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Seòmar agus comataidhean

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 13 March 2026
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Displaying 2092 contributions

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Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

It is a really important question about technology. I was on a waiting list for 18 months for elective surgery. I then got a letter about an appointment at short notice, which was great because it was a result of the new initiative of sending people to other health boards at the weekend. That is a great way of getting through the backlog, although I am sure that it is costing a fortune because you will be having to pay consultants overtime to work on a Sunday. Nonetheless, I was grateful for it.

The problem is that it was a letter. I do not know when Royal Mail last got a letter through the post on time, so I missed it and I went back on the waiting list after waiting a year and a half while my condition got worse. That is why it is important that we get this right. I had no app, no portal, no email, no text message—nothing. It was just a letter in the post; thankfully the right address was on the system.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

I know, but I am just asking for people to be sent a text message.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

It is not difficult. It does not require a lot of capital investment in infrastructure. It just means that there will be a little bit of joining up in how you inform people about things such as appointments. I am pleased to say that I was able to speak to the right people and, luckily, I got a last-minute cancellation for the following week, but how many people are out there waiting on those letters?

I have one final proper question about the national treatment centres. We have spoken a lot about reform and about innovative new ways of doing things to get through the backlogs. However, the NHS capital budget has been cut by 22 per cent in the past five years and my understanding is that five of the national treatment centres are on pause. The Royal College of Surgeons thinks that four of them have been canned completely and are never going to happen.

We have talked a little bit about NHS Ayrshire and Arran and some of the problems that it is having, and its national treatment centre is one of those that have been paused. That does not make sense.

11:15

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

Would it not be better just to say, “We’ll just write that off”, in the way that many other Government debts have been written off in recent years where the Government has stepped in to support specific sectors and there is just no expectation that it will get that money back? After all, the money has gone; it is off your balance sheet, and it has been spent by the health board. Let us not pretend that you are going to get it back.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

But the board does not have to make non-recurring savings in year in order to get the cash.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

I guess that the premise of my question is this: is it worth rethinking how we support and fund boards? If many of them can make ends meet but many cannot, does that show that their governance arrangements are lacking? Do they have specifically difficult areas to manage when it comes to patient care, or does the model just not work for them, given the nature of the services that they are required to provide?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

Ms Lamb, if the Scottish Fiscal Commission’s forecasts are accurate, the level of spend on health and social care will rise to 40 per cent of Government spending in the coming years and up to 55 per cent not that far down the line. It could hit 50 per cent-plus during the next parliamentary cycle. That is half of all devolved spending. Surely that is unsustainable.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

I am sure that my good friend Mr Simpson will come on to talk about technology.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

It has huge potential in healthcare.

Before I finish, I must talk about general practitioner walk-in centres, which have been in the news for the past few weeks since the committee last met. I have no political view on them, but we have to note the concerns that have been raised about them. I would say that the British Medical Association in Scotland and the Royal College of General Practitioners have been unusually critical of the plans. We are talking about a lot of money. They claim that the approach was tried and tested in England, but that it failed, and that no lessons will have been learned from it.

I can see the benefit of walk-in GP or nurse appointments, particularly if they are open until 8 o’clock in the evening; it makes complete sense for most of the working-age population. However, those services have been heavily criticised by the very people who will be tasked with delivering them. What is your response to that?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Jamie Greene

I imagine that those NTCs would be quite expensive projects to build, but they would be new build and so would take time, and we know that everything costs more and takes forever. If there is capacity in the existing estate that can be used to get through the backlog, I understand why that would be a priority.