Patient Safety Commissioner for Scotland Act 2023

10 Investigation report

(1) Having concluded a formal investigation under section 8, the Commissioner must—

(a) prepare a report on the investigation, and

(b) lay a copy of it before the Scottish Parliament.

(2) The report must state—

(a) the Commissioner’s findings in relation to the issue investigated and the reasons for them, and

(b) the Commissioner’s recommendations in light of those findings.

(3) The Commissioner must give a copy of the report to any person to whom a recommendation in the report is addressed.

(4) The Commissioner may address a recommendation to a person in a report on a formal investigation whether or not—

(a) the person was identified in the investigation’s terms of reference as a person to whom the Commissioner expected to address a recommendation,

(b) the Commissioner took steps to bring the investigation’s terms of reference to the person’s attention in accordance with section 8(2)(b).