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Carers Week: Eluned Morgan AM says thanks to carers everywhere

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by Eluned Morgan AM

WE’VE just celebrated ‘Carers Week’; an opportunity to say a massive ‘Thank You’ to all carers everywhere. No matter what age you are, who you care for and support, where you live or how much time it takes, every act of caring matters and deserves to be recognised.

Every day, people start caring for the first time. Carers are often hidden from view – putting their own health and wellbeing to the back of the queue. Many can become socially isolated, and some face financial pressures as a result of juggling work life with caring responsibilities.

We know that there are at least 370,000 carers in Wales (that’s more than the population of Cardiff) and that three in five of us will undertaking a caring role at some point in our lives. The latest census revealed that there were at least 15,000 carers in Pembrokeshire, a figure that probably underestimates reality.

I had the opportunity to meet carers from across the region in an event organised by Carers UK at the National Assembly. It became apparent from my conversations that, for many, it is a challenge to know how or where to get help. Caring can creep up unnoticed: for many, it begins with parents suddenly being unable to manage alone, or a partner’s health gradually becoming worse.

But it is important to know that there is support available and people shouldn’t put off asking for help. Organisations like Carers UK are there to listen, to give expert information and advice, tailored to your situation, to champion your rights and support you in finding new ways to manage at home, at work, or wherever you are.

If you know someone who could benefit from some help, please spread the word. We can all play our part in recognising and celebrating the essential contributions carers make, sharing information about caring support services within our local communities.

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Politics

Plans to improve patient access to health professionals

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HEALTH MINISTER, Vaughan Gething, has announced plans to improve access to health professionals through new ways of working.

The new plans aim to allow people to directly access health professionals such as physiotherapists, occupational therapists, podiatrists dietitians and others at primary care health centres. There will also be a greater emphasis on prevention to reduce reliance on medicines and improve quality of life.

Mr Gething said: “Our long term plan for health and social care, A Healthier Wales, sets out how we need to radically change the way services are delivered to meet future demand. We also need to move away from health and social care which focuses on treating people when they become unwell, to one that supports people to stay well, lead healthier lifestyles and live independently for as long as possible.

By accessing allied health professionals such as physiotherapy and dietitians directly at their local health centre, people can get the treatment they need more quickly. There are already good examples of this happening around Wales. I want to see that best practice become standard, which these plans will help us achieve.”

Examples of current best practice include a first contact physiotherapy service in Caerphilly, walk-in podiatry service in Port Talbot, Prestatyn Iach Health Centre and direct access occupational therapists in south Pembrokeshire helping people get back to work.

Mr Gething added: “As we move towards a system of integrated primary care centres across Wales, the framework I’m launching today aims to make it easier and quicker for people to access services.”

The Minister officially launched the Allied Health Professions Framework at the National Primary Care Conference at the International Conference Centre, Celtic Manor, Newport today (Thursday, 7 November).

A new Allied Health Professions lead for Primary Care will be appointed to lead the transformation of services in primary care.

The framework will also improve access to allied health professions in secondary care and improve access to rehabilitation to help people recover more quickly after a hospital admission and return home as independently as possible. The Welsh Government recently provided £1.4m to health boards to increase access to rehabilitation services.

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Politics

Snap election builds in unfairness

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A SNAP General Election is unlikely to break the break deadlock, the Electoral Reform Society has warned
The ERS says results are likely to be ‘clear as mud’ when it comes to translating voters’ preferences, with ‘vote-splitting, wasted votes and unfair results on an industrial scale’.
One in four (24%) voters are planning on voting ‘tactically’ – rather than for their first choice – increasing the likelihood of random results under Westminster’s winner-takes-all voting system, according to BMG polling for the Society.
When the same question was asked before the 2017 general election, 20% of people said they’d opt for someone who was not their first choice.
Westminster’s voting system rests on a handful of marginals changing hands: “Eleven seats were won by less than 100 votes in 2017. North East Fife was held by the SNP by just two votes. Such are the vagaries of the system that the Conservatives could have won an absolute majority based on just 533 extra votes in the nine most marginal constituencies.
“A working majority could have been achieved on just 75 additional votes in the right places. Two very different outcomes based on less than 0.0017 per cent of voters choosing differently,” the Society’s 2017 election report noted.
Darren Hughes, Chief Executive of the Electoral Reform Society, said: “Few believe a third General Election in the space of four years will ‘fix’ the current impasse: the only agreement seems to be that there is yet more volatility coming our way, with parties hoping to gain from the chaos.
“It’s amusing to remember that Westminster’s voting system is supposed to deliver ‘strong and stable’ government. It has totally failed to do what it says on the tin, and no wonder – people are rightly shopping around, but this two-party system is totally unable to cope.
“This election is likely to see ‘tactical’ voting on a scale never seen before, alongside widespread ‘vote-splitting’ and candidates getting in on fractions of the vote.
“First Past the Post voting is now an engine of volatility, which could make the current problems even worse. We could see a ‘wrong winner’ election – where the biggest party did not win the most votes – another hung parliament, and wasted votes in the millions. It’s time to join other advanced democracies in backing a fair voting system where seats match votes.
“This must be the last election conducted using Westminster’s scandalously unfair electoral system. It’s time for Westminster catch up with the rest of the world, with proportional representation and an end to the disaster of winner-takes-all voting.
“Whatever the case, this election will be a ‘hold your nose’ ballot, with one in four feeling forced to vote tactically for their second or third choice.
“A snap election guarantees nothing but an unfair lottery for voters. Let’s build a democracy fit for the 21st century, with an electoral system that encourages cooperation, not gridlock.”
ERS analysis of the 2017 election found that millions of people’s votes were thrown on the electoral scrapheap. 68% of votes had no impact on the result – representing 22 million votes going to waste.
Professor Sir John Curtice told LBC today that this election is likely to see a very high number of votes for parties other than the traditional ‘big two’.
In June, he told the ERS: “There is little doubt that Britain’s traditional two-party system is facing its biggest challenge yet in the wake of the Brexit impasse. If that challenge persists it would seem inevitable that there will renewed debate about the merits of the first-past-the-post electoral system.”
The latest YouGov poll puts Labour and the Conservatives on joint support of 59% – far below their 82% reached in 2017.
The ERS is calling for a proportional voting system for Westminster, the Single Transferable Vote system used for Scotland’s local elections and elections in Ireland.
The warped nature of the system is reflected by the fact that in 2017 it took 43,000 votes to elect a Conservative MP, 49,000 for Labour, nearly 200,000 per Lib Dem and over 500,000 votes for the Greens’ single MP. It took just 28,000 votes per SNP MP and 29,000 per DUP MP. The SNP, Greens, Plaid Cymru and Liberal Democrats support PR.

