Report to the People
25th April 2005

Scrap the Board?
Structures are not the solution to difficulties in the NHS, but they can be part of the problem.

Take Argyll and Clyde Health Board.  Over a period of years and under a succession of management regimes, it has dreamt up a string of ill thought out re-organisation plans.  Its accounts are a mess.  And it has lost the trust of those it serves.

Indeed, a key flaw in its last doomed scheme was that it looked only at organising services within its own artificial boundaries.

It’s hardly surprising, then, that few tears have been shed at the suggestion that the Board could be scrapped and that we in Inverclyde could team up with places such as Glasgow to form a new board.

This would certainly offer advantages – the focus could be put squarely on tackling the persistent public health problems in urban areas, for a start.

Despite the recent press reports, however, no final decision has been made about whether to pull the plug on the board.  On Thursday, therefore, I sought assurances from Jack McConnell at First Minister’s Question Time that he and his Ministers will not shrink from taking the toughest action when it is required.

The First Minister and Health Minister are right that, when any decision is taken, what’s best for patients’ must be the top priority.  So is it, they have to ask, in patients’ best interests to allow a board like Argyll and Clyde to continue to limp along?

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