SHI-2 Response Accepted AI-assessed

Risk assessment on funding model changes

Recommendation

Accordingly, in situations where the funding model or procurement route changes mid project, a risk assessment should be conducted to assess whether work done on the project up to that point is suitable for the revised project. The rationale for decisions taken in this regard should be formally recorded.

The party carrying out the risk assessment should be the party on whom the potential risk falls and which is in a position to mitigate the risk, unless there are sound reasons why this should not be the case. In the case of the RHCYP and DCN project that party was NHS Lothian, notwithstanding that it was Scottish Government that made the decision to change the funding route, and consequentially, the contractual model.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the Official government response (13 March 2025) and the SHI-2 Progress update (17 September 2025), the Scottish Government accepted this recommendation on 13 March 2025. According to the update, as of 17 September 2025, the procuring NHS body was designated to assess whether work done on a project was suitable for a revised project if the funding model or procurement route changed mid-project. According to the available evidence, the rationale for such decisions is to be formally submitted to the NHS Capital Investment Group for approval.
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.parliament.scot, www.legislation.gov.uk, hansard.parliament.uk
This recommendation requires implementation across many organisations. The assessment reflects central policy response, not adoption in individual organisations.
Jurisdiction
Scotland
Response
Accepted
Accepted Scottish Government
13 Mar 2025

All 11 recommendations accepted by Cabinet Secretary Neil Gray MSP on 13 March 2025. Progress update 17 September 2025: The procuring NHS body will assess whether work done on the project up to that point is suitable for the revised project. The rationale for decisions taken will be formally submitted to the NHS Capital Investment Group for approval.

Read Full Response
Progress Timeline
Scottish Government states: Official Report
17 Sep 2025

the procuring NHS body will assess whether work done on the project up to that point is suitable for the revised project. The rationale for decisions taken will be formally submitted to the NHS Capital Investment Group for approval.

Official Report
13 Mar 2025

Cabinet Secretary Neil Gray MSP accepted all 11 recommendations in a parliamentary statement on 13 March 2025.

Source
Report Scottish Hospitals Inquiry Interim Report 04 Mar 2025
Responsible Bodies
Scottish Government Primary
Recommendation age 1.1 yr
Last formal update 17 Sep 2025