This document appears to concentrate on bringing about cultural change. This is undoubtedly necessary; however I was disappointed to see that the thrust of this document appears to shy away from an external regulatory system. Instead the emphasis appears to advocate “improvement methodologies” as a means of bringing about cultural change in NHS Scotland.
This document was in part a response to the Crerar Review:
This document does not appear to commit to an external regulator. The question that arises then is who is currently providing scrutiny.
Just before the Scottish parliamentary recess, the following question was asked:
This was the reply from the Cabinet Secretary for Health, Wellbeing and Sport:
Healthcare Improvement Scotland has a wide range of activities and responsibilities and it is my view that at least some of these have the potential to have a conflict of purpose with any regulatory role.
I am awaiting a response to the letter below to the Cabinet Secretary for Health, Wellbeing and Sport, and it would help inform my response to the consultation document. My personal view is that an external regulator is essential.