Part of the debate – in the Senedd at 5:20 pm on 21 January 2020.
Well, as you'd expect, when I meet the chair and the chief executive of the health board respectively, this is one of the subjects we discuss: how effectively and how rapidly the health board is responding to the improvements that are required, and indeed the level of quality and safety that is being provided in maternity services today and in the future.
And as I said in my statement, and in the HIW review that was published in December on the Tirion birth centre, there's good feedback currently being provided by women, and there's a much more proactive effort to go out and secure that feedback from women to understand what is happening in the service today.
There is learning across health boards to be provided, both in terms of complaint handling, where we've seen real progress, and in fact complaint handling now in Cwm Taf is in a better place, but there's still a challenge about changing a very defensive culture and approach. So, the independent panel themselves make commentary on it, and there's definitely still more learning and improvement to come, not just in this health board, but across others.
In terms of your point about community health councils and advocacy, well, of course, we've provided extra resource for the extra advocacy needs we expect the community health councils will have. And on your point about visits, we have Stage 2 of the Bill coming up on Thursday, and I don't want today's statement—which is about maternity services in Cwm Taf—to get lost in that. There will be an opportunity to go through the commitments that I've previously given about wanting to have statutory guidance and a presumption in favour of visits. But this is not a point to confuse the function of the community health councils and unannounced visits of the inspectorate, which have taken place, and of course the larger piece of thematic work they're doing on maternity services across the country—I look forward to the publication of that later in the year.
But, what happened didn't so much happen under people's noses where people where aware of it, the challenge was what was happening was out of sight and hidden from decision makers and the board, and that's certainly one of the learning points we've had about that control within a limited number of people within the organisation.