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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 5 May 2021
  6. Current session: 12 May 2021 to 16 June 2025
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Displaying 3214 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

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.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

On that last point, it does not feel as though there is a whole-system approach. We regularly, as the Public Audit Committee, hear the Scottish Government and representatives from health boards say that they have been asked to make recurring and non-recurring savings of 5 per cent every year. Often, when we get into it, the non-recurring savings involve things such as disposal of property or land. Unless this is properly resourced, it is simply not going to work, is it?

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

That is a useful clarification.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

I turn to the deputy convener, Jamie Greene, for our final round of questions.

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

Before I bring in Stephanie Callaghan, I have two quick questions to put to you. The first question goes back to data. The committee has seen quite a few false dawns when it comes to data collection. I looked back at what was said exactly two years ago—on 4 May 2023—when the director general for health and social care and chief executive of the national health service in Scotland told the committee:

“We have started the roll-out of the next generation of information technology to general practices; we hope that that will help to improve ease of extraction of data from GP systems and that it will give us a chance to start with a clean slate on how data is coded.”—[Official Report, Public Audit Committee, 4 May 2023; c 26-27.]

That is what we have been speaking about this morning, but that was two years ago. Do you get a sense that there is a lack of urgency? Are there legitimate reasons why the delay has been extended in the way that it has?

Public Audit Committee [Draft]

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

Meeting date: 14 May 2025

Richard Leonard

Okay. I will bring Colin Beattie in shortly, but before I do that, I have one final question, which is about an area that we have not so far discussed but which is in your report. Again, it is a feature that many people have come across in recent years: the creation of GP clusters. I do not know whether they were created to try to address demand and supply and to marry up practices, so that access to a GP does not depend simply on being registered at one GP practice. If someone is registered at a GP practice, that facilitates their getting access to other GP practices in a cluster. Presumably, that is designed to improve levels of access to GP services. Has that been fully funded? Is it being implemented? What is your audit assessment of how that is going?

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.