Skip to main content
Loading…

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.  

Criathragan Hide all filters

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
Select which types of business to include


Select level of detail in results

Displaying 3464 contributions

|

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Well, these are not my words; these are the words of the Auditor General, who said that the Government was “misleading”.

Just for completeness, instead of £30 million being made available in sustainability loans for GP premises, only £15 million has been loaned out. That is half the headline figure that is in the 2018 document. Why is that?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Okay. It seems to me that this should not have come as a surprise. At the time of the publication of the contract in November 2017, it clearly stated that

“the contract offer proposes significant new arrangements for GP premises”,

so there was an acknowledgement that this was pioneering, it was significant and it was new. I am therefore a little bit puzzled as to why some of the difficulties have come as a bit of a shock to the Government.

I will move on and invite Graham Simpson to put some questions to you.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Item 2 is further consideration of the Audit Scotland report “General practice: Progress since the 2018 General Medical Services contract”. I am pleased to welcome our witnesses for the first session. We are joined by Dr Iain Morrison, chair of the Scottish general practice committee of the British Medical Association Scotland. Alongside him is Dr Chris Provan, chair of the Royal College of General Practitioners Scotland. We are joined remotely by the vice-chair of RCGP Scotland, Dr Chris Williams. Dr Williams, if you want to come in at any point to answer the committee’s questions, indicate that in the chat box and we will endeavour to bring you in.

We have quite a number of questions to put but, before we get to them, I invite the representatives in the room to give us short opening statements. I will begin with Dr Morrison.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

The route map will be published within a year. What about action? What about the implementation of the terms of the 2018 contract?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

We can hear you, but we cannot see you, Stephanie.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

There you are. Please proceed.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

You mentioned investment. I want to check with you on some of the figures that have been used. In paragraph 28 and exhibit 4, the Audit Scotland report talks about the funding situation. Basically, it says that, between 2017-18 and 2023-24, direct spending on GPs by the Scottish Government was up by 33 per cent in cash terms. The report describes that as a 7 per cent real-terms increase. It goes on to talk about a real-terms reduction of 6 per cent between 2021-22 and 2023-24. That is the overall impression that is created in the Audit Scotland report that is before us.

However, in the letter that you sent to the committee, Dr Morrison, and in some of the things that you have said this morning, you are talking about a funding shortfall of 22.8 per cent. The expression that you used in communications with the committee is:

“The funding practices receive for every patient has been eroded year after year against inflation since 2008.”

How do you reconcile the conclusion drawn by Audit Scotland with what you have been saying?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Dr Williams wants to come in on this question.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Okay. Thank you. Again, we will return to some of those themes during the morning.

I will ask a final question about placing the observations in the Audit Scotland report in the context of how things are affected on the front line. Multidisciplinary teams were very much a theme in the 2018 contract. They were part of the new era that was being heralded at that time. However, when I read the Audit Scotland report that is under discussion at the committee this morning, it is quite scathing in that it says that

“the expansion of MDTs has been slower than planned”,

deadlines have not been met and there have been “implementation gaps”. Could you describe what that looks like on the front line of the provision of GP services across Scotland? I will begin with Dr Provan this time.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Okay. Thank you. Dr Williams wants to come in—briefly, perhaps, because I need to move on to Mr Beattie’s questions. Over to you, Dr Williams.