilitation of vascular dementia sufferers, details of which would be sent to the Committee.

4.3 Jan Smith, of Aneurin Bevan University Health Board, agreed to provide the Committee with information regarding the cost to the Cardiac and Cancer Networks of employing managers who oversee the running of each Network.

Dr Anne Freeman, Clinical Lead for Stroke in Wales, National Delivery Unit

Dr Hamsaraj Shetty, Consultant Stroke Physician, Cardiff and Vale University Health Board 

3.1 Due to technical issues, items 2 and 3 were taken together.

3.2 Representatives of the Stroke Association and the Wales Stroke Alliance responded to questions from committee members.

Jo Jerrome, Atrial Fibrillation Association

Ana Palazon, Director Wales, Stroke Association

Paul Underwood, Deputy Director Wales, Stroke Association

Lowri Griffiths, Stroke Association

2.1 Due to technical issues, items 2 and 3 were taken together.

2.2 Representatives of the Stroke Association and the Wales Stroke Alliance responded to questions from committee members.

2.3 Lowri Griffiths of the Stroke Association noted that Professor Marcus Longley, Welsh Institute of Health and Social Care (WIHSC), has agreed to work with them to develop an economic assessment of stroke services in Wales. Ms Griffiths also noted that the National Institute for Social Care and Health Research Clinical Research Centre (NISCHR-CRC) has indicated that funds are available to undertake the assessment. Ms Griffiths agreed to present this work to the Committee on completion.

Mark Drakeford AM, Minister for Health and Social Services

Chris Jones, Deputy Chief Medical Officer (Health Services)

6.1 The Minister for Health and Social Services and Dr Chris Jones, the Deputy Chief Medical Officer for Wales, responded to questions from committee members.

Nicola Davis-Job, Acting Associate Director (Professional Practice), Royal College of Nursing 

Carole Saunders, Stroke Clinical Nurse Specialist, Singleton Hospital

Dr Amer Jafar, BMA Cymru Wales and Associate Specialist in Rehab Medicine, St Woolos Hospital

Dr Phil White, BMA Cymru Wales, General Practitioner, North Wales

5.1 Representatives of the Royal College of Nursing and BMA Cymru Wales responded to questions from committee members.

NDM4911 Mark Drakeford (Cardiff West)

The National Assembly for Wales:

Notes the report of the Health and Social Care Committee on its Inquiry into Stroke Risk Reduction which was laid in the Table Office on 14 December 2011.

Note: The response of the Minister for Health and Social Services to the report was laid in the Table Office on 1 February 2012.

Supporting documents:

Report of the Health and Social Care Committee

Response of the Minister for Health and Social Services

The item started at 16.01.

NDM4911 Mark Drakeford (Cardiff West)

The National Assembly for Wales:

Notes the report of the Health and Social Care Committee on its Inquiry into Stroke Risk Reduction which was laid in the Table Office on 14 December 2011.

The Motion was agreed, in accordance with Standing Order 12.36.

7.1 The Committee considered the draft report on its inquiry into stroke risk reduction.

6.1 The Committee discussed the key messages and recommendations on the inquiry into stroke risk reduction.

5.1 The Committee discussed the key issues paper on its inquiry into stroke risk reduction, and agreed that it would consider its key messages and recommendations at its next meeting.

HSC(4)-09-11 paper 4

          Lesley Griffiths AM, Minister for Health and Social Services

Dr Tony Jewell, Chief Medical Officer

Chris Tudor-Smith, Head of Health Improvement Division

3.1 The Minister for Health and Social Services, the Chief Medical Officer and Dr Chris Jones, responded to questions from members of the Committee on stroke risk reduction.

HSC(4)-05-11 paper 6

          Lisa Turnbull, Policy and Public Affairs Adviser

Nicola Davis-Job, Acute Care Adviser

4.1 The witness responded to questions from Members of the Committee on stroke risk reduction.

HSC(4)-05-11 paper 3- BMA Cymru Wales

Dr Charlotte Jones, Deputy Chair, General Practice Committee Wales

Dr Richard Lewis, Welsh Secretary, BMA Cymru Wales

HSC(4)-05-11 paper 4 – British Association of Stroke Physicians

HSC(4)-05-11 paper 5 – Welsh Stroke Alliance

Professor Pradeep Khanna

Dr Anne Freeman, Welsh Association of Stroke Physicians

3.1 The witness responded to questions from Members of the Committee on stroke risk reduction.

3.2 Dr Jones agreed to provide a copy of an article in the British Journal of General Practice on screening for atrial fibrillation.

3.3 The Committee requested a paper from the Research Service on warfarin.

HSC(4)-05-11 paper 1- Aneurin Bevan Health Board

HSC(4)-05-11 paper 2- Public Health Wales

Denise Llewellyn, Executive Nurse Director, Aneurin Bevan Local Health Board

Dr Julie Bishop, Acting Regional Director, Mid and West Wales / Consultant in Public Health, Public Health Wales

BREAK (10.15-10.20)

2.1 The witness responded to questions from Members of the Committee on stroke risk reduction.

2.2 The witnesses agreed to provide information on the development of stroke plans by health boards across Wales.

HSC(4)-03-11 paper 2

·         Ana Palazòn, Director Cymru

·         Paul Underwood, Deputy Director Cymru

·         Lowri Griffiths, Head of Communications and External Affairs

3.1 The witnesses responded to questions from Members of the Committee on stroke risk reduction.

3.2 The Committee agreed that it should ask the Minister for Health and Social Services for a paper on the implementation of the Stroke Risk Reduction Action Plan.

3.3 The Committee agreed that it should seek information on the participation of social services providers in the stroke partnership boards.

3.4 The Committee agreed to write to the Chief Pharmaceutical Adviser to inform him of the inquiry into stroke risk reduction.

HSC(4)-03-11 paper 1

·         Jo Jerrome, Assistant Director

2.1 The witness responded to questions from Members of the Committee on stroke risk reduction.