The Chief Executives of Care Inspectorate Wales and Healthcare Inspectorate Wales, Gillian Baranski and Alun Jones, have jointly written to the chief executives of local authorities, health boards and NHS trusts across Wales to share some of the key issues that have arisen in their work over the past six months. It is clear that issues highlighted will need to be tackled both nationally and locally and the intention is that they will be considered in planning and improving for what will no doubt be a challenging winter period for the health and social care system in Wales.