Reorganisation management structure
In any major structural reorganisation in the NHS in Scotland the Board or Boards responsible should ensure that an effective and stable management structure is in place.
- The Scottish Government's response emphasised that leaders and managers at all levels are responsible for quality of care, and that investment is needed in leadership and management during structural change. Work was underway on a leadership and management framework for NHS Scotland.
- The integration of health and social care under the Public Bodies (Joint Working) (Scotland) Act 2014 required each Integration Authority to establish management structures ensuring continuity of safe patient care during the transition.
- The Health and Social Care Standards (published June 2017, in use from April 2018) set expectations for governance and management across health and social care, providing a benchmark for management effectiveness during and after reorganisation (Health and Social Care Standards (https://www.gov.scot/publications/health-social-care-standards-support-life/)).
How was this evidence gathered?
Response
Accepted
Response
AcceptedSection 2.2 of the Scottish Government's response emphasizes that leaders and managers at all levels are responsible for quality of care and that investment is needed in leadership and management. Work is ongoing locally and nationally to support leadership and management development through high-quality programs and training schemes. NHS boards are also contributing by building local leadership and management capacity and capability as part of their workforce plans to deliver the 2020 Vision.
Published Evidence
Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.
Scottish Government response committed to ensuring effective management structures during reorganisations. Addressed through existing governance frameworks.
View detailed findings
No specific new requirement introduced but governance standards reinforced.