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Chamber and committees

Audit Committee, 21 Feb 2006

Meeting date: Tuesday, February 21, 2006


Contents


“Overview of the performance of the NHS in Scotland 2004/05”

The Convener:

We move on to item 6, on the national health service performance overview. Members have a copy of the response to our letter from the Executive's accountable officer, Dr Kevin Woods, which examines the issues of NHS workforce and financial performance. Are there any comments, questions or observations?

Mr Welsh:

The letter describes work in progress. It uses phrases such as

"working closely with NHS boards and trades unions and professional organisations on these matters … being put in place in all Boards … we expect the Health Budget to break even".

In other words, it outlines what the Executive's work will lead to. Again, we are talking about work in progress that we will have to check against delivery.

We will have to check it against the delivery of the delivery group.

Indeed.

The Executive gives the delivery group a messianic role—it says that the delivery group will come to sort everything out. Do we have a timetable for that? How soon can we probe the work of the delivery group once it gets going?

The Convener:

I suspect that you ask that question because you are aware that we are waiting for the head of the delivery group to be appointed. We have asked Dr Woods about that in the past. The appointment of a head will allow matters to move on. Audit Scotland might have further information on whether there has been any progress of that nature.

Barbara Hurst:

We have not heard whether anyone has been appointed. There has certainly not been an announcement about the head of the delivery group.

Margaret Smith (Edinburgh West) (LD):

The Executive's response states:

"There will be a move to distribute allocations before the beginning of each financial year; any funds which, for specific reasons, cannot be distributed to this deadline must be distributed by 31 December in any financial year."

How does that compare with what is meant to happen at the moment?

Barbara Hurst:

In at least our last two overview reports, we have highlighted the fact that allocations have been made throughout the year. We have criticised that process because it affects the boards' ability to manage their finances well. It looks as if what is proposed would be an improvement on what has been happening.

I pick up on the point that Andrew Welsh made. The Executive says:

"There will be a move to".

Will a phased approach be adopted? Do you have any indication of how such progress will be made?

Caroline Gardner:

We cannot tell you much more than is in the letter.

The Convener:

As with our previous letter from an accountable officer, which was on an entirely different topic, we will need to check what it says against delivery. It identifies a number of proposed actions, but we will need to wait and see what happens. Further measurements will be made. I suggest that we simply note the response.

The response says that the establishment of the delivery group is "imminent". I suggest that we ask how imminent it is.

The Convener:

That is an interesting issue. It strikes me that you might want to ask that question when we discuss the subject of agenda item 4 under agenda item 8, because the establishment of the delivery group might be relevant to tackling waiting times.

Do members agree to note the Executive's response?

Members indicated agreement.