The Welsh Conservatives are calling for locally elected health commissioners to take over from health boards, which they say are subject to political patronage as their appointed by ministers.
Communities across Wales have felt powerless to influence the decisions which have been made about health services in their areas. The Welsh NHS must become more accountable to those it serves and more responsive to the taxpayers who fund it.
Elected Health Commissioners will put the patient voice at the heart of decision making in the NHS, transferring decision making over health services from central government and into the hands of the people.
You vote them in, and you vote them out - that's our vision for patient voice in the Welsh NHS.
The Conservatives claim that the new system would lead to greater openness, as the commissioners would be publicly answerable when something went wrong in the running of the health service. Labour have dismissed the proposal as a waste of money.
This month the Welsh Labour Government announced nearly half a billion pounds of extra funding to secure our safe, modern NHS, free at the point of use. Now the Tories want to cream off some of that money, take it away from the front-line and put it into the pockets of Health Commissioners. What planet are they living on? Welsh Labour is on the side of patients and NHS staff, we want health money spent on health services, not another layer of bureaucracy.
Ann Clwyd says there is a fear of speaking out when things go wrong in the Welsh NHS.
Speaking to an Assembly Committee, the Cynon Valley MP who reviewed the complaints system for the English NHS, says staff, patients and their families should feel free to complain without the fear of consequences.
Labour MP Ann Clwyd is to give evidence the Assembly health committee today, as part of a wider review of patients' complaints about Welsh hospitals.
The Cynon Valley MP complained about the conditions her late husband endured before he died at the University Hospital of Wales in Cardiff.
She went on to carry out a review of hospitals in England for the UK Government.
Previous attempts by opposition parties to invite Ms Clwyd to give evidence at the Senedd were blocked by Labour AMs. They said it was 'constitutionally inappropriate' to invite a backbench MP from Westminster.
The decision was later overturned.
Welsh MPs are to investigate the effects on people living along the border of increasingly different health services in Wales and England. It'll be the second time that the Welsh Affairs Committee has held an inquiry into cross-border health issues.
The MPs will look at how well or otherwise the two systems work with each other after officials agreed a Protocol in 2013. They'll also look at the experience of patients living either in Wales or England who rely on the NHS on the other side of the border.
A spokesperson says that the committee won't take evidence about the quality of care either in Wales or England.
Responding to the Nuffield Trust report, Health Minister Mark Drakeford said the NHS is facing a number of challenges:
The report also recognises further potential for additional long-term savings, which the NHS can make if it continues to reform and reshape services.
The Finance Minister and I will now work together over the summer to determine what more we can do to support new models of service delivery that strengthen the care and support provided in local communities, and respond to the challenges identified in this report”
The Nuffield Trust report says if the NHS does not receive additional funding, it would have to improve productivity at a record rate and sustain it for a period of time in order to close the financial gap of £2.5bn by 2025/26.
This would have to be at a rate not seen in the history of the NHS or other countries' health systems.
Adam Roberts, lead author and Senior Analyst at the Nuffield Trust said:
“Our analysis reveals, for the first time, the scale of the task ahead regarding the Welsh NHS’s finances.
"Money for the service is already tight – NHS funding is likely to be 3.6% lower in real terms at the end of the next financial year than it was in 2010/11 – but the big unknown is what will happen after the 2015 spending review.
The pressures facing the NHS in Wales outlined in the report include:
- Population growth
- Longer life expectancy
- Rising number of prescriptions
- Staff wages
Pressures on the NHS in Wales mean it could face a funding gap of £2.5bn by 2025/26, according to a report by the Nuffield Trust think tank.
The research suggests the shortfall - the result of 'rising costs' and 'tight' public finances - would occur if funding only rises in line with inflation after 2015/16.
The decision to invite Ann Clwyd MP to give evidence to the Assembly health committee has been welcomed by the Shadow Health Minister. The move had previously been blocked by Labour AMs although Ms Clwyd is Labour MP for the Cynon Valley.
Inviting Ann Clwyd to give evidence to this committee is a victory for common sense. Ann’s extensive work into standards of care within the Welsh NHS is significant and her views and conclusions must be treated with the utmost respect.
Previous attempts – by Labour - to block her evidence were hugely unwelcome. I sincerely hope that Ann will accept this invitation and look forward to hearing her evidence.
The decision was taken at a private meeting of the health committee this morning. Plaid Cymru's health spokesperson, Elin Jones, made her third attempt to get the committee to agree to the invitation.
ITV News understands that on this occasion she warned that if there was no agreement she would take the issue to a full session of the Assembly, forcing a debate and a vote on instructing the committee to issue the invitation.
I’m pleased that Ann Clwyd will now be invited to give evidence to the Health Committee. Ann Clwyd has received valuable evidence about standards of care from many Welsh patients, including some from my own constituency, and it is right that she be invited in front of the committee to share these findings.
The views that have been collated by her could be extremely beneficial to our work in scrutinising the Welsh Government’s management of the NHS in Wales, and would give us important information from a patient’s perspective. I am glad that the Assembly Health Committee will hear these important contributions.
The Welsh Liberal Democrats have welcomed today's decision to ask Ann Clwyd to give evidence to the Assembly health committee. Two previous attempts to invite her had been blocked by Labour AMs.
The Cynon Valley MP received hundreds of letters about poor treatment in Welsh hospitals during her review of conditions in the English NHS.
She was invited to carry out the review in England after she complained about how her late husband was treated before his death at the University Hospital in Cardiff.
It is absolutely right that Ann Clwyd MP is to be invited to give evidence to the Assembly’s Health Committee. While she may have conducted a review into the English NHS, she still received a large amount of information from Welsh patients.
It’s astonishing that Labour members continuously tried to block Ann Clwyd from giving evidence. The fact that she is an MP is completely irrelevant. The truth is they are afraid they won’t like what she has to say. Ann’s voice deserves to be heard
Plaid Cymru sources say the Assembly health committee has finally agreed to invite Ann Clwyd MP to give evidence about the treatment of patients in Welsh hospitals. The Cynon Valley MP complained about the conditions endured by her late husband before he died at the University Hospital in Cardiff.
She subsequently carried out a review of hospitals in England for the UK Government but previous attempts by opposition parties to invite Ms Clwyd to give evidence in Cardiff Bay were blocked by Labour AMs. They argued it was constitutionally inappropriate to invite a backbench MP from Westminster.
It's understood that today a proposal from Plaid Cymru's health spokesperson, Elin Jones, that Ann Clwyd is asked to evidence as part of a wider review of patients' complaints on July 10, was accepted at a private meeting of the committee.