Meetings

NDM8188 Sian Gwenllian (Arfon)

To propose that the Senedd:

1. Notes the comments of the Welsh NHS Confederation that the Welsh NHS is facing pressures that ‘cannot be coped with’.

2. Supports the heroic efforts of health and care sector workers in Wales as they provide care in challenging circumstances.

3. Calls on the Welsh Government to bring forward a strategy to reduce the pressures facing the NHS with measures including, but not limited to:

a) resolving current pay disputes by awarding NHS workers in Wales an improved, substantive pay offer;

b) a clear delivery strategy with targets and full costing, for a new workforce plan, including steps to remove profit from agency working;

c) placing preventative health measures at the forefront of all Welsh Government health-related policy and activity, involving all Government departments;

d) improving resilience at the point of interaction between health and care, taking the pressure off social care through greater NHS step-down capacity, in addition to expanding social care provision for the longer term; and

e) improving partnership working, co-production of solutions and delivery within the NHS, including by giving the new NHS executive the power to make real change.

The following amendments were tabled:

Amendment 1 Darren Millar (Clwyd West)

Add as new point after point 2 and renumber accordingly:

Regrets that the Welsh Government's draft budget proposes to cut the health and social care budget in real terms in 2023-2024.

Amendment 2 Lesley Griffiths (Wrexham)

Delete point 3 and replace with:

Notes the actions being taken by the Welsh Government, NHS Wales and local government partners including:

a) the announcement of a record £281m investment in health professional education and training budgets on 18 January 2023;

b) the commitment to publish the workforce plan by the end of January 2023;

c) the ongoing work of the care action committee to create additional community beds;

d) the priority being given to discharge and working with local authorities;

e) the ongoing programme of contract reform underway across primary care;

f) the move towards an integrated community care service that is available to everyone across Wales;

g) the models being developed through the regional integration fund specifically aimed at creating community capacity;

h) the ongoing work to increase reablement capacity in the community; and

i) the implementation of the NHS Executive which will improve the quality and safety of care for people in Wales.

If amendment 2 is agreed, amendment 3 will be de-selected.

Amendment 3 Darren Millar (Clwyd West)

In sub-point 3(b), delete 'remove profit from agency working' and replace with 'cap agency pay rates'.

Amendment 4 Darren Millar (Clwyd West)

Add as new point at end of motion:

Calls upon the Welsh Government to ensure that the health and social care budget is revised to ensure an increase in real terms in 2023-24.

The item started at 17.39

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

A vote was taken on the motion without amendment:

NDM8188 Sian Gwenllian (Arfon)

To propose that the Senedd:

1. Notes the comments of the Welsh NHS Confederation that the Welsh NHS is facing pressures that ‘cannot be coped with’.

2. Supports the heroic efforts of health and care sector workers in Wales as they provide care in challenging circumstances.

3. Calls on the Welsh Government to bring forward a strategy to reduce the pressures facing the NHS with measures including, but not limited to:

a) resolving current pay disputes by awarding NHS workers in Wales an improved, substantive pay offer;

b) a clear delivery strategy with targets and full costing, for a new workforce plan, including steps to remove profit from agency working;

c) placing preventative health measures at the forefront of all Welsh Government health-related policy and activity, involving all Government departments;

d) improving resilience at the point of interaction between health and care, taking the pressure off social care through greater NHS step-down capacity, in addition to expanding social care provision for the longer term; and

e) improving partnership working, co-production of solutions and delivery within the NHS, including by giving the new NHS executive the power to make real change.

For	Abstain	Against	Total
11	0	40	51

The motion without amendment was not agreed.

The following amendments were tabled:

Amendment 1 Darren Millar (Clwyd West)

Add as new point after point 2 and renumber accordingly:

Regrets that the Welsh Government's draft budget proposes to cut the health and social care budget in real terms in 2023-2024.

A vote was taken on amendment 1:

For	Abstain	Against	Total
25	0	26	51

Amendment 1 was not agreed.

Amendment 2 Lesley Griffiths (Wrexham)

Delete point 3 and replace with:

Notes the actions being taken by the Welsh Government, NHS Wales and local government partners including:

a) the announcement of a record £281m investment in health professional education and training budgets on 18 January 2023;

b) the commitment to publish the workforce plan by the end of January 2023;

c) the ongoing work of the care action committee to create additional community beds;

d) the priority being given to discharge and working with local authorities;

e) the ongoing programme of contract reform underway across primary care;

f) the move towards an integrated community care service that is available to everyone across Wales;

g) the models being developed through the regional integration fund specifically aimed at creating community capacity;

h) the ongoing work to increase reablement capacity in the community; and

i) the implementation of the NHS Executive which will improve the quality and safety of care for people in Wales.

A vote was taken on amendment 2:

For	Abstain	Against	Total
26	0	25	51

Amendment 2 was agreed.

As amendment 2 was agreed, amendment 3 was de-selected.

Amendment 4 Darren Millar (Clwyd West)

Add as new point at end of motion:

Calls upon the Welsh Government to ensure that the health and social care budget is revised to ensure an increase in real terms in 2023-24.

A vote was taken on amendment 4:

For	Abstain	Against	Total
25	0	26	51

Amendment 4 was not agreed.

A vote was taken on the motion as amended:

NDM8188 Sian Gwenllian (Arfon)

To propose that the Senedd:

1. Notes the comments of the Welsh NHS Confederation that the Welsh NHS is facing pressures that ‘cannot be coped with’.

2. Supports the heroic efforts of health and care sector workers in Wales as they provide care in challenging circumstances.

3. Notes the actions being taken by the Welsh Government, NHS Wales and local government partners including:

a) the announcement of a record £281m investment in health professional education and training budgets on 18 January 2023;

b) the commitment to publish the workforce plan by the end of January 2023;

c) the ongoing work of the care action committee to create additional community beds;

d) the priority being given to discharge and working with local authorities;

e) the ongoing programme of contract reform underway across primary care;

f) the move towards an integrated community care service that is available to everyone across Wales;

g) the models being developed through the regional integration fund specifically aimed at creating community capacity;

h) the ongoing work to increase reablement capacity in the community; and

i) the implementation of the NHS Executive which will improve the quality and safety of care for people in Wales.

For	Abstain	Against	Total
26	0	25	51

The motion as amended was agreed.