Part of 2. Questions to the Minister for Health and Social Services – in the Senedd at 2:45 pm on 27 November 2019.
I'm struggling to understand this, and perhaps we're all suffering from general election fatigue and there's something the matter with my brain, but the Minister has just said that he was confident that Cwm Taf had the ability to deliver on that three-year plan that he signed off. Now, bear in mind, Deputy Presiding Officer, that this was before any of the interventions that the Minister has said will sort everything out. And let's be absolutely clear that the level of governance and management at that point, when he did that sign-off, was really, really poor. I still don't understand, from what the Minister has said, why he was happy to sign that off. Either he knew and he thought it could be overcome, or he didn't know, and that's a problem in itself, but he wasn't prepared to sign off those other plans.
Now, if we look back to the HIW and audit office report, they are being fairly clear that the Minister was measuring the wrong things. If these plans are only about the financial condition of a local health board, then let's call them that and let's deal with that, and I'm not for one moment saying that where local health boards are struggling with their finances, that shouldn't be addressed. But I cannot understand how the Minister felt that those individuals running that health board, who had allowed this appalling toxic culture to develop—and it's clear that it's not only in maternity services that that's really poor—when he signed off that plan, were in a fit state to deliver. That was long before he put his measures in. The measures he's put in may or may not work. I am just at a loss to understand that, and I want to know form the Minister whether he accepts that there are structural and systematic problems in the governance and leadership of the NHS that go beyond one health board at a time.