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 6:31 pm on 17 July 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 6:31, 17 July 2018

I'll start with your final point, because your colleague Rhun ap Iorwerth also talked about structure and restructure and what that might mean. I'm not clear at all what you're proposing in terms of the restructure of the health board, because we need to be clear about whether you're talking about more than one health board, how it would be achieved and how that would actually deliver better care. That's the challenge here: if you break up the current organisation, then the challenge that actually provides. And I don't believe that would deliver better healthcare, certainly for a medium period of time. The focus must be on improvement in the here and now.

I've talked several times over in response to questions that have been mentioned today about the additional support and intervention that is being provided to the health board, and I have apologised on a number of occasions within and outside this Chamber for the impact upon families where healthcare has plainly not been delivered to the quality that people expect and are entitled to expect. It has been the right thing to have these reviews undertaken over a period of time where they can have access to enough information to provide a significant and reasoned report upon significant evidence. I'm sorry it's taken the length of time that it has done, but it would absolutely have been the wrong thing for a politician to intervene to say, 'Provide this report more quickly.' That would be about meeting my interests, and not about the interests of the public who are receiving healthcare in north Wales, or the delivery of it.

In terms of the assurance to be provided, I've already indicated that special measures—. I've indicated an improvement framework for the next 18 months. That will be provided. The assurance will be provided by Healthcare Inspectorate Wales, the Wales Audit Office and the NHS Wales chief executive. That is not going to be delivered for my convenience; it will be delivered with an honest assessment of the progress that has been made, or not. And you will see from the previous reports on special measures that there has been no dumbing down of criticism or praise for where the service has moved. So, the essential honesty on what is happening is already there. I do take seriously what staff have to say, whether that is good, bad or indifferent, and when I visit healthcare facilities right across the country, staff are direct and honest with me, including when they think that things are not good enough. That has always been the case when I have visited north Wales too.

I would say that, in terms of visibility, I think it's wrong to say that the health board are invisible. Actually, Donna Ockenden herself recognises there are a range of key individuals who are visible. She calls for the rest of the board to have that same level of visibility. But in particular I'll make this point, as you mentioned a recollection from a nurse within the health board itself: actually, the nurse director has widespread praise within the profession, within north Wales and outside, and she is a very visible character. On every single visit that I have undertaken with her, she has not just been recognised by other nurses, but she has recognised those nurses herself and had a conversation with them, and the respect that is there is obvious. You do not always see that in every particular sphere, and I actually think that that level of maturity we require about expecting improvement, but about there being a reasoned way to do so—we do have to recover that in the way that we discuss these issues. That should not take away from the significance of the scrutiny that I fully expect to face.