SHI-8

IPC role specifications and staffing levels

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

I accordingly recommend that priority be given to protecting scarce IPC resources. With that objective in view, what is expected of consideration and advice from individual disciplines at various stages of a project should be made clear. Job and role specifications for various disciplines, particularly IPC should be similarly identified. I acknowledge that work which may achieve these objectives is already underway. NHS NSS is currently in the early stages of producing a replacement for Frameworks Scotland 3, the primary procurement vehicle for major capital projects, and expects to further consider roles and responsibilities as part of this work, in collaboration with stakeholders. The Inquiry heard evidence that NHS National Education Scotland is working on a knowledge and skills framework for the built environment. The Chief Nursing Officer advised that it is proposed to produce a role specification for IPC teams. I recognise too that at a project level, it is the responsibility of the senior responsible owner, project director and project board, committee or steering group to define the specific roles, responsibilities and project governance. This should be done when setting up procedures such as the Project Initiation Document and Project Execution Plan.

More generally, consideration should also be given to whether there are sufficient IPC professionals to resource the current system. It is less than satisfactory to impose further duties on a service which is already over-stretched. Several witnesses raised concern about there being insufficient IPC staff to implement the procedures introduced by Assure. As is obvious, if there are insufficient personnel to resource the system, it will not work effectively.

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, Cabinet Secretary for Health and Social Care, reported that an Infection Prevention (IPC) Workforce Strategic Plan was supporting the development of a skilled workforce, that role descriptors for IPC staff had been published, and that engagement was ongoing with NHS Education for Scotland and NHS boards to support staff development (Neil Gray, Sep 2025). 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

In addition, Infection Prevention (IPC) Workforce Strategic Plan now supports the development of a skilled and sustainable workforce; particularly in relation to Infection, Prevention and Control specialists. Alongside this, the Scottish Government have also published role descriptors for IPC staff and are engaging closely with NHS Education for Scotland and NHS Boards to support the continued development of their IPC staff.

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.