Parliament Workbench
Data: Motions & questions to 19 Nov 2026

Written Question · S6W-16887 · Session 6

What action it is taking to reduce any instances of (a) misdiagnosis and (b) so-called "never events" occurring in the NHS.

Answered Asked by Donald Cameron Con Lodged 30 Mar 2023

The question

To ask the Scottish Government what action it is taking to reduce any instances of (a) misdiagnosis and (b) so-called "never events" occurring in the NHS.

The answer

Answered by Michael Matheson on 28 Apr 2023 · 29 days after it was lodged, on time

The Scottish Government and NHS Scotland have a shared vision for a culture that values openness and learning and supports continuous improvement. Health Boards are responsible for delivering safe, effective and person-centred care at a local level, which includes identifying and monitoring instances of patient misdiagnosis and adverse events. The Scottish Government has legislated and has implemented procedures to support this:The Patient Rights (Scotland) Act 2011 provides a specific right for people to make complaints, raise concerns, make comments and give feedback about their care, and places a duty on Boards to thoroughly investigate and respond to concerns raised, and to monitor all feedback with a view to improving the services they provide.
The NHS model Complaints Handling Procedure (CHP) was revised in 2017 to support a more consistent, person-centred approach to complaints handling across NHS Scotland.
The Duty of Candour Procedure (Scotland) Regulations 2018make it a legal requirement for all care providers, including Health Boards, to review certain types of adverse events, meet personally with those affected, offer an apology and consider how the learning from these events can be applied.
Since 2020, Health Boards have been required to notify Healthcare Improvement Scotland of any Category 1 Significant Adverse Event Reviews commissioned. These reviews support NHS Health Boards to improve services by learning from adverse events, reducing the risk of them happening again, and providing public assurance that adverse events are effectively managed.
In addition, the Scottish Public Services Ombudsman (SPSO), which is independent of Scottish Government,looks into complaints about most organisations providing public services in Scotland, including Health Boards. The SPSO will create reports following an investigation, which will include their decision, any recommendations to put things right, and the deadline by which the organisation must carry out these recommendations.
The Scottish Government and NHS Scotland have a shared vision for a culture that values openness and learning and supports continuous improvement. Health Boards are responsible for delivering safe, effective and person-centred care at a local level, which includes identifying and monitoring instances of patient misdiagnosis and adverse events. The Scottish Government has legislated and has implemented procedures to support this:The Patient Rights (Scotland) Act 2011 provides a specific right for people to make complaints, raise concerns, make comments and give feedback about their care, and places a duty on Boards to thoroughly investigate and respond to concerns raised, and to monitor all feedback with a view to improving the services they provide.The NHS model Complaints Handling Procedure (CHP) was revised in 2017 to support a more consistent, person-centred approach to complaints handling across NHS Scotland.The Duty of Candour Procedure (Scotland) Regulations 2018make it a legal requirement for all care providers, including Health Boards, to review certain types of adverse events, meet personally with those affected, offer an apology and consider how the learning from these events can be applied.Since 2020, Health Boards have been required to notify Healthcare Improvement Scotland of any Category 1 Significant Adverse Event Reviews commissioned. These reviews support NHS Health Boards to improve services by learning from adverse events, reducing the risk of them happening again, and providing public assurance that adverse events are effectively managed.In addition, the Scottish Public Services Ombudsman (SPSO), which is independent of Scottish Government, looks into complaints about most organisations providing public services in Scotland, including Health Boards. The SPSO will create reports following an investigation, which will include their decision, any recommendations to put things right, and the deadline by which the organisatio

In the Official Report

No contribution in the Official Report cites S6W-16887 by reference.