Governance Arrangements at Betsi Cadwaladr University Health Board
Governance Arrangements at Betsi Cadwaladr University Health Board
The Wales Audit Office and Healthcare Inspectorate
Wales undertook a joint review An
Overview of Governance Arrangements – Betsi Cadwaladr University Health Board
(BCUHB), which was published
in June 2013.
The joint report found that:
- the Health Board’s governance arrangements and procedures did not
adequately address the gap between the ward and the Board;
- routine governance arrangements within the Health Board had not
paid sufficient attention to infection control;
- the effectiveness of the Board had been significantly compromised
by a breakdown in working relationships between some senior leaders in the
organisation; and
- the Board collectively lacked the capacity and capability to
provide appropriate levels of scrutiny in relation to service delivery.
Following the publication of the report, the Public Accounts Committee undertook
an inquiry into the governance arrangements at BCUHB and how they are being
addressed.
The Committee closely monitored the implementation
of the recommendations contained within its December 2013 report by receiving
regular written and oral updates from the Health Board and the Welsh Government
and taking account of further reporting by the Auditor General and Healthcare
Inspectorate Wales. This monitoring gave the Committee an opportunity to
consider how the Health Board has responded to being placed in special measures
by the Minister for Health and Social Services in June 2015. The Welsh Government
has since indicated that the period of special measures is likely to last until
at least October 2017.
The Committee recommended in its Legacy Report that
the successor Committee monitors the progress Betsi Cadwaladr University Health
Board makes during the period of special measures including GP Out of Hours
services, and considers taking further oral evidence from the Health Board in
Spring 2017.
The Committee recommended in its Legacy Report that
the successor Committee considers the
Welsh Government’s response to the recommendations in the February 2016 report
on ‘Wider issues emanating from the governance review of Betsi Cadwaladr
University Health Board’ and follows up on the implementation of related
actions at regular intervals.
Business type: Committee Inquiry
Reason considered: Senedd Business;
Status: Complete
First published: 31/07/2013
Documents
- The Public Accounts Committee Report and Related Responses
- Public Accounts Committee Report - December 2013
- Welsh Government Response - 5 February 2014
- Consideration of response from the Welsh Government - 24 February 2014
- Follow-up Work Following Publication of the Committee Report – December 2013 Onwards
- Letter from Simon Dean, Interim Chief Executive, Betsi Cadwaladr University Health Board with Holden Report - 16 November 2015 PDF 208 KB
- Letter from the Director General for Health and Social Services - 30 June 2015 PDF 3 MB
- Letter from the Director General for Health and Social Services - 1 September 2015 PDF 225 KB
- Letter from the Auditor General for Wales - 17 June 2015
- Letter from Chair of Betsi Cadwaladr University Health Board - 15 May 2015
- Letter from Chair of Betsi Cadwaladr University Health Board - 13 April 2015
- Letter from the Director General for Health and Social Services - 18 November 2014
- Letter from the Director General for Health and Social Services - 4 November 2014
- Letter from the Minister for Health and Social Services - 17 September 2014
- Letter from Chair of Betsi Cadwaladr University Health Board - 29 July 2014
- Briefing from the Auditor General for Wales' Office - July 2014
- Letter from Chair of Betsi Cadwaladr University Health Board - 29 June 2014
- Letter from the Director General for Health and Social Services - 9 December 2013
- Evidence Related to Public Accounts Committee Report Published - December 2013
- Joint letter from Healthcare Inspectorate Wales and the Wales Audit Office to the Chief Executive, BCUHB - 23 May 2013 PDF 119 KB
- Written evidence, Auditor General for Wales - 31 October 2013 PDF 281 KB
- Written evidence, Director General, Health and Social Services, Welsh Government - 15 October 2013 PDF 247 KB
- Written evidence, Healthcare Inspectorate Wales - 10 October 2013 PDF 90 KB
- Written evidence, former Chair, BCUHB - 4 October 2013 PDF 986 KB
- Written evidence, Director General, Health and Social Services, Welsh Government - 2 October 2013 PDF 115 KB
- Written evidence, outgoing Chief Executive, BCUHB - 12 September 2013 PDF 858 KB
- Written evidence, Chair of North West Wales Consultant Group - 11 August 2013 PDF 24 KB View as HTML (27) 35 KB
- Written evidence, Director General, Health and Social Services, Welsh Government - 2 August 2013 PDF 319 KB
- Written evidence, Director of Governance and Communications, BCUHB - 29 July 2013 PDF 917 KB
- Written evidence, outgoing Chief Executive, BCUHB - 18 July 2013
- Written evidence, North Wales Community Health Council - 12 July 2013 PDF 6 MB
- Written evidence, Chair Gwynedd Consultants and Specialists Committee - 5 July 2013 PDF 102 KB View as HTML (32) 12 KB
- Monitoring work undertaken by the Fifth Assembly Public Accounts Committee
- Letter from Dr Andrew Goodall - 17 October 2016 PDF 229 KB
- Letter from Dr Andrew Goodall - 21 October 2016 PDF 176 KB