Meetings

7.1 The Committee considered the evidence received.

Sue Tranka, Chief Nursing Officer for Wales

Gill Knight, Nursing Officer Safety, Regulation & Service Development, Welsh Government

Research brief

5.1 The Committee received evidence from Sue Tranka, Chief Nursing Officer for Wales and Gill Knight, Nursing Officer Safety, Regulation and Service Development, Welsh Government.

5.2 The Chief Nursing Officer agreed to provide:

• Further information on the technological barriers to the collection and publishing of data on nurse vacancies at an all-Wales level, and the work being done to address this;

Information on the work done to reduce the spend on agency nursing prior to the pandemic, and how the current level of agency spend compares with the pre-pandemic level.

4.2 The Committee noted the letter.

6.12  The Committee noted the letter.

6.13  The Committee noted the letter.

Paper 5 – Draft report

4.1  The Committee considered the evidence received.

4.2  The Committee would agree its report via email, prior to publication on 22 September 2022.

3.7 The Committee noted the response.

4.2 The Committee noted the letter.

6.1 The Committee noted the paper.

3.1  The Committee noted the letter.

Dr Sharon Hopkins, Chief Executive, Cwm Taf Morgannwg University Health Board

Professor Marcus Longley, Chair, Cwm Taf Morgannwg University Health Board

Dr Nick Lyons, Medical Director, Cwm Taf Morgannwg University Health Board

Research brief

Paper 1 – Cwm Taf Morgannwg University Health Board

2.1  The Committee received evidence from representatives of Cwm Taf Morgannwg University Health Board regarding Royal Glamorgan hospital emergency department services.

2.2  Representatives of Cwm Taf Morgannwg University Health Board agreed to provide details of recruitment attempts over the last 5 years for Emergency Department consultants to the Royal Glamorgan hospital.

4.1  The Committee discussed the issues raised during the evidence session and agreed to write to the Minister on a number of matters..

Martin Woodford, Chair, Welsh Ambulance Services NHS Trust

Jason Killens, Chief Executive, Welsh Ambulance Services NHS Trust

Dr Brendan Lloyd, Medical Director, Welsh Ambulance Services NHS Trust

Claire Roche, Executive Director of Quality and Nursing, Welsh Ambulance Services NHS Trust

Research brief

Paper 1 – Welsh Ambulance Services NHS Trust

2.1  The Committee received evidence from the Welsh Ambulance Services NHS Trust.

2.2  The Welsh Ambulance Services NHS Trust advised that joint decisions on diverting ambulances are made together with teams from local health boards.  The Committee requested further information about these teams.

4.1  The Committee considered the evidence received and agreed to write to the Trust seeking clarification of a number of points.

7.1  The Committee noted the letter.

Dave Thomas, Wales Audit Office

Rhys Jones, Healthcare Inspectorate Wales

Erica Hawes, Healthcare Inspectorate Wales

Paper 2 – Wales Audit Office and Healthcare Inspectorate Wales

Independent Report into the handling of the Secondee Consultant Midwife Report into Maternity Services, Cwm Taf University Health Board
Author: Steve Combe Independent Governance Adviser

5.1 The Committee received a factual briefing from the Wales Audit Office and Healthcare Inspectorate Wales.

5.2 The Committee noted the letter.

Alex Howells, Chief Executive, Health Education and Improvement Wales

Julie Rogers, Deputy Chief Executive/ Director of Workforce and OD, Health Education and Improvement Wales

Sue Evans, Social Care Wales

Sarah McCarty, Social Care Wales

Research Brief

Paper 1 – Health Education and Improvement Wales and Social Care Wales

2.1  The Committee received evidence from Health Education and Improvement Wales, and Social Care Wales.

5.1  The Committee considered the evidence received and agreed to write out to Health Education and Improvement Wales, and Social Care Wales requesting additional information on their workforce mental health strategies.

Mark Polin, Chair, Betsi Cadwaladr University Health Board

Gary Doherty, Chief Executive, Betsi Cadwaladr University Health Board

Deborah Carter, Acting Executive Director of Nursery, Betsi Cadwaladr University Health Board

Sue Hill, Executive Director of Finance, Betsi Cadwaladr University Health Board

Research Brief

Paper 1 – Betsi Cadwaladr University Health Board

2.1 The Committee received evidence from Betsi Cadwaladr University Health Board

2.2 Betsi Cadwaladr University Health Board agreed to provide supplementary evidence regarding:

Ø  the percentage of young people being assessed for specialist CAMHS treatment within the required referral timescales;

Ø  timescales for waiting times for neurodevelopmental assessments;

Ø  clarity regarding the restrictions in place on the unit admitting young people who are suicidal/self-harming in the CAMHS Unit in Abergele and what steps the Health Board is undertaking to address the problems regarding recruitment in the unit. 

4.1 The Committee noted the letter.

6.10  The Committee noted the letter.

6.4  The Committee noted the letter.

5.1        The Committee considered the evidence received and discussed further scrutiny options. The Committee agreed to invite David Jenkins to discuss his work supporting the Chair of the Independent Maternity Services Oversight Panel and Cwm Taf Morgannwg University Health Board to deliver improvements in leadership and corporate governance to a future meeting.

5.2        The Committee agreed to write to the Minister for Health and Social Services to seek clarification on the different streams supporting the intervention process.

7.1        The Committee discussed the evidence received.

5.2        The Committee noted the letter.

Ann Lloyd, Chair, Aneurin Bevan University Health Board

Judith Paget, Chief Executive, Aneurin Bevan University Health Board

Glyn Jones, Director of Finance and Performance, Aneurin Bevan University Health Board

Martine Price, Interim Director of Nursing, Aneurin Bevan University Health Board

Research Brief

Paper 1 – Aneurin Bevan University Health Board

3.1        The Committee received evidence from Aneurin Bevan University Health Board.

3.2        Aneurin Bevan University Health Board agreed to provide details of the percentage that the financial premium for running managed practices would be if locum costs were excluded (i.e. if doctors were employed in substantive posts).

