Key points raised in the report include:
- Routine governance arrangements within the Health Board have not paid sufficient attention to infection control
- Effectiveness of the Board has been significantly compromised by a breakdown in working relationships between some senior leaders in the organisation
- There has been a lack of cohesion in the way executive directors work together
- The report raises further concerns about the stability and capacity of the executive team as a result of staff turnover and sickness absence.
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