Scottish Public Inquiry Staff Support

This is a statutory public inquiry set up under the Inquiries Act 2005 to investigate the construction of the Queen Elizabeth University Hospital Campus, Glasgow (the “QEUH”), and the Royal Hospital for Children and Young People and Department of Clinical Neurosciences, Edinburgh (the “RHCYP”), following concerns about patient safety and wellbeing, in order to determine whether issues relating to ventilation, water and other key building systems gave rise to those concerns, how they occurred and what steps could be taken to prevent such issues arising in future projects.

The remit sets out that the Inquiry is to report on certain questions and to make recommendations to ensure that any past mistakes are not repeated in future NHS infrastructure projects.

The Terms of Reference of the Inquiry specify its remit and the issues it is examining in more detail.

Lord Brodie, who is the Chair of the Inquiry, is responsible for the direction and manner of the Inquiry. He acts in an independent capacity. A Public Inquiry is inquisitorial in nature, not adversarial, so the Chair performs more of an examining role than a judge would in court proceedings.

A Public Inquiry is a formal, independent review relating to particular events which have caused or have potential to cause public concern, or where there is public concern that particular events may have occurred. The aim of a Public Inquiry is to help to restore public confidence in systems or services by investigating the facts through consideration of documentary and witness evidence, to determine what happened and help prevent recurrence.

The outcome of a Public Inquiry is the production by the Chair, with input from the Inquiry Team, of a report which details key findings of fact and makes recommendations for the future. The Chair cannot make any findings of civil or criminal liability, nor can he award any compensation.

It is the role of the Inquiry Team to gather evidence from varied sources, including witness evidence from individuals with knowledge of the relevant circumstances. You may be asked to provide a witness statement to assist the Inquiry Team with its investigations (see 14. below). However, the findings and recommendations detailed in the Chair’s report will be directed towards NHS GGC and not at particular individuals.

A Public Inquiry is made up of ten stages, which are set out here: Order of Events | Hospitals Inquiry.

The principal sources of evidence will be written statements submitted to the Inquiry by witnesses and documents recovered during the course of investigations by the Inquiry Team, as supplemented by oral evidence where the Chair considers that necessary.

Five formal hearings have been conducted since the commencement of the Inquiry:

• The first formal hearing of the Scottish Hospitals Inquiry was held on 22 June 2021 remotely, in line with COVID-19 restrictions. This was a short hearing where Lord Brodie set out arrangements for the hearings commencing in September.
• The first diet of oral hearings was conducted over the course of five weeks, between 20 September and 5 November. At this hearing, evidence from patients and their families in respect of QEUH was heard about their perceptions of the impact on patient safety and care of issues arising in relation to ventilation, water and drainage and other matters, and the communication with patients and their families in relation to those issues.
• A further diet of hearings took place in May 2022, where the Inquiry focused primarily on ventilation and other matters relating to the project governance and funding model at the RHCYP.
• Hearings in respect of the RHCYP were conducted over a two-week period, commencing on 24 April 2023 which considered the procurement exercise for the Edinburgh project.
• Thereafter, a further diet of hearings relating to the QEUH commenced on 12 June 2023 for two weeks, the purpose of which was to allow the Chair to hear evidence on the perspective from clinicians, nurses and managers working at the QEUH and the RHC, following on from the evidence of patients and families heard in September 2021.

The third and final hearing in relation to the  RHCYP Edinburgh  commences on 26 February 2024 for a period of 4 weeks, which will focus on the reasoning behind the decision not to open the hospital in 2019 and to open in 2021 instead.

A third hearing in relation to the QEUH and RHC has been set down for 19 August 2024 for a period of 12 weeks, which will focus on water and ventilation systems and infection.

The Inquiry premises are at: 20 West Register Street, Edinburgh, EH2 2AA. A map of the venue location can be found here: 20 W Register St – Google Maps.

Just off St Andrew Square, the venue is close to Waverley train station, Edinburgh bus station and has good tram links. No car parking is available at the venue.

The venue has been prepared for the hearings with ongoing Covid-19 restrictions and safety measures in place.

Public inquiries are open to the public and the media. However, numbers of attendees at the Inquiry premises are restricted Therefore reporting on the hearings is largely happening remotely and proceedings are being live-streamed on the Inquiry’s YouTube channel.

The hearings will be available to watch on the Inquiry’s YouTube channel after the hearing. Transcripts of the hearings will also be published following the hearing, unless any contrary order or restriction notice is in place.

The Inquiry Team is carrying out investigations, which include reviewing all relevant documentation and interviewing individuals with knowledge of the circumstances surrounding the issues in relation to adequacy of ventilation, water contamination and other matters which arose in the construction and delivery of the QEUH, as well as the response to emerging issues related to infections of patients at the hospital after it was opened.

