I think there are two things that have be distinguished here. There is the original decision to concentrate specialist vascular services at Ysbyty Glan Clwyd. The Member said that that had happened 'for some reason' as though it was a trivial matter that had just been plucked out of the air. He will know perfectly well that the case for the concentration of specialist services was one, as I said in my original answer, strongly supported by the Royal College of Surgeons, supported by the Vascular Society of Great Britain and Ireland, because of the evidence from elsewhere that specialist services have better results when you have people who carry out that work day in, day out and do those specialist things. Twenty per cent of services were to be carried out at Ysbyty Glan Clwyd, leaving 80 per cent of vascular services still to be provided in Wrexham and in Bangor. Out-patient appointments, varicose vein procedures, diagnostics, review of in-patient vascular referrals and rehabilitation are still carried right across north Wales.

I don't myself believe that the model, as originally proposed and supported by the board and not opposed by the community health council, was the wrong one. [Interruption.] I know there are people who don't agree with that. I noticed that the Royal College of Surgeons in its report said that the constant undermining of the model by local criticisms has made the implementation of the model more difficult to achieve. [Interruption.] Well, this is what it says. I know you don't like it, but that is what it says. They said that the constant attempts to undermine the model have made its implementation more challenging, and that the undermining of the morale of people who are responsible for the services by those criticisms could lead in the end to poorer services for patients. You may not like it, but that is what the report says.

I distinguish myself between the model, which I think was the right one, and the implementation issues, which have to be put right. The original report—there's a two-stage report by the Royal College of Surgeons—identified a number of things that still needed to be done to make sure the patients in north Wales derived the maximum benefit from the new model. It remains the responsibility of the clinicians who lead that service, and the board, to make sure that the investment that has been provided—investment in the infrastructure at Glan Clwyd and in the specialist staffing of the service at Glan Clwyd—now delivers the benefits that the model was there to derive. If there's more to be done, then I look to the people who are responsible for the service to make sure that they learn the lessons from the Royal College of Surgeons and put anything that needs to be put right right, because the model itself is the right one for people in north Wales.