§ 8. Dr. Kim HowellsTo ask the Secretary of State for Wales when he last met the chairman of Mid-Glamorgan health authority; and what matters were discussed.
§ Mr. GristThe Secretary of State and I met the chairman of Mid-Glamorgan health authority, together with other Welsh health authority chairmen, on 30 November 1988. We discussed a number of issues, including the NHS review and resource allocations for 1989–90.
§ Dr. HowellsGiven the high rates of morbidity and illness in the Mid-Glamorgan health authority area and the dilapidated state of key sections of its most important hospital—East Glamorgan general hospital—does the Minister have any plans to speed up the replacement of that hospital? Given that until now it has been common currency that the site for the replacement hospital will be Ynys Plwm to the north of Talbot Green, will he explain the curious anomaly whereby information has been made public recently stating that the Minister wants that site to be available for industrial and commercial expansion?
§ Mr. GristI can assure the hon. Gentleman that although a number of planning approval and funding issues remain to be resolved, it is understood that Mid-Glamorgan health authority continues to focus its 666 efforts on securing land at Ynys Plwm. That remains the position as of today. The hon. Gentleman will be aware that we deferred consideration of the health authority's proposals pending the authority's financial and timing proposals. That remains the present position.
§ Mr. Ron DaviesMay I draw the Minister's attention to the situation in Rhymney valley and will he raise that issue with the chairman of the health authority the next time he meets him? Waiting lists in Rhymney valley are increasing almost monthly and the quality of the service is deteriorating, but there are no plans to make adequate provision in Rhymney valley and the neighbouring Islwyn valley because of administrative arrangements and disagreements between Mid-Glamorgan health authority and Gwent area health authority. Does the Minister accept that about 150,000 people do not have a district general hospital? Instead of cutting the service and undermining the morale of staff in the National Health Service, should not the Minister be persuading those two area health authorities to get together and co-operate? If he provides the funds, we can have our new district general hospital.
§ Mr. GristI appreciate the hon. Gentleman's local point on this contentious issue which has been running for a great many years now. However, it is ludicrous for the hon. Gentleman to talk about cuts when expenditure on the Health Service in Wales has risen from £488 million to £1,600 million. I assure him that our proposals under the NHS review should assist his constituents to have operations and treatment in neighbouring hospitals more easily and flexibly than hitherto.
§ Mr. RowlandsDid the Minister's discussions relate to the problems faced by elderly people in Merthyr, for example, who are awaiting hip operations—people who do not have a lot of time to wait? Was he able to discuss how many such operations were to be conducted at the treatment centre at Rhydlafar, and how many people who are presently on the Prince Charles hospital waiting list will go for that treatment? Above all, why can we not have the facility at the hospital in the community in which those people are living?
§ Mr. GristThe hon. Gentleman has put his finger on the very point that I was making to his hon. Friend the Member for Caerphilly (Mr. Davies) about our Health Service review. His health authority had various visiting consultants to the Prince Charles hospital, illustrating that the facilities there could be used at a far higher intensity. That is precisely what would be available under our proposals.