Part of the debate – in the Senedd at 1:56 pm on 29 April 2020.
Llywydd, I thank Paul Davies for those points, and I want to agree with him: it is very important indeed that Ministers and people in Wales can be confident that information that is published by our system is accurate and reliable. That is why, as soon as I was alerted to the fact that there had been an under-reporting of deaths from Betsi Cadwaladr, I instituted the review that was published by the health Minister yesterday.
I do want to just correct some of the detail in the leader of the opposition's question, because the sequence of events was in this way: Betsi Cadwaladr had been reporting information into Public Health Wales. Up until 18 April, Public Health Wales published only a global Wales-wide figure of deaths, and Betsi Cadwaladr assumed—as I think they were entitled to do—that their figures were being reflected in that global Welsh figure. On 18 April, Public Health Wales moved to publishing deaths at a disaggregated, health board level, and immediately Betsi Cadwaladr alerted Public Health Wales to the fact that the figures that they had been submitting did not appear to be reflected in the figure that Public Health Wales published at the disaggregated level. Now, it then did take from 18 April to 23 April for Public Health Wales to work with BCU to discuss what had gone on and to carry out a data validation process, and we were informed on 24 April of the results of that discussion. That is the point that I said that I wanted further assurances from Public Health Wales that the detail that they were publishing stood up to scrutiny. And then—. So, I just want to be clear with the Member that a month didn't go by while people knew about this and did nothing about it. Betsi Cadwaladr alerted Public Health Wales on the day that disaggregated data was published, when they could see that something had gone wrong, and then it took until 23/24 April for that to come to the Welsh Government's attention.
Paul Davies, Llywydd, then asked me what has been done to make sure that figures from now on are accurately reported. He will see there are eight actions set out in the report published. Here are some of the most significant: weekly telephone calls between Public Health Wales and all local health boards to make sure that nothing is going astray; confirmation from the chief medical officer to each health board that they are to use the new electronic reporting system; increased local quality assurance; a further quality assurance check by Public Health Wales; and now, for the first time, the whole system to be overseen by the chief statistician, an individual independent of the health service itself and now involved in making sure that the figures published are ones in which we can all have confidence.