Part of the debate – in the Senedd at 6:27 pm on 8 June 2022.
Thank you, Presiding Officer. I wasn't expecting to be called just at that moment. Thank you, Darren Millar, for tabling this debate today. Since Betsi was suddenly taken out of special measures in 2020—and it was suddenly, as Rhun ap Iorwerth pointed out—by the then health Minister, Vaughan Gething, significant failings have, of course, continued to occur, ranging from mental health services to vascular services and emergency departments across the board. For me, it's repeated errors that have been continued since 2015 that is the issue here. I'd have some more understanding if these were new failings, but they're failings that have been repeated for the last seven years and I think that that is what the frustration is that you hear in the Chamber today, and you have heard, Minister, for some time.
We have poor communications—there were a couple of examples in Sam Rowlands's contribution—and lack of escalation for staff to air their concerns. Continuing mistakes leading to a risk to patient safety and even death have been highlighted over and over again by independent reviewers. As was discussed yesterday, we're all too familiar, of course, with Ysbyty Glan Clwyd's emergency department—waiting times have not improved since the report was published. You've heard specific examples from Members across this Chamber a number of times—I listened to Sam Rowlands's examples, specifically, as well—and very often, it can be said, 'Well, these are just one-off examples', but that is, of course, not the case. We know that two in three patients are waiting more than four hours—that is completely unacceptable. The Minister, in fairness, has accepted that that's unacceptable, but the failings are still happening, and what the Minister does fall short of is putting the board into special measures. These are continuing over seven years of special measures and targeted interventions and this continues to be the case. It's worth saying, of course, that it's not just Ysbyty Glan Clwyd's emergency department that is failing, it's Wrexham Maelor also failing as well—60 per cent of patients waiting over four hours there.
Now, I listened to the statement yesterday and Members asking questions and the Minister responding—I didn't ask any questions myself; I listened carefully to the questions and the responses. The Minister wants to move at pace and improve services, and that's all good to hear, but the Minister's proposals, I suggest, suggest otherwise. The tripartite group will not meet until not just—and I can see the Minister looking at this—will not meet perhaps next month or this summer, but not until October. Now, yes, I heard your response to this yesterday, Minister, but four to five months away, that doesn't show any kind of urgency. Now, the Minister said yesterday that, 'Oh, there are going to be meetings every two weeks', but staff and patients are crying out for more swift and decisive support. What actions will be taken every two weeks? What will the level of transparency be in those meetings that are taking place every two weeks in those monitoring—? What kind of monitoring will take place in those two-week meetings? So, I'll be interested if, in the Minister's response, the Minister deals with some of those issues.
Now, three out of the four issues that the Minister outlines—leadership, governance, mental health services, emergency services—they're reflected in other hospital services across the board. I previously mentioned the Wrexham Maelor emergency department, but I also mentioned the Ablett mental health unit as well in Ysbyty Gwynedd. Also, in that particular instance, we saw one patient sadly take their own life. And just last month, the assistant coroner for north Wales east expressed the serious concerns into the health board's investigations into the patient's death. Now, I would have some sympathy, actually—I have had some sympathy in the past—with the Minister's strong view that now is not the time to reorganise, but it's been a decade of extremely poor management and seven years of special measures or targeted intervention. This isn't an issue of the pandemic; this has been happening for over a decade. And, for me, I have to come to the conclusion that if now is not the time to relook at organisation or relook at how services are delivered, when is the time? When is that time? So, people in north Wales, patients in north Wales, but also staff in north Wales, do deserve a quality health service, and I would hope that Members today across this Chamber will support our motion and also Plaid's amendment put into this motion as well today.