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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 4 May 2021
  6. Current session: 13 May 2021 to 2 March 2026
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Displaying 2500 contributions

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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—

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

I know. I am very much aware of that.

To be parochial again for a moment, I know that the replacement of Port Glasgow health centre is a priority for the health board. I do not know whether that will come up in any report that it will make to the Government in relation to future investment.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

Thank you, convener, and good morning. I have some questions about paragraphs 50 to 56 of the Audit Scotland report, and about case study 1 on page 24. Paragraph 50 highlights the suggestion that the capital budget will fall again in 2024-25. Now that the Scottish Parliament has reached agreement on the budget and it is clear that it will pass, how will that affect the position on the national treatment centres and the plans to build more of them?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

I am sure that anyone who is watching this meeting who has looked at the report will find exhibit 7 quite startling, to say the least, on the cost of PFI contracts. Between 1998-99 and 2023-24, £4.8 billion has been paid out, and a further £5.8 billion will be paid out between 2024-25 and 2045-46. That is a huge amount of money going from the public purse into company profits.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Stuart McMillan

I will move on from CAPA to accident and emergency waiting times, which remain considerably below target. That is a huge challenge. A few years ago, I did a 12-hour shift with the Scottish Ambulance Service on a Monday morning. Before I went, I genuinely did not realise how busy the Monday would be or the logjam that would happen with ambulances at the Inverclyde royal hospital. I also did not fully realise that I would probably know somebody who would make a call and be picked up, and that proved to be the case.

What additional work has been considered on that issue? The First Minister spoke about it on Monday, but there is a real challenge in improving the patient journey when people get to A and E.