Thank you for the comments and the questions. I think you're right to point out that, of course, there is a great deal of good care that takes place every single day in every single community across our national health service, and the report does highlight a range of staff who provided good care, in particular in the community midwifery service, but it is entirely right and appropriate that we focus on the failings identified in the report today. And that does come back to your point about the management and the culture within different parts of the service, so not just at the most senior level, reporting in to the executive team and the board, but from the shop floor and all the way through and leaders and managers in different parts of the service. The report talks about a punitive culture; I would expect the trade unionists to talk about a bullying culture, and a culture of fear within the organisation, and I recognise that on reading the report. So, it isn't just one part of the culture within the maternity service in the board that needs to be addressed. And that does come back to your point about false assurances being provided, because the report sets out quite clearly that a range of concerns were suppressed and not dealt with, and reports were not then properly concluded, so, actually, people were being provided with an assurance that wasn't accurate, and I think independent members took assurance where it should not have been provided to them in that place. That is a question not just that the report sets out, it's not just a question that will be addressed in the independent review on what went wrong, as well as making recommendations for the future, it is part of what the board needs to address now. I've spoken several times to the chair of the health board and he understands very well that it is a question for the board to address adequately and properly themselves as to what information they had, what they didn't have, and what they will require to have in the future and the level of challenge they must have. That is part of the work that David Jenkins will be doing in supporting the board to do so.

In terms of your point about the move, the move to the concentration of consultant-led care at Prince Charles—you're quite right—has taken a long time to happen, longer than it should have done, frankly. And part of that is because the health board, but also the two units in question, were not determined to make the move happen in a collaborative manner. When the report took place, they still found culture between the two sites that was not accepting of the move that was imminent. And that's a real problem from the leadership teams within the doctors on both those sites. And that's not acceptable.

So, the move, and, prior to the move, there was a multidisciplinary meeting that took place, and there were two Welsh Government officials in that meeting, which confirmed that they were in a position for the move to go ahead and that, actually, there was less risk to staff and the service in going ahead with the move in March than in putting the move off and in trying to run consultant services on both sites, partly because of the fragility of staff in midwifery, but also the number of locum staff within the medical grades as well. So, yes, there was oversight, but there's still more work to do to make sure that that service is the sort of service that you or I would want for ourselves and obviously for your first grandchild.

When it comes to women and their families being supported, they should contact their midwife and contact their health boards to talk through concerns and fears that they have, to understand the options that are available to them, and to make sure that they do so as soon as they are concerned or worried, because that is part of the role that the midwife has, to support women to make their choices. Some women may want to choose to give birth in different settings, whether at home, whether it's water births, or whether it's in consultant-led care or in midwife-led care, and some people may want to think again about the location of their birth. Now, I would want to encourage the take-up, in the first instance, of all of those concerns with their community midwife, and, for the health board, it's a very clear expectation that they support women to make those choices of where they are most comfortable, where they feel best supported.

And, in terms of the timeframe for improvements, well, improvement has to take place immediately. Immediate improvements are required, but I should not pretend to you or anybody else that this will be resolved quickly, because the cultural change that I've highlighted on more than one occasion will take many months to actually be in place and then to be sustained thereafter.