Chamber and committees

The Scottish Government have confirmed that they will provide an additional capital allocation to NHS Borders to allow them to remediate the RAAC situation at Knoll hospital. For other potential RAAC related issues across the NHS Scotland estate, requests for additional capital funding will be considered on a case by case basis.

Following the collapse of a school roof in 2018, the Standing Committee on Structural Safety (SCOSS), alerted NHS Scotland Assure to the issue and the following steps were then taken:

• May 2019 - The Standing Committee on Structural Safety (SCOSS), alerted Health Facilities Scotland (HFS) to the issue in May 2019, this was circulated to NHS Scotland
• February 2020 – paper presented by NHS Scotland Assure to the NHS Strategic Facilities Group outlining a proposal for identifying and managing RAAC across the NHS estate
• May 2021 – NHS Assure gather a local assessment of RAAC from each local NHS Board, and conclude that a national survey programme would be best;
• November 2022 – a lead adviser is appointed and the desktop survey programme starts.
• December 2022 – NHS Scotland Assure commissioned a survey team to establish the extent of RAAC across the NHS Scotland Estate and the condition it is in.
• January 2023 – Desktop review begins
• July 2023 – Phase 1 Discovery survey work begins
• April 2024 – Discovery survey programme complete (except for several revisits and several later additions)
• May 2024 – three pilot detailed surveys commissioned to inform a programme to undertake a detailed survey of all buildings with RAAC in the NHS Estate.
• June 2024 – two pilot detailed surveys completed to inform a Phase 2 Survey Programme
• October 2024 – Scottish Government commissioned an Annual Inspection Programme to complete annual re visits required during the 2024/25 financial year
• November 2024 – Annual Inspection Programme commenced
• November 2024 – procurement of a Phase 2 Survey Programme

It is the NHS Boards responsibility for any actions identified in the Survey reports to be undertaken timeously.

As set out in answer to Parliamentary Question S6W-34995 on 27 February 2025, the implementation phase of the Nursing and Midwifery Taskforce has now begun, and two Implementation Delivery Groups are being established to oversee swift delivery of all 44 recommended actions. One group, chaired by the Interim Chief Nursing Officer, will meet at the end of February and then recurrently every 6 - 8 weeks. A further Implementation Delivery Group will be chaired by the Cabinet Secretary for Health and Social Care and will meet in Spring and then every six months. These two Groups will ensure that priorities are clearly defined, progress is measurable, and key milestones are met. A detailed work plan and timeline to guide the delivery of the recommended actions will be agreed in Spring.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

As set out in answer to Parliamentary Question S6W-34995 on 27 February 2025, the implementation phase of the Nursing and Midwifery Taskforce has now begun, and two Implementation Delivery Groups are being established to oversee swift delivery of all 44 recommended actions. One group, chaired by the Interim Chief Nursing Officer, will meet at the end of February and then recurrently every 6 - 8 weeks. A further Implementation Delivery Group will be chaired by the Cabinet Secretary for Health and Social Care and will meet in Spring and then every six months. These two Groups will ensure that priorities are clearly defined, progress is measurable, and key milestones are met. A detailed work plan and timeline to guide the delivery of the recommended actions will be agreed in Spring.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

As set out in answer to Parliamentary Question S6W-34995 on 27 February 2025, the implementation phase of the Nursing and Midwifery Taskforce has now begun, and two Implementation Delivery Groups are being established to oversee swift delivery of all 44 recommended actions. One group, chaired by the Interim Chief Nursing Officer, will meet at the end of February and then recurrently every 6 - 8 weeks. A further Implementation Delivery Group will be chaired by the Cabinet Secretary for Health and Social Care and will meet in Spring and then every six months. These two Groups will ensure that priorities are clearly defined, progress is measurable, and key milestones are met. A detailed work plan and timeline to guide the delivery of the recommended actions will be agreed in Spring.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

If they feel able to do so, young people and their families should raise concerns with staff or via the advocacy services available in the inpatient units, so that any issues can be resolved as quickly as possible.

Young people and their families can also contact the Mental Welfare Commission Advice Line for advice on rights and good practice to do with mental health and incapacity law, and care and treatment, or to raise a specific concern.

Since I was made aware of the allegations in the programme, my officials have been in regular contact with NHS Greater Glasgow and Clyde, asking a series of questions around how complaints and incidents during the time period were handled; how Mental Welfare Commission recommendations were addressed; and how staff are trained and supervised. There were also important questions about leadership and governance.

From NHS Greater Glasgow and Clyde’s response, I am satisfied that appropriate review and assurance processes are in place and that improvements have been made since the events described.

As I set out in my answer to question S6W-34878 on 27 February 2025, NHS Healthcare Improvement Scotland (HIS) and the Mental Welfare Commission will carry out a series of joint visits. I will also be carefully monitoring the outcome of the internal and external reviews that have been commissioned by NHS Greater Glasgow and Clyde and – as the Board would expect – holding them to account. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

Further to this, on Wednesday 26 February, myself and the Cabinet Secretary for Health and Social Care met with the Chief Executives of NHS Greater Glasgow and Clyde, NHS Lothian and NHS Tayside, where inpatient units are located. They provided me with assurance that the allegations in the programme are being taken very seriously, that internal and external review processes are underway, and that appropriate governance arrangements are in place.

Scottish Ministers have visited Skye House on several occasions.

My last visit to Skye House was on 4 September 2024.

As patient care and service delivery are the statutory responsibility of local healthcare providers, it is for relevant NHS Health Boards to facilitate and respond to complaints regarding services. Whilst making clear the high standards of care we expect, it would not be appropriate for the Scottish Government to comment upon or direct individuals’ care and treatment.

I was first informed about the BBC Disclosure Programme on 24 January 2025.

Since I was made aware of the specific allegations in the programme, my officials have been in regular contact with NHS Greater Glasgow and Clyde to seek assurances about current practice.

On Wednesday 26 February, myself and the Cabinet Secretary for Health and Social Care met with the Chief Executives of NHS Greater Glasgow and Clyde, NHS Lothian and NHS Tayside, where inpatient units are located. They provided me with assurance that the allegations in the programme are being taken very seriously, that internal and external review processes are underway, and that appropriate governance arrangements are in place.

To provide further external assurance, I have asked NHS Healthcare Improvement Scotland (HIS) and the Mental Welfare Commission to carry out a series of joint visits to all three adolescent inpatient units in Scotland, as well as the National Child Inpatient Unit.

HIS and the Commission will use these visits to recommend what is required to ensure the quality and safety of our CAMHS inpatient units in the future.