I thank the Member for his series of questions and points. There is a something here about cancer—and I was pleased to hear him acknowledge the treatment that members of his family have received, because, as I said earlier in response to Rhun ap Iorwerth, actually, Betsi Cadwaladr has a good reputation for the speed and the quality of treatment in cancer services. But that doesn’t mean to say that you should simply then ignore those areas where we recognise that that quality has not been provided. I’ll make this point: the reports of the ombudsman do not get ignored, either by health boards or by the Government. So, the health board, as it will know, can expect to see follow-up from this report, to see that the recommendations are being implemented.

The challenge always is how we have a reporting system that can acknowledge where there have been failures, to give people some recourse and, at the same time, how we try to deliver a learning and improvement environment as well, because the challenge is—in this instance, there were four different consultants involved in the care of this one individual. There’s learning for each person and each member of the wider team. The challenge is how to ensure that learning is then implemented and we don’t move to a system where it’s effectively a system of providing blame, because that is actually the worst thing that we could do, because that would either lead to people wanting to hide their mistakes or to move away from them, or actually, if we want to hire more people to come into a service and more people are blaming each other, that is not the right focus for the national health service. So, it has to be on improvement as well as accountability, and that balance, I think, is being struck, but it doesn’t mean to say that we’ll get everything perfectly right in the Government in our relationships with health boards, and the health boards themselves as well. And that’s why we want some maturity in the conversation about the future.

I do think, though, that, over the course of this next term, Members should expect to see an improvement in quality and outcomes within the service, and where there are complaints, as with any service of this scale and size—and there will be, there will be times when we don’t get things right—. Even in a fantastically performing system, the challenge is what we do about things so that we minimise those risks, and that unacceptable treatment, and what we do to learn from those, to understand what we need to improve in the future and make sure that we don’t see happen in the future as well.

So, I take on board the points that are made, and, as I say, these reports are not ignored, they’re taken very seriously, both by the Government, and, indeed, the health boards themselves.