There is growing pressure for a major inquiry into the standards of Welsh NHS care. But the Welsh Government says there is 'a clear process for raising concerns without resorting to lengthy and expensive public inquiries at every opportunity.'
Cardiff and Vale University Health Board says it has developed "a detailed action plan to make sure that we are addressing all areas" of concern, and the Royal College of Surgeons will visit again in September to see if there has been improvement.
The health board is looking at all options to increase cardiac surgery capacity, and looking at proposals to get patients treated more quickly.
Chief Executive Alun Cairns said the health board is working with surgeons "on a range of actions", and looking at what extra capacity could be provided, and improving how it manages emergency, care.
We know that we can do better and we have given priority to the issues raised in the RCS report.One of the main areas of concern has been the pressure on unscheduled care, seen here in Cardiff and the Vale, Wales and across the UK, and the impact that has on other services.
A great deal of engaging with clinical teams and partners such as the third sector and Local Authorities has been done over these issues and a number of pieces of work, directed and driven by clinical staff, are now starting to take effect.
– Adam Cairns, Chief Executive of Cardiff and Vale University Health Board
Wales' biggest hospital has been described as "dangerous", in a highly critical report from the Royal College of Surgeons.
It found that "patients are regularly dying on the waiting list from their cardiac pathology" and there was "universal consensus" among clinicians at the University Hospital of Wales in Cardiff that services there were "dangerous."
It warns "the current situation represents a severe risk to patients and urgent action is required."
"A wide range of concerns were raised" by clinical leads at the hospital during a routine visit by the RCS in April - the most prevalent was "the inability to admit patients for elective surgery." There were more than 2,000 operations either cancelled or not scheduled between January and March 2013.
"The main reason for this is the apparent unconstrained admission of emergency patients and the inability to effectively discharge patients", the report said.