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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 9 March 2026
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Displaying 2770 contributions

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Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

That is from BMA Scotland. That came out just this morning, and I appreciate that you have not seen it, but it raises issues that very much relate to what the Auditor General has written about.

I was struck, after reading that quote, to find that the Private Healthcare Information Network issued a report this week—you might have seen it. It says that private hospital admissions are now hitting “record levels”. People are increasingly turning to paying for their own treatment. It was reported that

“Cataracts were the most common reason for admission”

and were

“up by 5 per cent.”

That is followed by hip replacements and upper gastrointestinal endoscopy. Interestingly, there are

“more consultants … active in private practice in Scotland than ever before.”

At the same time as we have those vacancies in the NHS, consultants are increasingly turning to work in private practice. That is not right, is it?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Yes.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

We have spoken previously about the national review of procedures, which is about looking at procedures and medicines that might be of limited clinical value, doing things better and not doing things that we do not need to do. In our evidence session with NHS Ayrshire and Arran and NHS Grampian, they said that they have submitted their thoughts on that—to you, I presume. Where are we with the national review? Are we in a position to make some decisions?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Do we now have a list of procedures that we are either not doing or doing less of?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Where would we find that information?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Okay. You told us about varicose veins previously, so we will add tattoo removal to the list.

What about medicines? The Auditor General’s report shows that the cost of prescribing is going up year on year, which I know that you have been looking at. At some point, we need to get a grip of that. What can you tell us about it?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

If you have a list of medicines that are of lower clinical value, are you preventing any of them from being prescribed?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Have you looked at medicines that are prescribed that could easily be bought over the counter for possibly less money than it would cost the NHS?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Let me give you a personal example. Recently, I had an allergic reaction to something and I came out in a rash that was quite itchy. I was in Edinburgh—I was not at home—so I went into a pharmacy. They were very good and gave me some antihistamines and some cream to deal with the itch. I could have bought those things myself and I wanted to pay for them, but they were given to me for nothing and I have never used the cream. I did not go to get free stuff; I just wanted some assistance, but I was given the medication for free. What did the pharmacy make from that? Would it have earned less if I had bought it from them?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Before I move on, I think that Joe FitzPatrick wants to ask something about this.