We've seen failures on workforce planning as well, and one recent example that I highlighted here previously, of course, was the farcical situation of nurses training in Wrexham Glyndŵr University, but unable to take up work placements just down the road at Wrexham Maelor Hospital and, as a result, of course, having to go out to the NHS in England and into private practice and those nurses being lost to the NHS in Wales. I raised yesterday the closure of community hospitals, including Llangollen, Flint, Prestatyn, Blaenau Ffestiniog, and the way the private sector is now stepping in to fill the void of those beds that have been lost.

We almost saw the first NHS staff in Wales transfer into the private sector under a new dialysis contract, hatched by the Minister's department recently. Because the staff actually contacted us, we eventually managed to ensure that they were not transferred, but that still leaves large chunks of the renal service in north Wales, of course, under the direct control of private companies. We've heard about Tawel Fan, and I don't need to revisit that particular example because, as we've been reminded, we were told that we would never see such a report in future because the lessons had been learnt.

Well, you know, we had two senior reports, as I mentioned at the start, that all highlighted the extent to which the culture of those boards and the way they operate needs to change, and we need to be seeing action to change those cultures. But what we see, of course, is that we get a third example and last week's royal college report, which highlights the very same failings, and we have to ask: what has been done to change the rotten culture that exists in some of these boards?

The symptoms are the same, of course, as I've listed, but I'm unaware of a single manager who's been disciplined for contributing to or maintaining this culture. Indeed, we are aware of one manager holding a senior position with responsibility for patient care in both Cwm Taf and Betsi Cadwaladr during the periods concerned who also secured employment in a similar position after the Tawel Fan scandal. Of course, at the same time, doctors and nurses have been struck off and faced criminal investigations for those scandals, but failing managers can just carry on.

As my colleague said, he's responsible for the performance of those boards and those chief executives. The Minister made a decision clearly last week to side with them and not with patients, and we can no longer have confidence in him.