5. Debate on a Member's Legislative Proposal: Health Service Management

Part of the debate – in the Senedd at 3:15 pm on 3 July 2019.

Alert me about debates like this

Photo of Angela Burns Angela Burns Conservative 3:15, 3 July 2019

Thank you, Deputy Presiding Officer. I'd like to thank Helen Mary Jones for bringing forward this proposal for a Bill on health service management. I can assure you that the Welsh Conservatives would not only support your proposals, but seek to strengthen and increase some of the proposed Bill's provisions, because it ties in very much with a five-point plan for health that we announced in March. Three of the points that we covered have been partly encapsulated in your Bill, and we'd like to take them forward further.

Because we called for there also to be a radical overhaul of Healthcare Inspectorate Wales to make it entirely independent of Welsh Government and to give it new powers to intervene quickly when problems are identified. By making it truly independent of Government, as Helen Mary proposes, I believe we could achieve this objective, but I would ask the Member for Mid and West Wales to also consider a financial provision, because we believe that HIW's budget must be trebled in order for it to be able to expand its programme of unannounced inspections and to ensure that requirements for improvement are implemented.

The evidence session the health committee held this morning with Cardiff and Vale University Health Board bears this out. It was an unannounced visit by HIW to the University Hospital of Wales emergency unit and assessment unit that highlighted unsafe standards of care, poor medication practices and inappropriate staffing levels, amongst other areas that needed addressing. Yet, despite insistence that senior managers visit the departments, the health board did not seem to recognise that the emergency unit and assessment unit needed additional support, and to paraphrase what the chief executive said today, people see the situation or the problem so much, they no longer recognise it as such, and we need an independent organisation that can come in.

Furthermore, I think the proposed professional body for managers is, again, something that we'd be very supportive of. Again, we suggested this in our idea, but we'd like to see it go further and become an NHS leadership council that requires registration, and those deemed incompetent would be removed. As you mentioned earlier, there are people—I've got here six examples of people who've repopped up in the system, having done an absolutely shocking job somewhere, and they've managed to survive and go on again.

We totally support a new, robust complaints system. Let's again remind ourselves of another health committee when the chief executive of Cwm Taf said, and I quote,

'To be absolutely frank, the extent of the feedback from the families, which has been the most distressing element of this, was a complete shock, even to me, and I sign off complaints in the organisation.'

Really.

Finally, may I just say you've made an absolutely interesting point on the duty of candour? It should apply to individuals as well as organisations. We've been calling for a duty of candour for six years, since it was introduced in England after the Mid Staffs scandal and in light of Robbie's law. However, the health Minister at the time, Mark Drakeford, implied it was not necessary for Wales. He said in 2013,

'The redress regulations passed here by the Assembly in 2011 place a duty of openness on health boards now. In a sense, a duty of candour is already implicit, if not explicit, in those regulations.'

We've seen that it doesn't work. We would absolutely support you, and I would like to work with you in bringing forward such a Bill to the floor of this Chamber.