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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 5 May 2021
  6. Current session: 12 May 2021 to 21 May 2025
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Displaying 1914 contributions

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Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

So, ultimately, are we to pin the blame for those issues on the leadership problem? The chief exec has now gone. Were the chief exec and the board not doing their jobs properly?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

Leadership comes from the chief exec and from the board. If the board got itself into the position where we had to escalate to stage 4, because of a whole series of problems—which I will come on to—we surely have to say that the chief exec was not doing their job and the board were not doing their job properly. Surely it is fair to say that.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

Yes, it is plain to see.

I want to ask you about something that is very concerning, which is covered on page 10 of the report, in the timeline. It says:

“HIS’s inspectors identified instances of unsafe practice around medicines governance which could result in serious harm to patients.”

Do you have any more details of what that means or of what lay behind that?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

Presumably those unsafe practices have now ended—whatever they were.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

What would happen if the Government turned round and said, “No, you’re not getting the support”?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

I am looking at the timeline in exhibit 1 of the report. It starts in April 2022 with a visit by Healthcare Improvement Scotland. Was that the first that anyone knew that there were problems in the health board, or would issues have been raised before that, which might have spurred HIS to pay its visit?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

After that visit in April 2022, there was a period of months before, in November that year, the board was escalated to stage 4. Obviously it got to that stage because there was a lack of progress. Do we know why there was a lack of progress?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

You said that the board responded

“positively to the escalation framework.”

What do you mean by “positively”?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

I have a final question on a topic that has been covered before. We talked about financial sustainability, and you say in your report that there is a

“risk that the board is not financially sustainable in the short term.”

Rebbecca McConnachie talked about that as well. I want to understand what happens if that continues. If the board remains financially unsustainable, do we escalate it even further?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Graham Simpson

HIS went in and found quite serious problems there. It strikes me, however, that if there were such serious problems, why did no one know about them? Why did it take a spot check to discover them?