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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 10 February 2026
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Displaying 2056 contributions

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Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

Okay. Surely, given this changing environment, with different leadership over different periods of time, we should not be losing sight of those recommendations. They came out in 2020, and the progress report, which came back in 2021, has been described to me as

“the worst report in Scottish public life”.

As the convener has pointed out, it showed local bodies in Dundee misleading the public about progress that had not been made. We had the oversight assurance group in 2021, which reported in 2023, and now we have the whole system change programme.

All of that leads me to ask this question: do we not need external leadership to actually deliver this? The current model of leadership is just not working, is it?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

Is anybody reporting to the board on progress against those 51 recommendations in the report that was brought out? A lot of work went into that analysis. Are those things being reported on? I have to say that I cannot see any evidence that they are. They are being substituted by one programme after another, instead of someone saying, “This is the mission. We need to deliver it. How do we get there?” After all, we are now six years on.

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

I want to stick with the issue of scope for a moment. Will the current scope of the whole system change programme meet the 51 recommendations of the Strang review?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

Moving on to single site provision, I would note, as an example, the state of Strathmartine hospital, which the Mental Welfare Commission for Scotland reported on in 2018, 2019, 2020, 2021, 2023 and 2024. The 2024 report on the hospital, which set out what I have described as “Dickensian conditions”, was published only half an hour before I had a meeting with the chair and the chief executive of the Mental Welfare Commission. It was months late; it would not have been published, had I not asked for a meeting. You talk about oversight and accountability—these are the reports that the leadership should have been responding to, but were not.

You have said that changes have been made to the physical environment. I agree with that—I have been to the site, and I have seen those changes—but what really concerns me is your comment that there is no clear plan and no costings for the move to single site provision. Do you think that that information has to be provided and put into the public domain by the board, for the sake of accountability?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

Is your understanding of that live—in other words, as of today? I have to say that I have a very different understanding of the completion of the one-to-ones. Staff were told that the process was to be completed by August, but then at the end of June—four weeks before the process was meant to be completed—they were told that it would not be happening. I had been telling the health board for many months that there was no chance of it happening in August—that was absolutely clear.

There has been no publication of the capital costs or the investment in Murray royal hospital that is required; nothing about the overtime required to transfer staff from one place to another; nothing about meeting with bank staff; and nothing about the shortfall. Have you seen plans that actually contain that detail? Has the board examined the cost of making this move versus the need to deliver for patients?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

When was that?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

There have been such changes almost every year.

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

Was it the new chief executive, or was it one of the previous two in the past three years, who downgraded the scope of the programme? When did the downgrading happen?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

And not on the Strang recommendations.

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of NHS Tayside”

Meeting date: 10 December 2025

Michael Marra

Is that the intention, though?