NHS Chief Executives minutes: March 2018

Minutes of the meeting of the NHS Chief Executives on 7 March 2018.

Attendees and apologies


Chief Executives

  • John Burns NHS Ayrshire and Arran
  • Jeff Ace (Chair) NHS Dumfries and Galloway
  • Cathie Cowan NHS Forth Valley
  • Malcolm Wright  NHS Grampian
  • Jane Grant NHS Greater Glasgow and Clyde
  • Elaine Mead NHS Highland (by TC)
  • Calum Campbell NHS Lanarkshire
  • Gerry O’Brien NHS Orkney (by VC)
  • Ralph Roberts  NHS Shetland (by VC)
  • Lesley McLay  NHS Tayside (by VC 13:30)


  • Jill Young Golden Jubilee Foundation
  • Robbie Pearson Healthcare Improvement Scotland
  • Angiolina Foster NHS 24
  • Caroline Lamb NHS Education for Scotland
  • Colin Sinclair  NHS National Services Scotland
  • Pauline Howie Scottish Ambulance Service
  • Jim Crichton State Hospital

Scottish Government

  • Paul Gray DG Health and Social Care and Chief Executive NHSScotland
  • Shirley Rogers Director of Health Workforce and Strategic Change
  • Jason Leitch  National Clinical Director, Health Quality and Strategy (13:40)
  • Christine McLaughlin Director of Health Finance
  • Andrew Scott Director of Population Health
  • Geoff Huggins  Director of Health and Social Care Integration and Digital
  • Fiona McQueen   Chief Nursing Officer 
  • Gregor Smith Deputy Chief Medical Officer (13:45)
  • Alan Hunter NHS Scotland Director of Performance and Delivery
  • Margie Taylor Chief Dental Officer
  • Rose Marie Parr Chief Pharmaceutical Officer
  • Colin Brown Office of the Chief Executive NHS Scotland

Agenda Item 5 – Transformation of Scottish Fire and Rescue Service (SFRS)

  • Kirsty Darwent Chair, SFRS
  • Alasdair Hay Chief Fire Officer, SFRS

In attendance

  • Stuart Neill Head of Communications and Engagement, SFRS
  • Lynda Nicholson Deputy Head of Communications and Engagement, SFRS
  • Catriona Barlow Scottish Clinical Leadership Fellow


  • Jane Davidson NHS Borders
  • Paul Hawkins  NHS Fife
  • Tim Davison NHS Lothian
  • Gordon Jamieson  NHS Western Isles
  • Gerry McLaughlin NHS Health Scotland
  • Alex McMahon Chair of SEND
  • Catherine Calderwood Chief Medical Officer
  • Michael Chalmers Director of Children and Families
  • Karen Lindsay Scottish Clinical Leadership Fellow


  • Laurie Whyte Office of the Chief Executive NHS Scotland
  • Sarah Hildersley Office of the Chief Executive NHS Scotland
  • David Bedwell Executive Support for Chief Executives

Items and actions

Welcome, apologies for absence and attendees

1. Paul Gray welcomed everyone to the meeting.  A list of attendees and apologies for absence are provided at Annex A.

2. Paul Gray then introduced Agenda Item 5 – Transformation of the Scottish Fire and Rescue Service.

3. Kirsty Darwent, Chair of the Scottish Fire and Rescue Service (SFRS) introduced the agenda item and provided an update on changes which have taken place over the last five years.

4. Alasdair Hay, Chief Fire Officer provided an overview of the SFRS transformation proposals outlined in the public consultation, “Your Service… Your Voice: Have your say” which runs until 14 May 2018. Mr Hay explained that transformation was about doing more for Scotland, with an expanded firefighter role, better alignment of people and appliances to local need, and introduction of the latest technology.

5. Mr Hay said the proposals are intended to improve the safety and wellbeing of communities, by making resources work more effectively and efficiently.  The SFRS want to work in partnership with other public services, including the NHS, to deliver transformation that assists other public services. 

6. Paul Gray thanked colleagues for the update.  The opportunity to contribute to the discussion and way forward was welcomed by all. 

7. Chief Executives were asked to respond to the consultation by 14 May on an individual board basis.  Paul Gray also invited Jeff Ace to also provide a collective response on behalf of the NHS Chief Executives Group.

Action: NHS Boards to respond to the consultation; Jeff Ace to provide a collective response to the consultation

Minutes of the previous meeting

8. The minutes of the meeting held on 17 January 2018 were approved.

Matters arising

9. The Chief Executives Group raised Duty of Candour following a presentation received at their Strategy Meeting.  It was noted that NHS Boards should have plans for implementation of the new policy when the legislation comes into force on 1 April 2018.

Feedback from the Chief Executives' private/strategy meeting

10. Jeff Ace, Chair of the NHS Chief Executives Group gave an update on the discussions from the private/strategy meeting, including:

  • Scottish Cancer Intelligence Framework in relation to the Innovative Healthcare Delivery Programme
  • CHI Business Case
  • Non-Invasive Pre-Natal Testing (NIPT) Business Case
  • Effective Prescribing
  • Realistic Medicine
  • CPR Training
  • Procurement Transformation Programme
  • Duty of Candour
  • Facilities Services
  • National Planning
  • Business Systems
  • Performance


11. Christine McLaughlin provided colleagues with an update on progress regarding the development of a new Financial Framework which will underpin how services will be transformed as set out in the Health and Social Care Delivery Plan. 

12. Paul Gray thanked Christine for the update.  The Chief Executives Group welcomed the update and agreed to continue working with Finance colleagues over the next couple of months, ahead of publication of the Financial Framework in the spring. 

Action: NHS Boards/Finance – ongoing engagement

Any other business

13. Paul Gray raised the recent period of adverse weather and referred to his letter of 6 March regarding the treatment of staff who had been unable to travel to work during this time. 

14. He looked to Chief Executives for their assurance about the actions taken to ensure no detriment to individuals who had been unable to get to work as a result of the combination of weather and transport disruption.  This approach is consistent with the general message being given by the Scottish Government to public sector employers in Scotland and is in line with previous advice given via HRD contacts. 

15. Scottish Government Workforce colleagues have been asked to review current policies, with a view to developing guidance for the whole of NHS Scotland. 

16. Paul Gray invited the Chief Executives Group to gather evidence and lessons learned and submit this to him.  He would then feed this back into the Scottish Government and Health Resilience Teams.  A collective return should be submitted by David Bedwell. 

Action: NHS Boards to gather evidence and submit to David Bedwell; David to collate and submit to Paul Gray via Colin Brown

Date and time of next meeting

17. The next NHS Chief Executives Business Meeting will take place on 9 May at 13:00, in the Fettes Suite, Scottish Health Service Centre, Edinburgh  EH4 2LF.

Office of the Chief Executive for NHSScotland March 2018

An update from St Andrew’s House (NHSCE/17/18/10) was circulated to Chief Executives in advance of the meeting for information.

NHS Chief Executives - March 2018


Email: Corporate Business Management Team cbmt@gov.scot

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