Part of the debate – in the Senedd at 3:55 pm on 24 November 2020.
Thank you, Minister, for your statement. Ordinarily, of course, I would have been extremely delighted to learn that you were bringing the Betsi Cadwaladr health board out of special measures. Indeed, in a north Wales meeting recently with MSs and MPs, the chairman himself was looking forward to being taken out of special measures because, as has been rightly pointed out here today, recruitment—you know, it's almost like a toxic brand now, isn't it, the Betsi board, which is really sad. But, I would like to put on record and endorse the comments by my colleague Darren Millar, who expressively said of his thanks, his gratitude, his appreciation to everybody working in the NHS in the Betsi Cadwaladr health board across all levels, not only for their work under the tensions of special measures, but also their heroic efforts during the COVID-19 pandemic. So, again, for you to dismiss that, Minister, was pretty low.
Now, this health board has been in special measures longer than any other health board in Britain. Since June 2015, nearly £100 million has been spent by the Welsh Government under your directorship on intervention and improvement support, which simply hasn't materialised. Now, £1.7 million was spent on securing sustainable musculoskeletal and orthopaedic services last year. Yet, earlier this month, you announced £30 million to improve unscheduled care and to build a sustainable planned care programme, including for orthopaedics. Now, while I fully understand and appreciate that the crisis in orthopaedics has worsened as a result of COVID-19, how is it that we still do not have a sustainable plan after the £1.7 million investment?
Only a few weeks ago, you mentioned some of the challenges facing us. Well, I can tell you that, on 3 November of this year, which is actually 15 working days, you stated that a number of actions were required on the need to further improve leadership and governance: that you needed to develop a long-term integrated clinical services strategy, that we needed further strengthening in leadership capacity within mental health to enhance stability and resilience, that the development of a robust three-year financial plan was needed to meet financial duties as part of the integrated medium-term plan, that there was a need to finalise and implement a revised accountability and performance framework, and that there was a need to deliver improvements in performance, particularly in the acute sector. That was—