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Whistleblowing Standards Report

Argyll and Bute Council · 23 November 2022
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 23 November 2022 and its agenda

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NHS Highland 
Meeting: Argyll & Bute Integrated Joint Board
Meeting date: 24 November 2022
Title: Whistleblowing Standards Reports
Responsible Executive/Non-Executive:  Fiona Hogg, Director of People and Culture
Report Author: Fiona Hogg, Director of People and Culture 
1 Purpose
This is presented to the Board for: 
 Assurance 
This report relates to a:
 Legal requirement 
This report will align to the following NHS Scotland quality ambition(s): 
Safe, Effective and Person Centred 
This report relates to the following Strategic Outcome(s)
Start Well  Thrive Well  Stay Well  Anchor Well 
Grow Well  Listen Well X Nurture Well X Plan Well 
Care Well  Live Well  Respond Well  Treat Well 
Journey Well  Age Well  End Well  Value Well 
Perform well   Progress well     
2 Report summary
2.1 Situation  
Attached are the Whistleblowing Standards Q1 report (April - June 2022) and Q2
report (July - September 2022) as well as the final version of the Annual Report
and Abridged Annual report covering the period 1 April 2021 to 31 March 2022,
which was the first year of the standards.   
These are provided to give assurance to the IJB of our programme and
performance against the Whistleblowing Standards which have been in place
since April 2021. 
Agenda Item XX

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2.2 Background 
All NHS Scotland organisations including Integrated Joints Boards and Health
and Social Care Partnership are required to follow the National Whistleblowing
Principles and Standards with effect from 1 April 2021. Any organisation
providing an NHS service should have procedures in place that enable their
staff, students, volunteers, and others delivering health services, to access the
National Whistleblowing Standards.   
As part of these requirements, a report is required to be presented to the Board
and relevant Committees and IJBs, on an annual basis, in addition to quarterly
reports.   
2.3 Assessment 
The Argyll & Bute Integrated Joint Board plays a critical role in ensuring the
Whistleblowing Standards are adhered to in respect of any service delivered on
behalf of NHS Highland, including through ensuring both quarterly and annual
reporting is presented and robust challenge and interrogation of this takes place. 
Considerable thought and engagement has gone into the Annual
Whistleblowing Standards report over recent months, to ensure that the report is
comprehensive and easy to access, as well as covering all the requirements set
out above.   
The report is designed to be able to read in it’s entirety, but also to provide a
shortened version for colleagues which will include the infographic and
executive summary, along with the links to past reports and the contact and
information page.   
Bert Donald, our Whistleblowing Non-Executive Director has been involved in
the review and shaping of the report, along with input from a range of
colleagues, the Area Partnership Forum and Staff Governance Committee.  Bert
also carried out another series of visits across Argyll & Bute in October 2022 to
promote the Whistleblowing Standards and encourage speaking up. 
The annual reports were extensively referenced and shared during our Speak
Up Week activities from 3 - 7 October 2022.

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During Speak Up week, our Guardians, who act as our Whistleblowing
Confidential Contacts, travelled extensively across the Board area promoting
Speaking Up and the Whistleblowing Standards.  Our INWO liaison held daily
sessions and recorded these on key topics such as Speaking Up, Praising and
Positive feedback, Listening and responding to concerns, Quality, care and
Safety concerns and a round up of all the weeks key messages and activity. 
There was also a series of local and national resources, press releases and
social media postings shared.   
We are working on our own internal Whistleblowing policy guidance, as part of
the final audit action, but as we are  now involved in developing national
guidance and tools as part of a working group, we have paused our local activity
The Q1 Whistleblowing report for the period 1 April 2022 to 31 July 2022 and
the Q2 Whistleblowing report for the period 1 August 2022 to 31 October 2022
are included in the pack for assurance review.  We have seen new cases raised
and a number of cases concluded, but we continue to focus on improving our
timescales to resolve cases. 
We continue to receive and progress cases and are now considering how we
can start to add learnings and trends to the reports now we have had a few
more cases to report on and will include this in the Q3 report. 
The Quarter 3 report will be available for the March 2023 meeting. 
2.4 Proposed level of Assurance
This report proposes the following level of assurance: 
Substantial   Moderate X
Limited   None 
Comment on the level of assurance
This report proposes moderate assurance is taken, with the refinement of our
processes making good progress.  Our outstanding cases are substantial and
complex but are being taken seriously.  It is recognised that further work is
needed to implement the final audit action, continue with promotion of
awareness and training which began in August 2022,  as well as enhanced
reporting now we have more data and to continue progress made to ensure
cases are progressed in a timely manner and we are targeting giving substantial
assurance with the next report in March 2023.

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3 Impact Analysis 
3.1 Quality/ Patient Care
The Whistleblowing Standards are designed to support timely and appropriate
reporting of concerns in relation to Quality and Patient Care and ensure we take
action to address and resolve these. 
3.2 Workforce
Our workforce has additional protection in place under these standards.  
3.3 Financial
The Whistleblowing Standards also offer another route for addressing
allegations of a financial nature.   
3.4 Risk Assessment/Management
The risks of the implementation have been assessed and included. 
Consideration is being given to where this would sit on our operational and
board level risks. 
3.5 Data Protection
The report does not involve personally identifiable information. 
3.6 Equality and Diversity, including health inequalities
No specific impacts. 
3.7 Other impacts
None. 
3.8 Communication, involvement, engagement and consultation 
Duties to involve and engage external stakeholders are carried out where
appropriate: 
3.9 Route to the Meeting 
This has been previously considered by the following groups as part of its
development. The groups have either supported the content, or their feedback
has informed the development of the content presented in this report.

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The Annual report was presented in draft format for feedback and comments at
Area Partnership Forum on 26 August 2022 and the Staff Governance
Committee on 7 September 2022. 
The final papers were presented as below:
 Annual report and Q1 report -  NHS Highland Board, 27 September 2022
 Annual Report, Q1 and Q2 report - Area Partnership Forum on 28 October
2022
 Annual Report, Q1 and Q2 report -  Staff Governance Committee on 9
November 2022 
4 Recommendation 
 Assurance – To give confidence of compliance with legislation, policy and
Board objectives. 
4.1 List of appendices 
The following appendices are included with this report: 
 Appendix 1 –  Annual Whistleblowing Report 2021/2
 Appendix 2 - Summary Annual Whistleblowing Report 2021/2
 Appendix 3 -   Quarterly WB report,  April - June 2022 
 Appendix 4 - Quarterly WB report July - September 2022