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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 15 April 2025
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Displaying 1492 contributions

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Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

Let us look at some of the detail on that. In orthopaedics in particular, there are huge numbers of people waiting for treatment—many for more than 18 months. Let us cut to the chase: those people are in pain. You will be aware that there are various models for treating people. In England, there is a more flexible approach, which includes the use of private care funded through the NHS. If a patient is waiting on a new hip or knee, do they really care where they get it, as long as they get it sooner? If they have the choice of getting it in three months or in three years, which would they choose? How open are you to new ways of delivering service to people more quickly?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

Is that because accident and emergency departments are chock-a-block? Ambulances are queuing outside with people in the back of them. What sort of experience is that? If someone is sitting in the back of an ambulance for hours, or even being treated in an ambulance because there is no space elsewhere, that ambulance cannot be freed up to go out to someone else and it is not a good experience for the patient. It is a lose-lose scenario. What are you doing at the other end to unblock that?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

You keep saying that, but how are we going to fix it?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

Thank you very much for that.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

Why is the service not able to respond more quickly? Does it not have enough ambulances or staff, or has demand increased exponentially? Is it all of the above?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

Good morning. Ms Lamb, on Monday, the First Minister made a speech about the state of the NHS in Scotland. He described the NHS as being “fundamentally resilient, fundamentally robust.” No sooner had he stood down from his place at the lectern than the director of the Royal College of Nursing in Scotland responded, saying:

“Many nursing staff will not recognise the first minister’s description of a resilient and robust NHS in Scotland. Their current experience is of a service struggling to meet the needs of patients and leaving them to carry the burden of not being able to deliver the care and treatment required.”

Who is correct—the First Minister or the director of the Royal College of Nursing in Scotland?

11:15  

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

My final question is slightly off-centre. What has been done to improve whistleblowing in the NHS? Many MSPs will have been contacted by constituents, particularly those who work, or who have worked, in the NHS, with complaints or anecdotal evidence of malpractice that has led to patient safety being put at risk. What has been done to improve the process? I have dealt with a number of cases in which NHS practitioners feel that the current process is simply not working, and I know the levels of frustration that they feel as they go through us, then to ministers. They feel that the responses that they get when it comes to dealing with complaints or allegations are extremely poor. Do you think that the situation is better than it was?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

I am all for people working together and agencies working collaboratively. We hear a lot about that—it is civil service lingo—but the reality is that the numbers speak for themselves. Something is not working, and it is clear that the Government is failing to meet its objective in delayed discharge, which is causing a huge number of issues. Have you had any feedback at all?

Let me ask a more fundamental question. Do you think that the IJB model is broken? I ask because it does not seem to be delivering for folk.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

I am not talking down nurses.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Jamie Greene

Let us do a reality check. You agree with the First Minister that the NHS is “resilient” and “robust”, but not a single NHS board in Scotland is meeting its 12-week out-patient target or their in-patient target—not a single NHS board in Scotland is meeting its 18-week planned care target. One in six Scots is sitting on an NHS waiting list—that is nearly 900,000 people, of whom nearly 10,000 have been on a waiting list for over two years. To top it all off, Scotland has one of the lowest life expectancies in western Europe. Does that sound like a “resilient” and “robust” health service that is fit for purpose and that is delivering for the public?