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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 19 April 2025
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Displaying 1828 contributions

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Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Thank you. I will leave it there, convener. I have taken up enough time. I hope that that was interesting.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

I am just trying to think realistically. I cannot see the Government putting itself in a position where, if a board comes to it and says, “Look, we’re really struggling here”, you will say no.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

You mentioned it. Are we potentially talking about not treating people for varicose veins?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Okay; that would be useful.

The Auditor General is always talking about the need to reform public services, and he says it again in this report. In paragraph 94, he says:

“Over recent years we have regularly called for the NHS to drive forward innovation, reform and long-term fundamental change. Our NHS in Scotland 2023 report made clear the urgency of the issues faced. This year’s report details a worsening financial position and ongoing performance issues.”

He also says:

“The need for reform is more urgent than ever.”

Basically, he is saying that he is not seeing much sign of reform. Do you think that the First Minister’s announcement earlier this week is a sign that the Government wants to reform? If that is the case, what does it want to change? Where is the reform?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Okay. It is just that there are various parts to it.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Well, just give me an example off the top of your head.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

We do not yet have an app in Scotland. People in England are lucky enough to have access to the NHS app, but we do not have one here, which is a source of real frustration. I think that people in England can book GP appointments through the app. In Scotland, there might be one or two practices that have their own individual apps, but we do not have a national app.

In the announcement earlier this week, it was mentioned that the Scottish Government is getting round to launching an app, which will be rolled out first in Lanarkshire. From my point of view, that is good. Can you tell us more about that? Where are you at? What will the app cover?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

The deputy convener will ask you about waiting times, so I will not do that. I will ask about GPs.

The Auditor General did not cover this subject in his report, but it is really important. The First Minister and the health secretary mentioned GPs earlier in the week. They referred to what is known as the 8 am rush. You will recall that, at a previous committee meeting in June, when we were discussing GP appointment booking practices, I mentioned that I had done a survey of GPs in Lanarkshire. The result was a pretty mixed picture. To be fair, not all GPs operate the 8 am rush model. Some of them used to but have moved away from it. There might be a perception that every GP operates a system in which you have to phone up at 8 am, but that is not the case. Not every GP is doing so, but some are—too many are.

I was in a position in which my GP operated that system. As someone who has to come to work every day, it proved impossible to get an appointment. I got on my bike—literally—and cycled around East Kilbride, found another GP practice that did not operate that model and managed to transfer to it.

However, too many of my constituents do not find it as easy as I did. It is too difficult for them to switch, even though GPs are private businesses. My view was, “I’m a customer of a business that isn’t serving my needs, so I’ve got the right to move.” I do not think that people find it terribly easy to do that. Do you not think that it should be made easier for people to switch GP if the service is not good enough?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Those are difficult choices.

Back at the start of the meeting, Ms Lamb, you spoke about the announcement made by the First Minister and the health secretary earlier this week, in which they made a series of pledges. You said that there will be a delivery plan for those at the end of March. From that, it sounded to me as though the First Minister had made all those pledges with no idea about how they would be achieved.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Others will probably ask about the detail of what was announced earlier in the week, so I will leave that to them.

There has been talk for some time about having a national conversation on the health service. The Government loves that phrase, along with task forces and consultations. We have quite a lot of that. If we had a national conversation about the health service, the Cabinet Secretary for Health and Social Care would not have time to attend football matches because members of the public would be telling him a few home truths. Has that so-called conversation started, how long will it take and what will it cover?