Speeches by Chadwick.

“I am intervening because the hon. Lady mentioned Port Talbot. Last year, I met the Associated British Ports in Port Talbot. It raised concerns that the current rail link into the docks may not have the gauge needed for the large structures that will be brought in for assembly or to get freight out from the new freeport…”

“The imposition of tariff barriers alone is not sufficient to address the shortcomings in our steel industry. The Minister said that it is important to provide more opportunities to help people buy British steel, but there is a difference between saying that and making it happen. He will be aware that we lack the heavy …”

“Thank you very much.”

“Juliet, I think you mentioned a potential fear about the removal of the chief nursing officers, or a similar term. Could you quickly flesh out what that would mean and what they contribute?”

“I highly recommend it, particularly in terms of putting yourself in the shoes of someone who is told, “Your follow-up appointment for this surgery,” or whatever they need, “is going to be on the other side of the border in England,” or it could be going for radiotherapy in Cheltenham. Going through that process from th…”

“What other solutions are you looking into for cross-border patients who may not be eligible for non-emergency patient transport services?”

“Thank you very much. I would like to finish with a very quick question about funding. Which side of the border does the funding for all this come from? Is it NHS England, or is it all on the health boards in Wales?”

“Have you been to Llandrindod Wells?”

“Well, please do remember Radnorshire.”

“Many of my constituents in Powys feel they are treated like second-class citizens when it comes to healthcare. They feel they have been completely forgotten about—as if mid-Wales does not exist in some people’s minds. When you were talking about pathways earlier, Juliet, you talked about there being different needs and…”

“This will come down to the needs of the people who require the services. Typically, in Powys, the population is very elderly, and more likely to live in a rural area. If you are talking about digitising more services, you have to factor in that the people who would be trying to use them will be older; they are probably…”

“You mentioned digital solutions. I have highlighted some of the potential problems with those.”

“And that is for all transport?”

“Has it actually saved any money? How much money is Powys teaching health board saving as a result of this decision? These people will eventually need their operations anyway; they are not just going to run it off, and they will not get better by themselves.”

“I want to follow up something that you mentioned, Pete. You talked about Powys’s reliance on commissioning services in England. One of the things that must have made this more difficult last year was when the then Welsh Government said that the extra money they were providing for commissioning services could not be spe…”

“You have sort of alluded to this being a financial decision, and one that comes from the fact that you have a very large budget deficit—as do many health boards, if not all the health boards in Wales—but how long do you intend to keep this extended waiting list policy going? What would help you to stop it?”

“That sounds a bit contradictory. You say that people will be getting the same treatment, but you also said that different health boards can deliver things at different paces because of the various capabilities.”

“How long do you think that this policy will go on for? What would help you to send these people off for the treatment that they need?”

“This is obviously a question I have asked to Welsh Ministers here and in Cardiff, and one of the responses that always comes back is that people should not be allowed to go for their treatment in Herefordshire or anywhere else in England because everybody in Wales should have the same waiting times. However, does that …”

“I have a question for Abigail and Philip about cross-border accountability for GPs and doctors. As you will be more than aware, the devolved settlement says that the Welsh Government are responsible for delivering healthcare. However, the registration and certification of GPs and doctors is supervised by the GMC, which…”