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Official Report: search what was said in Parliament

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

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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 4 May 2021
  6. Current session: 13 May 2021 to 21 March 2026
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Displaying 3032 contributions

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Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

The PFI contracts are about the management of the estate, which is quite a complex business. There must be few companies that can take that on, unless the NHS takes it in-house, which is an administrative issue for the NHS. How is the NHS approaching that?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

If that has been done years in advance of the end of a contract, some of them should already have been decided.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Okay—thank you.

Delayed discharges and waiting times are an on-going issue. How are delayed discharges and wider system-flow pressures being addressed to support reductions in waiting times and reduce pressure on acute care?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Clearly, more work needs to be done in that regard.

I will move on to emergency and unscheduled care. In our evidence session on 7 January, the Auditor General said:

“The presenting symptom is that hospitals are unable to receive ambulances and people are not being handed over within 15 minutes. If ambulances are hovering for about an hour, it is because there is a backlog.”—[Official Report, Public Audit Committee, 7 January 2026; c 58.]

There has been talk about some progress having been made in that regard. What actions are under way to address backlogs in the system that result in ambulances being delayed in their turnarounds?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Are the local boards not involved in that?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

My concern is that, having looked at the different options, one of which is taking the management in-house, there are so few companies out there that we would end up continuing the existing arrangements under another name by default.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Are you satisfied that we have a grip of that? The potential downside is huge, given the size of these contracts.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

That is good to hear. There are also backlog maintenance issues with the estate. I have a figure here of £1.3 billion, which is an awful lot of money, and £59 million of that is high risk in one way or another. What actions are being taken to address the high-risk maintenance issues that pose a direct threat to patient safety or operational continuity?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

You say that the high-risk areas are 100 per cent covered. Does that relate to the £59 million, or is it a different figure?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Audit Scotland spoke to us about planned improvements such as frailty units and alternative pathways, but it also stated that those have been rolled out too slowly to ease the pressure. What progress has been made on those planned improvements?