If you have knowledge of these issues, you may be asked by the Inquiry team to provide a witness statement.

Yes. Lord Brodie has powers under the Inquiries Act 2005 to compel a person to give evidence to the Inquiry. If you do not comply with a requirement by the Chair, you may be found to have committed a criminal offence.

Yes. Lord Brodie has powers under the Inquiries Act 2005 to compel any person to give evidence to the Inquiry. If you do not comply with a requirement by the Chair, you may be found to have committed a criminal offence.

If the Inquiry Team considers that if might be useful to speak to you in respect of your knowledge of these issues, you will be contacted by a named team member from the Inquiry Team’s Witness Engagement and Support Team to arrange a suitable time for an interview appointment. Your named team member will confirm the interview details in writing, provide the name of the person who will conduct the interview, the location (or whether it will be appropriate to take the statement remotely, and will also ensure that you understand what is involved in providing evidence, giving statements and attending hearings.

The Inquiry team will inform you in advance of the issues about which you will be asked, as well as providing you with copies of the documentation you may be asked about.

You may have somebody present with you at the witness interview, such as a work colleague, friend, official from your Trade Union or Professional Organisation, or a solicitor from the NHS Central Legal Office’s (“CLO”) dedicated Scottish Hospitals Inquiry team (which is acting for NHSGGC in the Inquiry). It is recommended that whoever accompanies you is not themselves likely to be asked to provide a statement.  The recommendation is that a solicitor from CLO attends with you to provide as full legal support as possible.

NHSGGC will support you as fully as possible throughout your involvement in the Scottish Hospitals Inquiry. However, if you would prefer to be accompanied by an independent solicitor, the Inquiries Act 2005 allows for the possibility of an award of funding for legal representation for witnesses; applications for funding for legal representation must be approved in advance. There is further information on this on the Inquiry website and you can speak with the Inquiry’s witness support team about this.

There are likely to be two members of the Inquiry team in attendance, who will take your statement, by asking you questions and referring you to documentation for your comment. Giving a witness statement may take some time.  The statement takers will allow regular breaks, but you should feel free to ask for breaks whenever you want. If a meeting is likely to last a long time, the interview will be spread over more than one day. Consider making your own notes of the interview; this will help in remembering what was said when you receive the draft statement of your interview.

Shortly after your interview, you will receive a draft copy of your witness statement. This must be read thoroughly and any changes, additions or deletions can be made at this stage. You should sign the statement once you are satisfied that it accurately reflects your evidence. You may be asked to provide electronic verification in place of a signature, if the process is taking place remotely. Once the statement is signed, it then becomes your evidence to the Inquiry. If you subsequently wish to say something more, you can make a further statement.

Witness statements are published on the Inquiry website prior to witnesses being called to give evidence, so the media will have access to materials before and during each stage of the Inquiry hearings. This could lead to witnesses being quoted in media reports prior to appearing at the Inquiry.

Any individual who has been interviewed and provided a statement to the Inquiry Team may then be called as a witness at the Inquiry. However, in many cases, a witness’ statement will be sufficient and they will not also be required to give evidence at a hearing.

If you are called to give evidence, it is important that you prepare for this by:

• Reviewing all personal notes and files, as well as the documentation provided to you by the Inquiry Team in advance of giving your witness statement.
• Familiarising yourself with the hearing surroundings by viewing the film of the venue provided by the Inquiry Team in advance.
• Being prepared for possible media interest in the lead up to the hearing.
• Being aware that you may have to wait at the hearing venue before you are called as a witness.

When called to give evidence, you must take an oath, or affirm, declaring that you will tell the truth at all times.

You are then likely to be questioned on who you are, your qualifications and experience, and your place of work before going on to the circumstances surrounding the issues in relation to adequacy of ventilation, water contamination and other matters which arose in the construction and delivery of the QEUH and thereafter. It may also include your general involvement and role within meetings and decision making relating to care of patients, communication with families, infection control and the environment.

Listen carefully to the questions you are asked and take time to consider your response. Do not feel pressured to give a “yes” or “no” response and be ready to explain your view. If you can’t remember the date of an event or don’t know the answer to a question, say so – don’t try to guess and do not speculate.

If a question has multiple parts, break down your answer. If you are unsure of the question, ask for it to be repeated. Be calm, courteous and honest. Remain objective, and do not get personal. Speak clearly and concisely, and be ready to confirm your evidence from notes taken at the time, or by reference to your witness statement. If your role is a central one, be prepared for a possible lengthy session in the witness box which may last several hours.

