Yes, thank you. There are two issues in the petition. The first is around waiting times, the second is around funding. On waiting times, the decision made doesn't apply to cancer care, urgent care or care for those under 18. What it does mean is that residents of Powys, who often have specialised care commissioned in England, which is an entirely normal process—that's commissioned in line with NHS Wales waiting time targets. So, residents of Powys should be treated in the same time as residents of anywhere else in Wales. The petitioner complains about residents of Powys not being treated to the same target as English residents, who have a different waiting time target. That's an issue that would apply to residents in any health board in Wales. It's about the commissioning approach that the Powys health board take. There's a second issue that comes from some of the comments that have been highlighted—that's about long waits. So, about half the long waits for Powys residents are in England, but the petitioner is actually talking about the normal treatment time, which is the 26 week or the 18 week.
The second point is about money and funding. The petitioner talks about a fair funding settlement for Powys. I don't think this committee should get drawn into trying to redesign a funding formula for health boards. That is a complex and a difficult area, and I don't think we have the capacity to do that. I certainly think the health committee of any Senedd would feel that we were definitely cutting across their tracks. What it does mean, though, is that commissioning against the Welsh target should save money. Powys health board has a deficit that it needs to make progress on. As Senedd Members, we are regularly, whether on the health committee or not, thinking about how we fund our health service, how, actually, our health boards are able to live within their means, what that means for other public funding commitments—supporting the economy and other public services—if that's not possible. The Welsh Government have set a target to reduce the deficit in Powys. If the petitioner's request is agreed to, then it would mean that Powys residents would have faster treatment time targets, because that's what NHS England has, and it would also make a significant dent in Powys's ability to live within its means.
So, my view is that, for this—. The petitioner also seeks a meeting with the health Secretary, or his representatives. I think it's entirely possible for us to write to the health board to ask them about the assessment they've made of the decision to apply NHS Wales targets. It's also entirely reasonable for us to write to the Cabinet Secretary to highlight the petitioner's views and to confirm that the petitioner wishes to meet him or his representative, but I think that we should refer the correspondence to the Health and Social Care Committee. It is squarely within their purview, I think, about what happens with both health board funding, deficit reduction, and waiting times targets. So, my suggestion is that we write in those terms but close the petition at this point, but indicating that, again, as with the first petition, we can undertake that action and still close the petition and report back in the correspondence of this place.