30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Can I ask—Leanne, have you got anything to add?
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Okay. Well, I'll start and then if I could bring Dafydd in and maybe Leanne will want to say a few words as well. So, as I said, we've put on the face of the Bill a requirement for transparency, but as part of the development of the regulations and the…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Nick.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
So, in respect of the UKIMA, I think where the Senedd legislates to confer regulation-making powers on Welsh Ministers, those regulation-making powers in the future will also be exercisable free from the requirements of the Act. So, whilst the detail of any…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
So, we have included provision on the face of the Bill to set out steps that will need to be followed as part of the competitive tendering exercise.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Well, that's a different question, isn't it?
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
So, I'm just trying to think of an example of what you might want us to do and whether that is practical. So, say if we had a blood service, okay, are you suggesting that we consult with everybody who would need that blood service on an incredibly technical…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
I'm just trying to work out who you're thinking—
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Dafydd.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Well, I'm just trying to think through—. As you've heard, this is a highly technical Bill, and it's quite difficult to get your head around it as it is. So, what I would hope is that the people who are contracted to do the services would always have in the…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
It's all going to change, whether this Bill comes in or not.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Yes. I don't know to what extent GPs make use of the current system. Dafydd, can you—? Yes.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Absolutely, and that's important for me. We need to know, 'Look, do you want to do a carbon copy or don't you?' Dafydd.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Okay. So, look, I'm committed to a 12-week consultation. So, if they're late in England, then I would rather postpone when this comes into force than forgo the 12-week consultation. This is a framework Bill; the detail is what's going to be important. That's…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
So, we're definitely going to need to consider the implications of how future regulations guidance aligns with the third sector code of conduct. So, once we know where the proposed regulations are, we'll have to look at those, at are they in line with what…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
So, I think, as has been mentioned, testing the market, getting the best quality and the best cost efficiency, is also important. So, there will be lots and lots and lots of occasions when we absolutely want to continue with the competitive approach that we…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
So, as you've heard today, this is quite complex. It's quite technical, and, actually, the public don't really need to get engaged in all of this. This is quite a niche group of people who need to understand this, so they're the people that we're most keen to…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
I think we're really proud of what we've done in relation to community pharmacy in Wales. We're ahead of the game here compared to the rest of the UK. The one thing I wouldn't want to do is anything to undermine the established contracts and the way that, I…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Absolutely, we're very interested in value for money. Obviously, as I've mentioned, pharmaceutical companies—industries—on the whole won't be covered by this regime. Procuring through competition is always going to be an option, so that's still going to be…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
I think at the moment the system is probably stopping people who might want to get involved because the procurement route is so onerous, whereas in future—. Part of what I've asked health boards to do this year is to shift their resources into the community…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
That's a slightly different thing again, but I think there's an opportunity here, maybe, to switch. To give them a little bit more of a longer term approach so that they can invest in their workforce and whatever, and not have that cliff edge at the end of…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
You might want to shift those grants into this new regime where you could give them longer term agreements.
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
Do you know what? It’s the example that I was really interested in as well, because I think they do excellent work, and I don’t want to, if we can avoid—. But they get grants rather than go through a procurement route, so that’s slightly different again…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
I'm really keen to shift more services out of secondary care, out of hospitals, into the community. That's where we've got to be heading in future. I'm really keen to see that cluster development happening. In future, rather than having this service and this…
30 Mawrth 2023 , Health and Social Care Committee
Bil Caffael y Gwasanaeth Iechyd (Cymru): Sesiwn dystiolaeth gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol
That's why we've got to get the balance on this right, because I think what we've got to avoid as well is the danger of cronyism. We've got to avoid that. Just because Fred down the road is the only person who can deliver that particular service, and Fred is…
