In Cardiff, for the Welsh Conservative party conference, which is being held at the Swalec cricket stadium.
I drove down from North Wales yesterday afternoon, through a sunny spring landscape of greening hedgerows, lamb-filled fields and verges of jostling daffodils.
Idyllic countryside, but the journey took over four hours, as it always does, and that in a small, agile, reasonably powerful car. Imagine, I pondered, how much longer this would take in an ambulance. And how uncomfortable it would be in the back of that ambulance. Particularly if you needed a brain operation.
Almost two years have passed since the Welsh health minister, Edwina Hart, made the spectacularly silly announcement that she intended to divert all elective neurosurgery generated in Wales to hospitals in Cardiff and Swansea. The plan caused outrage in North Wales, followed by a high-profile campaign, including a gratifyingly well-attended public meeting at Colwyn Bay. Mrs Hart went into reverse thrust, and, after commissioning the usual inquiry, concluded that North Wales patients should continue to be treated at the Walton centre in Liverpool.
Yesterday, the Welsh select committee published an important report on the issue of cross-border health provision. I’d urge everyone interested in this important issue to read it. It is highly critical of the absence of coordination between the Welsh Assembly Government and the Department of Health. It speaks of longer waiting times for Welsh patients seeking treatment in English hospitals, which are not paid for treating Welsh patients at the same rate as English patients.
It talks of the Welsh NHS putting up “bureaucratic barriers which stand in the way of patient needs being met swiftly and efficiently” and concludes:
It is unacceptable that individual providers and commissioners have been left to negotiate ad hoc solutions to problems caused by government-level decisions, apparently taken without regard for their impact on crossborder commissioning. Even where local arrangements work well, patients should not have to rely on the good will of those involved to ensure that their health care pathways are coherent. A solution must involve a sustainable and enforceable long-term agreement between the relevant Ministers and Departments so that future disputes will be avoided. The key test must be whether all parties demonstrably have as their highest priority the need to secure the best possible service for patients.
The lack of coordination of policy between Whitehall and Cathays Park does not end with healthcare. The select committee has noted similar problems in education, and only this week we heard from the Welsh transport minister, Ieuan Wyn Jones, that the “all Wales” freight transport strategy is not coordinated with policy in England. This is a bit odd, given that it is there that most freight journeys in Wales either start or finish.
Over the years, devolution has resulted in inevitable divergence of policy between Cardiff and London. This is understandable, but it should not impede the efficient delivery of public services, which is what is happening at the moment. Administrations at either end of the M4 sometimes behave as if Wales and England are on opposite sides if the planet.
This problem needs to be tackled before it gets any worse, and that is what the next Conservative government will do. I’ll be speaking about this at the conference this afternoon.
Last September, I
Harriet Harman stood in for Gordon Brown once again today at PMQs. This is becoming an increasingly frequent occurrence, as a consequence of the Prime Minister’s equally frequent absences abroad. No doubt things will calm down after the G20.
The Governor of the Bank of England, Mervyn King, has well and truly rained on Gordon Brown’s parade.
The Welsh select committee today heard evidence from the Legal Services Commission on the issue of the downgrading of their Cardiff office, following reorganisation. The committee was not best pleased to hear that neither the commission nor the Ministry of Justice, to which it is answerable, had thought to discuss the proposal with the Wales Office. 
The apology that friends and opponents alike have called on Gordon Brown to make finally arrived today, in the columns of the
Conflicting economic signals this morning.

