Laura Skaife-Knight, Chief Executive of NHS Grampian, commissioned the review and stated that the board "own and accept the findings." She apologised to patients, families, and communities for "letting them down" and pledged to "put things right."
The report, published on 12 November 2026, highlights "unacceptable" issues that "cannot continue" as the organisation moves forward. Skaife-Knight acknowledged that the report is "very tough reading" but stressed that thousands of patients still receive excellent care daily, as noted in three accompanying Safe Delivery of Care reports.
Significant shortcomings were identified, including "longstanding weaknesses" in Board governance and oversight, Clinical Governance, and the integration of services across NHS Grampian. The review also noted "unacceptable delays" in investigating and learning from patient care incidents, hindering efforts to ensure patient safety.
“"We have 18,000 committed and dedicated staff who deserve to work in an environment where they feel supported and enabled by sound leadership, good governance and learning systems to deliver high-quality care."
Immediate changes to medical leadership have been made, with an interim Medical Director starting on 16 November. A dedicated telephone line, 08085 202030, has been established for concerned individuals, operating weekdays from 8am to 6pm.
NHS Grampian plans to respond with "openness and transparency," clearly outlining necessary changes, accountability, and progress measurement. The organisation will consider immediate actions at its public Board meeting on 3 December 2026.
