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Section highlightThe People’s NHS Part of an initiative to engage the public in creating a safe and sustainable health service for the future.
Spreading the word »Action on the ground to increase learning materials in the medium of Welsh.Learn more »
First Minister’s call for action on the Welsh language
People from across Wales with an interest in the Welsh language are being asked to take action on its future in a national online conversation.
- Local Government Democracy Bill approved
- Minister welcomes report which could change shape and structure of education delivery in Wales for the better
- First Minister’s call for action on the Welsh language
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Welsh languageWelsh-language technology and digital media action plan
The action plan sets out our commitment to drive developments in the field of Welsh-language technology and digital media.Learn more »
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Section highlightAccess to information
The Welsh Government has followed the principles of openness in government for many years. Find out how you can make a freedom of information request or see requests that have already been made.
The Strategy for Older People in Wales 2013-2023 »The 3rd phase focuses on ensuring that older people in Wales have the resources to deal with the challenges and opportunities they face.Learn more »
- A new vision for a National Youth Work Strategy
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- Building Control system and Approved Document supporting regulation 7
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Section highlightReview of the Planning Enforcement System
The research covers 18 recommendations for the future Welsh enforcement system.
Legislative programme 2012 - 2013 »
Addressing the Assembly in the Senedd today, the First Minister, Carwyn Jones, detailed the eight bills in the Welsh Government’s 5-year Legislative Programme that will be brought forward during the second year of the Welsh Assembly.Learn more »
Section highlightCommunity Infrastructure Levy
Local authorities can charge a Community Infrastructure Levy on new developments to support the infrastructure needed.
Infrastructure Investment Case Studies »
Examples of infrastructure investment projects funded by the Welsh Government across Wales.Learn more »
Written - Healthcare Inspectorate Wales: Special Assurance Review of the Wales Ambulance Trust
This statement informs Members that Healthcare Inspectorate Wales (HIW) published their special assurance review of the Wales Ambulance Trust on 11 January 2007. A copy of the report is available at HIW’s website - http://www.hiw.org.uk/
HIW is a unit within the Welsh Assembly Government and undertakes reviews and investigations into the provision of NHS funded care in Wales. HIW announced its intention to conduct a Special Assurance Review of the Trust as part of its 2006-07review programme, to include Patient Care Services and a broader examination of clinical governance.
During the period that the planning for the special exercise was being taken forward the then Interim Chief Executive of the Trust publicly raised a number of issues concerning the performance of the Trust. Among those matters was an estimate that up to 500 deaths per annum resulted from the inefficiency and less than optimal effectiveness of the Trust.
This matter was subsequently incorporated in the terms of reference of the Review, together with a review of the adequacy and effectiveness of the Trust’s Patient Transport Services policies and procedures, a testing of the effectiveness of the Trust’s incident reporting procedures and systems and a review of the Trust’s general clinical governance arrangements.
The review process was designed to ensure that HIW could engage with a wide range of WAST staff and in addition HIW collaborated with the Auditor General’s Inquiry into WAST, drawing upon some of its work as well as providing inputs to the Inquiry, thereby reducing to an extent duplication of work which may have placed additional burdens upon WAST. HIW undertook formal interviews over a period of nine days in September and October 2006. 41 staff and Board members were formally interviewed. In addition, HIW visited five NHS Trust hospital Accident & Emergency (A&E) departments and five out-patient departments, where hospital staff were interviewed about their Trust’s experience of WAST. Patients or patients’ representatives were also interviewed.
In parallel with formal interviews, over the course of 16 days HIW reviewers visited 35 ambulance stations. Visits were made in each of the three Regions of the Trust and to at least one ambulance station in each of the counties of Wales. During the visits, reviewers were able to observe the work of WAST by travelling in EMS and PCS vehicles as they responded to emergency calls or transported patients to outpatient clinics. In the course of the observation visits, reviewers were able to discuss more informally the experience of WAST staff and that of patients. In total, reviewers travelled on 43 PCS and 16 EMS vehicles and during the course of the observation visits spoke to 109 crew members. They also took the opportunity to talk to other ambulance station staff on their visits.
A key aspect of the report is the capacity of The Wales Ambulance Service to improve patient outcomes and the claim that 500 lives might be saved each year through the consistent application of best modern responses to such incidents as heart attacks. The report indicates that the 500 lives saved each year is derived from the projected number of lives saved achievable by the Wales Ambulance Service if it performed at the same level of the most highly performing services in the world (such as Reno, Nevada).
The report highlights a number of factors that have made it difficult to verify this claim including data quality issues, statistical error, and performance comparators. Consequently, the report concludes that more lives could be saved as a result of developments and improvements in the Wales Ambulance Service, but that any calculation of the precise number of lives was likely to be imprecise and inconclusive.
The report also highlights key factors that can improve performance, such as pre-hospital thrombolysis rates and resuscitation of patients. The report indicates that clinical practice in the Wales Ambulance Service has developed, in particular, the proportion of paramedics able to perform thrombolysis has increased, and it is anticipated that all paramedics will have been trained to thrombolyse patients by the end of 2006.
The Assembly Government will now consider the findings of the HIW Review and assist in the implementation of its recommendations.