Again, in the theme about wanting to have some optimism about the future here in north Wales, two of the strengths that I've always thought the service in the north possessed were the strength of its primary care services and the strength of its public health tradition.
When I was the health Minister, we were seeing some very real stresses and strains in primary care. They're still there—I'm not trying to say that it's all gone away. There are recruitment issues in primary care in parts of north Wales, but on the whole, people in north Wales, I think, are incredibly fortunate to have the quality and calibre of primary care that they do. There are GPs, and the teams that work with them in every part of north Wales, who are utterly dedicated to the communities that they serve, to the populations that they serve. They are there for the long run; they know their patients in that way that in some of the more urban parts of south Wales that model no longer quite applies in the same way. I think the fact that there is that quality of primary care and the developments that the health board has led, which have been things copied in many other parts of Wales—moving away from a sole emphasis on GPs to that primary care team model; the Prestatyn model, as it's sometimes called—that's another big plus for north Wales.
And its public health tradition has always been—. It's a strong tradition in Wales, but it's also always been really strong in north Wales. North Wales has, for example, always got the best vaccination rates of any part of Wales. Its vaccination rates for children under the age of five—the measles, mumps and rubella vaccinations—lead the pack in Wales. It has always been at the top of the list for vaccinations of Staphylococcus aureus, against flu and things. So, on some of that public health and preventative stuff that John Griffiths was referring to, I think north Wales has always more than pulled its weight. In its smoking cessation services, there's been more innovation and imagination in Betsi than you would find in many other parts of Wales.
I think I heard briefly on the radio that the health board has put out something today to its whole population saying that if you want the services that you have to be able to attend to unavoidable harm, then every one of us has got to do more to make sure that harms that genuinely can be avoided are avoided. I feel often, Chair, when I read stuff in the media about difficulties in A&E departments and the length of time people are having to wait, and then you look at the percentage of people who end up in an A&E department because they have drunk too much—it is shockingly high. The people who we rely on to work in A&E departments spend an awful lot of their time responding to harm that need never have happened. It's the people who work there who seem to get the blame when those pressures become very hard to manage. And I don't want to blame anybody, because I don't think it's a sensible way of conducting public discourse on this, but responsibility is shared amongst everybody.
If we want the health service in north Wales, and elsewhere, to be able to go on responding to those people who fall ill for reasons that they themselves can do nothing about, then every one of us has to do some things to relieve the health service of the burden it carries of people who end up needing its help for reasons that were avoidable. And that's not just alcohol misuse; it's the whole obesity agenda, the diabetes agenda. It is a co-production agenda, if I can use a term that Mark Isherwood has very consistently advocated for on the floor of the Senedd. It is a partnership between the service and the population it serves, in which the population doesn't believe that we can all behave as we like and, the minute it all goes wrong, it becomes the responsibility of somebody else.