NHS Grampian responsive diagnostic review: November 2026
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Document Type
Inspection reports
Other inspections
Summary
The Responsive Diagnostic Review was undertaken in response to persistent, serious concerns about safety, quality, clinical governance and leadership.
The concerns, many of which had been raised with NHS Grampian by Healthcare Improvement Scotland prior to the review, focussed on Dr Gray’s Hospital and the connected wider organisational clinical governance systems.
The review has given careful attention to how governance systems operate in practice:
- how risks are escalated and managed
- how leaders respond when concerns are raised
- how assurance regarding quality and safety is obtained and tested
- whether learning and improvement activities result in demonstrable and sustained change.
The report concludes that stronger leadership, clearer accountability, improved service integration, and a renewed focus on clinical governance are required to deliver sustained improvement across NHS Grampian.