3.3        The Committee agreed to write with the questions not reached.

Len Richards, Chief Executive, Cardiff and Vale University Health Board

Abigail Harris, Executive Director of Strategic Planning, Cardiff and Vale University Health Board

Robert Chadwick, Executive Director of Finance, Cardiff and Vale University Health Board

Steve Curry, Chief Operating Officer, Cardiff and Vale University Health Board

Research Brief

Paper 1 – Cardiff and Vale University Health Board

2.1  The Committee received evidence from Cardiff and Vale University Health Board.

2.2  Cardiff and Vale University Health Board agreed to provide;

·         details of the number of times out of hours has had to operate at a reduced service

·         the current waiting times for the 48-hour urgent CAMHS access target and what happens to young people once they've had that first assessment - how long are they waiting for any therapeutic interventions

·         what services will be provided at the gender identity service in Cardiff and Vale

2.3  The Committee agreed to write with the questions not reached.

4.1 The Committee considered the evidence received.

Carol Shillabeer, Chief Executive, Powys Teaching Health Board

Hayley Thomas, Director of Planning and Performance, Powys Teaching Health Board

Wyn Parry, Medical Director, Powys Teaching Health Board

Rhiannon Jones, Director of Nursing, Powys Teaching Health Board

Paper 2 – Powys Teaching Health Board

3.1  The Committee received evidence from Powys Teaching Health Board.

Steve Moore, Chief Executive, Hywel Dda University Health Board

Joe Teape, Deputy Chief Executive / Director of Operations, Hywel Dda University Health Board

Karen Miles, Director of Planning, Performance and Commissioning, Hywel Dda University Health Board

Dr Phil Kloer, Medical Director and Director of Clinical Strategy, Hywel Dda University Health Board

Research Brief

Paper 1 – Hywel Dda University Health Board

2.1  In relation to eye care, the Health Board agreed to provide the figures for the number of patients whose eyesight has been lost or damaged as result of delayed treatment.

2.2  The Committee agreed to write seeking information on a number of points that Members did not have time to explore during the session.

5.1  In addition to the points above, the Committee agreed to write to Hywel Dda for more information on the measures in place to deal with the growing demand for assessment of children within the CAMHS service, including those waiting longer than the target times.

Paper 7 - Forward work programme

8.1 The Committee considered further scrutiny options following the session with Cwm Taf University Health Board on 23 May 2019. It agreed, in the first instance, to invite the independent maternity oversight panel established by the Welsh Government to discuss its work at a future meeting.

5.1 The Committee considered the evidence received and agreed to write to the Trust for further information about the sustainability of its new clinical model of care and arrangements for blood donations.

Steve Ham, Chief Executive Officer

Carl James, Director of Strategic Transformation, Planning, Performance & Estates

Dr Jacinta Abraham, Medical Director

Cath O’Brien, Chief Operating Officer

Research Brief

Paper 1 – Velindre NHS Trust

2.1 The Committee received evidence from Velindre NHS University Trust and agreed to write for further information.

5.1 The Committee considered the evidence received.

Professor Marcus Longley, Chair, Cwm Taf Morgannwg University Health Board

Allison Williams, Chief Executive, Cwm Taf Morgannwg University Health Board

Angela Hopkins, Board Director, Cwm Taf Morgannwg University Health Board

Dr Ruth Alcolado, Deputy Medical Director, Cwm Taf Morgannwg University Health Board

Research Brief

Paper 1: Cwm Taf Morgannwg University Health Board

2.1 The Committee received evidence from Cwm Taf Morgannwg University Health Board.

2.2 Allison Williams agreed to provide further information on serious incident reporting.

Tracy Myhill, Chief Executive Officer, Swansea Bay University Health Board

Chris White, Chief Operating Officer and Deputy Chief Executive Officer, Swansea Bay University Health Board

Richard Evans,  Executive Medical Director, Swansea Bay University Health Board

Sian Harrop-Griffiths, Executive Director of Strategy, Swansea Bay University Health Board

Research Brief

Paper 2: Swansea Bay University Health Board

3.1 The Committee received evidence from Cwm Taf Morgannwg University Health Board.

3.2 Chris White agreed to provide further information on waiting times for crisis care services.

2.1 The Committee noted the letter.

Kate Chamberlain, Chief Executive, Healthcare Inspectorate Wales

Alun Jones, Deputy Chief Executive, Healthcare Inspectorate Wales

Stuart Fitzgerald, Director of Strategy and Engagement, Healthcare Inspectorate Wales

Research Brief

Paper 2: Healthcare Inspectorate Wales

Paper 3: Letter from the Minister of Health and Social Services

3.1 The Committee received evidence from Healthcare Inspectorate Wales.

7.1 The Committee considered the evidence received and agreed to write to the Minister for Health and Social Services

Alex Howells, Chief Executive, Health Education and Improvement Wales

Julie Rogers, Director of Workforce & Organisational Development/Deputy Chief Executive, Health Education and Improvement Wales

Sue Evans, Chief Executive, Social Care Wales

Sarah McCarty, Director of Improvement and Development, Social Care Wales

Research Brief

Paper 1 – Health Education and Improvement Wales and Social Care Wales

2.1 The Committee received evidence from Health Education and Improvement Wales, and Social Care Wales.

5.1 The Committee considered the evidence received.

3.5 The Committee noted the letter.

3.4 The Committee noted the written evidence.