However, we have also undertaken some additional work to consider the extent that:

• the Health Board’s central Primary Care Services Team has the appropriate capacity and capability (in terms of knowledge, skills, and experience) to deliver local and national priorities, as well as to manage day-to-day operational and business needs; and
• the Board and/or its committees regularly consider matters relating to the planning, performance, risks, and opportunities associated with the Health Board’s primary care services.

Overall, we found that the Health Board has made reasonable progress in addressing our previous recommendations, particularly in relation to public engagement and Neighbourhood Care Network development and activity.

However, the sustainability of some primary care services remains a concern and there needs to be a more co-ordinated, unified, and strategic approach to primary care planning, resourcing, and reporting on outcomes.