The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1756 contributions
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
I note that we still have religious reps with voting rights on our councils, which is an issue for some.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
Do you agree that everybody who is on an IJB, whether or not they have voting rights, once they leave that sphere and go back to their communities and organisations, is still held accountable for the decisions that have been taken by those who have the voting rights?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
Individual healthcare settings still have that very structured hierarchical system in place.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
How can we shift the culture so that anyone in that setting feels empowered to call out problems as they see them and that they have protection? At the heart of the issue are employees and workers—and, indeed, patients—feeling that they cannot speak out or that, if they do, they are not listened to. How do you foresee our driving the cultural shift that needs to happen?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
How will you ensure that lasting organisational change comes about, and not just localised pockets of improvement? Which other organisations will you work with? We need to think outside the silos, so how will you drive lasting change?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
Beyond the extension of voting rights, would any other changes address the current power dynamics on IJBs?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
I am thinking about the issue in the context of the expansion of participatory budgeting and governance. That was about everybody coming together and having a stake, with power-sharing of difficult decisions. The argument that was put forward at the time by local government, in conjunction with communities, was that that would strengthen decision making and strengthen democracy. I am trying to square that with the path that you are treading now, which is maybe not looking to extend the democratic ability of those who are on IJBs to have influence on decisions via a vote rather than just soft power.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
Does that demonstrate that governance reform is the only thing that would lead to true public service reform?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
Thank you.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Elena Whitham
Good morning, commissioner. We have touched quite a lot on the issue of the cultural change that is required. It lies at the heart of why we are in the situation that we are in.
The committee’s stage 1 report on the Patient Safety Commissioner for Scotland Bill, which created the office of Patient Safety Commissioner, highlighted that, rather than being a result of gaps in policy, the systemic failures that we have seen have arisen because of deep-seated cultural and behavioural patterns in the healthcare system. You have already mentioned some of those, such as not listening to what patients say, the lack of accountability and the closing of ranks. Is the very hierarchical structure of our health boards a factor when it comes to tackling cultural barriers to change?