Skip to main content

Language: English / Gàidhlig

Loading…

Seòmar agus comataidhean

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

Criathragan Hide all filters

Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 15 May 2025
Select which types of business to include


Select level of detail in results

Displaying 2443 contributions

|

Meeting of the Commission

Audit Scotland Budget Proposal 2025-26

Meeting date: 18 December 2024

Colin Beattie

With the licensing, is there a contractual period of, say, five or 10 years? How do you envisage that working?

Meeting of the Commission

Audit Scotland Budget Proposal 2025-26

Meeting date: 18 December 2024

Colin Beattie

What other systems did you evaluate?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

That is sooner than I thought.

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

I could say a great deal more about that, but if a report is coming in April that will give us much more detail on the issue, I am content to leave it at that for the moment.

Moving on, you touched briefly on non-recurrent savings, which are something that we have discussed in committee before. In the current situation, the reliance on non-recurring savings is very substantial: 63 per cent of the savings achieved recently were non-recurring. That has been a constant worry and we have not really seen a reduction in the proportion of savings that are non-recurring.

Of the £471.4 million of savings in 2023-24, 63 per cent were non-recurring—that is a lot of money. In your view, what are the long-term implications of the reliance on one-off savings, and how does the continued use of non-recurring savings impact on the boards’ ability to adequately forecast deficits in their three-year financial plans?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

Worryingly, your report also says that boards are

“forecasting recurring deficits ... even if they achieve ambitious savings targets.”

What more can be done about that? You have just touched on some aspects, but it seems that something drastic needs to be done.

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

Moving on to staffing costs, paragraph 35 of the report says that

“Staff costs account for almost 60 per cent of annual NHS costs.”

In a way, that is not surprising, because it is a people industry, if you like, and you need people to provide the service—or rather, the people are the service. However, paragraph 38 of the report goes back to what we were discussing earlier, mentioning that £116 million of savings in health and social care are expected in order to meet some of the additional costs that will come with pay increases. That seems odd.

10:00  

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

I am conscious that, as with a lot of the statistics that we get, we are comparing ourselves against ourselves. How do we compare with other health services, for example, in the UK?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

However, we have previously touched on how we are at the bottom of the barrel for efficiency savings. I cannot remember when efficiency savings started, but it must have been 20 years ago. Every year, NHS boards and so on are expected to save another 3 per cent, 5 per cent or whatever the figure is for that particular year, but there must come a point where there is just nothing left. Without a complete overhaul of the NHS, there must be a limit to how far we can go within the present system.

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

I will ask quickly about vacancies, absences and staff turnover. Staff turnover rates have fallen substantially to 6.6 per cent, but the reliance on agency and bank staff suggests that there are capacity problems. How confident are you that the Scottish Government’s action plan to improve wellbeing and the working culture across the health and social care workforce will get the desired result?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

So, what needs to change? The IJBs are putting financial strain on NHS boards. What needs to change to improve their financial management and accountability? Accountability is an important issue that we have been concerned about in the past.