Meetings

NDM7266 Welsh Conservatives Debate - NHS Emergency Departments

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Meeting: 12/02/2020 - Plenary - Fifth Senedd (Item 3)

Welsh Conservatives Debate - NHS Emergency Departments

NDM7266 Darren Millar (Clwyd West)

To propose that the National Assembly for Wales:

1. Notes the concerns expressed by patients and clinicians across Wales regarding the performance and future of NHS emergency departments.

2. Rejects proposals by Cwm Taf Morgannwg University Health Board which could lead to an end to 24-hour consultant-led services at the Royal Glamorgan Hospital's emergency department.

3. Calls upon the Welsh Government to intervene to prevent any downgrading or closures of emergency departments in Wales during this Assembly.

 

The following amendments have been tabled:

Amendment 1 - Rebecca Evans (Gower)

Delete all and replace with:

1. Recognises the cross party statement on the Future of Safe Emergency Care in Cwm Taf Morgannwg.

2. Recognises the need for openness and transparency from the health board in their engagement with the public, clinicians, the community health council, elected representatives, staff and their unions to inform their decision on the future provision of all types of unscheduled care, including emergency services.

3. Recognises that any unscheduled care provision must be robust, safe and sustainable.

The Campaign for Safe Emergency Care Across Cwm Taf Morgannwg

Amendment 2 - Sian Gwenllian (Arfon)

Add as new point at end of motion:

Calls on the Welsh Government to adopt a comprehensive plan for increasing the clinical workforce, with specific focus on specialities and geographical areas that are hard to recruit to, such as within emergency departments, so that staff shortages can never be used to justify closures and service changes.

Amendment 3 - Neil McEvoy (South Wales Central)

Add as new point at end of motion:

Supports a permanent and fully resourced accident and emergency department at the Royal Glamorgan Hospital.

Amendment 4 - Mick Antoniw (Pontypridd)

Add as new point at end of motion:

Rejects proposals by Cwm Taf Morgannwg Health Board to end 24-hour consultant-led accident and emergency services at the Royal Glamorgan hospital and calls on the Health Board to:

a) rule out the closure of the accident and emergency service at the Royal Glamorgan Hospital or the replacing of the existing accident and emergency service with a 24 hour minor injuries unit;

b) reinstate the option of maintaining a full consultant-led accident and emergency service at the Royal Glamorgan, Prince Charles and Princess of Wales hospitals;

c) bring forward other proposals for community health services, including improvements in the out-of-hours GP service and extending the opening hours of the minor injuries unit at Ysbyty Cwm Rhondda and Ysbyty Cwm Cynon, which may alleviate the pressure on all three accident and emergency departments.
Co-Submitters
Dawn Bowden (Merthyr Tydfil and Rhymney)
Huw Irranca-Davies (Ogmore)
Vikki Howells (Cynon Valley)

 

 

 

Minutes:

The item started at 15.05

 

Voting on the motion and amendments under this item was deferred until Voting Time.

A vote was taken on the motion without amendment:

NDM7266 Darren Millar (Clwyd West)

To propose that the National Assembly for Wales:

1. Notes the concerns expressed by patients and clinicians across Wales regarding the performance and future of NHS emergency departments.

2. Rejects proposals by Cwm Taf Morgannwg University Health Board which could lead to an end to 24-hour consultant-led services at the Royal Glamorgan Hospital's emergency department.

3. Calls upon the Welsh Government to intervene to prevent any downgrading or closures of emergency departments in Wales during this Assembly.

For

Abstain

Against

Total

17

0

34

51

The motion without amendment was not agreed.

The following amendments were tabled:

Amendment 1 - Rebecca Evans (Gower)

Delete all and replace with:

1. Recognises the cross party statement on the Future of Safe Emergency Care in Cwm Taf Morgannwg.

2. Recognises the need for openness and transparency from the health board in their engagement with the public, clinicians, the community health council, elected representatives, staff and their unions to inform their decision on the future provision of all types of unscheduled care, including emergency services.

3. Recognises that any unscheduled care provision must be robust, safe and sustainable.

The Campaign for Safe Emergency Care Across Cwm Taf Morgannwg

A vote was taken on amendment 1:

For

Abstain

Against

Total

28

0

23

51

Amendment 1 was agreed.

Amendment 2 - Sian Gwenllian (Arfon)

Add as new point at end of motion:

Calls on the Welsh Government to adopt a comprehensive plan for increasing the clinical workforce, with specific focus on specialities and geographical areas that are hard to recruit to, such as within emergency departments, so that staff shortages can never be used to justify closures and service changes.

A vote was taken on amendment 2:

For

Abstain

Against

Total

23

0

28

51

Amendment 2 was not agreed.

Amendment 3 - Neil McEvoy (South Wales Central)

Add as new point at end of motion:

Supports a permanent and fully resourced accident and emergency department at the Royal Glamorgan Hospital.

A vote was taken on amendment 3:

For

Abstain

Against

Total

23

14

14

51

Amendment 3 was agreed.

Amendment 4 - Mick Antoniw (Pontypridd)

Add as new point at end of motion:

Rejects proposals by Cwm Taf Morgannwg Health Board to end 24-hour consultant-led accident and emergency services at the Royal Glamorgan hospital and calls on the Health Board to:

a) rule out the closure of the accident and emergency service at the Royal Glamorgan Hospital or the replacing of the existing accident and emergency service with a 24 hour minor injuries unit;

b) reinstate the option of maintaining a full consultant-led accident and emergency service at the Royal Glamorgan, Prince Charles and Princess of Wales hospitals;

c) bring forward other proposals for community health services, including improvements in the out-of-hours GP service and extending the opening hours of the minor injuries unit at Ysbyty Cwm Rhondda and Ysbyty Cwm Cynon, which may alleviate the pressure on all three accident and emergency departments.
Co-Submitters
Dawn Bowden (Merthyr Tydfil and Rhymney)
Huw Irranca-Davies (Ogmore)
Vikki Howells (Cynon Valley)

A vote was taken on amendment 4:

For

Abstain

Against

Total

33

18

0

51

Amendment 4 was agreed.

A vote was taken on the motion as amended:

NDM7266 Darren Millar (Clwyd West)

To propose that the National Assembly for Wales:

1. Recognises the cross party statement on the Future of Safe Emergency Care in Cwm Taf Morgannwg.

2. Recognises the need for openness and transparency from the health board in their engagement with the public, clinicians, the community health council, elected representatives, staff and their unions to inform their decision on the future provision of all types of unscheduled care, including emergency services.

3. Recognises that any unscheduled care provision must be robust, safe and sustainable.

4. Supports a permanent and fully resourced accident and emergency department at the Royal Glamorgan Hospital.

5. Rejects proposals by Cwm Taf Morgannwg Health Board to end 24-hour consultant-led accident and emergency services at the Royal Glamorgan hospital and calls on the Health Board to:

a) rule out the closure of the accident and emergency service at the Royal Glamorgan Hospital or the replacing of the existing accident and emergency service with a 24 hour minor injuries unit;

b) reinstate the option of maintaining a full consultant-led accident and emergency service at the Royal Glamorgan, Prince Charles and Princess of Wales hospitals;

c) bring forward other proposals for community health services, including improvements in the out-of-hours GP service and extending the opening hours of the minor injuries unit at Ysbyty Cwm Rhondda and Ysbyty Cwm Cynon, which may alleviate the pressure on all three accident and emergency departments.

The Campaign for Safe Emergency Care Across Cwm Taf Morgannwg

For

Abstain

Against

Total

32

18

1

51

The motion as amended was agreed.