I would like to add to that with a little bit of detail about how the NHS facility time arrangements work. I start by saying that I am not aware of a truly world-class organisation that thinks that it can be world-class without talking to its staff.
When we talk about facility time, it is easy to revert to saying that it is about trade unions going along to represent somebody at a disciplinary hearing or whatever. Some years ago, we in the NHS took the view that we wanted to invest in co-production; we wanted to front-load our investment in facility time to allow us to have a better product rather than to spend our time in conflict resolution and dispute management. The proof of that pudding is that, during the past 10 to 15 years, we can count on one hand the number of disputes that we have had.
However, as far as I am concerned, that is one of the blunter and less valuable pieces of evidence. While we were wrestling with all the transformational change that the NHS has undergone, we have produced with our staff side a workforce strategy that is held in high regard. We have been able to put forward a series of proposals and policies around absence management, employee conduct and disciplinary procedures: you name it. We have proposed a whole suite of policies that have been a great deal more effective because they have not been about management designing stuff that is applied, but have been co-produced and can be delivered.
The NHS is a big organisation. It employs not quite the number that Councillor Hendry cited for local authorities, but the figure is about 156,000 people. For partnership working to be effective in the NHS, we recognised that we needed structures and that we could not just hope that people would talk to each other. We therefore have the Scottish partnership forum across the NHS. It is co-chaired in a tripartite relationship between the Government, employers and the staff side.
Every NHS board in Scotland has a partnership agreement and an employee director whose focus, role and purpose is to be a representative at board level to ensure that staff views are heard. It should be remembered that when we talk about staff, we are talking about doctors, nurses, dentists—people across all the professions—whose voices we need to hear so that we can design services. We need those voices to be heard at board level so that they can influence from the outset the strategic direction that organisations in the NHS want to take. Some boards are much bigger than others; a board such as Greater Glasgow and Clyde NHS will have a variety of facility time arrangements, so some such individuals will be full time and others will be part time. Some of the smaller boards have part-time facility time agreements, with staff also doing other duties.
That means that, universally, when the boards are looking to do something, or when the Government is looking to implement a policy that can be implemented and which is designed to be effective, the measures are much more implementable and are not just sponsored by somebody like me saying that they must be implemented, but by our workforce agreeing and putting themselves behind the efforts.