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Review finds serious clinical governance, leadership and patient safety issues at NHS Grampian

Healthcare Improvement Scotland have published a new independent diagnostic review of key services and systems at NHS Grampian undertaken in response to significant patient safety and quality of care issues. 

The review found serious shortcomings with NHS Grampian’s leadership and oversight of clinical governance. There was particular concern about learning from serious adverse events and about patterns of repeated and avoidable harm.   

The report contains a series of recommendations which NHS Grampian must implement to address the failures identified. 

The review is published alongside separate Safe Delivery of Care inspection reports on maternity services at Dr Gray’s Hospital and Aberdeen Maternity Hospital as well as a mental health and acute services inspection report at Dr Gray’s Hospital. These inspections and review were undertaken independently.

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Source: Healthcare Improvement Scotland, 12 November 2026

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