Part of the debate – in the Senedd at 5:22 pm on 22 March 2023.
So, we've had no apology, there's no admission of a crisis, and we've seen poor judgment exercised in your refusal to positively engage with other political parties, and some on your own back benches, to try and resolve situations that we've been confronted with since you have been appointed as health Minister. And we saw the most despicable act, in my view, that we've seen from a health Minister in Wales in the years in which I have been a Member of this Senedd, when you hung out to dry decent people who were working hard as independent members of the Betsi Cadwaladr University Health Board, trying to drive change without your support and without the support of some of your officials—trying to drive change—and yet, they were left as the scapegoats—the scapegoats—for the failings in that health board, when you know and I know, and everybody knows, that the real problem are the senior executives in that health board as an organisation. You've called into question the integrity, frankly, of those independent members, and tried to tarnish their reputations in doing so in the way that their resignations were demanded.
It may be an affront to some on the Labour benches that we are asking you all today to vote in support of our motion of no confidence. And when I say we don't table it lightly, you know the last time that we tabled a motion of no confidence in this Senedd was 11 years ago. That's the last time we tabled a motion of no confidence in this Senedd—11 years ago. That's the last time we did it, because we don't take it lightly; this is not a game. We're not playing politics. We're not playing politics. What we're trying to do is get better services and put someone in charge who holds themselves to account for the responsibilities that they hold when they have their hands on the levers of power when it comes to our national health service. You have failed to listen, I'm afraid, and you've tried to blame everybody else other than accepting some of your own responsibility.
I've heard the comments about finances, by the way, I just don't accept them. For every £1 spent on the NHS in England, Wales receives £1.20 [Interruption.] You're quite right: we need a needs-based formula. The last time that a needs-based formula was considered by an independent commission in Wales, the Holtham commission, they said that that fee should be £1.15 for every £1 spent in England. So, we're actually getting proportionately more.
So, what would we do differently? What have we called on you to do differently under your tenure that you haven't? Well, we would certainly have removed those executives from the board. You do have the powers, as has already been pointed out today, to remove any employee from the board of a national health service organisation in Wales. You didn't use those powers, even though you have them. We've called on you a number of times to establish a NHS leadership register, requiring everybody who's in a senior leadership position in the national health service to be registered with that in order to work in the NHS, in the same way that clinicians and nurses are required; you refused to do so. We asked you to put Betsi not into the same special measures as before, which is effectively what we've got, but a set of reformed special measures to try and turn the organisation around. You didn't listen to us and then ended up, months later, putting it into special measures. We asked you as well—and have made this point on a number of occasions—to split the role of chief executive of the NHS from that of director general of the Department for Health and Social Care, because we believe that that would also drive some better accountability into the system, but you haven't listened to us.
And when we've got a Minister who won't listen, who won't accept responsibility, who tries to body-swerve around every single person who comes to her and says, 'Well, aren't you responsible?' then, I'm afraid your time's up and it is time to go. And so, for that reason, for this lack of accountability in our health service, for your failures to listen, for your failures to positively engage, for your poor judgment during your tenure, I'm afraid time's up. The buck stops with you and I'm afraid you must go. And I heard what you said about while you have the confidence of the First Minister—what about the other 3 million-odd people out there in the country? What about their confidence? Because I'm afraid that if you come with me to north Wales to meet my constituents—and I would invite anybody to do so—you will find many people who have lost loved ones, who have experienced terrible trauma and pain as a result of the failings in our NHS. And if you would care to speak to them, you'll realise that you don't have their confidence either. I urge people to support our motion.