Welsh Affairs Committee — hearing of 11 November 2026: transcript & video · Polyfact

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Welsh Affairs Committee

11 November 2026

Contents updated on 11 Nov 2026

The Chair sets out the Welsh Affairs Committee’s inquiry into cross-border healthcare and the witnesses’ roles, then examines how Welsh patients access English hospitals, specialised services and IPFR processes, and whether differing referral routes, legal frameworks and consultant relationships create opaque or fragmented pathways for patients along the border.

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Inquiry scope and cross-border referral pathways

00:03

Chair — inquiry context and witness introductions

00:03

Referral Assessment Service — Welsh patients into English hospitals

01:52

Specialised services — IPFR, bureaucracy and Scottish model

04:03

LTAs and IPFRs — shared understanding of criteria

05:27

Local health boards vs joint committee — impact on patients

06:47

Pathway performance and gaps in clinical relationships

11:21

Care coordination, waiting times and patient voice

15:58

Care coordination responsibility and cross-border communication limits

15:58

Ensuring seamless pathways — systemic and cross-border issues

19:25

England vs Wales — coordination challenges and RAS satisfaction

23:17

Powys commissioning decisions — long waits and dual standards

26:08

Relationship with Powys and consultation on community services

30:29

Welsh patients’ rights, standards and voice at English providers

32:22

Patient feedback and rural health voice

36:24

Q — Andrew Ranger: staff understanding of Welsh/English rules

37:48

Welsh-language rights and contractual standards

39:51

Q — Ann Davies: support for Welsh-speaking patients

39:51

Identifying language needs and accessibility standards

43:38

Welsh language in contracts — Roz on standards and costs

46:04

Cross-border data, interoperability and digital access

47:45

Q — David Chadwick: cross-border clinical data sharing

47:45

Technical and standards work for interoperability

50:35

Q — David Chadwick: concrete barriers and next steps

52:54

Q — Ruth Jones: patchwork IT systems and slow progress

55:44

Q — Andrew Ranger: NHS apps and Welsh access

57:06

English system reforms and closing recommendations

01:01:34

Q — Gerald Jones: impact of English structural reforms on Welsh patients

01:01:34

Neighborhood-level relationships and safeguard concerns

01:05:31

Final reflections and single key improvements

01:08:10

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Welsh Affairs Committee

11 November 2026

Welsh Affairs Committee Wed, 11 Nov 2026 House of Commons

Follow its sittings

00:03 - 00:32

Speaker 10

everyone, and welcome to this oral evidence session of the Welsh Affairs Select Committee. My name is Ruth Jones and I'm the chair of the committee. And today we're talking about the cross-border healthcare in our fourth evidence session of our inquiry into cross-border healthcare arrangements between England and Wales. And as part of today's session, we'll be looking at the practicalities of providing care to Welsh patients, and how the UK and Welsh Governments can work together to improve cross-border healthcare. So I want to welcome the witnesses today, and thank you very much for appearing in person before us.

00:32 - 00:48

Speaker 9

Before we begin, are there any members have any interests to declare? No. Thank you very much. That's fine. Can I ask you briefly just to say you know introduce yourself in just one line what your role is, please?

Shall I start with Roz, please?

00:48 - 00:59

Speaker 4

Good afternoon. My name is Roz Lindridge. I'm the regional director of commissioning and the chief officer for specialised services in NHS England in the Midlands, and I chair the cross-border network.

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House of Commons

Read the full session, transcribed live

Try it free, or come back on 26 November: the transcript will be public.

Live transcript, every speaker identified
The biography of every member of your parliament, with its assistant
Alerts on your keywords, and your questions to Claude or ChatGPT

Every video is free to watch, live and on replay, no account needed.

14-day free trial · cancel anytime

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