Better value for public money

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Both the Public Service Reform and Finance and Public Administration Committees of the Scottish Parliament have made calls for views about “Pre-Budget Scrutiny for 2027-28” and the affordability and sustainability of Scotland’s tax and spending …

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Time for a new approach to major public enquiries

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The “bill for public inquiries is now running at more than £230 million.” Are costs “out of control?”   I was asked this question by Michael Marra, deputy convener of the Scottish Parliament’s Finance and Public Administration …

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A Paradigm Shift is Needed

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This is an expanded version of the article which appeared in The Times on 6 January.   To address fully the challenges in the provision of health care and social care in Scotland, I sense that we …

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A Council of State for Scotland?

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One of the difficulties which the Scottish Parliament has encountered is that legislation has on occasion been found, after passage through Parliament and in some cases implementation, to be in some way ineffective, inadequate or …

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Reflections on People-Centred Leadership in the NHS

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John Sturrock has contributed the following reflections, on leadership in the NHS, to Reform Scotland’s excellent NHS 2048 initiative:   “The key to doing well lies not in overcoming others, but in eliciting their co-operation.” (Robert Axelrod)  “…whatever change …

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Resistance to change is simply not sustainable

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I was interested to read Andrew Stevenson’s article in these pages (Monday 9 October) in which he raised concerns about proposed changes to court rules and, in particular, the apparent erosion of “the principle that …

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What is the point of public inquiries?

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“Our problem is there always seems to be someone else to blame.  The tram inquiry is about to reach £13m.  The other ongoing inquiry into the Pandemic will also cost millions.  ... Huge sums of …

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