Speeches by Ranger.

“Is work happening to make sure that focus is maintained while ICBs go through their reforms? That is probably work from their side, but are you aware of it happening? Is that a key thing that they are doing during their reforms and their thinking?”

“Thank you very much.”

“Good afternoon, all. This is a question for Suzanne and Abigail. Your health boards both provide specialist care to patients from England, as was mentioned earlier. How do the processes for receiving patients from England, and discharging them, differ from the processes for Welsh patients?”

“As the MP for Wrexham, I spoke to members of the well-organised prostate group in my area, who told me about their trips down to London and the sheer cost of them—for instance, someone who had treatment came back from London in a taxi on their own—so it is really good to hear the news about the Wirral, Clatterbridge an…”

“To be clear, there is no difference in patient experience or from an admin or bureaucracy point of view.”

“I want to turn to the impact of the changes on the structure of NHS England. How do you anticipate the changes to ICBs in England impacting on cross-border healthcare? Is there a risk that ICBs with bigger geographic scopes will lose sight of the needs of patients across the border? There is an increasing focus in Engl…”

“Do we have that diagnostic capacity in Betsi Cadwaladr, or do we need to use cross-border capacity for that as well?”

“I welcome the report, which dismisses the long-held stereotypes that young people are lazy or do not want to work. This situation is not a failure of young people; it is a failure of the system. In the survey, 84% of NEET young people said they want to find a job, education or training. Will my hon. Friend set out how …”

“I welcome the report, which dismisses the long-held stereotypes that young people are lazy or do not want to work. This situation is not a failure of young people; it is a failure of the system. In the survey, 84% of NEET young people said they want to find a job, education or training. Will my hon. Friend set out how …”

“Thank you all for coming today. I will move on to a section about patient records and digital records. I think you were in the room during the previous session about that. We have just heard that briefing from Estonia and how they seem to have revolutionary stuff compared with what we have, as well as a vast healthcare…”

“That is really interesting. Does that mean that there is not a high level of digital exclusion—of elderly people, perhaps, or people who do not have access to broadband or mobile internet—in Estonia? From what you are saying, I am guessing that that is not a major issue.”

“Basically, you are saying that that digital cross-border interoperability does not really happen at the moment? It does not exist.”

“Sorry to cut you off, but that is our Division bell ringing. That is really interesting; thank you very much.”

“Very quickly on that, we heard about and I was exploring the different cultural approaches to digital that people in Estonia are experiencing compared with us. But I think you are saying that people would be open to that and are expecting it to be in place here.”

“We are coming to the end now. Moving on to policy more generally, I would be interested to hear from all of you—we can start with Gemma and work down the panel—what you think will be the impact of abolishing NHS England and reducing the number of ICBs in England on cross-border healthcare.”

“You obviously have a different culture in Estonia around digital technology and the public approach to it. How has that changed since the introduction of digital health systems? Has the perception changed? Was there an eagerness for it anyway—was it being called for desperately—or has it developed and evolved as it has…”

“That is something from your establishment in particular?”

“Thank you. Alyson?”

“Do you see already—or can you envisage—who should be driving that thinking? I know that it is happening all at once, but based on what you have said, do you have something in your mind where you are thinking, “Right, we need this to happen in Wales and this to happen in England,” to make sure that that will be driven?”

“What you are asking for is good, strategic thinking at the level of the UK and Welsh Governments, and to drive it down from there?”