The Welsh government has rejected a proposal to have a health board from outside of Wales take over the management of Betsi Cadwaladr University Health Board (BCUHB), citing devolution and differing regulatory systems. The suggestion was made by Adrian Mason MS, the Reform MS for Clwyd, who argued that the current performance of BCUHB is unacceptable and that patients have experienced prolonged waits for healthcare.
During a debate in the Senedd, Mason urged the Welsh government to consider "the very best clinical, operational and turnaround expertise" from across the United Kingdom, stating that patients care more about improved treatment and outcomes than the origin of the expertise. He questioned the minister's assertion that all options were being considered, emphasizing that devolution should not lead to insularity.
In response, ap Gwynfor, for the Fflint Wrecsam constituency, stated that he would not countenance an outside health board taking charge due to different rules and legislation governing devolved healthcare in Wales. He asserted that BCUHB answers to the Senedd and the people of Wales. Ap Gwynfor outlined his plan to implement an intensive support, recovery, and turnaround team, including a review led by a panel of health experts, to address the issues plaguing the health board.
Mason further called for the minister to publish the membership and terms of reference for the expert panel, set clear monthly performance targets, and detail the actions to be taken if those targets are missed. He stated that the focus should be on a successful turnaround rather than a "constitutional bidding war," and that accountability should remain with the Welsh government, with the minister judged on delivery. Mason concluded that patients need improved healthcare and not to be caught in a political debate about constitutional matters. He stressed that the best expertise should be brought in from across the UK, with accountability remaining with the Welsh government.