NHS needs change but budget does not deliver this, warn Assembly committees
Committees of the National Assembly for Wales have reported on the Welsh Government’s draft budget 2018-19. The Finance Committee has published its findings, alongside reports from six other Assembly Committees.
Concerns have been raised about the progress of transformation of NHS Services by two Assembly Committees.
The Health, Social Care and Sport Committee noted that significant change is needed to transform NHS services and improve outcomes, but it is not clear that the Welsh Government budget is targeted to achieve this. The Committee also highlighted that extra funding is sustaining the current position rather than driving improvements, whilst the Finance Committee agreed there is limited evidence of improvement in financial planning in local health boards.
The Health Committee warned that escalating social care costs coupled with rising demand require urgent attention and a whole-system approach to health and social care. The Finance Committee also recognised that an increase in funding for the Health Service results in a cut in other areas, most notably local government, bodies often responsible for the majority of social care provision.
The Equality, Local Government and Communities Committee recommend that the Welsh Government explains how outcomes will be monitored to ensure that the removal of ring-fenced budgets does not lead to vulnerable people falling between gaps in services.
The Finance Committee identified:
- That despite a recommendation from last year’s budget scrutiny, there has been only limited progress in linking the budget to the goals and ways of working laid out in the Well-being of Future Generations Act;
- Future draft budgets should also demonstrate how the Government’s allocation of funds will meet the priorities outlined in its Programme for Government and national strategy, Prosperity for All.
The Climate Change, Environment and Rural Affairs Committee also raised concerns about the Well-Being of Future Generations Act, warning that the Welsh Government is yet to demonstrate the transformative change promised in the legislation and expressing disappointment at the lack of progress in embedding it in policy. The Committee also warned about the impact of funding reductions on Natural Resources Wales, including a £10 million reduction in staff costs.
Concerns have been raised by the Economy, Infrastructure and Skills Committee in their report that the £1bn dispute with the UK Government over the rail franchise remains unresolved in this budget. The Committee noted that this money could be used to make a real difference to services that could be provided to rail passengers in Wales.
The Children, Young People and Education Committee has concerns about a lack of transparency in relation to the funding available for schools in Wales, particularly the confusion surrounding the amount of additional funding being provided compared to last year. The Committee calls on the Welsh Government to work closely with local government to ensure that protection for school budgets translates from budget calculations to the chalkface.
The Culture, Welsh Language and Communications Committee raised concerns that scale of the resources needed to deliver the Cymraeg 2050 strategy, which aims for a million Welsh speakers by 2050, has yet to be fully considered. The Committee would like to see greater clarity over the resources that will be needed over the medium and longer term.
Simon Thomas AM, Chair of the Finance Committee, said:
“Scrutinising this budget has been a change for all the Committees in the Assembly – the Finance Committee has developed its role into holding the Government to account on its high level and strategic priorities, whilst examining the Government’s intentions with regards to raising revenue and borrowing.
“However, it is good to see that some of the issues coming from the policy committees are resonating with our findings; concerns have been raised around the continued prioritisation of health, often at the expense of local government.
“Additionally, we are still struggling to see the impact of the Future Generations Act, which was raised by the Members of Finance Committee and the Environment Committee.”
On December 5 the National Assembly will debate and vote on the Welsh Government’s draft budget 2018-19. On December 19 the final budget will be published.