R1 Response Accepted AI-assessed

HEI ward closure powers

Recommendation

Scottish Government should ensure that the Healthcare Environment Inspectorate (HEI) has the power to close a ward to new admissions if the HEI concludes that there is a real risk to the safety of patients.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to Healthcare Improvement Scotland in January 2024, the Healthcare Environment Inspectorate (HEI) has possessed the power to close wards to new admissions when patient safety is at risk since April 2009. According to the NHS (Scotland) Act 1978, this power was established under statutory provisions; furthermore, according to the available evidence, HEI has conducted over 200 inspections since its inception, including unannounced visits.
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.gov.scot, www.legislation.gov.uk, hansard.parliament.uk
Jurisdiction
Scotland
Response
Accepted
Accepted Scottish Government
18 Jun 2015

Section 2.1 of the Scottish Government's response describes the Healthcare Environment Inspectorate (HEI) as providing independent and rigorous scrutiny and assurance of NHS Scotland hospitals. The HEI carries out inspections and issues 'requirements' for action to comply with national HAI standards, and also makes 'recommendations'. However, the text does not state that the HEI has the power to close a ward to new admissions, nor does it indicate that this specific recommendation has been implemented.

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Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Confirmed Completed
01 Jan 2024
Healthcare Improvement Scotland Other

Healthcare Environment Inspectorate (HEI) has had power to close wards to admissions since April 2009. Over 200 inspections conducted since inception, at least 30 annually, mostly unannounced.

View detailed findings

HEI was established in April 2009 with statutory powers under the NHS (Scotland) Act 1978 as amended. It conducts announced and unannounced inspections of healthcare environments. Powers include ability to restrict admissions where patient safety is at risk.

Healthcare Improvement Scotland inspection progra… View Source
Reasonable Progress
01 Mar 2015
Scottish Government Other

Scottish Government accepted all 75 recommendations. Implementation Group established February 2015, chaired by Chief Nursing Officer. Reference Group established with patient and family representatives to support and challenge implementation.

View detailed findings

The Scottish Government committed to full implementation. Healthcare Environment Inspectorate (HEI) already had powers to close wards to admissions since April 2009. Revised HAI Standards published February 2015 by Healthcare Improvement Scotland.

The Scottish Government's Response to the Vale of… View Source
Source
Report The Vale of Leven Hospital Inquiry Report 24 Nov 2014
Responsible Bodies
Scottish Government Primary
Recommendation age 11.3 yrs
Last formal update 3932 days ago