Do:

• Prepare in advance
• Be fully familiar with the issues in the case
• Give detailed and relevant answers
• Say if you cannot remember
• Be alert and astute to the atmosphere in the venue
• Direct your answers to the Chair, even though counsel to the Inquiry is asking the questions: the Chair is the decision maker
• Be clear in what you say and speak loudly enough for the Chair and Counsel to the Inquiry to hear you
• Be ready and willing to expand and explain your answers if requested
• Be ready and willing to see the argument in opposing views but be firm and clear about your own evidence
• Be prepared for delays
• Be aware that this is a formal proceeding and dress appropriately
• Try to remain calm and not react emotionally
• Try to avoid appearing defensive, impatient or argumentative
• Stick to the facts – don’t make assumptions about what other people did or did not do
• Try to avoid jargon, medical or hospital language that others may not understand

The Inquiry has measures in place to ensure that witnesses to the Inquiry are not approached by the media within the Inquiry premises. Should you be approached by a journalist outside the Inquiry premises, there is no obligation for you to make comment. The media may also take photographs of witnesses arriving at or departing from the Inquiry.

The NHSGGC Communications team is on hand to advise and support you if you are in any doubt about what to do if contacted by the press. They can be contacted by telephone, 0141 201 4429, or email, press.office@ggc.scot.nhs.uk 24 hours a day.

Yes.

NHSGGC is fully committed to providing support to all staff who may be involved in the Scottish Hospitals Inquiry. NHSGGC Legal Office operates a “Witness Service” that offers support and guidance to all witnesses asked to give evidence at a hearing. The service they can provide which would be helpful to any NHS staff member if required is:

• Practical help
• Information on Inquiry procedures
• Guidance regarding further support
• A listening ear for anxieties/concerns

If you would like support from this service generally, or if you are invited to give a statement/evidence, please contact Rachel McGowan, 07583 121674 or rachel.mcgowan@ggc.scot.nhs.uk

Additionally, the NHS Central Legal Office (“CLO”) is acting for NHSGGC in the Inquiry. The CLO has a dedicated Scottish Hospitals Inquiry team which is working alongside the Witness Service and can provide you with as full legal support as required, including accompanying you, if requested, to any witness interview meeting.

Of course, you may also seek support and advice from your Trade Union or Professional Organisation.

A precognition is an informal statement, used for internal purposes only, and not for wider disclosure, and is covered by legal privilege. The CLO might suggest that they take a precognition from you as part of its fact-finding phase. While you are not obliged to provide such a statement to the CLO, we would strongly advise you to do so: this process assists with building your own picture of the events to which you can speak; and if called by the Inquiry to give evidence, you must do so, so having taken the preparatory step of assimilating your recollection of matters in advance of that more formal process is hugely beneficial.

No. Any conversation you may have with a member of the CLO team is confidential and is covered by legal professional privilege, whereby written or oral confidential communications between a lawyer and a client are protected for the purpose of giving or receiving legal advice.

Yes. The Inquiry has set up a Witness Engagement and Support Team which is available to anyone who is a witness to the Inquiry, i.e. anyone who is either giving a witness statement, or giving evidence at an Inquiry hearing. They can provide information about what the Inquiry does and how they do it.

The witness support team can be contacted either via the NHSGGC Witness Service and/or CLO, or using the following details:

• By phone on 0808 196 5000
• By email to: public@hospitalsinquiry.scot
• By post to: Scottish Hospitals Inquiry, PO Box 27126, Glasgow, G2 9NB.

Yes. The CLO is supporting NHSGGC in the information-gathering stage of Inquiry preparations. Part of that exercise comprises a review of documentation and an assessment of its relevance to the Inquiry’s Terms of Reference and to the specific Requests for Information which the Inquiry Team has made. The provision of any documentation to the CLO does not mean that there will be automatic onward provision of this documentation to the Inquiry Team.

Subject to certain exceptions, should any material be considered to be relevant to these Requests, there is a legal obligation for this to be provided by NHSGGC, or the CLO on its behalf, to the Inquiry Team.

There are protocols in place to deal with the provision of sensitive or legally privileged material, including an application by the CLO to the Inquiry Team for an order for redaction (obscuring parts of text) or restriction of the publication of the material.

The Lord Advocate has instructed an investigation by Police Scotland into the deaths of four patients at the hospital. This investigation is to establish whether, in relation to water and ventilation, any offences have been committed by NHSGGC. At this stage we understand the focus of the investigation is directed at NHSGGC as an organisation and not at individuals.

If you have knowledge of matters relevant to the Police investigation, you may be asked to attend for interview to provide a statement.

