4. Statement by the Minister for Health and Social Services: Strategic Assistance for Betsi Cadwaladr University Health Board

Part of the debate – in the Senedd at 4:27 pm on 3 November 2020.

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Photo of Vaughan Gething Vaughan Gething Labour 4:27, 3 November 2020

I simply don't agree with the opening statement that the Member makes that this reads like any one of the statements in the last five and a half years. There have been various points in time where statements over the last five and half years have been much more downbeat about where we have been. The fact is that, at various points in time, maternity and out-of-hours have come out, which shows that this has been progress over time. We've also had challenges over financial management and performance over this time, so it just simply isn't the case that we're taking a statement off the peg. And it really doesn't reflect the tripartite escalation statement that was introduced, where the external views of HIW and the Wales Audit Office were taken account of, and their assessment is that the health board has made real and definable progress. 

I simply don't agree with the Member on his plan to break up the health service in north Wales. I think that over the next term, to say that a health board that has dealt well with the COVID pandemic would then need to turn in on itself to consider how it would reallocate different jobs and services would be entirely the wrong thing to do. But the Member is entitled to his view and people will decide what vision they want for healthcare in north Wales and the rest of the country. 

On the point about the time limit and whether there's a fundamental error in the baseline, in answer to Darren Millar's questions I indicated that we have already reviewed the allocation formula. The Member should be aware of that, following his participation in the Health, Social Care and Sport Committee. I'm happy to circulate another note to that committee to confirm where we are with the allocation formula, if that's helpful to provide clarity. And in terms of the time limit, we took a similar approach in Hywel Dda, in Powys, indeed, before, but also with Cardiff and Vale and, indeed, Swansea Bay health board, where we provided moneys for a limited period of time to help deliver improvement. That 'something for something' approach has worked well in those areas, and so I don't think it's a mistake to provide a time limit indication for the length of time this strategic support will be available for. 

On the medical school, I think that the fact that we're able to take this forward, the fact that we had a much more worked through and credible proposal that was worked up between Bangor University in particular and the health board, but also with the buy-in and support from other significant partners in north Wales, is a real demonstration of the improvement in partnership working. It would not have been that long ago that you would not have expected north Wales partners to have come together to deliver a genuine north Wales plan with whole north Wales buy-in for a significant development like this. It's a good indication of improved activity from the health board and its partners, and I believe that bodes well for the future. And, of course, I want to have a returned view from a task and finish group that will allow me to make choices within this Senedd term, so we can actually provide some sort of plan for the future, but I will need to see what the recommendations of that task and finish group are. And, of course, I have already announced that, Deputy Presiding Officer, in a previous written statement.