I'm shocked, actually, by this statement. When you read it, if this was a health board that was going into special measures now, or had been in special measures for six or eight months, I could accept a lot of what you were saying, that it's still a work in progress, but we are talking about four long years.

I had a nice little list of things I was going to ask you about what we should be doing, or what you should be doing in Betsi Cadwaladr, but actually out of your statement leaps one absolutely shocking commentary: 'without an appropriate clinical strategy'. I would've thought that was absolutely the fundamental core business of a health board: to have a clinical strategy that delivers for their patients, that delivers for their areas, that enables their staff to do the job that they have trained to do and wish to do. For you to stand here, Minister, after four years and say that Betsi Cadwaladr health board still do not have a robust and agreed clinical strategy is truly shocking. And, therefore, I'm not surprised that the many other improvements that this health board seeks to implement and needs to implement have not been able to be implemented, because unless you have a plan, you don't know where you're going, you don't know where you're coming from and, above all, you don't know whether or not you've achieved the goals you've set out to achieve. So, this I find absolutely shocking and I would like to have much more detail from you about this clinical services strategy, about who is going to put it together, when you would hope that it will really—and I mean really, not the timescales here—be implemented, and how you're going to ensure that it is a clinical strategy fit for the people of north Wales.

The other comment that you make is that, finally—and I have mentioned this to you, and we can check the Record so you know it's there—I've mentioned to you many, many times before that transformation is a skill, it isn't a blind science, it is not an art, it is an absolute management skill, and to truly transform something in trouble, like this organisation, you need new boots on the ground, and I've asked you again and again and again: when are you going to put new boots on the ground? I am pleased to hear that you're now finally going to bring in an outside organisation to help this health board, but, again, it is four years too late and, to be frank, I would've thought that just a tiny bit of humility from the Welsh Government on this subject of this very troubled organisation would've gone a long way.

I have a couple of very quick additional questions to ask, Deputy Presiding Officer. Minister, last summer, you published a special measures improvement framework that set out milestones for the board to meet by September 2019. Now, are you really confident that these have been met, or are in the final stages of being met, or do we have to wait for this clinical services strategy? What progress has the board made with implementing the Ockenden and Health and Social Care Advisory Service reviews from last year and how confident are you that mental health services have improved, then, because I note that your statement talks about CAMHS, but it doesn't actually talk about adult mental health services? You've mentioned NHS England's experiences with trusts in special measures previously—what best practices have you looked at to bring forward to help move this trust forward?

And, finally, I have lots of questions, but I'm very aware that the Welsh Conservatives tabled a motion last week to talk about the fourth anniversary of Betsi Cadwaladr being in special measures tomorrow—so I'm not entirely surprised, I suppose, that this statement has popped out of the blue today—but, again, in your statement, you do mention that you have stemmed the losses of general practitioners. But let's be very, very clear: there are precious few general practitioners now left in north Wales. What do you believe the 'Train. Work. Live.' policy is delivering there? Do you think it's keeping up with that demand, especially as training places for GPs are now oversubscribed? And do you think that, given that we have such a dearth of general practitioners—there's a real shortage in north Wales of GPs—and are you confident that Betsi's out-of-hours care will be fit for purpose in the coming years? The rest of the commentary I have on this statement and on Betsi in general and on the Welsh Government's handling of this poorly performing health board I will reserve until tomorrow afternoon.