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Seòmar agus comataidhean

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 4 May 2021
  6. Current session: 13 May 2021 to 9 November 2025
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Displaying 1737 contributions

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Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

I can tell you: it was the points. These are live conversations, which I am sure happen with sponsorship divisions as well, among the recruiting people. If someone does not get more than 70 points, and someone got 69, they are shortlisted for the next stage, and I find that an odd way of doing it.

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

Would it be helpful if the commissioner was able to do that as part of its role?

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

Is that people behaving inappropriately in the public sphere in their language or the treatment of staff?

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

That is quite worrying. My last question in this session—and indeed the next one—is on NHS boards. Do you have any current emerging concerns about behaviour in boards or the quality of board members? We are trying to get as much out of you as we can about the state of the NHS in Scotland.

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

Thank you, convener. I would like to talk about governance, particularly around high-level appointments and the boards of the NHS boards, if you like. Ms Lamb, you will obviously be aware of the extremely high turnover in chief executives of the territorial boards. Over the past couple of years, 10 of the 14 territorial boards have had a change at the top. Why is that the case?

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

Is that a good thing? We talked about that earlier in our evidence session with the Ethical Standards Commissioner. I do not know whether you watched that.

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

That is very helpful. You mentioned that the high level of turnover among NHS chief executives is due in large part to retirement. If I understood you correctly, in the past two years, eight of the 14 NHS board chief executives have left due to retirement. Is that just unfortunate coincidence or is it spectacularly bad planning?

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

Okay—it is just a coincidence, then. However, we have also seen a lot of turnover at IJBs. Audit Scotland reported that over half of IJBs had a turnover of senior leadership positions involving either their chief officer or chief financial officers in the year 2023-24—over half of IJBs had changes at that leadership level. Were those also retirements? Were people moving on to other parts of the health system? Were people sacked for poor governance or performance?

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

I will ask a more direct question. Is it appropriate for the chief executive or chair of the non-executive board of an NHS board that is under special measures, for example, to be allowed to apply for a job in another NHS board? Is that a sign of success in their role?

Public Audit Committee [Draft]

“NHS in Scotland: Spotlight on governance”

Meeting date: 24 September 2025

Jamie Greene

That is good to know.