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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 13 April 2025
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Displaying 2013 contributions

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Delegated Powers and Law Reform Committee

Decision on Taking Business in Private

Meeting date: 4 February 2025

Stuart McMillan

Welcome to the fifth meeting in 2025 of the Delegated Powers and Law Reform Committee. I remind everyone to switch off, or put to silent, mobile phones and other electronic devices. The first item of business is to decide whether to take item 5 in private. Is the committee content to take that item in private?

Members indicated agreement.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

—was not the wisest decision of the people of the past.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

Exhibit 7 on page 23 of the report shows the costs to the NHS with regard to private finance initiative contracts. Case study 1, which is over the page, refers to six contracts that are due to expire in the next few years, one of which is in my patch at Larkfield in Greenock. I am old enough to remember how controversial the PFI contract for that was.

The report indicates challenges when the earlier contracts come to an end. You will probably not be able to go into the details of each of those six contracts, but will you provide a bit of information on the challenges that NHS Scotland faces with regard to the end of those contracts? What additional costs will there be when they come to an end? How easy would it be to transfer the likes of the Larkfield contract to NHS Greater Glasgow and Clyde?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

Thank you. I will move on to another area. I refer you to case study 2 on page 29 of the report, which highlights the choice and partnership approach model. I found it quite interesting that NHS Forth Valley is implementing the CAPA model, which focuses on service users, with regard to child and adolescent mental health services. Is that model being considered for roll-out to other health boards? Is that discussion taking place?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

There was a discussion earlier regarding activity and productivity in NHS Scotland and various health boards but, judging by some of your comments, if the CAPA model were to be rolled out, that could have a hugely beneficial effect across the country.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

The next time that I talk to healthcare professionals who are based at the IRH, if I make them aware of this contribution, can I be assured that they will indicate that they feel as though they have been listened to and that what they put forward has been considered and taken forward?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

Certainly, there is the hub model with regard to the replacement in Greenock—there is the Greenock health and care centre and there is the one in Clydebank. I do not get many people contacting me to complain about the quality of care and facilities at the new Greenock health centre, so I suggest that that model might be something to consider.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

On the consideration of what is required and what areas need attention, the first sentence of paragraph 100 of the report states:

“The Chief Medical Officer’s 2023–24 annual report highlights the need to focus on a health and care system that focuses on ‘equity, prevention and early intervention’.”

In the area that I represent, Greenock has the worst Scottish index of multiple deprivation data zone, and, sadly, Inverclyde is at the top of a range of negative health indicators. When it comes to additional investment or any potential additional utilisation of the IRH, I suggest that that would help to deal with the equity point, in contrast to centralising many services up to Paisley and Glasgow.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

That is helpful. I was going to come back to Mr Burns with regard to Inverclyde and the Inverclyde royal hospital, because he missed out Inverclyde in his comments when he highlighted a few other areas earlier. However, on Mr Gray’s point regarding the existing estate and investment into that, I have spent a huge amount of time engaging with NHS Greater Glasgow and Clyde with regard to the Inverclyde royal hospital. I know the condition of the IRH. Investment has gone in and it has been very much welcomed, particularly given the First Minister’s comments on Monday with regard to the additional treatments that are to take place there. That is very much welcomed within the community.

However, on the fabric of the building, I cannot stress enough its two main challenges in relation to being wind and watertight. I will add a third challenge, in relation to its heating system. There are challenges in relation to extending the lifespan of that building. My preference would be to have a new build, but I know that that is not going to happen tomorrow. However, in relation to extending the lifespan of the building, it is about the investment that is to go in.

I know that the health board has been working on that particular project for a few years. However, because of the capital situation, nothing could progress.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

Building the IRH on the top of a hill in one of the wettest parts of the country—