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Displaying 2811 contributions
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
You mentioned self-assessment and talked about people marking their own homework, which is what self-assessment can be. Your report highlights variation in how boards carry that out. Why is there variation? Should there be greater consistency?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
Are all the boards using the blueprint? When you suggest external validation of blueprint self-assessments, who are you thinking of to carry that out?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
Let us see how well I do on the issue of boards and board chairs. There was mention of Forth Valley. NHS Forth Valley’s current interim chair is Neena Mahal, who was the chair of NHS Lanarkshire. Is there an issue there? There is clearly a problem recruiting new chairs. Alison Cumming mentioned the aspiring chairs programme, which appears to consist of people who are already in the system. Do we need to be doing more to attract new people who are not in the system? Do we risk having this almost revolving door of chairs jumping from one board to another—the sort of cross-pollination that Colin Beattie mentioned?
11:00Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
How do you think the blueprint for good governance is going? How could it be improved?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
Who should carry out the external validation?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
Okay. That would be useful.
A letter was published yesterday by the public policy institute, Enlighten. It was written by 13 senior medical professionals and executives in Scotland. It was an open letter, published in the press and, I think, on Enlighten’s website. Top people have signed up to it. It says:
“We recognise that many people are well served by the NHS in Scotland, and that thousands of dedicated and hard-working people ensure that compassionate and effective, sometimes lifesaving, care is provided on a day-to-day basis. And yet, as has also been acknowledged, the current system of delivering health care and social care in Scotland is unsustainable, often stretched beyond capacity, overly complicated, difficult to navigate, often inefficient and is perceived as not always meeting the needs of people living in Scotland.”
There is a lot more to the letter, but it says—and this is where it relates to your report—that the NHS is “overly complicated”. The letter is potentially touching on governance, which is what your report is about. Could you explain why you think that governance is so important and why changing the governance and simplifying it will make a difference to the people who use the NHS in Scotland?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
Thanks, chair. Have you finished your questions, chair?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Graham Simpson
That makes the point. You have five boards that have marked themselves down, and maybe they deserve to be marked down—I do not know—but having someone external to make sure that they are not being too hard on themselves would be useful. I will leave it there, convener, thank you.
Public Audit Committee [Draft]
Meeting date: 4 June 2025
Graham Simpson
So, we have a project director who is an employee of the college and has been able to sign off payments to the company of which she is the director—stop me if I am getting any of this wrong, by the way. That seems to me a situation that is entirely wrong. Would you agree with that?
Public Audit Committee [Draft]
Meeting date: 4 June 2025
Graham Simpson
Yes, please.