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Meeting of the Commission
Meeting date: 11 December 2025
Colin Beattie
Do members have any final questions that they would like to ask?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
You are talking about community-based solutions. Would those entail the construction of a specialised centre where people with these disabilities could be moved for their support, or do they go out into the community as individuals scattered around? I am just trying to get my head around how the IJBs are approaching the issue.
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
I will move on a little bit down that road. The report also said:
“Our review found it was not clear what stakeholder engagement was carried out, or what indicators were used”
to make the assessment that the system was working well. Given that there is a mismatch between the WSCP board’s assessment and NHS Tayside’s view of the progress on integration, how confident are you that governance and leadership arrangements are supporting genuine integration across the system?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
What is the target for delayed discharges versus the actuality?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
It certainly seems to be a huge deficiency if NHS Tayside cannot take the workforce with it. I will leave it at that, convener.
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
Are they actively working on coming up with a plan?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
Okay. I will move on a little bit to look at the change programme in support of “Living Life Well”. You comment that there is
“a lack of capacity for staff to lead and participate in change”
and that
“The new models of care workstreams and priorities had not yet been agreed, and there was not yet a clear delivery plan in place with specific actions, timescales and costs.”
You also say that the change programme is “overly complex”—I would like to understand that complexity a little bit more—and that it lacks a “clear delivery plan”. I am interested to hear more about the delivery plan that NHS Tayside is thinking of.
Finally, in your view, what needs to be done urgently to make the programme deliverable?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
Before they come in, I have one question for you based on what you have said. Things are not moving as fast as they should be. Is there a willingness among the different stakeholders to work positively together towards a solution?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
This may be my last question. Apparently, there has not been much in the way of engagement with the workforce workstream. The report mentions that
“In October 2024, a review of progress acknowledged that this was not meeting as a formal workstream but reported that staff engagement was under way across the change programme ... It also acknowledged that there lacked a systematic approach to staff engagement.”
What improvements does the WSCP have to do to make engagement meaningful and ensure that staff engagement is incorporated going forward?
Public Audit Committee [Draft]
Meeting date: 10 December 2025
Colin Beattie
The report shows that mental health delayed discharges generally decreased, but delayed discharges in learning disability services were high. Is there a reason why the figure is particularly high compared with regular mental health delayed discharges? I am not sure whether you would say “regular mental health discharges”, but you understand what I am getting at there. Why the differentiation, and why is there a specific issue with learning disability services?