Part of the debate – in the Senedd at 6:02 pm on 17 July 2018.
I recognise the range of comments and concerns the Member has consistently made throughout the course of special measures and the initial Ockenden report into the Tawel Fan ward. Dealing with what I think were the questions, as opposed to the broader comments made, at the outset I recognise the very difficult position that families are in. This has been a long road travelled, and I understand why closure is incredibly difficult for families—I've recognised that on each and every occasion I've been in this Chamber, and I did so at the start of my statement today.
The family reports from the previous Health and Social Care Advisory Service report are not the subject of today's statement, but you asked about it—I will chase up again the process for those being provided, but dates are supposed be agreed between HASCAS and families for individual reports to take place. If any Member has any evidence that there has either been no contact or that unobtainable dates are being provided, I will happily take that up with the health board to make sure that HASCAS themselves are providing a range of dates to make sure that those individual reports for families can be provided and the information that people will, of course, want to see.
You talked more broadly about responsibility and your consistent call for people to be sacked. I'm very clear that I have responsibility for the whole of the national health service—what it does well and, equally, what it does not do so well. Of course, much of the time in this Chamber is spent talking about and responding to points where the health service goes wrong, and this is an example of where the quality of health and care has not been what any of us would wish to see.
I couldn't be clearer about my disappointment in the pace of improvement during special measures or the need for further improvements to take place. That is why we are providing increased support to those areas of challenge with the health board—the additional capacity at an operational level and the additional capacity we're looking at again in responding to the recommendations laid out in this report and, indeed, the HASCAS report.
The action plan has to be real and to be deliverable, because you will know as well as I do that in Donna Ockenden's report she suggests coming back in what she refers to as quarter 2 next year, so roughly the middle of the summer next year. So, in approximately 12 to 15 months, there will, understandably, be a need to return, but in any event the health board themselves have acknowledged that they need a proper plan to respond to. I expect them to come back to their board on a regular basis to update them in public about the progress that is or is not being made in responding to the recommendations in this report and the HASCAS report.
It is not for me to refer this report to the police or the Crown Prosecution Service. They are well aware of the content of the report—how could you not be within north Wales? It is for them to decide whether there is a case to answer. It is not for me to decide that there is a case to answer for corporate manslaughter. I would caution Members on not taking an approach that is to use the most intemperate language possible about what are very difficult circumstances for families and staff within the health board. I do not apologise for not acquiescing to the demand the Member made at the outset, four and a half years ago, to immediately dismiss people without any process. That would have been the wrong thing to do then; it is still the wrong thing to do now. The health board, as the employer, must take through a proper process with their employees, and if there is disciplinary action to be taken then they should take it.
On your broader point about capital funding, the letter from the chief executive sets out a range of funding that has been provided and has been made use of to improve the environment, specifically within mental health services. And anything else that comes in I expect the Government to respond to properly. [Interruption.] I'm not aware of the individual matters that the Member refers to. If he wants to write to me with detail, I will happily respond to him and make other Members aware of the response.
But, in terms of where the health service is, you made this point that not one thing has changed about the health service and has not got better, and yet maternity services have been de-escalated, and yet we see real excellence in the provision of healthcare in a range of areas across north Wales. [Interruption.] I think some temperance—