Part of 4. Topical Questions – in the Senedd at 3:27 pm on 30 January 2019.
Thank you for the series of questions. I'll start with your final series of questions about HIW and their independence. Yes, they are operating independently. They made choices about who to see and how to conduct the investigation. I think they saw about 40 different people, current and past staff members, as well as the families of the three women, together with the family of Christine James, who, as we know, was murdered by Kris Wade.
The report was made available to the women who had complained, their families or their representatives, a week before publication of the report. As well, HIW met with the women a week before the report. The report was then made available to them on 28 January. And, on the twenty-eighth, HIW held a technical briefing for the press and they also provided you with a copy of the report. Publication of the report is a matter for HIW, and not a matter where there was any kind of interference from the Welsh Government. There is no question that the conclusions of the inquiry and the process to reach those conclusions was anything other than independent.
I want to return to the point that we are talking about—three vulnerable women who were let down. And I am deeply sorry that those three women were let down not just by an individual within the health service, but actually how the whole service then reacted to the complaint, and in particular the reaction after the first complaint, where it's acknowledged that it was not promptly recognised as a safeguarding issue and dealt with as such. The second and third were. As we know, the police and the Crown Prosecution Service decided not to proceed with a prosecution. Now, that is outside the remit of both the health board and indeed the Welsh Government. But I do agree, you start by believing the complainant—that has to be your starting point. Otherwise, we know that we will not encourage people to raise complaints as they should do, and then to handle sensitively the complaints when they're investigated.
On to the, I think, two further points that you raised—in terms of an action plan and what will now happen, within a matter of weeks, the health board will need to submit an action plan to Healthcare Inspectorate Wales. They won't submit that plan to the Government, it will go Healthcare Inspectorate Wales, and they will determine whether that action plan is adequate. And no doubt, Healthcare Inspectorate Wales will return to see what progress, including the pace and consistency of progress, that the health board makes against dealing with those recommendations. There are three recommendations for the Government that I've already committed to taking forward.
In terms of your call for special measures and a change in leadership at the health board, of course, the chief executive is new and was not in place at the time of the desktop review, nor, indeed, when the incidents took place, and, indeed, in terms of the board themselves, there is no suggestion from Healthcare Inspectorate Wales that there should be changes at board level. And I do remind the Member and others who are here or watching that placing a health board or a trust in special measures takes place following advice given by both the chief executive of NHS Wales, the Wales Audit Office, and, indeed, Healthcare Inspectorate Wales. Should that have been a matter that Healthcare Inspectorate Wales thought was appropriate, then they would have said so and there would have been the opportunity to convene an extraordinary meeting under the escalation status.
So, these are matters where I'm advised by people who are properly independent, and that is a safeguard for people in Wales that we're not either placing within special measures or out of special measures healthcare organisations simply to suit a politician within Government or outside, and that is absolutely the right thing to do. But I'm determined that the health service will deal with the recommendations in this independent review and will do so seriously and promptly.