Betsi Cadwaladr University Local Health Board

Part of 2. Questions to the Cabinet Secretary for Health and Social Services – in the Senedd at 2:27 pm on 17 October 2018.

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Photo of Darren Millar Darren Millar Conservative 2:27, 17 October 2018

You said you didn't want to set out a time frame for improvements, and yet I remember, when the previous health secretary actually put this health board into special measures, he announced there were 100-day plans to turn the situation around. Well, it's now been 1,228 days.

Many of the indicators in terms of performance in that health board are going backwards. It's a record-breaking health board now, because it has the record-breaking worst-ever accident and emergency department performance in two of its hospitals just in the last month, and we know that its financial situation isn't resolved, the mental health problems in that health board still aren't resolved, and there are still questions around the capacity of the leadership and the governance in the health board to turn the situation around.

You say that you're setting out your expectations, but you are absolutely failing to deliver on those expectations—the improvements that you have promised and which your predecessor had promised that would be made in this health board. I don't think leaving the situation completely open-ended is good enough. People want some direct accountability in our health board system. They don't have that at the moment—you don't accept responsibility, and the health board fails to make any decisions because it's in special measures and it says that you're the one making all of the decisions.

So, do you accept that the accountability arrangements in the national health service are not good enough, and that this is a prime example of why they're not good enough? And what are you going to do to make health boards more directly accountable to the public?