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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 8 July 2025
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Displaying 3298 contributions

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Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

Is the clinical hub a pilot in one particular geographical area? How is that working?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

I am quite sure that we will be interested in keeping a close eye on that.

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

Thank you. We have mentioned the national treatment centres a few times this morning. They are, in part, a national health service response, in place of the private sector, to some of the pressures. Three national treatment centres that were scheduled to open last year did not open. The last I saw, they were scheduled to open in the first half of this year. Rumour has it that the First Minister, in one of her final acts, may open one before the end of the week, but whether that is true remains to be seen.

My serious point is that there have been delays. Can you elaborate on your understanding of the reason why the opening of those treatment centres was delayed? That delay has also contributed to the pressures that we have been talking about for the past hour and 20 minutes, has it not? Can you update us on whether those NTCs are on schedule to open this year?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

Thank you. We will add that to the list of watching briefs on which the committee will need to keep an eye. I have one more question before we draw to a close. I will also bring in Sharon Dowey, Bill Kidd and Willie Coffey for one last go each.

I am interested in teasing this out. I know that, in July 2022, new national planned care targets were announced. As I understand it, the deadline for some of those targets has already passed without their being met. Are you aware of whether those targets are being reviewed and do you know what the new targets and timescales will be?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

That was a public information announcement by the Auditor General. Excellent. Craig Hoy wanted to come in on this area.

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

One of the most startling figures in the report is in paragraph 46, where you talk about the extent to which bank or agency nursing staff are being called upon. Those figures are for the three health board areas that you have looked at in most depth and they are striking. You say that the expenditure on bank nursing is up by 57.2 per cent in NHS Lothian, by 90.5 per cent in NHS Highland and, in NHS Ayrshire and Arran, by even more at 90.8 per cent. Why on earth is that happening?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

As a committee, we will retain a strong interest in that to see where it goes in the next financial year.

We are short of time, so I will bring in Bill Kidd, who has a number of questions.

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

Thanks. We are short of time. The committee will want to return to these areas because they are worthy of further examination. Time is tight, so I will ask Willie Coffey to come in. He has questions on the use of agency nurses and so on.

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Richard Leonard

The NHS is a very high priority for all of us in the Parliament and I reflect that the terms of our debate about it often contrast inputs and outcomes. Your report notes that there has been a £4.4 billion increase in NHS spending since 2018-19 and that the budget for 2023-24 is estimated to be over £19 billion. You assessed that level of expenditure as being three years earlier than anticipated. There is no question that there is substantial public investment going into the NHS, yet we do not necessarily see outcomes improving. The rather fundamental question is, do we just need funding or is it necessary to apply other factors in order to rise to the challenges that we are facing in the national health service?

Public Audit Committee

Section 22 Report: “The 2021/22 audit of the Commissioner for Ethical Standards in Public Life in Scotland”

Meeting date: 2 March 2023

Richard Leonard

Agenda item 3, which is our principal item of business this morning, is consideration of the Auditor General for Scotland’s section 22 report “The 2021/22 audit of the Commissioner for Ethical Standards in Public Life in Scotland”. I welcome our witnesses: the Auditor General, Stephen Boyle; Pat Kenny, director of audit and assurance at Deloitte; and Richard Robinson, senior manager at Audit Scotland. We have a number of questions to put to you about the report but, before we do that, I invite the Auditor General to make an opening statement.