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Politics

Time for Welsh justice for Wales

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A MAJOR report into the Welsh justice system calls for radical change.
The report, ‘Justice in Wales for the People of Wales’, says the administration of justice needs to be devolved so that justice in practice aligns with the growing body of Welsh law on social, health and education policy and other services.
Prepared by a Commission chaired by the former Lord Chief Justice of England and Wales Lord Thomas of Cwmgiedd, the Report says: ‘Major reform is needed to the justice system and to the current scheme of devolution’.
The Commission found ‘under the current scheme of devolution there is no properly joined up or integrated approach, as justice remains controlled by the Westminster Government’. It says to ensure consistent treatment of the UK’s devolved administrations, Wales should have the same powers over its justice system as Scotland and England, particularly as Wales increasingly diverges from England in key areas of policy, for example on housing.
The reductions in the justice budget made by the Westminster Government since 2010 have been amongst the most severe of all departmental budget cuts.
The Commission is highly critical of the Westminster-centric nature of law-making, which largely ignores Wales’ interests and Wales’ challenges. It points out the Welsh Government has used its own money, in addition to permitting rises in council tax, to try and mitigate the damaging effects of these policies.
The result is almost 40% of the total funding for Wales’ justice system originates in Wales. This is above other tax revenue that is raised from Wales and then allocated by the Westminster Government to Wales.
The report’s authors unanimously conclude: “This position is unsustainable when the Welsh Government has so little say in justice policy and overall spending.”
Crucially, the report also says restrictions on the Senedd’s powers to legislate over policing, offender management, and rehabilitation should be removed. Such an arrangement would align the Senedd’s powers with those of the Northern Ireland Assembly and the Scottish Parliament.
On two areas of policy, the Report is particularly critical of Wales’ treatment within the current justice system.
ADVICE DESERTS
The significant cuts to legal aid made in 2012 have hit Wales hard. Proper access to justice is not available with the consequent threat to the Rule of Law.
The report says Westminster’s approach to legal aid has created:
• ‘advice deserts’ in rural and post-industrial areas where people struggle to receive legal advice;
• a serious risk to the sustainability of legal practice elsewhere, especially in traditional ‘high street’ legal services; and
• increasing numbers of people representing themselves in courts and tribunals with a consequential adverse impact on outcomes and the efficient use of court resources.
The report says although the Welsh Government spends its own funds on advice services it lacks the resources to bridge the gap caused by the cuts to legal aid.
Prosecution lawyers and prosecuting authorities are funded from the public purse. Individuals just over the legal aid limit are doubly penalised by the inability to access legal advice. If they do and are acquitted, individuals face the infamous ‘innocence tax’. Self-funding defendants in criminal prosecutions who are acquitted very seldom – if ever – recover the whole costs of their defence, leaving them often massively out of pocket.
On criminal law, the report finds, unlike in England, the number of police officers in Wales has not reduced. It explains this is because the Welsh Government provides further funds and allowed council tax rises to provide extra money to forces.
However, a significantly greater proportion of the spending on justice is now on prisons rather than crime reduction. Wales has one of the highest, if not the highest, prison populations per head in Western Europe, even though the evidence is that robust community sentences achieve better outcomes in many cases.
The lack of integration between health policy, over which Wales has powers, and policing, reserved to Westminster, means the current devolution scheme has created problems in terms of providing health services for prisoners, as well as other services such as housing which are necessary for rehabilitation on release.
The report calls for a single Minister to be given responsibility for justice in Wales and establishing problem-solving criminal courts and Family Drug and Alcohol Courts in Wales.
Predictably, the UK Government has dismissed the plans as creating over-complexity; brushed aside increasing legislative differences between English and Welsh law; and turned its back on equal treatment of Wales within the UK.
Questioned on Radio 4’s ‘Law in Action’ whether the plans would speed up the break-up of the United Kingdom, Lord Thomas gave a vigorous denial that would be the case.
He pointed out provisions within the document for a UK-wide Supreme Court with judges appointed to it from each jurisdiction. Saying the different treatment of Wales was ‘unsustainable’, he repeated the proposals within the report needed only changes to the existing devolution settlement to recognise Wales’ circumstances and to create a level playing field between the nations of the UK.

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