Agenda and minutes

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1.1       The Chair welcomed Members of the Committee.

1.2       The Chair welcomed Neil McEvoy AM who had replaced Rhun ap Iorwerth AM on the Committee. The Chair put his thanks on the record to Rhun ap Iorwerth AM.

1.3       There were no apologies.

2.1 The papers were noted.

2.2 The Committee noted the invitations from Aneurin Bevan University Health Board and Cwm Taf Health Board to visit and attend a tasting experience of hospital food from production to the patient. Members agreed to undertake a visit which the clerks will arrange.

Research Briefing

PAC(5)-08-16 Paper 1

Dr Andrew Goodall – Director General/NHS Chief Executive

Simon Dean - Deputy Chief Executive NHS Wales

Albert Heaney - Director, Social Services and Integration, Welsh Government

Jo Jordan - Director of Mental Health, NHS Governance & Corporate Services, Welsh Government

3.1 The Committee considered the update from the Welsh Government questioning Dr Andrew Goodall, Director General/NHS Chief Executive, Simon Dean, Deputy Chief Executive NHS Wales, Albert Heaney, Director, Social Services and Integration, Welsh Government and Jo Jordan, Director of Mental Health, NHS Governance & Corporate Services, Welsh Government on the progress.

Research Briefing

PAC(5)-06-16 Paper 2

Dr Andrew Goodall – Director General/NHS Chief Executive

Simon Dean - Deputy Chief Executive NHS Wales

Albert Heaney - Director, Social Services and Integration, Welsh Government

Jo Jordan - Director of Mental Health, NHS Governance & Corporate Services, Welsh Government

4.1 The Committee considered the update from the Welsh Government questioning Dr Andrew Goodall, Director General/NHS Chief Executive, Simon Dean, Deputy Chief Executive NHS Wales, Albert Heaney, Director, Social Services and Integration, Welsh Government and Jo Jordan, Director of Mental Health, NHS Governance & Corporate Services, Welsh Government on the progress.

4.2 Dr Goodall agreed to:

·       send a description of the clinical conditions that fall within the red, amber and green response times for ambulance calls;

·       send further detail on response time figures for amber calls and how the Welsh Government monitors response times for these calls;

·       investigate and report back on how GP out of hours coverage is managed by health boards.

Research Briefing

PAC(5)-08-16 Paper 3

Dr Andrew Goodall – Director General/NHS Chief Executive

Simon Dean - Deputy Chief Executive NHS Wales

Albert Heaney - Director, Social Services and Integration, Welsh Government

Jo Jordan - Director of Mental Health, NHS Governance & Corporate Services, Welsh Government

5.1 The Committee considered the update from the Welsh Government questioning Dr Andrew Goodall, Director General/NHS Chief Executive, Simon Dean, Deputy Chief Executive NHS Wales, Albert Heaney, Director, Social Services and Integration, Welsh Government and Jo Jordan, Director of Mental Health, NHS Governance & Corporate Services, Welsh Government on the progress.

Research Briefing - Review of the impact of Private Practice on NHS Provision

PAC(5)-08-16 Paper 4 – Auditor General for Wales Report - Review of the impact of Private Practice on NHS Provision

Research Briefing - Orthopaedic Services

PAC(5)-08-016 Paper 5 - Auditor General for Wales Report - Orthopaedic Services

PAC(5)-08-16 Paper 6 – Welsh Government Response to the Auditor General for Wales’ Reports

Dr Andrew Goodall – Director General/NHS Chief Executive

Simon Dean - Deputy Chief Executive NHS Wales

Albert Heaney - Director, Social Services and Integration, Welsh Government

Jo Jordan - Director of Mental Health, NHS Governance & Corporate Services, Welsh Government

6.1 The Committee considered the updates from the Welsh Government questioning Dr Andrew Goodall, Director General/NHS Chief Executive, Simon Dean, Deputy Chief Executive NHS Wales, Albert Heaney, Director, Social Services and Integration, Welsh Government and Jo Jordan, Director of Mental Health, NHS Governance & Corporate Services, Welsh Government on the progress.

Items 8 and 10

7.1 The motion was agreed.

8.1 Members discussed the evidence received and agreed the following:

Governance Arrangements at Betsi Cadwaladr University Health Board

Members noted the update and the scheduled joint WAO/HIW review planned for spring 2017. They agreed to reconsider whether they wish to examine the escalation and intervention framework mechanism on receipt of that review.

Unscheduled Care

Members noted the update and agreed that the inquiry into winter preparedness 2016/17 being undertaken by the Health, Social care and Sport Committee is best placed to take this issue forward.

National Framework for Continuing NHS Healthcare

Members noted the update and that the Auditor General for Wales will look at how each health board is managing claims when repatriated from Powys during his annual health board reviews.

Review of the impact of Private Practice on NHS Provision

Members noted the update and agreed that the Chair would write to the Welsh Government asking to be kept updated of progress made in implementing the accepted recommendations from the AGW’s report and to be kept informed of the publication date of the revised Welsh Health Circular and guidance in relation to patients transferring from private practice to NHS waiting lists.

Orthopaedic Services

Members agreed to request an update from the Welsh Government on progressing the recommendations contained in the AGW Report on NHS Waiting Times for Elective Care in Wales (published in January 2015) and would consider that update together with the update on orthopaedic services.

Research Briefing

Sir Derek Jones - Permanent Secretary, Welsh Government

9.1 The Committee held a valedictory session with Sir Derek Jones, Permanent Secretary at the Welsh Government.

9.2 Sir Derek Jones agreed to write to the Chair with further details of how the allegations made by a whistle-blower on misuse of the concessionary bus scheme were initially dealt with.

9.3 The Chair thanked Sir Derek Jones for attending meetings of both this and the Public Accounts Committee in the Fourth Assembly and gave him the Committee’s best wishes for his future.

10.1 The Committee considered the evidence received and In addition, during the Committee’s consideration of the valedictory session, Members agreed to ask the Permanent Secretary to send further details of the Welsh Government’s Anti-Fraud Unit together with its budget.