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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 22 April 2025
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Displaying 1119 contributions

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Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

That is great.

I also ask all of you whether you can provide an update on your repair backlog and capital investment programme to deal with that and cost avoidance efforts. As they say, a stitch in time saves nine. I am interested to know what proactive efforts are under way to address the repair backlog in your estates.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

Are there opportunities in relation to your retained estate to achieve capital returns from disposal of surplus estates or investment in surplus estates for other purposes, such as the former acute hospital site at Stobhill or the east house at Gartnavel?

Health, Social Care and Sport Committee

Female Participation in Sport and Physical Activity

Meeting date: 28 March 2023

Paul Sweeney

My questions here have been covered; I have nothing further.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

A major outcome of the pandemic has been the increase in mental health conditions and demand for the associated services. We note that the recent budget allocation of £290 million for mental health funding restored the £38 million provision that was cut as part of the emergency budget review. Although that is welcome, it is still, in effect, a freeze on funding for mental health across the national health service in Scotland. That is being compounded by recent announcements such as Glasgow health and social care partnership’s announcement of a £22 million cut in its service provision and the consequent loss of 197 positions. I am sure that that will be carried on across Scotland.

I invite the witnesses to comment on whether that will have practical impacts on their service delivery. Is that a bit of a false economy across the public service provision for mental health in Scotland? My impression is that, in many areas, we are robbing Peter to pay Paul. As chief executives, do you share that impression?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

Okay. That is fair.

I want to go back to a point that was made. I accept completely that overmedicalising can often be counterproductive and maybe not appropriate. However, I am looking at the metrics. I will take Glasgow and Clyde. In 2019-20, 111 people had their CAMHS referral rejected and were re-referred by their GP and, in 2021-22, 414 people were referred again after rejection. I take on board the point about appropriate presentation, appropriate referrals and whether they are required, but a second referral could suggest that a clinician—that is, a GP—believes that the patient needs that help and is not getting it on first asking, and has therefore reiterated the referral. Are budgetary pressures increasing the threshold, rather than it being a case of judgments being made about clinical appropriateness?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

Does the board use a metric to assess what return on investment it might get against a capital spend? Are you able to test that as a business plan?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

I thank the witnesses for their overviews, which were really interesting. I want to come in on how you deliver capital investment and returns in district heat networks. You have outlined specific projects that you have in mind. Ms Grant, will you go into more detail about potential district heat network investments that NHS Greater Glasgow and Clyde is looking at in particular?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Golden Jubilee National Hospital, NHS Greater Glasgow and Clyde and NHS Highland)

Meeting date: 28 March 2023

Paul Sweeney

I am conscious that your board is quite specialised, Mr James. I do not know whether you want to say anything about that.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Ayrshire and Arran, NHS Borders and NHS Forth Valley)

Meeting date: 21 March 2023

Paul Sweeney

Okay. You mentioned the preventative spend bill, and I want to ask about preventative maintenance, in particular. We know that some health boards have severe repair backlogs on capital investment. Such repairs can end up becoming far more expensive over time if they are not preventatively tackled. Is that a challenge in your health boards? Do you have a repair backlog that is concerning? Is it a risk that you see to be significant? How do you approach preventative maintenance?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Ayrshire and Arran, NHS Borders and NHS Forth Valley)

Meeting date: 21 March 2023

Paul Sweeney

I will jump to the other end of the patient journey in acute hospital settings. Do you actively track the opportunity costs of delayed discharge in hospitals and the impact that that has on your overall capacity to deliver community-based services? Is there almost a reflex situation in which delayed discharge denies us opportunities to invest in more appropriate care settings?