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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.  

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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 5 May 2021
  6. Current session: 12 May 2021 to 10 July 2025
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Displaying 2597 contributions

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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.

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

Do you have an approximate time for publishing that report?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

Would it be correct to say that, unless recurring savings are found in reasonably substantial percentages, the percentages of non-recurring savings will need to become larger and larger?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

Sickness absence rates are quite high—they are at 6.2 per cent, when the national average is 4 per cent. Is that simply because people in the NHS work in an environment with sick people?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

What about things such as absences?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

You have highlighted the substantial increases in staff costs and the reliance on efficiency savings to meet pay commitments, but how confident are you that NHS boards can achieve those efficiency savings without services being impacted?

Public Audit Committee [Draft]

“NHS in Scotland 2024: Finance and performance”

Meeting date: 12 December 2024

Colin Beattie

I will stay on the theme of staff expenditure. The figure for utilising agency staff has dropped. In real terms, the spending fell by almost £50 million—12 per cent. Your report says that spending on agency staff decreased last year, but it is still much higher than it was five years ago, which takes us back to back pre-Covid times. It is still 45 per cent higher than then, which is a significant cost—it is still £358 million.

What more can the NHS do to decrease reliance on agency staff? They are much more expensive than full-time staff.