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It shouldn’t happen to a Health Minister

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Abandoned to his fate: Cabinet Secretary cuts an isolated figure

IT’S NOT easy being a Welsh Government Minister.

There are so many new words to learn when you get into office and so many old ones to forget.

For example, take the word ‘cut’. It’s a very simple three letter word. But once you become a Welsh Government Minister, you are not allowed to use it.

Instead, at least as far as Welsh Government policies go, the word ‘cut’ has to be replaced with the far more unwieldy ‘transformation’ or the two-word mouthful ‘transformational change’.

ANGRY ANGELA ATTACKS

As you will see elsewhere in this newspaper, Hywel Dda UHB – to nobody’s surprise – has been caught on the hop by people discovering that when it talks about ‘transforming clinical services’ it means ‘cuts and closures’. You could argue that cuts are in themselves transformational, at least in the same way that being guillotined was transformational for the French aristocracy.

On Wednesday​ (Jan 24)​, Vaughan Gething was faced with a barrage of topical questions, which he confronted with the enthusiasm and delight of Louis XVI on his final journey to Place de la Révolution.

You wouldn’t want to get on the wrong side of Angela Burns, the Carmarthen West and South Pembrokeshire AM who speaks for her party on Health in the Senedd.

Crikey Moses! After a brief initial question, she tore into the Health Board, the Welsh Government, the First Minister, Labour backbenchers, Mr Gething and almost managed to get to Uncle Tom Cobley and all in a positively breathless display of genuine outrage.

Picking up a copy of the Parliamentary Review of Welsh Health Services, unanimously backed by Senedd members the previous week, she handled it between two fingers as though it was a particularly badly soiled nappy.

It was quite bad enough, Mrs Burns said, for the First Minister and his backbenchers to behave in a supercilious and arrogant fashion towards members raising their constituents’ concerns, it was quite another to obtain cross party agreement on the strategic direction of Welsh health services and then ignore the very principles that underpin it.

Mr Gething got to his feet and momentarily looked shell-shocked. Unlike the First Minister, there were almost no Labour members present to prop him up, bray, and snipe at the opposition with sarcastic remarks. However, the Cabinet Secretary is nothing if not smooth and polished. More than capable of bandying around banal generalities, Mr Gething soon adjusted himself into his usual smooth delivery of assurances about ‘meaningful consultations’.

Demonstrating the same sort of faulty memory that could yet come to unglue his leader, Vaughan Gething continued by saying that his boss had not been in any way supercilious.

Mr Jones’ stock in trade is supercilious.

Perhaps Mr Gething had not been paying attention; because having watched the previous day’s First Minister’s Questions and the business statement which preceded Mrs Burns’ questions, you would have to say that Mrs Burns had it pretty much nailed on.

ASK ME NO QUESTIONS

It didn’t get much better for Mr Gething, despite his stream of soothing words and assurances of good intentions. There used to be a saying that you couldn’t knit fog. Well, you certainly couldn’t weave whole fabric out of Mr Gething’s non-answers.

Mr Gething was very clear that he couldn’t answer direct questions because of protocol and the risk that he might have to make final decisions on a consultation which had not yet started. Which was very odd, because the previous day Carwyn Jones had decided he wouldn’t comment because the consultation was ‘open’. Open or closed, Mr Gething was prepared to fall back on the ‘all changes are difficult’ line. As an alternative tack, he attempted a switch to ‘difficult choices have to be made’.

So often did he repeat these lines, or variations on them, that it appeared as though poor Mr Gething had got stuck in one of those time loops beloved of science fiction programmes that need to create a cheap episode to make up for blowing the make-up budget on Slurb the Invincible or some such in a preceding one.

WHERE’S HELP WHEN YOU NEED IT?

Paul Davies had a go after Mrs Burns. Mr Davies doesn’t really do splenetic outrage, but he was clearly peeved – testy even. In a calm and measured way, he berated the Health Board for even proposing, never mind contemplating the closure of Withybush Hospital.

In response, Mr Gething tried a different tactic. While he appreciated that local sentiment was strong, it would be the same across Wales as tough decisions – hard choices – had to be made everywhere across the nation. This was, Mr Gething suggested, a national issue.

