Governance Arrangements for Health Boards

Part of 2. Questions to the Minister for Health and Social Services – in the Senedd at 3:10 pm on 27 November 2019.

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Photo of Vaughan Gething Vaughan Gething Labour 3:10, 27 November 2019

I don't think the Member is in the greatest position to talk about cronyism in public life. When it comes to the position of the staff at Betsi Cadwaladr and the requirement to improve the finance function, our expectation is that staff are appointed in a manner that is consistent with our expectations and the requirements of the health board—it is not a nice-to-have, it is about them being objectively able to do their job.

In response to the point about the turnaround director's performance, actually, the initial view is that he is making a real difference to improving the finance function of the health board. That isn't just the view of officials here, it is the view expressed to us by officials in the Wales Audit Office too. There is significant distance to travel, but, actually, when he referred to Lord Kerslake, when he stood down from the King's College trust, he made it very clear that he did not think it was possible to manage with the sums of money available within the English system. He made the point about having a fair expectation for a fair funding settlement for the health service across the UK. You also highlight, of course, that the King's College trust, with a similar level of income compared to Betsi Cadwaladr, has a deficit of about four to five times the amount.

The challenges faced by the health board in north Wales are achievable to turn around, and it is my expectation they will do, but I'll be open and honest about whether they do so, bearing in mind the recent steps I've taken in setting out a renewed special measures framework for north Wales.