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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 6 November 2025
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Displaying 3464 contributions

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Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Did we get timescales yesterday?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Okay. Everything within a year?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

The next plan about the plan will be published within a year?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

You just described the process as creating a bigger organisation. Presumably, part of the thinking behind merging two organisations is to rationalise and look at whether there is duplication, and whether a synergy might lead to fewer people being employed in the organisation or to the services being delivered in a different way. Is that part of your thinking?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Director general, we must leave it there. Thank you very much for that final answer.

I thank all our witnesses for the evidence that they have given us. Thank you, Andrew Chapman, Tim McDonnell, Susan Gallacher and director general Caroline Lamb for giving us your time and insight. We might want to follow up on some areas; I think that you, in turn, undertook to give us more information, which we would very much value, as always.

With that, we move into private session.

12:33 Meeting continued in private until 12:49.  

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

I invite Stephanie Callaghan to put some questions to the witnesses around access to GP services. As I mentioned earlier, Stephanie joins us online.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Other committee members might return to some of those points. I will move on to another aspect of the report, which I asked the Auditor General about when he was before us a few weeks ago. In the end, we are talking about a whole system, and the difficulties that are faced in secondary care in the national health service are pretty well documented. There are extensive waiting times and a large number of people on waiting lists. Will you describe for us—maybe Dr Provan can answer, too—the impact on general practitioners of that persistent and almost intractable increase in waiting times for people who are awaiting treatment in hospitals? You choose between yourselves who wants to answer first.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Welcome to the second half of the meeting. We are looking at the Audit Scotland report, “General Practice: Progress since the 2018 General Medical Services contract”.

I am pleased to welcome a team from the Scottish Government, led by Caroline Lamb, who is the director general of health and social care and the chief executive of NHS Scotland. Good morning. Alongside Caroline Lamb are Tim McDonnell, who is the director of primary care; Susan Gallacher, the deputy director of general practice policy; and Andrew Chapman, the unit head for the general practice contract and operations. We have some questions to put to you.

Stephanie Callaghan joins us online, and I will bring her in at the appropriate time. Before we get to our questions, director general, I invite you to make an opening statement.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

You accept the key messages that are set out at the beginning of the report, including message 1, which says that the

“commitment to increase the number of GPs by 800 is unlikely to be met by 2027”.

You accept, presumably, that commitments that were part of the contract and were supposed to be completed by 2021

“have still not been fully implemented”

that things have been “slower than planned”, that the Scottish Government has not been transparent, that there is a lack of clarity and that direct spending to GPs has decreased. Do you accept all those findings?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Before I go to Graham Simpson, I will ask you about paragraph 100 of the report. I have never seen this language in an Audit Scotland report in all the time that I have convened the committee. It says quite bluntly, and Audit Scotland witnesses repeated it when they gave oral evidence to us, that the Scottish Government, in a press release in February 2019, was misleading, because it claimed that 172 loans to GP practices to improve or to purchase or to sell on their premises had been applied for successfully, when it turns out that only 63 had.