Mr Gething’s words would have had more weight on that score had he been accompanied by members of the Welsh Assembly from his own party. Apart from Mark Drakeford seated to his right, Mr Gething appeared terribly alone. The rest of the chamber was devoid of a Labour presence, demonstrating just how seriously west Wales’ concerns were being taken by all those south Wales AMs upon which the party depends for its majority.

Simon Thomas, incongruously seated next to Neil Hamilton, was next to tackle Mr Gething’s dead bat defence.

Pointing out the way in which the First Minister had sought to use the Parliamentary Review in an effort to deflect either criticism or inquiry, Mr Thomas told the Cabinet Secretary that the review was published too late to influence any proposals advanced by Hywel Dda.

After ungallantly pointing out that Labour’s candidate in the 2015 General Election, Paul Miller, had stood on a platform of restoring the paediatric services to Withybush – which had been removed temporarily without consultation – and had still not returned, he suggested this was the opportunity to test the strength of the Parliamentary Review’s framework.

NO STOPPING A CONSULTATION

Mr Gething lost his way a little as he said it wouldn’t be right for him ‘to attempt to instruct’ the health board to stop its consultation now. That would be the consultation that has not started, as the Cabinet Secretary had previously made clear just minutes before.

Difficult conversations needed to be had, tough choices had to be made, and the public would be properly engaged in the process of helping to make those tough choices after taking part in those difficult conversations.

You could see the cogs clicking away as Mr Gething spun new golden platitudes out of old strawmen.

Joyce Watson, whose support for retaining services in the past was less than fulsome, said it was very important that the public was told Withybush was not closing immediately. As this had never been suggested anywhere, it was hard to see what point Joyce Watson was trying to make; but having been thrown a life preserver, Mr Gething clung to it. He agreed that there was no plan to close Withybush in the immediate future. A relief for those attending outpatients next week to have their bunions filed.

Mr Gething then proceeded to point out that other hospitals were also mentioned in the options that had been leaked and that there could be those hard conversations and tough choices to be made in respect of them. But never mind, there would be a genuine and meaningful consultation and, if not, there would be a meaningful and genuine one. That’s what he expected the Board to do. Although, of course, he couldn’t tell them that was what was needed, because he might end up having to make one of those difficult choices after hard and tough conversations.

HAMILTON’S FORK

Neil Hamilton was next. Reaching for his pantomime pitchfork, he rather nastily skewered the Cabinet Secretary on its tines.

Remarking on Mr Gething’s status as the government’s fire blanket for successive health board failings everywhere, he posed the rather more difficult question of whether the threat to Withybush could be boiled down to death by a thousand cuts?

Tellingly, he suggested: “It must be regarded as a ridiculous proposal to close Withybush—even in contemplation in the medium term, let alone the short term. The health board should, when it produces the list of options for people to discuss, avoid causing unnecessary alarm and consternation by producing extreme proposals that are not going to be followed through.”

He then rather neatly suggested the real problem was a complete lack of accountability in the health service. Community Health Councils, Health Boards, were not elected bodies and the truth was that everything ended up on the Health Secretary’s desk. ‘People on the ground feel they have no voice at all,” Mr Hamilton said.

Vaughan Gething could see the home stretch coming.

There would be a meaningful conversation about tough choices in a difficult consultation, in which the views of clinicians would be heard as well as those of the public. It would be rather mean to point out that there is a difference between hearing and listening.

Particularly as those conversations will be tough, difficult, hard, meaningful, and genuine.

Then Mr Gething concluded on a point that he must now be grateful he did not open with.

Concluding he volunteered​,​ he didn’t want to be in the position in the future where the Government will be asked​:​ ‘Why didn’t you do something about a part of the service that really has gone wrong?’

That remark rather fortunately leaves the question unasked as to what all the previous tough choices after hard conversations and meaningful consultations over the last twelve years were actually for.

That would be a difficult – if not unanswerable – question.

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Politics

North Wales Commissioner to stand down

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PLAID CYMRU Leader Adam Price has paid tribute to North Wales Police and Crime Commissioner Arfon Jones who has announced he is standing down at the next election.Mr Jones of Plaid Cymru is the region’s second-ever police and crime commissioner and has been PCC since 2016, and the next election had originally been due to take place last May but the vote was put back a year because of the Covid-19 pandemic.

