NHS Chief Executives minutes: November 2018

Minutes of the meeting of the NHS Chief Executives on 14 November 2018.

Attendees and apologies

Chief Executives

  • John Burns, NHS Ayrshire and Arran
  • Jane Davidson, NHS Borders
  • Jeff Ace (Chair), NHS Dumfries and Galloway
  • Paul Hawkins, NHS Fife
  • Cathie Cowan, NHS Forth Valley
  • Amanda Croft, Interim Chief Executive, NHS Grampian
  • Jane Grant, NHS Greater Glasgow and Clyde
  • Deborah Jones, Director of Strategic Commissioning, Planning and Performance, NHS Highland
  • Calum Campbell, NHS Lanarkshire
  • Tim Davison, NHS Lothian
  • Gerry O’Brien, NHS Orkney
  • Ralph Roberts, NHS Shetland
  • Malcolm Wright, NHS Tayside
  • Gordon Jamieson, NHS Western Isles
  • Jill Young Golden, Jubilee Foundation
  • Robbie Pearson, Healthcare Improvement Scotland
  • Angiolina Foster, NHS 24
  • Caroline Lamb, NHS Education for Scotland
  • Gerry McLaughlin, NHS Health Scotland
  • Colin Sinclair, NHS National Services Scotland
  • Pauline Howie, Scottish Ambulance Service

Scottish Government

  • Paul Gray, DG Health and Social Care and Chief Executive NHSScotland
  • Shirley Rogers, Director of Health Workforce, Leadership and Service Transformation
  • Jason Leitch, National Clinical Director, Health Quality and Strategy
  • Catherine Calderwood, Chief Medical Officer
  • Richard McCallum, Deputy Director of Health Finance
  • Margie Taylor, Chief Dental Officer
  • Alison Taylor, Head of Integration Division
  • Colin Brown, Office of the Chief Executive NHS Scotland


  • Jim Crichton, State Hospital
  • Alex McMahon, Chair of SEND
  • Christine McLaughlin, Director of Health Finance, Corporate Governance and Value
  • Andrew Scott, Director of Population Health
  • Donna Bell, Director for Mental Health
  • Gregor Smith, Deputy Chief Medical Officer
  • Michael Chalmers, Director of Children and Families
  • Rose Marie Parr, Chief Pharmaceutical Officer

In attendance

  • Tracey Gillies, Co-Chair of Medical Directors/NHS Lothian MD
  • Christina Naismith, Head of Integration Implementation


  • 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
  • Chris Campbell, Executive Support for Chief Executives

Items and actions

Welcome, apologies for absence and attendees

1. Paul Gray, Director General Health and Social Care/Chief Executive NHS Scotland welcomed everyone to the meeting. He passed on the Cabinet Secretary’s apologies due to Parliamentary business. A list of attendees and apologies for absence are provided at Annex A.

2. He expressed his thanks to Jill Young, Chief Executive, Golden Jubilee Foundation; Elaine Mead, Chief Executive, NHS Highland; Malcolm Wright, Chief Executive, NHS Tayside; and, Margie Taylor, Chief Dental Officer, Scottish Government, who are standing down/retiring in the next month.

3. Paul Gray congratulated Gerry O’Brien on his appointment as Chief Executive, NHS Orkney and Angiolina Foster, Chief Executive, NHS 24 on her “Leader of the Year” award at the Scottish Health Awards 2018.

4. He also confirmed that Donna Bell has been appointed the new Director for Mental Health within the Health and Social Care Directorates, Scottish Government.

Minutes of the previous meeting

5. The minutes of the meeting held on 12 September 2018 were approved.

Matters arising

6. There were no matters arising.

Feedback from the Chief Executives private/strategy meeting

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

  •  human trafficking
  •  duty to inform
  •  sustainability
  •  Discovery Programme update
  •  endoscopy clinical waiting list validation
  •  performance and finance
  •  Brexit

8. There was then a discussion on Brexit. Shirley Rogers, Director of Health Workforce, Leadership and Service Transformation provided an overview. Chief Executives are working with local partners including local authority councils and police and are receiving updates on a weekly basis. Scottish Government colleagues held a workshop with Chief Executives in October, at which it was agreed that there should be a NHS Scotland narrative for communicating to the public. Jeff Ace confirmed that he has been working on a draft paper and that he would circulate it to colleagues by Friday 16 November 2018.

Action: Jeff Ace, Chair of Chief Executives Group

Cabinet Secretary discussion

9. Paul Gray referred to the topics that the Cabinet Secretary had wished to discuss with the Chief Executives - Sustainability and Reform, Performance and Integration.

10. In the absence of the Cabinet Secretary, he invited Alison Taylor, Head of Integration Division to give an update on Integration to Chief Executives. Audit Scotland are publishing the Health and social care integration: update on progress report on Thursday 15 November. The key message in the report is that further collaborative working is required to achieve the real long term benefits of an integrated system.

11. Alison Taylor advised that Paul Gray was leading a review of integration with Sally Loudon (COSLA) and that the Reference Group has their last meeting in December. Following this recommendations will be submitted to the Cabinet Secretary.

12. Chief Executives raised the issue of ‘set aside budgets’ in relation to service reform to deliver services.

13. Paul Gray invited Chief Executives to share case studies with the review group which would highlight some of the more complicated scenarios that needed to be discussed as part of the review.

Action: Chief Executives

Feedback from Scottish Parliament Environment Climate Change and Land Reform Committee

14. Paul Gray attended the Scottish Parliament Environment Climate Change and Land Reform Committee on Tuesday 6 November 2018. There is a lot of good work going on around this agenda. The Committee were interested in transport and healthy working lives, for staff and not just patients. It is felt that there is not much visibility in this area and Paul asked Chief Executives to think about how climate change can be made more visible at all levels.

15. He encouraged colleagues to read the transcript and asked for the briefing to be circulated.

Action: Secretariat - Briefing to be circulated and Chief Executives to update at the next meeting

Any other business

16. Paul Gray raised the issue of the flu vaccine and asked the CMO to give a brief update to colleagues.

17. The CMO advised that all NHS staff are entitled to receive the quadrivalent inactivated flu vaccine along with those aged 18-64 who fall into high-risk groups. Uptake by staff varies across Boards and so she encouraged Chief Executives to raise awareness within their Board area to encourage as many staff as possible to get vaccinated.

Date and time of next meeting

18. The next NHS Chief Executives business meeting will take place on 16 January 2019 at 13:00, in the Fettes Suite, Scottish Health Service Centre, Edinburgh EH4 2LF.

Office of the Chief Executive for NHSScotland
21 November 2018

An update from St Andrew’s House (NHSCE/18/19/08) was circulated to Chief Executives in advance of the meeting for information.
NHS Chief Executives minutes: November 2018


Email: Corporate Business Management Team cbmt@gov.scot

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