No. Attending an interview and providing a statement to the Police at this stage of its investigation is voluntary. However, NHSGGC wishes to cooperate fully with the Police investigation and would therefore ask that you consider this when deciding whether to agree to a request for an interview.

Please see Question 26 above.

Please see Question 16 above.

NHSGGC will support you as fully as possible and should you wish NHSGGC will make a solicitor from the CLO available to speak with you beforehand in order to answer any questions you may have, and to attend with you to the interview. However, if you would prefer to be accompanied by an independent solicitor, please contact your Trade Union or Professional Organisation.

It is unlikely that Police Scotland will provide details on what they intend to cover at the interview in advance. If so, preparation will not be possible. It is recommended that you do not bring any documentation or notes with you to the interview as there is an agreed process in place for the provision of documentation to the Police and the Police Officers can take possession of these – see also Q.40 below.

Similar to Question 18 above, there will be two Police Officers in attendance. One of the Officers will hand write the statement during the interview. Although you will be responding to questions, the statement will be written as a first person narrative. This interview process therefore may take some time.  You should feel free to ask for breaks whenever you want.

These are similar to Question 24 above:

• Listen carefully to the questions you are asked and take time to consider your response.
• If you do not understand the question or are unsure about what you are being asked, then ask for clarification.
• Do not feel pressured to give a “yes” or “no” response where that would not be correct, but instead provide a full response explaining the position.
• If you don’t remember or don’t know the answer to a question, just say so – don’t try to guess and do not speculate.
• If a question has multiple parts, break down the question and your answer.
• If you feel someone else would be better placed to answer a particular question, feel free to say so, as part of the purpose of the questions is to find out who is best to answer them.
• If you need to see a particular document in order to answer a question, ask for this document and if the Police have it available they will show it to you. If the document is not available, the Police Officer will request a copy from NHSGGC.
• Be calm, courteous and honest. Speak slowly, clearly and concisely, as that will make it easier for the Police Officer who is writing down your responses.

Please do not provide copies of documents yourself as NHSGGC has bilaterally agreed processes in place to assist Police Scotland in respect of access to clinical notes/documents as follows:-  

Clinical Notes/Medical Records Requests

Requests for documentation relating to patient’s medical/clinical notes should be directed to Legal Aspects Team (part of Medical Records Department) who will assist Police Scotland with their request as per usual NHSGGC process.

Contact email: ggc.legalaspectsnorth@nhs.scot

All other documentation

A process for requesting all other documentation has been agreed with Police Scotland. Do not provide copies of documents yourself. There is a single point of contact within the Programme Management Office – Public Inquiries for the Police to formally request documents.

Contact email: QEUHPI@ggc.scot.nhs.uk

Yes. At the conclusion of the interview, or at multiple points during the interview if it is a long interview, you will be asked to read through the statement that has been written by the Police Officer to check that it is accurate. You must read the statement carefully and make any corrections, changes, additions or deletions that you wish. Once this has been completed you will be asked to sign every page of the statement as well as sign at the end to confirm that the statement is a true and accurate record. You will not be provided with a copy of the final statement.

No. Your Police statement is confidential.

The aim of this document is to inform and advise NHS Greater Glasgow and Clyde staff on the Scottish Hospitals Inquiry. It outlines the Public Inquiry process, gives advice on how staff can prepare and where staff can find support.

Taking part in a Public Inquiry can be stressful. Staff can find their actions questioned and challenged in an environment that can feel alien. Making sure that all staff understand what is involved will help our staff and help the Inquiry establish what happened.

NHS Greater Glasgow and Clyde (NHSGGC) is fully committed to supporting staff through the Scottish Hospitals Inquiry. Appendix 1 has details on the type of support available and how to access this support.

Background

In November 2019, the Cabinet Secretary for Health and Sport, Jeanne Freeman, announced in the Scottish Parliament that a Public Inquiry would be held to examine issues at the Queen Elizabeth University Hospital Campus (QEUH) and the Royal Hospital for Children and Young People (RHCYP) and Department of Clinical Neurosciences (DCN), following concerns about patient safety and wellbeing, in order to determine how issues relating to ventilation, water and other key building systems gave rise to those concerns, how they occurred and what steps could be taken to prevent such issues arising in future projects.

The Inquiry is a Public Inquiry, set up under the Inquiries Act 2005. Lord Brodie was appointed as the Chair of the Inquiry with effect from 28 November 2019 and the Inquiry work commenced on 3 August 2020. The Terms of Reference of the Inquiry, which specify its remit and the issues it is examining in more detail, were published on 15 June 2020 (Appendix 2). There have been four diets of evidential hearings, commencing in  September 2021.

What is a Public Inquiry?

