HIW tells us that this escalation process ensures that focused and rapid action can be taken by a range of stakeholders to ensure that safe and effective care is being provided. So, let's pause on that word 'safe'. HIW has put this escalation measure in place because the royal college of surgeons report identified a number of concerns that we believe indicate a clear risk to patients using the vascular service. Now, vascular patients have been put at risk because of poor management, just as mental health patients' lives have been put at risk through a number of scandals within the same health board. I genuinely feel for those trying to put things right and being knocked back time and time again. Now, this appears to me to be more special-ish measures, but I question if this process of escalation is enough in itself. So, I repeat my call today: put vascular services in Betsi Cadwaladr University Health Board in the highest possible level of special measures you have, and do so with the patient in mind—those whose faith in their local health board has been rocked to the core, those in the furthest reaches of the north-west who've been left at vast distances from core services by the centralisation at Ysbyty Glan Clwyd and who must see the strengthening of services accessible to them.

Now, I don't want reorganisation any more than the Minister does, but this again smacks of a health board that is too large, too unwieldy to be run effectively, and too distant from the people it serves. Episode after episode, such as the one we're discussing today, mean that the redesigning of health services across the north has to be left on the table. So, will it be that, or will Government at least bring back special measures for vascular services to show you're serious about resolving things within the current structures?