Thread by @LucyHunterB

Long ago, I managed people. If I'd thought of making a 20-something carry the can for a serious organisational failure, I'd have been too ashamed to look in the mirror. So I hope NHS Fife top brass aren't planning that.

Anyway, a 🧵 on that top brass./

https://twitter.com/LucyHunterB/status/1944861252234137780

The one to start with is the Chief Executive of NHS Scotland, who's also the Director-General in the Scottish Govt for Health and Social Care. The NHS Scotland Central Legal Office, which provides legal services to all NHS Boards, reports ultimately to her. /

NHS Fife's Board has seven members who are there as part of their job in the NHS. Carol Potter is the CEO.

Janette Keenan is the Director of Nursing.

Christopher McKenna is the Medical Director.

Susan Dunsmuir is the Director of Finance.

Joy Tomlinson is the Director of Public Health.

Lynne Parsons is the Employee Director.

Nicola Robertson is Chair of the Area Clinical Forum.

Then there are 11 "non-executive" board members. Their job (broadly) is to make sure NHS Fife does it job properly; non-execs are the first line of accountability. They are part-time (I think) and paid a day rate for their input (2024-25 figs below). publications.scot.nhs.uk/files/dl-2024-…

The most important of the non-execs is the chair, Pat Kilpatrick. That her name is not familiar after all these months of coverage of the Peggie case is very surprising.

The vice-chair, Alistair Morris, is the next most important.

Cllr Mary Lockhart represents Fife Council on the Board.

Professor Deborah Williamson represents the University of St Andrews.

Jo Bennett is another non-exec.

Sinead Braiden is another (and is the Equality and Diversity Champion on the Board).

Alastair Grant is another non-exec.

Colin Grieve is another non-exec.

Ann Haston is another non-exec.

John Kemp is another non-exec.

Arlene Wood is another non-exec.

There is a vacancy for the Whistle-blowing Champion.

"The overall purpose of the Board is to ensure the efficient, effective, and accountable governance of NHS Fife and to provide strategic leadership and direction for the system as a whole, focussing on agreed outcomes." ()/nhsfife.org/about-us/nhs-f…

Every person in this thread has years more professional experience (many more in most cases) than Ms Bumba, and is likely to hold, or have held if retired, more highly paid jobs. They are ultimately accountable for every decision taken in this case./

In addition there is a senior management team, whose collective role in decision-making relation to this case will depend on how this structure is used by the Chief Exec. Some posts will be directly involved, some possibly not at all./ nhsfife.org/about-us/senio…

These people are responsible for high-level decisions in NHS Fife. Staff who have already taken the witness stand, or will take it over the next two weeks, are seeing their names and faces all over the media. But the thread above is full of people who ought be even better known.

@threadreaderapp please unroll.