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Public Audit Committee
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
Meeting date: 18 June 2025
Richard Leonard
Dr Williams wants to come in on this question.
Public Audit Committee
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
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.
Public Audit Committee
Meeting date: 18 June 2025
Richard Leonard
Did we get timescales yesterday?
Public Audit Committee
Meeting date: 18 June 2025
Richard Leonard
Okay. Everything within a year?
Public Audit Committee
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
Meeting date: 18 June 2025
Richard Leonard
The next plan about the plan will be published within a year?
Public Audit Committee
Meeting date: 18 June 2025
Richard Leonard
You just described the process as creating a bigger organisation. Presumably, part of the thinking behind merging two organisations is to rationalise and look at whether there is duplication, and whether a synergy might lead to fewer people being employed in the organisation or to the services being delivered in a different way. Is that part of your thinking?
Public Audit Committee
Meeting date: 18 June 2025
Richard Leonard
Director general, we must leave it there. Thank you very much for that final answer.
I thank all our witnesses for the evidence that they have given us. Thank you, Andrew Chapman, Tim McDonnell, Susan Gallacher and director general Caroline Lamb for giving us your time and insight. We might want to follow up on some areas; I think that you, in turn, undertook to give us more information, which we would very much value, as always.
With that, we move into private session.
12:33 Meeting continued in private until 12:49.