I could have listed any one of those and it would have been absolutely identical. And we were assured in north Wales that when that report was published into the failings at Tawel Fan, it would be the last of its kind because you would get to grips with those problems. You made statement after statement in the aftermath of the publication of the Tawel Fan report that things would change, that we would never see the likes of it again, and yet here we are, four years later, with the Betsi Cadwaladr health board still in special measures, still not delivering appropriate quality services, certainly in respect of its mental health care, and a situation where almost identical failings have been identified in terms of other services, this time for young babies and their mothers in Cwm Taf. 

What will it take for our national health service to learn lessons, to change practices and to deliver the improvements that we need to see? It will only change if we change those at the top of the organisation. And Helen Mary Jones has quite rightly pointed out that the buck stops with you as the Minister for Health and Social Services here in Wales. You were given charge over the special measures situation at the Betsi Cadwaladr health board. You took responsibility, and each time we raised concerns about the lack of progress, you had a familiar refrain that you had made it clear that you wanted to see improvement. Well, words alone don't deliver the sort of improvement that we need to see. People want a health service in Wales that is accountable for its failures, where people own up and they accept responsibility when things go wrong. But I'm afraid that all too often in this Chamber we see you, Minister, taking the credit when things go right and washing your hands when things go wrong in our national health service. That's what we've seen, and that's no doubt what we will see you attempt to do today. I'm afraid that, unless you accept your responsibility for these failings and your responsibility for failing to put right the situation in north Wales, we are never going to see the change that we need, and that's why I've got absolutely no confidence in you to deliver the improvements in our health service that we need to see. 

I don't doubt that there are many in this Chamber who would want to see you continue in your role, but I am afraid that I have lost confidence in your ability to do this particular job, and I think that people in north Wales, people in Cwm Taf and people elsewhere in this country deserve better. And, if I may say so as well, I think that where you have senior leaders in an organisation with dreadful failings, chief executives and chairs ought to resign, and if they don't resign, they ought to be sacked, with no pay-offs, no big retirement packages, they ought to go. When a board fails in its basic governance arrangements, the person responsible for those governance arrangements in the board, the chair, should leave. When a chief executive fails to show the leadership required to set the culture in an organisation, to make it open and transparent and to learn from mistakes, she ought to go. We've seen no resignations for these sorts of failings, and I would like to see people accept responsibility. It's about time we saw an accountable health service in Wales. We don't have one at the moment under your leadership.