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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 4 May 2021
  6. Current session: 13 May 2021 to 2 March 2026
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Displaying 2045 contributions

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Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

Good morning. I want to take a step back. I have listened carefully to the lines of questioning and I thank you for your answers thus far. In fairness, the report identifies that a lot of work is going on across the country to tackle the problem. However, we must be realistic and honest with ourselves about the scale of the challenge.

My main problem is that we do not really seem to be budging on the issue at all. Back in 2015, there were 550,000 delayed discharge days. The then health secretary, Shona Robison, said:

“I want, over the course of this year, to eradicate delayed discharge out of the system”.

She said that on 25 February 2015, which will be 11 years ago next week. What has happened since then? The year after that, the figure rose to 660,000 delayed discharge days. Last year, there were 720,000. The figure is going up and up and up. There is eradication and there is multiplication. Do we know what the figure will be this year?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

I do not doubt that there is the will, desire and good intention to come together to fix the problem. However, although it is not for me to put words in the mouth of COSLA, I am pretty sure that if you asked it whether social care is adequately funded, the answer would be a big fat no. We know that because that is what it said in the briefing document that it sent us a couple of weeks ago, after the budget. If the answer to the question, “Is social care properly funded?” is no, you will never resolve the issue of bed blocking, will you?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

And all the while, those people are stuck.

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

That is clearly an issue. That is a cohort of people who are stuck for quite a long time—sometimes months. We have heard some horrible anecdotes.

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

How many staff hours are lost to managing patients who are medically fit to leave hospital but are still having to be cared for in a hospital environment?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

Can you give me an example?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Jamie Greene

Finally, has the Scottish Government or the NHS done any holistic analysis of increased mortality rates as a result of delayed discharge, or indeed, additional harm caused to patients as a result of delayed discharge? If not, why not?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of the Scottish Public Pensions Agency”

Meeting date: 18 February 2026

Jamie Greene

I am playing devil’s advocate, because I do not have a view on the SPPA’s efficacy or otherwise, but the body has a lot of money and people. It has hired 100 additional staff, which begs the question of how many staff it had in the first place. Yesterday’s letter said that that is an increase of 30 per cent, so let us assume that it had 300 to 350 staff as a baseline. The addition of 100 staff means that it has around 400 to 450 staff, which is a massive jump for an agency in a single year.

Looking at SPPA’s budget, I see that it has been given around £123 million, presumably of public money, by the Scottish Government over four years—that includes the coming financial year—just to administer the pension scheme before a single penny of pension is paid. Is that unusual? Is it proportionate?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of the Scottish Public Pensions Agency”

Meeting date: 18 February 2026

Jamie Greene

A lot of ground has been covered, so I will keep it brief. Auditor General, have you had a chance to review the letter from the SPPA to Kenneth Gibson, which Mr Simpson just referred to, and the letter from Ivan McKee, the minister, to Kenneth Gibson? I appreciate that both are dated as having been sent yesterday. Has Audit Scotland had a chance to briefly look at them before today’s session?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of the Scottish Public Pensions Agency”

Meeting date: 18 February 2026

Jamie Greene

Okay. What do you make of them?