Arfon Jones said: “The main reason I have decided not to seek re-election is that I will have been working for more than 46 years by the time of the next election.“As a result of the pandemic, the term of office was extended for a year. I started thinking about this last May but I didn’t talk to anybody else about it until three months ago.

“I have achieved a lot in the past five years and it is going to be more difficult to make a difference next time because of the pandemic, Brexit and the fact that the term of office has been curtailed to three years.”

Plaid Cymru Leader Adam Price MS said: “We are indebted to Arfon Jones for his tremendous contribution as the Police and Crime Commissioner for north Wales.“From launching Checkpoint Cymru – a project to address the underlying causes of offending; commissioning over £2 million worth of services to support victims of crime; leading the charge in tackling domestic violence and to more recently keeping our communities safe during the Coronavirus pandemic, Arfon’s considerable achievements in office are a testament to his commitment to the constituents he serves.

“On behalf of Plaid Cymru, I would like to thank Arfon Jones for his contribution to Welsh public life and send him our warmest wishes for the future.Plaid Cymru Chair Alun Ffred Jones added: “From safeguarding the most vulnerable in our society, protecting our communities and preventing offending and reoffending, Arfon Jones’s tireless work has helped make North Wales a safer place.


“A true public servant, he will be remembered for representing the people of north Wales with determination and for fighting to ensure that the voices of victims of crime are heard within the justice system.


“On behalf of Plaid Cymru, I wish him all the best for the future.”Mr Jones succeeded Winston Roddick in the Police and Crime Commissioner role and had a 12,000 majority over Labour’s David Taylor in the last Police and Crime Commissioner elections in 2016.The elections for the role of Police and Crime Commissioners in England and Wales are scheduled for Thursday, May 6, the same day as voters head to the polls in elections to the Welsh Parliament.

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Taskforce returns empty homes to use

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MORE than 500 applications have been received to bring empty homes back in to use through Welsh Government’s £10 million Valleys Taskforce Empty Homes Grant Scheme, Deputy Minister for Economy and Transport Lee Waters has announced.

Phase One of the initiative was launched a year ago by the Deputy Minister, and Chair of the Valleys Taskforce, after a successful roll-out across Rhondda Cynon Taf.The scheme is open to homeowners across the extended Valleys Taskforce, which runs from Carmarthenshire in West Wales to Torfaen in East Wales. Its boundaries were also extended last year to include the Gwendraeth and Amman Valleys.

Phase Two of the scheme, launched in July 2020, will ensure even greater numbers of local businesses are used to bring empty homes back to life and incentivise applicants to use more energy-efficient measures within their renovations. Not only will this help to reduce carbon emissions it will also result in lower energy bills for future residents.

While the scheme will see some applicants going on to live in their refurbished properties, other properties will be brought in to use for social housing by Registered Social Landlords, helping to increase the supply of affordable housing.Deputy Minister for Economy and Transport Lee Waters said: “A year ago, I announced that following the success of a Rhondda Cynon Taf scheme, we were opening a £10 million Welsh Government Empty Homes Grant scheme across the whole of the Valleys Taskforce areas.“It is heartening to see that scheme progressing well, with over 500 applications already received and I hope many more to come. 

Of course, this year has been challenging for everyone but despite the pandemic causing a delay on the scheme for many months, and the floods that impacted many Valleys areas, we have seen great progress.

Local authorities have worked hard to roll out this scheme in their areas and provide the necessary match funding to make this success and I would like to put on record my thanks for their hard work.“With strengthened criteria, which we developed collaboratively with local authorities and other stakeholders, this scheme has not only brought empty properties back in to use but has also supported the foundations of our local economies by providing work for small local businesses in the construction sector.

The retrofitting element also means it is supporting our decarbonisation agenda while also reducing energy bills for the future.“I look forward to seeing the full results of this Valleys Taskforce scheme  and will work closely with the Minister for Housing and Local Government to use our learning to influence and develop a future empty homes schemes for the whole of Wales.”Mike Roberts, from Carmarthenshire, applied to Phase One of the scheme. He said: “My house had been empty for more than two years and desperately needed to be restored to a decent standard.“The Empty Homes Grant Scheme was a great help and allowed me to carry out essential works all at once.


