The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 3032 contributions
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
I come back to what the Auditor General said a few minutes ago about persuading GPs of the need for good data. GPs are intelligent people—they must understand the reasons why data is necessary in order to measure outcomes and ensure that resources are being put in the right place. I cannot conceive of the notion that they would not appreciate that. Still, however, we have that difficulty.
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
I was talking partly generally, although with a focus on primary care. Looking at primary care, I am aware of surgeries in my area that decline to provide data, for a number of reasons. Some of them say that they are too busy; others simply say, “We are independent contractors and providing data is not part of what we are contracted to do.” How do we deal with that? On that basis, we will never have the data that is needed in order to make the necessary decisions.
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
We can hold that question for the Scottish Government.
I am going to talk to you about data. We always end up talking about data. You have talked about data already. Let us talk about data again.
10:30I cannot recall for how long I have sat on this committee, but it has been all about data and an inability to validate where money is being spent because you simply do not have the data to know whether there is an outcome at the end. That issue has been raised by you, Auditor General, and by your predecessor, and by this committee and all its predecessors. Why is it that we continue, constantly, to come up against the data gap?
It is difficult to improve primary care when you do not have the basic information as to where you need to put the resources to get the outcome that you are looking for. How do we deal with that? Poor-quality data seems to be endemic.
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
Okay. Thank you.
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
Do you agree that that does not seem to be a very fair system overall?
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
On the transfer of services to NHS boards, which is a key element in the GP mix, did you identify any evidence in your audit of where the workload still fell to general practice, despite the responsibility for providing the service having moved to the local NHS board?
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
Is there any indication that the GP surgeries are prepared to give out that information?
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
My last question is about GP head count. In paragraph 81, you say that there is not enough
“information about the number of hours worked by GPs”,
which seems extraordinary. Apparently, there is evidence that
“the average number of sessions worked by GPs”
was measured at 6.4 sessions in 2017 but that
“by March 2024, this had decreased to 6.2.”
That does not sound like a huge decrease, but if we multiply it across the country, it is perhaps a lot more significant. Given the pressure that GPs are under, why do we not know how many hours they are putting into the job? Why can we not evaluate that?
Public Audit Committee [Draft]
Meeting date: 14 May 2025
Colin Beattie
Yes.
Public Audit Committee [Draft]
Meeting date: 7 May 2025
Colin Beattie
I will move on to the definition of ASL, which we have heard is very broad. Neil Rennick said at the beginning that it is deliberately wide. I am interested to know why its being deliberately wide is a good thing.