Part of 4. Topical Questions – in the Senedd at 3:43 pm on 29 March 2023.
Thanks very much. Obviously, I'm not happy with the progress that's happened in Ysbyty Glan Clwyd, and, obviously, I did have sight of this report prior to me putting them into special measures. I was very concerned, and it was one of the many factors that made me lead to that action that I took.
Staffing is a real issue. It's not an issue just in Ysbyty Glan Clwyd; it's an issue throughout the world. I was in a conference recently in Denmark, and the talk of the entire conference was about how difficult it is to recruit people to the health service. I've been talking, today, to the medical director in Betsi about what opportunities there are in relation to improving staffing facilities and recruiting more people in Betsi Cadwaladr, but specifically to see what more we can do in relation to providing that additional support in Ysbyty Glan Clwyd.
You'll be aware that we've escalated this particular facility from targeted intervention to special measures; that means that, obviously, with the special measures, we will become more directive. I think it's really important that people understand that that doesn't mean that we are running the health board. So, it's really important that people understand that the responsibility for running the health board is still with the chair and the chief executive; I'm not running the health board. It's really important that people understand that what we're there to do is to make sure that we support them and we become directive in terms of what our expectations are.
I think it's really important that we try to ensure that people understand that the majority of people who have care, even in this emergency department, continue to receive good care and a good experience, but there are too many people who are not having that good experience. One of the things that I've been very keen to do is to make sure that we give more support to urgent and emergency care, and that's why we've earmarked £25 million across Wales. But, in addition to that, there has been a specific allocation of £418,000 to emergency departments in Betsi, because I do appreciate that, actually, this is not going to go away in the sense that the demand is constant. Obviously, we've got a lot of work to do on flow, but I want people, while they're waiting, to have a more pleasant time than they are now, which is why we're putting some additional facility and support into the capital and the infrastructure in emergency departments.
There's a lot of work to do, clearly, around the staff culture in relation to what is happening in the emergency department. There are, I'm sure, many, many able people; there are people who are working extremely hard. But, also, I think it is important to note that this report suggests that some of the staff were not always kind and courteous to patients, and we have to make sure that there is a no-tolerance approach to that. It's clear that things need to change in relation to the culture in Ysbyty Glan Clwyd, and in particular in the emergency department. I hope, this time, that the health board will pay heed to this report and that we will not see another poor report from HIW again.