“There was a formal process and a range of forms to complete but my grant was approved and the work has been done. I am delighted.”To be eligible for the Valleys Taskforce Empty Homes Scheme, homes need to have been empty for at least 6 months. Applicants to the scheme are also restricted to one grant per person and in cases where repair work exceeds £20,000, will have the option to apply for the Welsh Government’s Houses into Homes scheme.

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Politics

Call to replace the Lords

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OVERHAULING Parliament’s London-dominated second chamber would help empower the UK’s nations and regions, writes Willie Sullivan a senior director at the Electoral Reform Society.

It’s been a year since Boris Johnson’s victory in the 2019 general election, an election won with a commitment to ‘level up’ those communities left behind.

Since then, our politics has been shaken by a pandemic that has put pressure on the already strained constitutional settlement that holds the nations and regions of the UK together.

We’ve seen attention turned to local and regional government as well as the devolved administrations. We’ve seen clearly how the over-centralising nature of Westminster can hamper and undermine public trust. The video of Andy Burnham first hearing news of Greater Manchester’s Covid funding settlement at a live press conference will go down as a low point in Britain’s patchwork devolution framework.

This is all set to the backdrop of declining faith in our politics. At the same time as the PM was returning to Number 10 last winter, polling for the Electoral Reform Society showed that just 16% of the public believe politics is working well in the UK – and only 2% feel they have a significant influence over decision-making.

For a government publicly committed to a levelling up agenda, this democratic malaise must serve as a warning: it will take more than economic investment or shiny new infrastructure to remedy the feeling of powerlessness that many feel outside of Westminster.

Tackling that will require some long-overdue reform. The calls for a clear framework for devolution in the UK have become impossible to ignore in recent months. Even areas of England with mayors felt sidelined this year, but the picture was even worse elsewhere – with zero guarantees that local people would be consulted on changes that would affect their lives immeasurably.

There’s a good way to start empowering the UK’s nations and regions: overhauling Parliament’s unelected second chamber.

Abolishing the outdated and unaccountable House of Lords offers a chance to rebalance politics away from Westminster – and create a representative Senate of the Nations and Regions.

Recent Electoral Reform Society analysis found that nearly a quarter of peers are based in London, compared to just 13% of the UK public. Over half – 56% of peers – live in the capital, or the east and south-east of England, while peers in the east and west Midlands make up just 6% between them – leaving many areas in which the Conservatives won seats in the so-called ‘red wall’ woefully underrepresented.

It should be said, this is only peers we know about: more than 300 refuse to state even the country they live in (some live overseas), and hundreds more do not even provide a direct email address for people to get in touch and stand up for their areas.

All this undermines the government’s stated intention to ‘level up’ the regions, when we have a chamber that is skewed towards one patch of England.

Reforming this London-dominated second chamber is a rare issue that is highly popular across all parties. 71% of the UK public back an overhaul of the House of Lords, research showed this year. The issue cuts across Britain’s divides, with an overhaul backed by a majority of those who voted Conservative or Labour in the 2019 general election, and those who voted Leave or Remain in the EU referendum.

As well as levelling up representation – with peers elected using a fair, proportional voting system – a genuinely accountable second chamber could establish a guaranteed voice for the regions of the UK, to speak as one, to scrutinise legislation and our constitutional settlement with clear communities in mind. The UK remains one of the most centralised countries in Europe – and the archaic, power-hoarding set-up in Westminster has a big role to play in why this is.

The pandemic has shown just how important it is for those outside the capital to be truly heard. There are many reasons why voters had more confidence in their governments’ Covid responses more in Wales and Scotland, but having a stake – being genuinely ‘in it together’ makes a big difference.

This is a challenge to all parties, from Boris Johnson as he tries to plot a path for recovery for the UK, to Keir Starmer as he begins to outline his own view of devolution.

One thing’s clear: the London-dominated House of Lords is undermining the voice of local communities. A Senate of the Nations and Regions could be the gamechanger we need.

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