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Displaying 2133 contributions
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
That is a good point. If someone is medically fit to leave hospital and the doctors do not want them there, and if the patient does not want to be there and their families do not want them to be there but there is clearly a blockage, what happens next for that patient?
Mr Simpson went into some detail about the variety of issues that are causing the blockages. Are you saying that, ultimately, these are all social care issues and so they are community-based problems that are the responsibility of, for example, IJBs, local councils, the third sector and care homes? There are so many other partners involved in unblocking this that it is hard to see how it will all join up so that we can finally crack this nut.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
That is helpful. We can pose those questions to the Government in due course, based on your helpful feedback.
I also want to look briefly at social care. Adam, I was quite taken by your example. It is one of many such examples that members hear, particularly from our casework, of people being unable to access care packages. You mentioned the availability of staff. That is certainly an issue, but there are also issues around the amount of funding that is available at the local level, in councils, for packages. We have heard that, if someone is unlucky enough to be a patient between January and March, and if the money has run out, they are more likely to be stuck in hospital until the beginning of the new financial year, when the money is unlocked. Is there any evidence of that happening?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Are you confident that there is still a national charge towards meeting this objective?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Finally, Auditor General, you have made a number of recommendations in your report, which we can read in black and white—or blue and blue, as they are. What is your overarching message that will prevent us from sitting here, discussing this in 20 years’ time?
I—or you, Auditor General—might not be sitting here in 20 years’ time, but there is a shared desire that the issue does not go on for another 20 years, because we cannot afford the financial or human cost of its doing so. What is your overarching message for stakeholders to take heed of, so that we can avoid that being the case?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Welcome back, committee members. Agenda item 3 is consideration of the report, “Delayed discharges: A symptom of the challenges facing health and social care” and the briefing, “Community health and social care: Performance 2025”, which have been submitted to us by Audit Scotland.
I welcome our witnesses: Stephen Boyle, the Auditor General for Scotland; Carol Calder, audit director at Audit Scotland; and Adam—forgive me; perhaps you can help me out with the pronunciation of your surname.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Do you think that delayed discharges can ever be eliminated, or is that an impossible ambition? Delayed discharges can be reduced, for sure; there is clearly evidence that that can happen when approaches work well. Carol Calder spoke about some examples of good practice. Nevertheless, while the level of delayed discharges can be reduced, they can never truly be eliminated. Are we, therefore, just setting ourselves up for failure in trying to fix the problem? Is it simply baked into the processes of the entire health and social care system?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Yes—that has been well iterated in your report.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Can you clarify whether all boards are signed up to—was 11 the number that you mentioned earlier?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
Yes. Is it 11 boards that are signed up to that?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Jamie Greene
That is very much appreciated, Auditor General.
On that note, we will conclude this item. It remains for me to thank you, Mr Boyle, Auditor General, as well as Adam Bullough, Malcolm Bell and Carol Calder for joining us and giving us evidence, which we have found extremely helpful. The committee and future committees will, no doubt, take a close interest in the issue. We also look forward to the Accounts Commission’s report on integration authorities, which is due out soon.
I now move the meeting into private session.
11:41
Meeting continued in private until 12:07.