HEIW understands the challenging environment it operates in and its current and future challenges. This includes increasing financial pressure which may have a wider impact on the NHS workforce in Wales. It has a good focus on both the medium and the long-term workforce needs which inform its priorities expressed in its plans. HEIW has robust governance, planning, and financial arrangements. Members and officers are engaged, and scrutiny and oversight remain strong. HEIW should now focus on reporting the benefits and impact from its activities and design Board Development Sessions to continuously improve.