Chamber and committees

Good morning. Obviously, primary care is very much in focus at the moment, particularly in the context of the pandemic. However, it is fair to say that there has, over many years, been commentary that the data in relation to primary care, and an understanding of who is using primary care and where the trends are, have not always been good or available enough. As an overview, will the witnesses outline what information about primary care activity and demand is currently publicly available?

I want to follow up on the point about how local government has worked across the piece to drill down into people’s experiences and what services they require. I am interested in the work and recommendations of Professor Bruce Guthrie, at the University of Edinburgh, in this area—in particular, the idea that we can use NHS data, such as unique addresses, to understand whether people are living in sheltered housing or a care home, or in a care-at-home scenario.

I am keen to understand how we ensure that, in the national care service, we still get good-quality, localised data and information about a person. That helps us to see the bigger picture with regard to housing mix, housing need and requirements in an individual area, whether it is rural or urban, and other such issues.

The point is well made that the approach cannot be one size fits all and that we need to look at varying aspects. NHS England operates an app that covers all the things that Chaloner Chute mentioned, such as GP appointments, prescriptions and Covid status. What are we learning from that? That has been in place for a period—why do we not have an equivalent? Does Jim Miller or anyone else know anything about that?

Good morning. Witnesses have already touched on the necessity during Covid to upscale and move forward what we are doing in relation to digital. Obviously, NHS 24 has had a key role in developing many of the services, and it is fair to say that, within that, there has been a degree of quick movement and upscaling of projects that were already planned.

I want to get a sense of Jim Miller’s reflections on what has worked well and what has been challenging. In my experience, certain applications have worked better than others and have needed refining and testing. Jim, can you kick off with your reflections on that issue?

Your assessment is fair. There is a sense that there were challenges in relation to getting things up and running initially—for example, on proof of vaccination, which took a while to come on stream in a digital format.

You make an interesting point about that younger cohort. However, my sense from my inbox is that it goes across age ranges—people have a real desire to have things in one place, such as in one app, particularly when it comes to their vaccination status. There have certainly been issues around where people can book vaccinations and so on. Covid has brought all that to fore.

There is ambition to bring those seams together and to have that one-digital-door approach. More broadly, it is also about how we access services. The question is how we bring all the parts of that together. Is there an ambition to have a one-door app that would allow us to access our medical records if we require them and also to use services? That might be Jim Miller’s bailiwick.

Thank you for that comprehensive answer. Following on from that, I have two questions. How will we use the data that we hope to bring on stream to chart somebody’s journey through health and social care? A person might present to their GP but then go elsewhere, or might feel that it is appropriate to present at an accident and emergency department. There is a discussion at the moment about where presentations happen. How will we link the data to look at people’s journeys?

Secondly, how will we chart unmet needs? Some people are not having their needs met in the most appropriate place. I ask in particular in relation to digital formats, which people are using more and more.

Last week, I asked the cabinet secretary about cancellation of surgery, in particularly cancer surgery, as NHS boards struggle under immense pressure. He pointed to the challenges of the pandemic, but we know that waiting lists have been growing for years. Elective surgery is also a concern and people are struggling in pain for long periods. What is he doing to support NHS boards to enable surgery to recommence? We want practical measures to be taken, such as increasing bed capacity. We also want the recommendations of the royal colleges to be listened to.

The heartbroken family of Andrew Slorance is not the only family seeking answers about what happened to loved ones at Queen Elizabeth university hospital. Theresa Smith, as reported on front page of the Greenock Telegraph today, has spoken of the deep pain that her family has endured since the death of her daughter, Sophia, in April 2017 at just 12 days old. Sophia died of an infection that she contracted at the Queen Elizabeth, despite initially responding well to treatment for breathing problems. The family was not informed and had to fight for a post mortem to know the truth. Theresa and her family have described the tortuous journey to try and get answers about what happened, with phone calls, emails and letters stonewalled. She, too, has pointed to a cover-up.

I heard what the First Minister said in response to Anas Sarwar about the public inquiry. Does she recognise that the inquiry did not save Andrew Slorance and will not save patients right now? What is the Government doing immediately to prevent such terrible and tragic deaths from happening again?

As we have heard, there are thousands of front-line staff, social care users and bereaved families for whom the inquiry will be crucial if they are to get answers on why Scotland was not better prepared. It is important that those who were responsible for that are properly held to account. Will the cabinet secretary confirm the inquiry’s relationship with the wider judicial system? Will it be set out in the terms of reference that he mentioned, and will that information include how the inquiry will handle evidence of potential criminality?

I am verbose if nothing else, minister.