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9 Jan 2003 : Column 334continued
Patients are increasingly aware of their rights and know that any complaints should be heard. For example, complaints against doctors have increased by 1,450 per cent. in the past 11 years. That is staggering, and reflects the fact that people know that a procedure exists if problems arise and they are unhappy with their treatment.
We are not simply considering people who live in border areas and decide to be treated in the NHS in Wales. International and domestic tourism has expanded greatly. Wales, especially north, west and mid-Wales, receives many tourists from England who make regular weekend, mid-week and lengthier summer visits to some of its most beautiful parts. Sadly, some of them will become ill or suffer accidents, especially on beaches. For example, people who visit the Gower peninsula could cut their feet on glass that has been left on the beaches. I know of cases of people being taken to Singleton hospital or Morriston hospital. The increase in tourism means that people from England will be treated in Welsh hospitals.
People whose families live in Wales may wish to be near them if they need an operation or treatment. People are increasingly mobile and we want reciprocity whereby patients forums in England or CHCs in Wales can champion the rights of patients from England or elsewhere who are treated by the NHS in Wales. That matter needs consideration.
It is depressing that waiting lists in Wales have increased. Community health councils will be interested in that and may want to investigate instances of patients from elsewhere who are treated in Welsh hospitals. We know that there are huge cost implications.
Let us consider the position of someone who has diabetes and travels to Wales. Today, the Government produced a new strategy for diabetes in England, but it will take a further 12 months to introduce it in Wales. I am unhappy about that, and I hope that the Welsh Assembly can introduce a strategy for Wales more quickly. I do not understand why people in Wales are treated as second-class citizens and I hope that the Minister can reassure me.
In the context of increasing waiting lists, I hope that the Minister can comment on the story in The Western Mail about calling up reservists for Iraq. Some of the 1,500 will be Welsh doctors and nurses. If that leads to increasing waiting lists, the CHCs will want to investigate the matter. I hope that the Minister will reassure us that there are contingency plans to ensure that patients in Wales are properly treated.
The new clause is straightforward and covers a matter that the Bill does not tackle. The mobility of people throughout the United Kingdom and the world means that we need to ensure that the rights of those who receive medical treatment in the NHS in Wales are properly championed, whether by CHCs or the patients forums in England.
The Parliamentary Under-Secretary of State for Wales (Mr. Don Touhig): I am happy to assure the hon. Gentleman that the Government share his wish that patients forums in England should have the same rights that the Bill will allow the Assembly to confer on community health councils in Wales. I am also happy to be able to tell him that it is unnecessary to amend the Bill to achieve that. The functions of a patients forum are set out in section 15 of the National Health Service and Health Care Professions Act 2002. The main functions are monitoring and reporting, and include the duty to
The inspection of premises providing NHS-funded services, including the inspection of premises across borders, is a different matter. Section 17 of the 2002 Act, and paragraph 3 of schedule 7A of this Bill give the Secretary of State and the National Assembly respectively identical powers to make regulations conferring on patients forums and community health councils the right of entry and inspection to back up their functions. That is not intended to make them investigatory bodies because that is a role for the Commission for Health Improvement. CHCs will have the same right of entry as patients forums in England.
Mr. Touhig: In the first instance, if the person lived in England and had a problem with the way in which they had been treated by the health service in Wales, they would complain to their patients forum, which would then have the opportunity under the provisions of the NHS Reform and Health Care Professions Act to investigate the complaint, even though the treatment had taken place in Wales. That is what we are putting right in this Bill: we are providing a reciprocal arrangement for community health councils in Wales to have the opportunity to do the same thing for England.
Mr. John Bercow (Buckingham): The hon. Gentleman refers to the power to make regulations contained in paragraph 3 of schedule 7A. I shall pose to him the question that is invariably of interest to me in such contexts. Are the regulations that are to be made under that schedule to be subject to the negative procedure of the House or to its affirmative counterpart?
Mr. Touhig: Where there are regulations relating to aspects of this Bill, they will be made by the Assembly under its proper procedures as a result of the Government of Wales Act 1998. They will not be made by this House. I hope that that helps the hon. Gentleman.
As I was saying, it is not intended that patients forums or CHCs should be investigatory bodies. CHCs will have the same right of entry as patients forums in England, and if a situation arises in which a Welsh CHC wished to inspect facilities in England used by Welsh patients, it will be able to do soand vice versa. Patients forums will have identical powers to do the same in respect of premises in Wales used by residents of England.
In practice, we would expect that a CHC or a patients forum that wished to conduct an inspection across the border would liaise with its English or Welsh counterpart for it to conduct the inspection on its behalf.
The hon. Gentleman made a number of other important points in his speech. He asked about someone from this country being treated abroad and perhaps being dissatisfied with that treatment. The first line of defence for that patient's interests would be his or her CHC in Wales, or patients forum in England. The hon. Gentleman also mentioned the diabetes strategy, and asked about related proposals for Wales. My colleagues in the Assembly are considering such proposals in Wales, and I am sure that they will take note of his point about the need to do it as speedily as possible.
The hon. Gentleman also referred to waiting times. The Assembly has made substantial progress in reducing waiting times in the priority areas of cardiac surgery and orthopaedics over the last year. There has also been an indisputable increase in the number of people being treated. A lot of work is under way to address the continuing problem of long waiting lists, which we are all concerned about, and the piloting of a new booking system for out-patients has shown reductions in cancellations and non-attendance from more than 15 per cent. to less than 5 per cent. The improved system will be rolled out right across Wales from March this year. I hope that that helps the hon. Gentleman so far as the action on waiting lists is concerned and that he will feel able to withdraw the new clause.