A Public Inquiry is a formal, independent review relating to particular events which have caused or have potential to cause public concern, or where there is public concern that particular events may have occurred. It is inquisitorial in nature, not adversarial. The aim of a Public Inquiry is to help to restore public confidence in systems or services by investigating the facts through consideration of documentary and witness evidence, to determine what happened and help prevent recurrence. The outcome of a Public Inquiry is the production by the Chair, with input from the Inquiry Team, of a report which details key findings of fact and makes recommendations. It is not the purpose of a Public Inquiry to determine issues of civil or criminal liability.

Format of the Public Inquiry

The Inquiry Team gathers evidence in the form of statements and documents, considers that evidence and prepares for hearings at which the evidence is tested.

The first formal hearing of the Scottish Hospitals Inquiry was held on 22 June 2021 remotely, in line with COVID-19 restrictions. This was a short hearing where Lord Brodie set out arrangements for the hearings commencing in September.

The first diet of oral hearings was conducted over the course of five weeks, between 20 September and 5 November 2021. Evidence from patients and their families was heard about their perceptions of the impact on patient safety and care from issues arising in relation to ventilation, water and drainage and other matters, and the communication with patients and their families in relation to those issues.

NHSGGC is a core participant at the Public Inquiry. Core participants were invited to submit brief opening written statements and make a brief oral statement in support of those written statements, upon the commencement of the first hearings, which provided an opportunity for lawyers representing the core participants to set out their approach and objectives.

The focus of the first hearings was to hear the experiences of the patients and families. The core participants did not have the opportunity to respond to the evidence heard. However, closing submissions were submitted by core participants, which identified emerging themes as well as concerns arising from the evidence.

A further diet of hearings took place in May 2022, where the Inquiry focused primarily on ventilation and other matters relating to the project governance and funding model at the Royal Hospital for Children and Young People in Edinburgh.

2.4.7   Hearings in respect of the Royal Hospital for Children and Young People in Edinburgh were conducted over a two-week period, commencing on 24 April 2023, which considered the procurement exercise for the Edinburgh project.

2.4.8   Thereafter, a further diet of hearings relating to the Queen Elizabeth University Hospital and the Royal Hospital for Children commenced on 12 June 2023 for a period of two weeks. The purpose of that hearing was to allow the Chair to hear evidence on the perspective from clinicians and nurses working at the QEUH and the RHC, following on from the evidence of patients and families heard in September 2021.

2.4.9   The third and final hearing in relation to the Royal Hospital for Children and Young People / Department of Clinical Neurosciences commences on 26 February 2024 for a period of 4 weeks, which will focus on the reasoning behind the decision not to open the hospital in 2019 and to open in 2021 instead.

2.4.10 A third hearing in relation to the Queen Elizabeth University Hospital and the Royal Hospital for Children has been set down for 19 August 2024 for a period of 12 weeks, which will focus on water and ventilation systems and infection at the QEUH.

Appendix 1 has information on the support available to staff who have been asked to provide a statement.

Investigations continue to be carried out by the Inquiry Team. This involves reviewing all relevant paperwork, notes and records; and interviewing individuals with knowledge of the circumstances surrounding the issues in relation to adequacy of ventilation, water contamination and other matters which arose in the construction and delivery of the hospital(s). There are also investigations relating to the response to emerging issues related to infections of patients at the QEUH after it was opened.

You may be asked by the Inquiry team to provide a witness statement, in which case you will be contacted by a named team member from the Inquiry Team’s Witness Engagement and Support Team to arrange a suitable time for an interview appointment. Your named team member will confirm the interview details in writing, provide the name of the person who will conduct the interview, and will also ensure that you understand what is involved in providing evidence, giving statements and attending hearings.

You may have somebody present with you at this meeting, such as a work colleague, friend, official from your Trade Union or Professional Organisation, or a solicitor from the NHS Central Legal Office’s (“CLO”) dedicated Scottish Hospitals Inquiry team (which is acting for NHSGGC in the Inquiry). It is recommended that whoever accompanies you is not themselves likely to be asked to provide a statement.  The recommendation is that a solicitor from CLO attends with you to provide as full legal support as possible.

However, if you would prefer to be accompanied by an independent solicitor, the Inquiries Act 2005 allows for the possibility of an award of funding for legal representation for witnesses; applications for funding for legal representation must be approved in advance. There is further information on this on the Inquiry website and you would have to speak with the Inquiry’s witness support team about this.

You can arrange a meeting with the Inquiry team during your work time but, if you wish to do so, you must inform your Line Manager to organise your work pattern and arrange cover if required.

