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Common purpose / How care is organised

Estates and the care environment

Buildings, water, ventilation and ward design are part of safety. The Scottish Hospitals Inquiry and the Amos investigation both treat the estate as clinical infrastructure.

4 reviews · 5 recommendations

Reviews, most recent first

  1. 2026
    Amos maternity investigation

    Baroness Valerie Amos

  2. 2025
  3. 2024
    Darzi investigation

    Lord Darzi of Denham

  4. 2016
    Carter review

    Lord Carter of Coles

What they asked for

  1. Amos maternity investigation2026Awaiting response

    Deliver estates and digital systems that are fit for maternity and neonatal care, with dated investment commitments. Thirlwall recorded this as a recommendation of the Amos final report.

    DHSC and NHS England

  2. The interim report's 11 recommendations addressed ventilation failures and NHS Lothian governance. The Scottish Government accepted all 11.

    Scottish Government and NHS boards

  3. Scottish Hospitals Inquiry2025Awaiting response

    The final report is expected to cover water, ventilation, infection and the current safety of the Glasgow hospitals, and to recommend how future NHS infrastructure projects avoid the same mistakes.

    Scottish Government

  4. Darzi investigation2024In progress

    Treat productivity and capital as quality issues, not only as finance issues.

    Government and NHS

  5. Carter review2016Partly done

    Consolidate pathology, procurement and estates functions where local duplication wastes money.

    NHS