Recommendation SHI-9: Documentation of technical adviser advice
From Scottish Hospitals Inquiry Interim Report, published 4 March 2025.
Recommendation
I accordingly recommend that a similar procedure should be considered when technical advisers (particularly engineers) are providing specific technical advice in relation to a project such as the RHCYP and DCN. There should be a clear record of the advice requested, and the advice tendered. This should ensure that there is clarity around what expert input advisers are providing in circumstances where such input is required. This is particularly important where, as on the RHCYP and DCN project, the technical advisers work closely day-to-day with the health board's project team and are engaged in commenting on design or construction proposals. Such arrangements can lead to informality and a lack of clarity about the scope and role of the advice, and the reliance which can be placed upon it. In contrast, the approach I recommend should be such as to generate a sufficient body of evidence to support and document relevant decisions. This should contribute to more robust governance and oversight of decision making.
In brief (written by this site)
In September 2025, Neil Gray, Cabinet Secretary for Health and Social Care, wrote to Clare Haughey MSP confirming acceptance of the recommendation and committing to provide a future update on implementation progress (Neil Gray response, Sep 2025). In a March 2025 statement to the Scottish Parliament, the Minister had committed to working with health boards and other NHS bodies to consider and address the interim report's recommendations (Neil Gray, Mar 2025). The record holds no update since the Scottish Government's response of September 2025 (Neil Gray response, Sep 2025).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026. The record below is the sources' own words.
About this summary
This recommendation applies across many organisations. The record reflects central policy activity; adoption in individual organisations may vary.
Government response
On 13 March 2025, I made a statement in parliament, addressing the Interim Report and its recommendations. I accepted all recommendations and committed to provide a future update on progress around the implementation of those recommendations.
How this response relates to the recommendation
Site note: The Cabinet Secretary's letter of 17 September 2025 to the Health, Social Care and Sport Committee gives this passage once, for all 11 recommendations. It describes his statement of 13 March 2025, whose own words, recorded as a progress row here, are a commitment "to consider and address each of the 11 recommendations made in the interim report".
Delivery
Scottish Government states no delivery position (13 March 2025)
The Scottish Government is committed to working with the health boards and other NHS bodies to consider and address each of the 11 recommendations made in the interim report.
From: Scottish Hospitals Inquiry (Interim Report) (Meeting of the Parliament, 13 March 2025), Neil Gray, Cabinet Secretary for Health and Social Care
Site note: The Cabinet Secretary for Health and Social Care's statement to the Scottish Parliament on 13 March 2025 gives this sentence once, for all 11 recommendations of the interim report. In answer to a question in the same item he said: "We will respond formally to the inquiry’s 11 recommendations in due course."
Source
Responsible bodies
Themes and tags
Who has spoken
- Scottish Government
Response, delivery statement