Health authorities across Wales must learn lessons from failings at the Betsi Cadwaladr University Health Board, assembly members have warned.
Some senior managers at the board, the biggest in Wales, have already stepped down after an earlier critical report.
In its latest report, which has just been published, the powerful assembly's public accounts committee says the new leadership now faces a "huge task".
* The Party of Wales AM Llyr Gruffydd, who represents North Wales, said: “This damning report highlights serious concerns over the breakdown of the relationship between the Health Board, its staff and the Welsh Government. In particular, there was a failure to properly hold Health Board leaders to account.
“The committee concluded that, had the Welsh Government properly monitored the Health Board, then problems could have been identified earlier. The laissez faire attitude of the Welsh Government towards our health service is unacceptable, and this report demonstrates that patients have suffered as a result.”
* See the full story on the BBC North East Wales website at: