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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 [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

You have mentioned a couple of times in the past few minutes the need for vision and strategic direction. You begin key message 2 in your report by saying:

“There is uncertainty about the strategic direction of general practice.”

Could you elaborate a little on that? What are the missing ingredients there? Is it about transparency, or does there simply not exist a vision and/or a strategic direction for general practice?

Public Audit Committee [Draft]

Interests

Meeting date: 14 May 2025

Richard Leonard

Thanks very much.

Public Audit Committee [Draft]

Decision on Taking Business in Private

Meeting date: 14 May 2025

Richard Leonard

Agenda item 2 is for members of the committee to consider whether to take this morning’s agenda items 4, 5 and 6 in private. Are we agreed to take those items in private?

Members indicated agreement.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

From the first 50 minutes of evidence that we have taken, what seems to be emerging is that there are lots of announcements and initiatives but that the implementation of those seems to be falling short. As a consequence, as MSPs, we continue to have regular correspondence with constituents who cannot get access to their GP. That remains an outstanding concern that we all share.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

Thank you for that outline. I will go straight to Graham Simpson, who will open the questions.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

What we are discussing this morning is described as a contract. Is it a woolly, social contract—a voluntary arrangement—or is it a contract in which parties are involved and remedy can be sought? That could be a remedy whereby the Government could say, “As part of the contract, you promised to provide us with data, which you are not doing. You are in breach of the contract.” Or, on the other side, GPs might say, “You promised to give us the resources to have multidisciplinary teams and you haven’t done that. You promised to put resources into secondary care to stop the logjam falling back on us and you haven’t.”

Is it a contract in the sense that people have any access to a remedy if there is a breach of contract?

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

On that note, I will draw the public part of this morning’s session to a close. Before I do so, I thank our witnesses this morning—Eva Thomas-Tudo, who joined us online, Fiona Lees, Carol Calder and the Auditor General. You have given us quite a lot of food for thought and we will need to consider whether we would like to quiz other people about some of the recommendations and outcomes of the very important report that we have been discussing.

11:34 Meeting continued in private until 12:05.  

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

Well, until half past 11 at least.

Public Audit Committee [Draft]

Interests

Meeting date: 14 May 2025

Richard Leonard

Good morning. I welcome everyone to the 15th meeting of the Public Audit Committee in 2025. We have received apologies from Stuart McMillan, so I welcome Stephanie Callaghan, who is substituting for Stuart. She is attending virtually for this, her first Public Audit Committee meeting.

Because it is your first meeting, Stephanie, I ask you to declare any relevant interests.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

Agenda item 3 is consideration of the report by the Auditor General for Scotland “General practice: Progress since the 2018 General Medical Services contract”. I am pleased to welcome the Auditor General, Stephen Boyle. Alongside the Auditor General we have Carol Calder, audit director at Audit Scotland. Joining us online is Eva Thomas-Tudo, audit manager at Audit Scotland. Also joining us in the committee room, we have Fiona Lees, senior auditor at Audit Scotland. You are all very welcome.

We have a number of questions to put to you on the report that you have produced. However, before we get to those questions, I invite you to give us a short opening presentation, Auditor General.