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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 12 July 2025
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Displaying 3298 contributions

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Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

The route map will be published within a year. What about action? What about the implementation of the terms of the 2018 contract?

Public Audit Committee [Draft]

Decision on Taking Business in Private

Meeting date: 18 June 2025

Richard Leonard

Good morning. I welcome everyone to the 20th meeting in 2025 of the Public Audit Committee. We have apologies from Jamie Greene and Stuart McMillan, but I am pleased to welcome Stephanie Callaghan, who is substituting for Stuart McMillan. She is attending the committee remotely.

Agenda item 1 is for the committee to consider whether to take items 3, 4 and 5 in private. Do we agree to take those items in private?

Members indicated agreement.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Thank you very much indeed. Dr Provan will now give his opening statement.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

You mentioned investment. I want to check with you on some of the figures that have been used. In paragraph 28 and exhibit 4, the Audit Scotland report talks about the funding situation. Basically, it says that, between 2017-18 and 2023-24, direct spending on GPs by the Scottish Government was up by 33 per cent in cash terms. The report describes that as a 7 per cent real-terms increase. It goes on to talk about a real-terms reduction of 6 per cent between 2021-22 and 2023-24. That is the overall impression that is created in the Audit Scotland report that is before us.

However, in the letter that you sent to the committee, Dr Morrison, and in some of the things that you have said this morning, you are talking about a funding shortfall of 22.8 per cent. The expression that you used in communications with the committee is:

“The funding practices receive for every patient has been eroded year after year against inflation since 2008.”

How do you reconcile the conclusion drawn by Audit Scotland with what you have been saying?

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Dr Williams wants to come in on this question.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Okay. Thank you. Again, we will return to some of those themes during the morning.

I will ask a final question about placing the observations in the Audit Scotland report in the context of how things are affected on the front line. Multidisciplinary teams were very much a theme in the 2018 contract. They were part of the new era that was being heralded at that time. However, when I read the Audit Scotland report that is under discussion at the committee this morning, it is quite scathing in that it says that

“the expansion of MDTs has been slower than planned”,

deadlines have not been met and there have been “implementation gaps”. Could you describe what that looks like on the front line of the provision of GP services across Scotland? I will begin with Dr Provan this time.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Okay. Thank you. Dr Williams wants to come in—briefly, perhaps, because I need to move on to Mr Beattie’s questions. Over to you, Dr Williams.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Thank you—that is really helpful. Again, I am sure that that will be picked up by other members of the committee. I now invite Colin Beattie to put some questions to you.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Welcome to the second half of the meeting. We are looking at the Audit Scotland report, “General Practice: Progress since the 2018 General Medical Services contract”.

I am pleased to welcome a team from the Scottish Government, led by Caroline Lamb, who is the director general of health and social care and the chief executive of NHS Scotland. Good morning. Alongside Caroline Lamb are Tim McDonnell, who is the director of primary care; Susan Gallacher, the deputy director of general practice policy; and Andrew Chapman, the unit head for the general practice contract and operations. We have some questions to put to you.

Stephanie Callaghan joins us online, and I will bring her in at the appropriate time. Before we get to our questions, director general, I invite you to make an opening statement.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

You accept the key messages that are set out at the beginning of the report, including message 1, which says that the

“commitment to increase the number of GPs by 800 is unlikely to be met by 2027”.

You accept, presumably, that commitments that were part of the contract and were supposed to be completed by 2021

“have still not been fully implemented”

that things have been “slower than planned”, that the Scottish Government has not been transparent, that there is a lack of clarity and that direct spending to GPs has decreased. Do you accept all those findings?