2. Will the Cabinet Secretary make a statement on the coroner's findings in the death of Dr Kim Harrison which highlighted serious failings at Swansea Bay University Health Board? TQ1044

Diolch yn fawr. This is a tragic case, and my thoughts are with those who are affected. The health board investigated this incident at the time, and made necessary improvements. I expect immediate action by the health board following the coroner's findings, and I've asked the NHS executive to provide assurance on this.

Thank you, Cabinet Secretary. It is great to see you back in your job and post. Now, I was shocked to hear about the long list of failures that had such a tragic consequence. My thoughts and prayers are with the Harrison family. The failures of social services, the police, and ultimately the health board, certainly contributed to the death of Dr Harrison, and we must ensure that this can never happen again. Cabinet Secretary, will you conduct an urgent review of security measures, not just at the mental health unit within Neath Port Talbot Hospital, but across the mental health estate, both secure and non-secure? How will the lessons from the poor treatment received by Daniel Harrison be applied to the training of mental health clinicians operating in the Welsh NHS? And, finally, Cabinet Secretary, how will you ensure that all relevant patient information is utilised when mental health assessments are undertaken in police custody? Thank you.

Well, thanks very much, and I'm sure everybody will understand the extreme tragedy of this case and the real difficulties that this family has had to face. And I just want to make sure that there's an understanding that I take all regulation 28 reports extremely seriously, and I do think that there are wider lessons for us to learn, and that's certainly something that we'll be encouraging the health board to undertake. But, also, I have instructed the NHS executive to look at that wider learning.

I can give you a reassurance that a number of key actions are in process, including additional security measures being built into ward F at Neath Port Talbot Hospital, which provide extra locked areas around exit doors. And you're quite right that we need to make sure that those lessons are being learned in other health boards.

I think there is also wider learning that we need to understand, including, crucially—. And we're still waiting for the regulation 28 to be published in about seven days' time. I think the importance of needing to listen to the insights and the information that the family has in terms of delivering care, and the need to deliver care, and how to deliver care, is something that also needs to be taken on board.

The Deputy Presiding Officer (David Rees) took the Chair.

Thank you, Minister.