Health Ministers ultimatum to Betsi to improve or face going back into special measures

The health board, which covers the six counties in North Wales, has come under fire after a “damning” report into vascular services in the region.

The report has raised serious questions about the quality of care in the North Wales health board region.

The health board was taken out of special measures after five years in November 2020 and downgraded to the “targeted intervention” category.

Health Minister, Eluned Morgan

But now Health Minister Eluned Morgan says "further escalation measures" could be imposed if improvements aren't apparent in the next three months.

In a written statement on Wednesday, Baroness Morgan said: "Last Friday a tripartite meeting took place between Welsh Government, Healthcare Inspectorate Wales and Wales Audit Office to discuss the escalation status of health organisations in NHS Wales.

"Particular consideration was given to the escalation level in Betsi Cadwaladr University Health Board, following the publication of part two of an invited service review into vascular services by the Royal College of Surgeons.

"Members will already be aware that Betsi Cadwaladr University Health Board was placed in Targeted Intervention in November 2020 for four areas."

Those four areas were: Mental Health (adult and children); Strategy, planning and performance; Leadership (including governance, transformation and culture); and Engagement (patients, public, staff and partners).

The statement adds: "Targeted intervention is a heightened level of escalation that requires significant action on the part of the organisation and is accompanied by a level of continued oversight from my officials.

"Following last week’s tripartite meeting and in light of information provided to me by the health board, I have decided to give a clear warning that if the recommendations from the Royal College Reviews are not sufficiently progressed within three months there will be consequences.

"Let me make clear my reasons for this.

"The health board has responded swiftly to the second part of the RCS review and has taken a number of immediate actions including establishing links with Liverpool, setting up a Quality Panel which will be independently chaired and taking steps to strengthen clinical leadership locally. I have received a detailed action plan for immediate implementation and will be receiving monthly reports from the Chair.

"I believe it is correct to allow the health board team some time to prove that these measures are making a difference. However, I have made it very plain to the health board that if I do not feel confident that their planned actions are being implemented or if I am not convinced the service is heading in the right direction within the next three months, then I will ask the tripartite to convene an additional meeting to consider advice on further escalation measures."

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The Welsh Conservatives say the Health Minister's ultimatum shows that bringing the BCUHB out of special measures months before the Senedd elections was a political decision.

Darren David Millar (Welsh Conservative Party)

Welsh Conservative and Shadow Minister for North Wales Darren Millar MS said: “The failure of the Welsh Labour Government to deliver the improvements they have promised in healthcare for people across North Wales is a scandal.

“Today’s statement by the Health Minister amounts to an admission that the decision to withdraw special measures last year was political, and not based on evidence of significant improvement.

“The Welsh Government has shown itself to be hopelessly incapable of turning Betsi around. Instead of playing politics we now need some ‘extra-special measures’ to ensure that patients in North Wales get the timely, high quality healthcare that they deserve.”