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An Overview of Governance Arrangements Betsi Cadwaladr University Health Board: A Summary of Progress June 2017

Joint review undertaken by Healthcare Inspectorate Wales and the Wales Audit Office.

In 2013 ourselves and WAO published a joint report setting out numerous and significant concerns about the governance arrangements within Betsi Cadwaladr University Health Board.

Since then the Health Board has experienced ongoing challenges in respect of leadership and governance, and with service delivery in specific areas, especially in respect of mental health. These culminated with the Health Board being placed into special measures by the Minister for Health and Social Services in June 2015.

The Welsh Government issued a special measures improvement framework in January 2016 to the Health Board setting out expected improvement milestones. Progress against these milestones is discussed at tripartite meetings involving Welsh Government, the Wales Audit Office and Healthcare Inspectorate Wales.

Separate to the monitoring of progress against the special measures improvement milestones, the Wales Audit Office and Healthcare Inspectorate Wales have retained a commitment to formally report periodically on the actions taken by the Health Board to address the governance concerns that we had identified in 2013. This report has been produced as part of that commitment.