Chamber and committees

I certainly will—scrutiny is the job of all of us so that we get this right.

I wonder if I can just scrutinise the benefits and the understanding of them among the respondents to the consultation. We have heard that the Government’s analysis acknowledges that a large number of criticisms were made in the consultation process, in all formats of submission. Two of the principal reasons that were given were the complexity of the issues and the lack of detail in the proposals. Does the minister accept that people are struggling to engage and to understand the benefits that we have just talked about? I know that the minister has committed to further engagement work, but it is clear that people want to see that detail and to continue that conversation.

Audit Scotland is particularly concerned about, or interested in, the learning that can be taken from previous public sector reform. Its analysis highlights that the expected benefits are often not clearly defined and that, even where they are defined, they are not always delivered, particularly in the short term. Are you confident that the benefits have been defined and can be delivered?

I heard the cabinet secretary’s initial answer to David Torrance’s question on workforce pressures, and his answer about Brexit. When the Auditor General for Scotland gave evidence to the committee, he spoke about historic problems with staffing. He said:

“We know, and have previously reported, that the NHS has, historically, struggled to achieve all its staffing ambitions.”—[Official Report, Health, Social Care and Sport Committee, 19 April 2022; c 3.]

Will the cabinet secretary acknowledge that there has been something of a historic failure to deliver a workforce plan, and that there were failures in meeting staffing targets before the pandemic?

The Audit Scotland report states that

“The NHS was not financially sustainable before the Covid-19 pandemic”

and that six boards require additional financial support from the Government or to use non-recurring savings in order to break even. Is the cabinet secretary confident that those boards will be able to achieve financial balance in 2022-23, or is it likely that on-going support will be required? What is his assessment of the issues that are being experienced by the boards? Is it a case of weak financial management, or is a lack of adequate resourcing a more fundamental issue?

I do not think that anyone would deny that the pandemic has exacerbated the pressures. I was just pointing to the fact that the Audit Scotland report says that there was no financial sustainability prior to it. The committee will be keen to hear an update on the progress of the boards to which I referred when we get to the financial year end.

I will ask more broadly about the increase in funding. The Scottish Government committed to a £2.5 billion increase in funding for health and social care over the parliamentary session. However, the medium-term framework for health and social care has not yet been updated. In the absence of any medium-term financial framework, how can the cabinet secretary be confident that the additional funds that were committed will be allocated and used effectively? When will the updated medium-term financial framework be published?

I will continue in that vein. We have seen evidence in the Audit Scotland report that data and planning have not been adequate. That answer suggests that we have to do a lot more to understand and profile where we are.

I return to the cabinet secretary with a question about nursing places and vacancies. There are 6,674.4 whole-time equivalent nursing and midwifery vacancies in the NHS, and we have heard some of the cabinet secretary’s reasons for the challenges in that. Will he also accept that the reduction in the number of nursing training places—a decision that was taken by his predecessor—has exacerbated those challenges?

I am trying to ask you a question and get the answer.

The £10 million fund was announced in September of last year, but there was no spending until the beginning of this financial year. Why was that and what is the long-term strategy for funding this crucial work?

My question is focused on the online purchase of alcohol and how we can perhaps further regulate that. It obviously became more prevalent during the pandemic lockdown periods. Certainly, people can buy alcohol from Amazon and other online sites, and we saw relaxation of licensing rules to allow pubs and venues to deliver to people’s homes. I want to get a sense from the minister of whether any work will be done to review the impact of online sales and what they contribute in terms of the overall percentage.

Good morning, minister. I will ask a wee bit more about the Government’s “Alcohol Framework 2018: Preventing Harm”. There is a lot in it and the committee is keen to hear about progress. I am particularly interested in actions 9 and 15, which require close working with the UK Government, and in the acknowledgement that we need collaboration on those actions. What interactions and meetings have taken place since 2018? We appreciate that there have been two years of pandemic, but it would be good to get a sense of what progress you feel has been made.