Preparation

It is important that, if you are asked to provide a witness statement, you review and are familiar with relevant records, case notes and documentation. The Inquiry team will inform you in advance of the issues about which you will be asked, as well as providing you with copies of the documentation you may be asked about.

Interviews

If you have been asked to provide a witness statement, you will also be informed of the location of the interview, or whether it will be appropriate to take the statement remotely.

There are likely to be two members of the Inquiry team in attendance, who will take your statement. Giving a witness statement may take some time.  The statement takers will allow regular breaks, but you should feel free to ask for breaks whenever you want. If a meeting is likely to last a long time, the interview will be spread over more than one day. Consider making your own notes of the interview; this will help in remembering what was said when you receive the draft statement of your interview.

You will have the opportunity to get support from the NHSGGC Witness Service and/or CLO before you give a statement to the Inquiry Team.  See Appendix 1.

Signing the Statement

Shortly after your interview, you will receive a draft copy of your witness statement. This must be read thoroughly, and any changes, additions or deletions can be made at this stage. You should sign the statement once you are satisfied that it accurately reflects your evidence. You may be asked to provide electronic verification in place of a signature, if the process is taking place remotely. Once the statement is signed, it then becomes your evidence to the Inquiry. If you subsequently wish to say something more, you can make a further statement.

Any individual who has been interviewed and provided a statement to the Inquiry Team may then be called as a witness at the Public Inquiry. However, in many cases, a witness’ statement will be sufficient and they will not also be required to give evidence at a hearing. Appendix 1 has information on the support available to staff who have been called to appear as a witness.

Statements

Shortly before a witness gives evidence at the hearings his/her statement will be published on the Inquiry website.  A witness’ personal details (i.e. address and date of birth) and signature will not be published.

Called as a witness

If you are called to give evidence, it is important that you prepare for this by:

• Reviewing all personal notes and files.
• Familiarising yourself with the hearing surroundings by viewing the film of the venue provided by the Inquiry Team in advance.
• Being prepared for media interest in the lead up to the hearing and at the hearing venue. See Section 6 for media advice.
• Being aware that you may have to wait at the hearing venue before you are called as a witness.

Giving Evidence

When called to give evidence, a witness must take an oath, or affirm, declaring that they will tell the truth at all times. Listen carefully to the questions you are asked and take time to consider your response. Do not feel pressured to give a “yes” or “no” response and be ready to explain your view. If you can’t remember the date of an event or don’t know the answer to a question, say so – don’t try to guess. If a question has multiple parts, break down your answer. If you are unsure of the question, ask for it to be repeated.

Generally, you will be questioned on who you are, your qualifications and experience, and your place of work before going on to the circumstances surrounding the issues in relation to adequacy of ventilation, water contamination and other matters which arose in the construction and delivery of the QEUH as well as issues which emerged after its opening. Be calm, courteous and honest. Remain objective, and do not get personal. Speak clearly and concisely, and be ready to confirm your evidence from notes taken at the time, or by reference to your witness statement. If your role is a central one, be prepared for a possible lengthy session in the witness box which may last several hours.

What are key things to remember in giving evidence?

Do:

• prepare in advance
• be fully familiar with the issues in the case
• give detailed and relevant answers
• say if you cannot remember
• be alert and astute to the atmosphere in the venue
• direct your answers to the Chair, even though counsel to the Inquiry is asking the questions: the Chair is the decision maker
• be clear in what you say and speak loudly enough for the Chair and Counsel to the Inquiry to hear you
• be ready and willing to expand and explain your answers if requested
• be ready and willing to see the argument in opposing views but be firm and clear about your own evidence
• be prepared for delays
• be aware this is a formal proceeding and dress appropriately
• try to remain calm and not react emotionally
• try to avoid appearing defensive, impatient or argumentative
• stick to the facts – don’t make assumptions about what other people did or did not do
• try to avoid jargon, medical or hospital language that others may not understand.

Once all of the evidence has been taken, Lord Brodie will close the Inquiry to consider his determination. The Inquiry is required to report to the Scottish Ministers, making recommendations identifying any lessons learned as soon as reasonably practicable. The Inquiry will end when Lord Brodie has submitted his report to the Scottish Ministers.

Public inquiries are open to the public and the media. Witness statements will be posted on the Scottish Hospitals Inquiry website when witnesses are called to give evidence, so the media will have access to materials during each stage of the Inquiry hearings. This could lead to witnesses being quoted in media reports when appearing at the Inquiry.

While newspaper and broadcast media would normally attend a public inquiry, numbers of attendees are restricted at the Inquiry premises. Therefore, reporting on the hearings will largely be done remotely and proceedings are being live-streamed on the Inquiry’s YouTube channel. The hearings will be available to watch again following the hearing. Transcripts of the hearings will also be published following the hearing, unless any contrary order or restriction notice is in place.

