A Quality and Standards Board
For Health in Scotland
UNISON Scotland Response June 2002
UNISON Scotland welcomes the introduction of a Quality
& Standards Board for Scotland
We also welcome the commitment to involve staff and
their representatives at all stages of the planning process for
establishing the new Board with a view to, amongst other things,
avoiding compulsory redundancies.
We feel, however, that the Board should include a
trade union representative who could ensure that staffing interests
UNISON Scotland welcomes Scottish Executive proposals
to create a Quality and Standards Board for Scotland which will
develop a national strategy for improving the quality of patient
care and co-ordinate the work of Scotland's current organisations
with a remit on clinical effectiveness.
We also support the proposals to establish a new Partnership
Council, the Quality Strategy Group to carry out research and give
advice on the formulation of policy to the Quality and Standards
Board for Scotland and the Scottish Executive Health Department.
UNISON Scotland agrees that the CSBS, HTBS and SHAS
should be integrated into a single, new special health board charged
with co-ordinating the work of Scotland's clinical effectiveness
organisations through the development of a national strategy for
improving the quality of patient care.
We agree that the new organisation should also take
over responsibility for the work currently undertaken by CEPS, CIS,
CR-OC and NAPEG and the standard setting and assessment element
We agree that the Department should set up a Quality
Strategy Group to replace the CRAG committee and CSEG.
UNISON Scotland supports the aims for the Quality
and Standards Board for Scotland.
UNISON Scotland supports the vision for the Quality
and Standards Board for Scotland
UNISON Scotland supports the values and approach suggested
for implementing them. We particularly welcome the inclusion of
staff as a stakeholder and the intention to pay heed to equality
and diversity in developing family-friendly policies; introducing
team working and investing and valuing staff in a fair and equitable
way. We would, however, wish to ensure that all staff in
the Health Team are included in this approach, not just those with
We would, however seek clarification on the extent
of the jurisdiction of the new Board with regard to cross-sector
working, for example in the Joint Future Agenda. Social care providers
working in local government and the voluntary sector are not currently
subject to the provisions of the existing national clinical effectiveness
organisations of NHSScotland and their position will need to be
taken into account.
We support the functions listed for the QSBS but would
request assurances that the relevant trade unions be consulted on
for example, initiatives to manage poor professional performance
In general, UNISON Scotland supports the proposed
functions as a description of the approach that the Board of the
Quality and Standards Board for Scotland should take.
However, we would wish the Minister for Health and
Community Care to include staff interests when determining the composition
of the Board, with a seat for a representative of the staff trade
unions and a representative of the Scottish Partnership Forum.
We would again stress the need for staff to be included
as stakeholders and strategies for effective communication and partnership
working, etc. should be extended to include them. In this connection
we welcome the statement that "All staff groups in NHS Scotland
can contribute to improving the quality of patient care".
We welcome the intention to consult other key stakeholders
including those involved in cross sector working and would again
urge that staff interests in these bodies are also taken into account.
We would again stress the need to include staff as
one of the stakeholders referred to throughout this section, for
example in relation to the Board's communications strategy.
We would seek to ensure that the financial resources
allocated to the new Board are adequate to carry out all of its
functions and that adequate numbers of staff are incorporated into
the new establishment.
We feel it important that effective training should
be given to staff undertaking new functions as a result of new roles
within the new Board.
Transition and Initial Milestones
UNISON Scotland welcomes the statement that "Staff
and their representatives will be involved at all stages of the
planning process for establishing the new Board and will be kept
informed of developments and decisions in the spirit of partnership
We also welcome the intention to apply protection
arrangements as outlined in the Organisational Change Policy Statement
in HDL (2001) and previous MELS; to avoid compulsory redundancies
and to adhere to a policy of no detriment for the overall terms
and conditions of service of staff.
We would expect that the integration of the previous
organisations into the new Quality and Standards Board for Scotland
would be handled in a sensitive and professional manner avoiding
unnecessary stress to the individuals involved.
For further information please contact:
Matt Smith, Scottish Secretary
14, West Campbell Street,
Glasgow G2 6RX
Tel 0141-332 0006 Fax 0141 342 2835