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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 4 May 2021
  6. Current session: 13 May 2021 to 12 March 2026
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Displaying 2770 contributions

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Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

Okay. Your report says there is a need for “more radical reform”. What did you have in mind when you used that phrase?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

I want to ask about staffing and workforce. Paragraph 20 of the report states:

“The board also continues to face workforce challenges. The rate of sickness absence in 2024/25 was 5.6 per cent ..., well above the ... national standard, and reliance on temporary staff continues to come at a high cost to the board. This will have a significant impact on the board’s plans to achieve the savings needed for longer-term financial sustainability.”

That is something that we have discussed before at this committee. It continues:

“nursing pay was overspent by £13.5 million, £7.9 million of which was on agency nursing in acute services”

and

“medical pay was overspent by £7.7 million, £5.8 million of which was on agency doctors.”

Do you know whether the board has done any work to identify the underlying reasons for staff sickness levels? Is there any way that it can cut the reliance on agency and locum staff?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

It gives the board flexibility but it also costs it a lot of money. It is surely better to reduce the use of agency staff, is it not?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

Have you seen any plan to do that?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Graham Simpson

Auditor General, at the end of the earlier evidence session you rightly said that not all boards need extra money from the Government. For 2023-24, there were eight boards that needed that money: NHS Ayrshire and Arran; NHS Borders; NHS Dumfries and Galloway; NHS Fife; NHS Grampian; NHS Highland; NHS Orkney; and NHS Tayside. Do you know whether that is the position for 2024-25?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Graham Simpson

Okay. The report into NHS Grampian’s overspend says that it has the largest overspend by value of any health board in Scotland and the fifth highest in percentage terms. Do you have figures for the overspends of other boards that could give us an indication of the extent to which NHS Grampian has the highest overspend?

11:00  

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Graham Simpson

Do we know how it has managed to reduce the amount of money that it spends on agency staff?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

Who would fill that gap?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

Do you have any examples of high-risk savings?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Graham Simpson

So, the board has basically said, “We will cut the number of beds”, but it has not said how or where.