6.3       The Inquiry has measures in place to ensure that witnesses to the Inquiry are not approached by the media within the Inquiry premises. Should you be approached by a journalist outside the Inquiry premises, there is no obligation for you to make comment. The media may also take photographs of witnesses arriving at or departing from the Inquiry.

The NHSGGC Communications team is on hand to advise and support you if you are in any doubt about what to do if contacted by the press. They can be contacted by telephone, 0141 201 4429, or email, press.office@ggc.scot.nhs.uk 24 hours a day.

Staff called to give evidence at the hearing may be entitled to travelling expenses and subsistence allowances. Further information can be found in Appendix 3.

All staff asked to provide evidence, a statement or appear as a witness will receive a formal request to do so and your cooperation is appreciated. If a member of staff refuses this request, Lord Brodie has the power to apply for an Order from the Court of Session requiring a witness to provide evidence, a statement or appear as a witness, failing which they may be found to have committed a criminal offence.

Further information on the Scottish Hospitals Inquiry can be found on the Inquiry website: www.hospitalsinquiry.scot

NHS GG&C Communications web portal: NHSGGC : Corporate Communications at NHSGGC

If you would like further advice or someone to support you during an interview, the following contacts may be helpful:

• Royal College of Nursing: Ricky Sherriff-Short – Ricky.Sherriff-Short@rcn.org.uk
• Unison: Admin Team – 0141 331 4450 or nhsbranch@unisonglasgowclyde.com
• Unite: Esther O’Hara – UniteQEenquiry@unitetheunion.org
• GMB: Karen Leonard – KL.Leonard@gmb.org.uk
• Royal College of Midwives: Julie Boyd – Julie.Boyd3@ggc.scot.nhs.uk
• British Medical Association: Scott Anderson – SAnderson@bma.org.uk

NHS Greater Glasgow & Clyde is fully committed to providing support to all staff who may be involved in the Scottish Hospitals Inquiry.

Witness Support

NHS Greater Glasgow & Clyde Legal Office operates a “Witness Service” that offers support and guidance to all witnesses asked to give evidence at a hearing. The service they can provide which would be helpful to any NHS staff member if required is:

• Practical help
• Information on Inquiry procedures
• Guidance regarding further support
• A listening ear for your anxieties/concerns

Staff who have used this service in the past have found it to be very helpful. If you are invited to give a statement/evidence and would like some support from this service, please contact Rachel McGowan, 07583 121674 or rachel.mcgowan@ggc.scot.nhs.uk  

Alternatively, you can ask your trade union or professional organisation for support. 

Occupational Health Service 

The Occupational Health service is available to offer additional advice and support if required.   You can contact them in the following ways: 

To arrange an appointment with the OH Counselling service please call: 0141 201 0600 – Lines are open Monday to Friday 8.00am until 5.00pm. 

To speak to an Occupational Health Nurse please call our telephone advice line on 0141 201 0594 Lines are open Monday to Friday 8.00am until 5.00pm. 

To speak to a member of the OH Psychology Staff Support Service please call 0141 277 7623 Lines are open Monday to Friday 8.00am until 5.00pm. 

Alternatively, you can email your enquiry to the Occupational Health Department via our generic email address and a member of the team will get back to you as soon as possible:  Occupational.Health@ggc.scot.nhs.uk

Debriefing

Once the Scottish Hospitals Inquiry hearings are over, all staff involved will have the opportunity for debriefing.

Remit

The overarching aim of this Inquiry is to consider the planning, design, construction, commissioning and, where appropriate, maintenance of both the Queen Elizabeth University Hospital Campus (QEUH), Glasgow and the Royal Hospital for Children and Young People and Department of Clinical Neurosciences (RHCYP/DCN), Edinburgh. The Inquiry will determine how issues relating to adequacy of ventilation, water contamination and other matters adversely impacting on patient safety and care occurred; if these issues could have been prevented; the impacts of these issues on patients and their families; and whether the buildings provide a suitable environment for the delivery of safe, effective person-centred care. The Inquiry will make recommendations to ensure that any past mistakes are not repeated in future NHS infrastructure projects. The Inquiry will do this by fulfilling its Terms of Reference.

Terms of Reference

To examine the issues in relation to adequacy of ventilation, water contamination and other matters adversely impacting on patient safety and care which arose in the construction and delivery of the QEUH and RHCYP/DCN; and to identify whether and to what extent these issues were contributed to by key building systems which were defective in the sense of:

a) Not achieving the outcomes or being capable of the function or purpose for which they were intended;

b) Not conforming to relevant statutory regulation and other applicable recommendations, guidance and good practice.

