Committee
Health and Sport Committee 15 January 2013
15 Jan 2013 · S4 · Health and Sport Committee
Item of business
Healthcare Improvement Scotland and Scottish Public Services Ombudsman
I want to understand the practicalities. Before inspecting a facility, ward or whatever, what information do your inspectors collate? I assume that for a follow-up report, they look at previous reports. Over time, there will be a bank of previous reports about an institution or service, which the inspector would want to look at.Dr Simpson talked about getting from the boards information on what they get complaints, comments and praise about. Are such things among what the inspector looks at, or does he or she simply write a checklist of what he or she wants to see and look at things objectively on the basis of that checklist? Do you go in knowing that concerns have been raised within the service about X and look at that specifically?
In the same item of business
The Convener (Duncan McNeil)
Lab
Good morning. I welcome members and the public to the first meeting of the Health and Sport Committee in 2013. As usual, I remind everyone present to switch ...
Dr Denise Coia (Healthcare Improvement Scotland)
Thank you very much, convener. You have already introduced my team, but I must pass on apologies from our chief executive, Dr Frances Elliot, who is, unfortu...
The Convener
Lab
Thank you for those opening remarks. Let me begin with some general questions on the role and priorities of Healthcare Improvement Scotland that I note are l...
Dr Coia
I will briefly answer that question and then hand over to two of my colleagues.To be perfectly honest, as a chair I think that it would be lovely to be able ...
Robbie Pearson (Healthcare Improvement Scotland)
I echo the point that the issue is about our skills and competencies to perform the role that is vested in us by the Public Services Reform (Scotland) Act 20...
Dr Coia
Perhaps Susan Went can comment on the improvement side.
Susan Went (Healthcare Improvement Scotland)
The improvement function forms one half of the evidence and improvement directorate, which has just over 100 staff, so my directorate has both those remits w...
Dr Coia
However, our clinical engagement strategy gives us additional resource in terms of people. Brian Robson might want to comment on that.
Dr Brian Robson (Healthcare Improvement Scotland)
We have a small core clinical team in the organisation with a chief pharmacist, a chief nurse, midwife and allied health professional and a consultant in pub...
The Convener
Lab
Will you have more or less money in three years’ time to carry that out? What efficiencies will you have to put in place during the next three years to build...
Dr Coia
I will hand over to Robbie Pearson in a moment. Because the new organisation acquired a range of other groups and bodies, during the past year the board has ...
Susan Went
I will start with the two points that the convener raised. I am certain that, as far as the evidence and improvement portfolios are concerned, it is vital th...
Robbie Pearson
The question was about how we will exert our independence as a body—
The Convener
Lab
The question was how, with less money over the next three years, you will manage those efficiencies while meeting the organisation’s priorities, which the ch...
Robbie Pearson
The raw numbers are that the budget will decline from £16.7 million to £15.9 million in 2013-14 and is projected to be £15.2 million in 2014-15—that is for o...
The Convener
Lab
You have 12 inspectors, but you consider that that is not enough and you need to increase capacity. How many inspectors do you need?
Robbie Pearson
I think that we could probably have more inspectors to support our work, but we are currently reviewing that as part of a scrutiny and assurance directorate ...
Dr Coia
I should also mention that we have joint inspections. You asked about our core numbers for inspections in the NHS, but we also engage with the care inspector...
The Convener
Lab
I am sure that we will come on to some of that detail, but it is important to put the situation in context: you have a reducing budget; if possible, it would...
Dr Coia
I would absolutely agree with that summary.
Mark McDonald (North East Scotland) (SNP)
SNP
Thank you for attending.What percentage of the inspections that you undertake are proactive and what percentage are reactive?
Robbie Pearson
We have a mix of inspections. There is the healthcare environment inspectorate and its work on healthcare-associated infection. There are inspections as part...
Mark McDonald
SNP
You will have a plan for who is to be inspected and when in the year, but there will always be occasions when events will overtake that. For example, complai...
Robbie Pearson
I will make a broad statement before handing over to Ian Smith to talk about our responsiveness to that. It varies according to the area that we are inspecti...
Ian Smith (Healthcare Improvement Scotland)
At the moment, we have carried out 13 inspections in relation to the care of older people, two of which were follow-up inspections that came from issues that...
Mark McDonald
SNP
I am still not 100 per cent sure that I am getting the information that I am looking for, so I will word my question in a different way. You have annual or q...
Ian Smith
For the NHS inspections, we do not investigate complaints—that is not our role. The boards have to investigate complaints. We would take intelligence from th...
Mark McDonald
SNP
What criteria do you use to determine your inspection timetable? Do you have a spreadsheet that shows when operations were last inspected? Are different crit...
Robbie Pearson
I will make a general point, if I may, then Ian Smith will pick up the detail. As Dr Coia indicated, we are increasingly maturing our intelligence base to in...
Ian Smith
For the inspections of acute care services for older people, we had no baseline from which to work because the inspections were new. When the risk assessment...