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Displaying 3919 contributions
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
Thank you very much. My next question is whether you both accept the recommendations in paragraphs 35 to 38 of the Audit Scotland briefing. Do you accept the recommendations that are set out there?
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
Donna Bell also wishes to come in on that point.
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
Thank you for that concise and clear opening statement.
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
We will return to some of those themes as we go on. The concern that we have—and one of the threads that runs through the Audit Scotland report—is the need for a sense of urgency and an understanding not just that the matter is on your agenda but that there is an action plan with force behind it, which is leading to change.
I invite Craig Hoy to ask a series of questions.
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
The committee will have to consider how we can best seek to get to the bottom of that.
We are limited for time and I am conscious that Colin Beattie has a series of questions that he wants to put, so I invite him to do so now.
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
Thank you for that opening statement. I will invite committee members to come in with questions, but I will begin by reflecting on what the Auditor General told the committee when he appeared on 3 March to talk about the social care briefing that he produced. In his opening statement, he said that
“The Scottish Government needs to take a pragmatic approach and set out what can be improved now, without legislation, while taking time to determine where the national care service can add most value.”—[Official Report, Public Audit Committee, 3 March 2022; c 3.]
You have both spoken about the statement of intent and joint partnership proposals, but what is happening right now? What is your action plan and what steps are you taking at the moment?
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
Sharon Dowey asked about commissioning. I would like to ask Caroline Lamb, who is the chief executive of NHS Scotland as well as the director general of health and social care, about the commissioning model, which is not the model for the national health service, is it? Arguably, there would be an outcry if we went down that route as the model for delivering NHS services.
As part of your discussions with COSLA, and looking to the national care service of the future, are you looking at alternatives to a competitive tendering model, which is how the commissioning model has developed?
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
That is fine. That is clear.
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
In those answers, I did not hear anybody talk about going beyond commissioning or about conversion to more of a national health service model for the national care service. However, we are pressed for time, so I will move on.
We have covered a lot on the workforce, but I have a parting question on that. Caroline Lamb, you mentioned the uprating of the hourly rate of pay from April this year. Do you have a timetable showing where you expect rates of pay to go in the next five years? That is the time horizon that you spoke about for the 25 per cent uplift in resources.
Public Audit Committee
Meeting date: 21 April 2022
Richard Leonard
I think that other members want to come in on that point. On the point that Gill Miller made, I direct this first to the Auditor General: why is there no documentary evidence? Is it hidden, is it missing or does it simply not exist?