Diolch, Dirprwy Lywydd. Further to my written statement yesterday concerning the extraordinary measures I’ve taken to stabilise and support the Betsi Cadwaladr University Health Board, I want to explain the decisions that I’ve made, what support I’m putting in place and what I expect to happen in the next few weeks and months.

These were not decisions I took lightly. Firstly, I want to reassure the people living in north Wales that they will be able to use their local health services as normal. Every day, thousands of people across north Wales are receiving an excellent service by the NHS, but there is a lack of consistency when it comes to quality, safety and efficiency, and correcting this will be at the heart of the changes that will need to be made. I know that we also have thousands of dedicated health board workers who may be concerned at these developments, but I’d like to reassure them that their day-to-day services and activities will continue and will not be immediately affected by 'special measures' status.

In 2020, we took the controversial decision to de-escalate Betsi from special measures. Many of you will say that it was the wrong decision to take, and we’ve heard some say again today that it was a political decision and one that was premature; this was not the case. There were several reasons behind our decision to de-escalate Betsi from special measures in November 2020. The health board responded well to the COVID challenges, and we received a number of reports that signalled that the health board were taking positive strategic steps towards improvement. We were of the view that the appointment of the new chief executive and the targeted intervention support that was put in place would enable the board to continue to make the improvements that we expected to see. Indeed, the leadership from the new chief executive and developments of a new operating model all signified that the organisation was strategically taking positive steps forward.

But more recently, the health board’s response on many issues have not provided the assurance needed, despite the considerable additional financial resources that have been provided, and HIW's unannounced visits, as well as my own unannounced visits, have demonstrated that improvements are not taking place at the pace required. I have serious concerns relating to the performance and governance of the board as well as concerns about the leadership and culture in the organisation. The description of the board being ‘dysfunctional’ in the recent Audit Wales report further enhanced those concerns. We need to fundamentally change the organisational culture, and I announced my decision yesterday to place the health board into special measures. I’ve subsequently taken further action to ensure board stability.

It has become clear that there is a need for new leadership and direction. As part of being placed into special measures, I have spoken with the non-executive members and as a result, the chair, vice-chair, and independent members have stepped aside. It’s important that we do things correctly and for the right reasons, and that we do them compassionately and at pace. I’ve made four direct temporary non-executive appointments to the board to ensure stability, and they join with immediate effect. Further appointments will be made in the coming weeks and months. These appointments have extensive and wide-ranging experience, especially in the areas in which the health board needs to improve. I’m pleased to announce that they will be led by Dyfed Edwards, a former leader of Gwynedd Council, and deputy chair of the Welsh Revenue Authority. Further direct appointments will follow soon. They will undertake the statutory requirements of the board chair and independent members. In doing so, they will review executive leadership arrangements and structures and take the necessary decisions for improvements, taking into account the findings of the Audit Wales report. A campaign to recruit new independent members to the board beyond this initial period of stabilisation will commence later this year.

I am also of the view that now is not the time to make structural changes. It’s important to focus on the quality and delivery of services, which need significant and rapid improvement, and therefore I have no intention of breaking the health board into smaller organisations, in particular at a time when we are encouraging regional co-operation and working, which is needed to support better clinical outcomes for patients. A reorganisation would be hugely disruptive and would take attention away from the need to focus now on providing the best possible service to the people of north Wales.

The special measures arrangements will involve the creation of a health board intervention and support team. I am today able to update you on the appointment of four health board advisers. They are: Mick Giannasi, Alan Brace, Dr Graham Shortland, Susan Aitkenhead and—I'm sorry, there were five appointments—David Jenkins.