7. Statement by the Cabinet Secretary for Health and Social Services: Publication of Donna Ockenden's Governance Review

Part of the debate – in the Senedd at 6:11 pm on 17 July 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 6:11, 17 July 2018

Thank you for the questions. Your point at the outset about a debate or a statement is a matter for people in this place to decide how they wish to use their time. What I would gently point out to the Member is that in a statement the Minister has to respond to a series of questions from a wide variety of people; a debate is an opportunity to simply respond to one debate. There are choices to be made and in reality there would have not have been the time to come to this place with a debate today, but I asked for a statement to be added, recognising the significance of the issue. 

In terms of your point about implementing recommendations, I think I've dealt with that in response to Darren Millar, but also in my opening statement about needing to implement recommendations and also the upfront recognition that we are in this place because we have not had the level of improvement required and we have not implemented all of the previous recommendations that have been made. There have been challenges in the leadership and direction of this health board over a period of time and that is recognised and I have confidence in the renewed leadership that is about to be provided again to particularly address the challenges that HASCAS and the Ockenden report have highlighted yet again.

You mentioned a specific complaint with a range of details that of course I'm not aware of and can't respond to, but if you do write to me then I will ensure that those matters are taken up. I would not try to stand by or defend the suggestions of poor practice that you have suggested, but I can't really respond unless I'm aware of the specific complaints. 

When you talked about a new way of delivering healthcare, I'm not sure if you were talking about a suggestion that Betsi should be broken up or renamed. It would be helpful to have clarity, but no independent organisation who's gone through in the last few years has suggested that the answer to improving healthcare in Wales is to have more than one health board again within north Wales. I believe at this point in time that would be a distraction and our challenge is making sure that Betsi actually works, and I take on board my responsibility for doing so. There is no escape from that in this particular role and I do not attempt to do so. I expect to be here to answer questions, I expect to answer questions in committee, and I'm committed to do so.

In terms of the additional support that you asked, I've put in more intensive support for a team to work alongside the health board, and that will provide additional capacity and capability in key areas, including the delivery of planned and unscheduled care and of course the work on financial turnaround. That also means that I've put in an increased level of support for the performance delivery and finance delivery units as well. So, I expect confidently that I'll have an opportunity to respond to the Chamber again in the future and that will continue to be the case until real and sustained improvement has been achieved.