David Chadwick

First, NHS waiting lists in Wales are not falling; Wales has the highest waiting list in the United Kingdom. Nearly a third of our population are stuck on waiting lists. I wanted to intervene to make the Minister aware that I agree that extra funding is required to tackle the waiting list that we face in Wales. But when extra funding was announced for the Welsh NHS in June by the Welsh Government, it later transpired that none of that money could be spent on this issue because none of it could be spent on English commissioned services, which meant that the problem we are here today to discuss could not be solved. That is why it is so important to bake in a sort of border by design when designing national healthcare systems, because, as we have heard today from so many Members, it is often very typical and much easier for our constituents to cross borders to access their nearest hospital or their nearest GP practice; and it is important for our Union to facilitate that practice by making it easier and faster. The hon. Member for Shrewsbury (Julia Buckley) talked of the progress being made in her constituency to bring down waiting times. Clearly, that is good news and shows what can be done—I know that my hon. Friend the Member for North Shropshire (Helen Morgan) has campaigned very hard for that. That is why it is so frustrating for my residents and constituents in Powys to know that access to faster healthcare is available just on the other side of the border, but their own Government and health board are preventing them accessing that treatment. Today we are calling on that to end. What this debate has shown is that for too long, Powys residents have lived with a system that treats them as an afterthought. The waiting list policy introduced this summer has made that painfully clear. People are waiting longer not because of medical need or capacity, but because the funding simply is not there to pay for it. We have heard today that the problems run deeper than just funding alone. They are about systems that cannot talk to one another, Governments that will not work together, and patients who are left to navigate the gaps. These are man-made problems, and they can be solved if there is political will. My message to Ministers in both Cardiff Bay and Westminster is simple: sit down together, bring in those of us who represent border areas, and fix this. Every week that passes without action means more people living in pain, more lives on hold and more families watching their loved ones deteriorate while they wait. This debate is about more than party politics; it is about people who simply want to be treated with the same respect and urgency as everyone else. We owe it to them to get this right. Diolch yn fawr. Question put and agreed to. Resolved, That this House has considered cross-border healthcare.