Skip to main content

Language: English / Gàidhlig

Loading…

Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

Filter your results Hide all filters

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 27 April 2025
Select which types of business to include


Select level of detail in results

Displaying 1492 contributions

|

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

That is so way off target. You are 30 percentage points off the target. What is going wrong?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

I can tell you that, anecdotally, when I speak to care homes, workforce is the issue, and getting staff is part of the problem.

On people, which is my final topic, where are we at with head count? Let us look at three statistics. First, let us look at the total head count in the NHS now in comparison with the number in the past couple of years. Just to give you a heads up, secondly, I will ask about the sickness absence rates in the workforce and, thirdly, I will look at turnover rates. What statistics do you have to share with us on those three issues?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

It has dropped since September 2023, when it was sitting at above 70 per cent, and it has dropped considerably since September 2018, when it was 92 per cent—in fact, you almost made the target. However, we are now saying that two in three people will not be seen within four hours. Is that right?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

Do not worry—I am coming to that.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

Can I stop you there for a second? I am still trying to get my head around this. According to what you have just said, there are two reasons why we are so far under the target. Overall, you said that there were three points, but the first one is a positive—the number of emergency admissions is going down, which is good news. However, the other two points are not positives. You are saying that the age profile of people and the fact that they stay in hospital a little bit longer than they used to are the reasons why so many people are sitting in accident and emergency for eight or nine hours. I do not see the link. Please explain it to me.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

I have a final question. How much is being spent on agency staff?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

I have some numbers. That is in the hundreds of millions of pounds. It is a lot of money, and having agency staff is way more expensive than having full-time equivalent staff. There is all this talk about privatising the health service. You are already privatising it if you are outsourcing work to agencies that charge hundreds of pounds per hour.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

If and when you discover that newer data is available, please share it with us. We are looking for trends, as we often do, and we want to interrogate that information.

It looks as though the overall head count is on the rise. The figure of 187,000 is up from 183,000 last September. People will say that there are far more people in the NHS than there were before, yet everything that we have discussed—such as waiting times, delayed discharges and staff shortages—is still happening. There are more people in the system, and the Government is spending more money on it, but outcomes are poor. My question is: why is that the case?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

Do not even start me on dentistry—otherwise, we will be here all day.

I will park my question on digital records, in case others want to come in.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2023”

Meeting date: 20 June 2024

Jamie Greene

Yes, but I am not interested in every other part of the UK. This is the Scottish Parliament, and you are the chief executive of NHS Scotland. I mean this respectfully: I simply want to know what is going wrong in Scotland’s A and Es.