2. Questions to the Minister for Health and Social Services – in the Senedd on 23 October 2019.
8. Will the Minister make a statement on the use of external consultants by Betsi Cadwaladr University Health Board? OAQ54597
The health board uses external consultants to provide additional expertise in specific areas. This has recently included specialist turnaround expertise to urgently address its financial position and deliver on the recommendations and feedback from the Public Accounts Committee and the finance delivery unit.
Well, one of those people is Philip Burns, who has been employed by the board, it would seem, to be part of the process of identifying opportunities to save money. Now, apparently, he is paid £2,000 per day, along with travel costs back and forth from Marbella. I’ve asked the health board to confirm whether this is true for over a month, and I’ve not received a response, and therefore I’ve been forced to present a freedom of information request.
Now, this is the man who is, apparently, behind the intention to change nursing rotas, apparently, which is something that’s caused great concern among nurses in north Wales and does undermine much of the goodwill that has existed between nurses and their employers. Now, it appears that his salary is greater than the savings that that would generate. But never mind about that, my question is: shouldn’t there be more transparency around the way these external consultants are employed? And wouldn’t you agree with me that it’s entirely unacceptable that I contacted the board over a month ago to ask for those details but still haven’t had a response?
I think there are a couple of different points. I'm not at all aware whether the interim recovery director is responsible for the ongoing consultation with trade unions around nursing rosters. I don't think that's a fair point to make in this debate.
There is an entirely legitimate question, though, about the transparency on information about the terms on which consultants are engaged and the costs of them. I should point out, though, that the costs in terms of the annual increase are higher within the Welsh system, pretty expected within the English system. We need to deliver a significant turnaround and recovery in the finance function of Betsi Cadwaladr University Health Board, and we're at a point where the previous interventions have not worked to deliver the real traction that is required. I expect that health board to deliver against that—not just to come up with a list of opportunities that have not been taken, but actually to make progress on opportunities that do exist to improve their finance function. That does not mean that every single one of those compromises the ability to deliver healthcare of the quality that you and everyone else in this Chamber expects.
Yes, I will, though, talk to the health board about the provision of information, because you should not have to ask over quite such a long period of time for them to provide information that should be available to you and other public representatives.
Thank you, Minister.