Healthcare Improvement Scotland and Scottish Government: operating framework

Sets out how we will work with Healthcare Improvement Scotland, including roles and responsibilities.

Annex 6 HIS Escalation – Process Flow Chart


Quality assurance activity* has been undertaken with improvements required, however no improvements made / no response

- or - Serious patient safety concerns have been identified that require immediate action by the service provider

Level 1: Letter of non-compliance issued to provider, setting out required actions, deadline and subsequent stage in process

Letter signed by HIS CEO to CEO of Provider HIS Board Chair, Board and Executive Team are notified

SG Sponsor Function and Policy Lead / Budget Holder notified for information

Deadline for action not met / no response

Level 2: Formally escalate to SG Sponsor Function Policy Lead / Budget Holder

Signed off by HIS CEO and Board Chair

SG Sponsor Function to determine response and notify DG Health

No, or limited evidence that actions have been taken

Level 3: Escalate to Scottish Ministers via Sponsor Function with proposed action

Signed off by HIS CEO and the Board Chair (HIS Board notified)

*Quality assurance activity may include but is not limited to:

  • Quality assurance inspections and reviews
  • Responding to Concerns
  • Service change
  • Healthcare Staffing Programme activity



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