To examine the arrangements for strategic definition, preparation and brief and concept and design, including the procurement, supply chain and contractual structure adopted for the financing and construction of the buildings, to determine whether any aspect of these arrangements has contributed to such issues and defects.

To examine during delivery of QEUH and RHCYP/DCN projects:

 a) Whether the Boards of NHS Greater Glasgow & Clyde and NHS Lothian put in place governance processes to oversee the projects and whether they were adequate and effectively implemented, particularly at significant project milestones;

b) Whether operational management provided by the Boards of NHS Greater Glasgow and Clyde and NHS Lothian was adequate and effective for the scale of such infrastructure projects;

c) The extent to which decision makers involved with the projects sought and facilitated the input and took account of the advice and information provided by, or available from, the clinical leadership team; infection control teams; estate teams; technical experts and other relevant parties to ensure that the built environment made prior provision for the delivery of clinical care;

d) Whether, the organisational culture within the Boards of NHS Greater Glasgow and Clyde and NHS Lothian encouraged staff to raise concerns and highlight issues in relation to the projects at appropriate times throughout the life cycles of the projects;

e) Whether failures in the operation of systems were a result of failures on the part of the individuals or organisations tasked with specific functions.

To consider whether any individual or body deliberately concealed or failed to disclose evidence of wrongdoing or failures in performance on inadequacies of systems whether during the life of projects or following handover, including evidence relating to the impact of such matters on patient care and patient outcomes; and whether disclosures of such evidence was encouraged, including through implementation of whistleblowing policies, within the organisations involved.

To examine whether, based on the governance arrangements in place, national oversight and support of such a large-scale infrastructure projects was adequate and effective and whether there was effective communication between the organisations involved.

To examine, during the life cycle of the QEUH and RHCYP/DCN projects, how the Boards of NHS Greater Glasgow and Clyde and NHS Lothian secured assurance and supporting evidence that:

a) All necessary inspection and testing had taken place;

b) All key building systems had been completed and functioned in accordance with contractual specifications and other applicable regulations, recommendations, guidance and good practice and;

c) Adequate information and training were provided to allow end-users effectively to operate and maintain key building systems.

To examine what actions have been taken to remedy defects and the extent to which they have been adequate and effective.

To examine the physical, emotional and other effects of the issues identified on patients and their families (in particular in respect of the environmental organisms linked to infections at the QEUH) and to determine whether communication with patients and their families supported and respected their rights to be informed and to participate in respect of matters bearing on treatment.

To examine the processes and practices of reporting healthcare associated infections with QEUH and determine what lessons have been or should be learned.

To examine whether the choice of sites was appropriate or gave rise to an increased risk to patients of environmental organisms causing infections.

To examine whether there are systematic knowledge transfer arrangements in place to learn lessons from healthcare construction projects and whether they are adequate and effective.

To examine whether NHS Lothian had an opportunity to learn lessons from the experience of issues relating to ventilation, water and drainage systems at the QEUH and what extent they took advantage of that opportunity.

To report to the Scottish Ministers on the above matters, and to make recommendations identifying any lessons learnt to ensure that any past mistakes are not repeated in any future NHS infrastructure projects, as soon as reasonably practicable.

Expenses forms and guidance can be found on HR Connect at the following links:

• Expenses notes.doc (live.com)
• Expenses Form.xls (live.com)

Car Users

Members of staff who are registered car users should complete a paper expenses form with details of travel to the hearing venue and this would be reimbursed at the public transport rate of 24p per mile.    

Members of staff who use their own car to travel (and are not registered as a car user) are also entitled to claim public transport rate of 24p per mile and should also complete a paper expenses form.

Public Transport

Members of staff who use public transport to get to the hearing venue should retain their receipts and attach to a completed an expenses form in relation to daily expenses. 

Lunch

Members of staff who are away from their usual workplace and are not close to NHS dining facilities over lunchtime are entitled to claim a subsistence allowance up to £5.00.

Expenses Forms

Refer to the guidance for instructions on how to complete the expenses form. Once authorised by local management, completed forms and receipts should be forwarded to:

Expenses Team
Caledonia House
140 Fifty Pitches Road
Cardonald Business Park
Glasgow
G51 4EB

Queries

If you have any questions about claiming expenses or completing an expenses form, please contact eexpenses@ggc.scot.nhs.uk

The Inquiry premises are at: 20 West Register Street, Edinburgh, EH2 2AA.

Just off St Andrew Square, the venue is close to Waverley train station, Edinburgh bus station and has good tram links. No car parking is available at the venue.