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That is very helpful.

The responsibility to deliver healthcare services for the prison population falls to that health board, rather than being flattened out across Scotland.

I presume that it is still at stage 4. That has not changed, has it?

Your report mentions that Forth Valley’s high prison population has an impact on the health board’s ability to deliver financial savings. Why would the prison population have such a significant impact?

On the 11 requirements and the nine other requirements—the 20 requirements in total—that have been placed on the health board, are you in a position to say whether it is now making good progress on them? Has it completed any of them, or is it still in the middle of the process? Where are we with the 20 specific requirements that HIS gave the board?

We have HIS reports, we have the oversight group, we have the 12 recommendations in Professor Ritchie’s review of October 2022, we have the 50 recommendations in John Brown’s report, we have the escalation improvement plan and we have the measurement framework. Is the health board awash with report on top of report? Is that a factor?

For many years, you and your predecessors have talked about service redesign and transformation, but here we are talking about those issues again. Do you get the sense that the recommendations that are made to health boards are about service redesign and transformation? Is that understood by health boards? Are they able to deliver the service redesign and transformation that we are talking about? Are you confident that they are making progress on that journey?

In the section 22 report, you say that a report of

“an independent review of the board and Assurance Committee governance arrangements”

was

“due to be considered by the ... Board”

last November. Have you had sight of that report and its recommendations and conclusions?

November was mentioned. Was that not a bit late in the day to arrive at the governance issues? Over the years, that has usually been the first port of call for the committee and members—that seems to be the starting point for a lot of these issues. How come that was brought so late to the table?

I have a final question. I think that you said that 47 of the 51 recommendations have not yet been actioned. Is it reasonable to ask when we could expect the board to get through them? That is a huge number of recommendations on governance. What are we looking at—six months, or a year?