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Displaying 2137 contributions
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
We also heard a lot in the previous session about some of the struggles that some of our more rural boards have in recruiting people. Indeed, the convener gave an excellent example of one board where some of the board members do not live in, or had never been to, the board area. Clearly, it is more difficult in a wide range of public bodies to recruit in more rural and Highlands and island areas, but how important is it that these people have local knowledge and understanding of the complexities of delivering health services outside the central belt?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Good. I think that I know what your answer will be to this, but are we struggling to get so many candidates to fill these board positions because there are simply too many boards?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Thank you very much.
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Do you report on those? Are they a matter of public record?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
If you have an NHS board that has financial governance issues and is in the red, or has performance or operational issues—if, for example, it is not meeting any of its clinical targets or has high turnover or other issues of governance—do you have to wait on someone complaining to you before there is an investigation into that board? To me, there are clearly situations where the board has a direct level of accountability for overseeing all of the above, and there are clearly failures in many of those areas—we look at them weekly.
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
What due diligence takes place to ensure that people are not brought into a health board when the board that they have previously run—or been an integral part of running—has been underperforming operationally, clinically or financially? Are those the people you want in our health boards?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Right. Has anyone who has run a board that has had such high-level escalation or intervention moved to another board?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Yes, please check that and write to us.
We talked a little bit in the earlier session about the importance of the role of the non-executive board in holding the executive to account in any public body or organisation. If someone has been part and parcel of that organisation for a long period of time, although I can see that they may bring knowledge and experience of that sector to their non-exec role, are they simply too close to the system and the people involved in it to be able to hold them properly to account in terms of governance arrangements?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Yes, we heard some good examples of that as well, which is great. There is, however, an issue. There is a 25 per cent failure rate in the first round of recruitment at the highest level. That is one in four vacancies where there is a failure to appoint a candidate. That is an extremely high number relative to other parts of the public sector. Why is it so bad?
Public Audit Committee
Meeting date: 24 September 2025
Jamie Greene
Yes, the aspiring chairs programme was mentioned and it seems to be reaping some degree of success as a pipeline generating new entrants and bringing people up the chain. That is particularly helpful.
However, the issues of time commitment and remuneration were first brought up in the 2021 survey. We are four years on from that. Those are not new issues, yet many boards are still struggling.