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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

On that rather stark warning note, we are going to have to draw this session to a close. We had some other questions that we wanted to put to you, but we have run out of time. I would propose that, if you agree, we put those questions in writing and make sure that you get an opportunity to give us answers. We did not get on to premises and other areas that we think are important to you and are part of the 2018 contract.

With that, I thank Dr Chris Williams, who joined us online, for your input. I thank Dr Chris Provan for being in the committee room and giving us the benefit of your expertise. Dr Iain Morrison, I thank you also for your time and for the evidence that you have given us this morning. It has been a very useful session, and I thank you all for your participation.

I suspend the meeting, because we need to change over witnesses.

11:04 Meeting suspended.  

11:09 On resuming—  

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

You said at the start of your statement that the Scottish Government engaged in the production of the report and, at the end, that it was an opportune time to pause and reflect on the report. Do you accept the findings and recommendations of the report?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

We all accept that, yesterday afternoon, a service renewal framework was set out by the Cabinet Secretary for Health and Social Care. However, we are talking about a contract that really has its roots back in 2016. I return to my question. Do you accept the report’s findings, which include criticisms of the Government’s tardiness and the extent to which the Government has been transparent?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Okay, but I am not going to allow you to get away with blaming the pandemic, because the consultation on this contract began in November 2016, the document was produced in November 2017 and phase 1 of its implementation began in April 2018, which is almost two years before the pandemic. You really cannot blame the pandemic for a failure to implement most of the objectives that are set out in the contract.

Public Audit Committee

Decision on Taking Business in Private

Meeting date: 18 June 2025

Richard Leonard

Good morning. I welcome everyone to the 20th meeting in 2025 of the Public Audit Committee. We have apologies from Jamie Greene and Stuart McMillan, but I am pleased to welcome Stephanie Callaghan, who is substituting for Stuart McMillan. She is attending the committee remotely.

Agenda item 1 is for the committee to consider whether to take items 3, 4 and 5 in private. Do we agree to take those items in private?

Members indicated agreement.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Thank you very much indeed. Dr Provan will now give his opening statement.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Thank you—that is really helpful. Again, I am sure that that will be picked up by other members of the committee. I now invite Colin Beattie 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

I have two final questions to put to you, director general. The first may have been answered, not so much in the cabinet secretary’s statement, but in the associated paperwork that accompanied his statement, which I think Mr Chapman alluded to, in part, earlier on. I look back to the evidence that we took from the Auditor General on 14 May, which is reflected in paragraph 42 of the report. He said to us that

“the Scottish Government still needs to clarify its plans for general practice and to set out the actions, timescales and cost to deliver that.”—[Official Report, Public Audit Committee, 14 May 2025; c 4.]

What he is asking for there is very clear. Do you plan to publish that information?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

In the fullness of time, you might perhaps be able to pause and reflect on the evidence session that we had with the BMA and the Royal College of General Practitioners before you came in, because they gave a rather different picture of the action that was needed.

I will ask you one final question, director general, which again relates to yesterday’s announcement. One of the things that was announced was the merger of National Services Scotland and NHS Education for Scotland. Mergers and reorganisations often deflect organisations from their core purpose. In the evidence session that we had before you came in and in this one that you have been involved in, it has emerged that both those institutions—both those parts of the delivery of services—are critical to meeting the aspirations and the ambitions of the 2018 contract. Do you not think that merging those organisations might deflect them from the things that we want them to get on with, including data collection and ensuring that GPs are properly and fully employed?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Thank you very much indeed. You have covered many of the topics that we will pick up this morning, including IT, premises, funding and the delivery of support and services.

I will begin with something that is a bit more political and practical, perhaps, by going back to the First Minister’s programme for government statement. He spoke about the delivery of an extra 100,000 appointments in GP surgeries. What was your reaction to that?