Part of the debate – in the Senedd at 3:35 pm on 8 October 2019.
On your final point about a wide-ranging review of the whole structure of the health service, of course, we had an independent parliamentary review at the start of this Assembly term, and they indicated that the structure of the health service in Wales makes sense. They were very clear that they did not recommend a wide-ranging structural review and turning the apple cart upside down. It's often attractive for a politician to say the answer is to reorganise the structure of a service, and there are times when it does need to take place. But we've just had an independent review that says that is not the right thing to do. And of course we've seen the challenges in a wholesale restructure across our border, where, regardless of your view on the Lansley changes, there has been a significant amount of churn within the English system. I don't think that is something that I would recommend or be prepared to impose upon the service here in Wales.
In terms of your point about whether the Welsh Government is hampering the improvement, given that we've put maternity services in the former Cwm Taf area into special measures—and the whole organisation is in targeted intervention—it would be extraordinary if there wasn't regular interaction between Welsh Government officials and the service. It's part of the point about the whole escalation status and what it means: the further up you go, the more interaction, the more oversight, the more scrutiny you can expect from Welsh Government. And if I were to say, 'Actually, I'm taking a light-touch approach to improvement', then I think Members in this place would quite rightly question what on earth I'm doing and why my officials aren't in more regular contact. We heard the exact opposite point, of course, made in Dai Lloyd's contribution. He wanted to see even greater intervention and forcing the pace more. I've been really clear about the approach we're taking—I think it's the right one. So, those weekly calls will continue until we're clear that the service is on a more sustained improvement trajectory.
On neighbouring health boards and support, it's true that neighbouring health boards are supporting the service in Cwm Taf Morgannwg. The heads of midwifery meet as a group and they look at service issues in a very collective way. That's been really positive—and the proactive offers of help that have been provided, and the way in which recruitment issues have been dealt with around the service, to try to make sure that the service wasn't capsized by taking people out of the Cwm Taf area. But more broadly, it's about supporting people to make their choices, because some people have made a choice, saying they don't wish to attend a birth centre in the former Cwm Taf area, and that choice has been made available to them. It's important that people are supported in making those choices and start that conversation with their local community midwife. But that's been important in the way that neighbouring services have happened.
Bridgend is not in the same position as the former Cwm Taf area, it is not in special measures for the maternity service there. We've had a recent interaction with Healthcare Inspectorate Wales; there has been no suggestion that that's a required action for that part of the Cwm Taf Morgannwg area. So, I want to provide that reassurance to people who are going to give birth in the Bridgend area—they do not need to have any concerns on the level of improvement that is required in the former Cwm Taf area. But of course, every part of our service has the opportunity to reconsider what's happened, to reconsider what improvement it could still make in its own services.