Through routine audit work undertaken at Betsi Cadwaladr University Health Board, growing concerns were uncovered regarding the cohesiveness of the board and working relationships at senior level. The extent and nature of these concerns led to the Auditor General for Wales completing an urgent and focused review of the collective effectiveness of the board at Betsi Cadwaladr University Health Board.

What we found

The Auditor General’s report in the public interest has found that the breakdown in working relationships within the board at Betsi Cadwaladr University Health Board is fundamentally compromising its ability to tackle the numerous challenges the organisation faces.

The report also found that without some form of intervention to establish a more unified Executive Team and wider board, the current situation is unlikely to be resolved.

Our report also identifies immediate actions needed to address the concerns raised in our review.