SHI-7

Independent validation of hospital construction

Scottish Hospitals Inquiry · Scottish Hospitals Inquiry Interim Report · Issued 4 March 2025 · Addressed to: Scottish Government

Government responseScottish Government: Accepted (Sep 2025)

DeliveryScottish Government says in progress (Sep 2025)

Recommendation, verbatim from the inquiry

●Inquiry recommendation

It is clearly desirable that a health board has the assurance prior to the handover of a new or refurbished healthcare facility that the facility's specialised ventilation systems have been independently validated by an Authorising Engineer as fit for purpose and capable of achieving the operating performance originally specified.

I accordingly recommend that, whatever the method adopted for funding, contracts for the construction of new hospitals should permit independent validation by an Authorising Engineer, appropriately witnessed and with safeguards for all parties. The independent validation should be undertaken on behalf of the health board in accordance with the guidance contained in SHTM 03-01 (2022) with a view to a report or reports being sent to the health board's lead project manager.

In making this recommendation I acknowledge that simply to permit a healthcare provider to carry out independent validation, does not necessarily bring with it any contractual consequences in the event of failure to meet requisite standards; it is merely a way of providing the client with information. As a further step, I see merit in consideration being given as to whether the standard form of contract for revenue-funded projects requires more radical revision. Such revision would be with a view to strengthening the healthcare provider's power to ensure that the completed facility is fit for purpose and constructed in accordance with the healthcare provider's requirements, before the provider accepts handover.

Scottish Hospitals Inquiry, Scottish Hospitals Inquiry Interim Report · 4 Mar 2025 Source PDF →

Published evidence summary

AI-generated evidence summary

In September 2025, Neil Gray, the Cabinet Secretary for Health and Social Care, stated that contracts for capital-funded hospital construction now allow for validation in accordance with technical guidance, while future revenue-funded projects will include provisions strengthening healthcare providers' powers before handover (Neil Gray, Sep 2025). The Cabinet Secretary confirmed in September 2025 that the Scottish Government accepted the recommendation and committed to report on implementation, but the record holds no update since the Scottish Government's response of September 2025 (Neil Gray response, Sep 2025).

Sources

Neil Gray, Sep 2025

AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.

About this summary
This recommendation applies across many organisations. The record above reflects central policy activity; adoption in individual organisations may vary.

Government response

●Scottish Government · Accepted · 17 Sep 2025

Words of: Neil Gray, Cabinet Secretary for Health and Social Care, in a letter to Clare Haughey MSP, Convener of the Health, Social Care and Sport Committee, 17 September 2025

On 13 March 2025, I made a statement in parliament, addressing the Interim Report and its recommendations. I accepted all recommendations and committed to provide a future update on progress around the implementation of those recommendations.

Extract from: Scottish Hospitals Inquiry (SHI) - Update on actions taken by the Scottish Government to address the recommendations made by the SHI in its Interim Report on the Royal Hospital for Children and Young People, Department of Clinical Neuroscience (RHCYP DCN), Edinburgh

Site note: The Cabinet Secretary's letter of 17 September 2025 to the Health, Social Care and Sport Committee gives this passage once, for all 11 recommendations. It describes his statement of 13 March 2025, whose own words, recorded as a progress row here, are a commitment "to consider and address each of the 11 recommendations made in the interim report".

Delivery

●Scottish Government says in progress · 17 Sep 2025

for any future revenue-funded project, the Scottish Government will include a provision that strengthens the healthcare provider’s power to ensure that the completed facility is fit for purpose and constructed in accordance with the healthcare provider’s requirements. For capital funded projects, contracts for the construction of new hospitals now allows for validation, which will be undertaken on behalf of the health board in accordance with technical guidance.

From: Scottish Hospitals Inquiry (SHI) - Update on actions taken by the Scottish Government to address the recommendations made by the SHI in its Interim Report on the Royal Hospital for Children and Young People, Department of Clinical Neuroscience (RHCYP DCN), Edinburgh, Neil Gray, Cabinet Secretary for Health and Social Care

Earlier statements on delivery (0)

●Scottish Government · 13 Mar 2025

The Scottish Government is committed to working with the health boards and other NHS bodies to consider and address each of the 11 recommendations made in the interim report.

From: Scottish Hospitals Inquiry (Interim Report) (Meeting of the Parliament, 13 March 2025), Neil Gray, Cabinet Secretary for Health and Social Care

Site note: The Cabinet Secretary for Health and Social Care's statement to the Scottish Parliament on 13 March 2025 gives this sentence once, for all 11 recommendations of the interim report. In answer to a question in the same item he said: "We will respond formally to the inquiry’s 11 recommendations in due course."

How this page is built

The recommendation and the government responses are verbatim from primary documents. Delivery statements and other bodies' findings are shown in their own words, each with its source. The summary is written by this site and labelled as such. The Index does not paraphrase sources or characterise intent; it records what has been published.