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 3919 contributions
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
Before we finish up, I will take us back to the report that was produced 22 months ago by Healthcare Improvement Scotland following its unannounced inspection. For example, it reported that it had found a
“lack of documented risks assessments”;
and that
“the addition of a fifth bed within a four bedded bay”
created what it felt to be a breach of standard operating procedures; and so on. There were quite serious allegations about patient care.
HIS also spoke about the vacancy rate as being very high within certain staff groups, such as the registered nursing staff group, in which the vacancy rate was more than 10 per cent, and the medical staff group, in which the vacancy rate was 13.76 per cent.
Will you address those issues in turn and tell us what progress you have made in 22 months?
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
Where are we with staff vacancy rates and so on?
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
As has been suggested by other members of the committee, it might be useful if you could follow that up in writing with some more up-to-date information, so that we have that data on the record.
My final reflection follows on from the deputy convener’s previous salient question. Three of you are very new to what are very senior positions in the health board. Did the people who left go through any kind of exit interview?
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
Do not misunderstand me: I am not asking you to send us copies, with people’s reasons for leaving, as a matter of public record; I am just asking whether, as a matter of good practice, you are monitoring those reasons so that you can establish if there are trends or other things.
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
Okay, but a recurring theme has come out in the report. The third recommendation in the report talks about the need to
“identify the staff numbers and skills”
required. It sounds as if a good old-fashioned workforce plan—which we speak about a lot at the Public Audit Committee—is needed. Is that in place? If it is not yet in place, what arrangements are under way to ensure that it is? Where are we on progress with that?
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
I do not know whether you have—or are willing to state on the record—a view on the dilution of targets in some cases and their abandonment in others. The original target was that, by 2030, 1 million homes out of the 2.5 million in Scotland would be converted, and that we would see a complete phasing out of all new gas boilers by around those target dates. We would also have 22 per cent of heat being generated by renewables; that percentage relates not to the number of households but to the measure of heat. All those targets seem to have been dropped.
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
Your report certainly indicates that you are calling into question some of those targets. There is also a credibility question, about whether the scale of change is sufficient. There are 2.5 million households in Scotland, but you refer to only 26,000 households having had heat pumps installed. That represents a completion rate of around 1 per cent, which, by my rough arithmetic, leaves more than 98 per cent of households having not had those conversions.
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
Partnership working is meant to be a hallmark of good working in the NHS in Scotland, and we are trying to understand the extent to which that has or has not been working.
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
We are against the clock. I will bring you back in, but first I will bring Graham Simpson in.
Public Audit Committee
Meeting date: 29 February 2024
Richard Leonard
My question is: do you have systems in place to understand why nurses have left the health board’s employ, why the chief executive left the board’s employ—I know that it was retirement in that case—and why other people in senior posts have left? You are the new team. Were interviews carried out to capture and record the reasons why people left?