Part of the challenge in dealing with a particular issue is that I think we’ve got a responsibility not to speak as if those fears are facts. The action that has been taken has been entirely appropriate in that they suspended staff as a neutral act to allow an investigation to take place. There will be an external person from outside Betsi Cadwaladr undertaking that investigation, and that is important too, both for the staff and the families that might be concerned, but also the broader public as well, to understand that this will not be an internal investigation for the health board investigating itself. There’s a point there about the level of reassurance. I think that that should give other people confidence that the managers in this instance are doing the right thing. Rather than thinking about different ways to have different sanctions for managers, I think we’ve got plenty of potential sanctions for managers already about the accountability that they do not have within the system. Our challenge is: how do we make sure that they are held properly accountable and what measures do we have in place? Because, the ultimate sanction is that someone loses their job. You know, that’s such a high-measure sanction to take, and how many times will that improve the service? I’m always interested—. What do we do to understand our problems and challenges in the service? Who is responsible for that, how are they held accountable, and what do we then need to do to improve?

You will have seen that, in north Wales, there is a new management team in the mental health service because we recognised that that needed to take place. We’ve put expertise into the health board, with the senior nursing staff who have gone there over a period of time, and I’m pleased to see that they have recruited an experienced mental health director who is now taking responsibility for delivering a different strategy and an improved strategy, recognising that significant improvement does still need to take place. Though, at this point in time, I would not try and tell you that everything is perfect, and it’s only fair that I do recognise that that’s where we are, rather than tell everyone that things are well, things are perfect, and there is no change needed. We recognise change is needed. There are more difficult choices to be made in Betsi Cadwaladr to make sure that we don’t return to this position in the future, and people receive the services they’re entitled to expect.