“Hospital managers should be regulated”

This letter was recently published in the BMJ:

Managers hould be regulated, BMJ, May 2015

I have never been a “whistleblower”.

I have though attempted to be a “stronger voice” in NHS Scotland.

In trying to put patients first, my experience has not been an easy one.


Six months on, I recently sent this follow on:


I am keen to understand who is deemed to be the independent regulator for NHS Scotland? My current understanding is that this role is the remit of Healthcare Improvement Scotland (HIS) . In my view this national organisation has a fundamental conflict in roles, that between “scrutiny” and “improvement”.

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