Part of 1. Questions to the Minister for Health and Social Services – in the Senedd at 2:16 pm on 11 March 2020.
I think there are two points there. One is the licence but the expectation that a chief executive will make changes that are difficult—difficult internally within the organisation, but also, speaking honestly, within the broader politics around the health service. Any time difficult choices are made, most of us objectively end up seeing that there's a reason for a difficult choice to be made. But, actually, if you're a local political actor of any and every party—it's not a partisan point—it can be very difficult then to go along with either supporting that change or giving it the room to take place. Now, from my point of view, I want a chief executive within north Wales who is going to make the changes that the health board requires and that the people of north Wales deserve to see happen. For me, I'm prepared to wear some political flak and difficulty to get the right things done, because that's the overriding objective: to see north Wales healthcare improve and to take some of the robust choices that I think the chair wants to see made as well, that independent members are now signed up to do too. And, within that, then, having the right person, there is absolutely no bar in terms of money. If we need to go outside the normal salary range for chief executives within Wales, then we can do so because, again, I'm interested in getting the right person to make a real difference.
Objectively, I think most Members would sign up to that. We'll have to see what happens then when that person is in post and trying to deliver some of that change. But, whoever it is, it won't simply be a case of them sitting at a desk and banging it and saying, 'Now we have to do what I'm saying'. They've still got to be able to bring their staff with them, to set up plans that have logic to them, that have evidence behind them, and can set out why they'll improve healthcare in north Wales both for the staff who deliver it, and the public who receive it and take part in it.