The first question is the easy one. Mark Drakeford is the Assembly Member for Cardiff West. He is also the Cabinet Secretary for Finance and was previously the Health Minister. He has also had an academic career and is a Professor of Social Policy. He is seen as being on the left of the Labour party and has been a supporter of Jeremy Corbyn.
The second question is more interesting. What does this mean for paediatrics and child health?
There鈥檚 a pretty big clue in his . The chapter on health is called A Healthier Wales, which is also the name of the Welsh Government鈥檚 long term . This suggests that a complete overhaul, scrapping all that came before, would seem unlikely.
The content of Mark鈥檚 manifesto bears this out. Unsurprisingly, he is committed to 鈥渆nsuring that high quality care is at the heart of the Welsh health system鈥 and investing 鈥渕ore money per person across health and social services in Wales than across our borders鈥, but adds that this must be 鈥渁llied with a relentless focus on preventing and intervening earlier in long term conditions, and in promoting healthier, more active lifestyles鈥. This is very much in line with the vision set out in A Healthier Wales.
This focus on prevention applies for mental as well as physical health. He makes specific references to working with schools and education in relation to supporting children and young people to develop and maintain good mental health, something that many RCPCH members will likely welcome. I will certainly be keeping a close eye on progress here and keeping you updated.
He鈥檚 serious about government intervention to reduce illness. Among his more eye-grabbing proposals is to extend the smoking ban to 鈥渙utdoor areas of cafes and restaurants and city and town centres鈥. RCPCH has long called for tighter restrictions on smoking, but this goes further than anything else currently on the table. In fact, I鈥檓 not aware of any countries in Europe where it is illegal to smoke in entire town and city centres. If you do, I鈥檇 love to hear from you!
He鈥檚 also proposed a Clean Air Act for Wales to tackle and air pollution and respiratory problems and to develop new walking routes to encourage people to get outdoors and take advantage of Wales鈥檚 stunning (I know I鈥檓 biased, but it really, really is) coastal path.
This could be big: the very sizable chunk of the Welsh economy that relies on public funding could have to do much more to promote good health
Many of these proposals will require action across government to implement, taking us even closer to a 鈥榟ealth in all policies鈥 approach. Take the economy: Mark talks about the 鈥渆xtent to which many businesses belong in the 鈥榥ear-public鈥 sector, because without very significant sums of public money they would cease to trade鈥 and proposes a 鈥渟omething-for-something relationship in which direct financial support for businesses is predicated on鈥 promotion of health in the workplace鈥. If the logic of this is followed through, this could be big: the very sizable chunk of the Welsh economy that relies on public funding could have to do much more to promote good health. Could it mean, for example, insisting on a less obesogenic environment? Mandatory facilities to encourage cycling? A no smoking policy on all premises, including outdoor areas?
One final thing. I could hardly not mention Baby Bundles. Mark is committed to piloting 鈥楤aby Bundles鈥 of items and guidance for parents and babies as a 鈥榳elcome to the world鈥 gift. I鈥檒l look forward to speaking to RCPCH members to get your views on this!
If you'd like to get in touch with Gethin in the Wales office, please email enquiries.wales@rcpch.ac.uk or call 02920 504 212.