Public Audit Committee 11 June 2025
Okay. That would be useful.
A letter was published yesterday by the public policy institute, Enlighten. It was written by 13 senior medical professionals and executives in Scotland. It was an open letter, published in the press and, I think, on Enlighten’s website. Top people have signed up to it. It says:
“We recognise that many people are well served by the NHS in Scotland, and that thousands of dedicated and hard-working people ensure that compassionate and effective, sometimes lifesaving, care is provided on a day-to-day basis. And yet, as has also been acknowledged, the current system of delivering health care and social care in Scotland is unsustainable, often stretched beyond capacity, overly complicated, difficult to navigate, often inefficient and is perceived as not always meeting the needs of people living in Scotland.”
There is a lot more to the letter, but it says—and this is where it relates to your report—that the NHS is “overly complicated”. The letter is potentially touching on governance, which is what your report is about. Could you explain why you think that governance is so important and why changing the governance and simplifying it will make a difference to the people who use the NHS in Scotland?