5. Statement by the Cabinet Secretary for Health and Social Services: Betsi Cadwaladr University Local Health Board — Special Measures Update

Part of the debate – in the Senedd at 4:01 pm on 6 November 2018.

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Photo of Helen Mary Jones Helen Mary Jones Plaid Cymru 4:01, 6 November 2018

Thank you, Cabinet Secretary for your statement. There are some elements, definitely, to welcome. I'm particularly pleased to see the appointment of an executive director of primary and community care—I think that's clearly absolutely crucial, although I would share some of Darren Millar's concerns about some of the other people who are still there from the previous regime. I trust that you and your officials have satisfied yourselves that those people will be able to operate in such a way that they will fully comply with your expectations of a fresh start for Betsi Cadwaladr. I would not expect you, here in this Chamber or publicly, to say anything about those reassurances, but I would like to be reassured that you have received them.

I want to first of all look at something that you don't say very much about in your statement, and that is about staffing. You do refer to the fact that you now have 65 per cent of the staff saying that they're proud to work for Betsi Cadwaladr. Well, that is a good thing, but, of course, that means that you have 35 per cent of the staff who are not. Now, if that was a private sector business and it had 35 per cent of its staff not being happy, they would still be very concerned, and I'd just like to seek your reassurance that there's no complacency from your or your officials about that percentage, because it isn't a good place to be. That 35 per cent is an awful lot of people on the front line who are dealing with patients every day.

I'd also be grateful if you can tell us a little bit more about the issues with recruitment and retention. Are you seeing an improvement—are you and your officials seeing an improvement—in the board's ability to recruit crucial staff and to retain them? Because, obviously, it's those front-line staff who are dealing with the patients and their families every day who are the crucial building blocks for the board, and, of course, for the trust of the public in the area, because those are the people who interface with patients.

I'd like to refer back to the Tawel Fan families. I was somewhat relieved to hear your response to the points raised by Darren Millar, because if one read or listened to your statement, one could be left with the impression that you were dismissing the concerns of those families who are not satisfied. Now, you have reassured us that that is not the case and I'm very glad to hear that. In your statement you refer—that section of the statement that refers to Tawel Fan—to your officials being clear about the need for the board to communicate effectively with staff. I hope that you will be able to extend that comment to say that you're being very clear too on the need for the board to communicate very effectively with those families, because it's very often the case, is it not, that if people don't feel informed—. Even if they're not entirely happy, if they feel informed and they know what's happening, that provides us with some reassurance.

I won't repeat some of the questions that Darren has already raised with you, but I finally want to come back to the point about timescale. Now, nobody would expect you to set some sort of artificial exit point for this, because you've got to be reassured that the board is in a fit state to run itself and manage itself and manage its staff before you can withdraw special measures. But it would seem to me that the special measures have been in place for so long now that they're beginning to feel like the status quo. So, are you able to give us some assessment—? You mention your expectation around further and more rapid progress, and I'm sure we'd all agree with that, but are you able to give us some sort of assessment about how much longer you expect this to go on, bearing in mind, as I've said, that nobody would expect you to say, 'Right, we'll be out of here by 30 June', or whatever it is? Because it is getting to the point, I think, when people are beginning to feel that this is going—you know, 'When is the end point?' Now, of course, it could be argued that there is merit in the Welsh Government actually managing the health service in Wales directly and taking direct responsibility for it. But that's not the situation here. So, if we could have some sort of sense about how much longer you think this is going to take, I think the Chamber—and, more importantly, the people of the north—would be very grateful.