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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.  

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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 11 September 2025
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Displaying 917 contributions

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Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Craig Hoy

Thanks. The report highlights that the national care service, if it were to proceed, would require

“a significant unknown financial commitment to be met from the Scottish Government’s health and social care budget.”

To what extent are you concerned about the Scottish Government’s ability to meet its spending commitments in relation to the NCS and the impact that that may have throughout the healthcare system in Scotland?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Craig Hoy

Good morning to you, Mr Boyle, and to your colleagues. In the past, you have said to this committee that you will not wait until the huge piece of public policy work that is the national care service is created before you start to audit it and to analyse the numbers around it. In your report, you warn that the national care service will place a huge strain on the health and social care budget. Obviously, concerns have been raised within the Parliament, particularly by the Finance and Public Administration Committee, in relation to the financial memorandum that accompanies the bill, which is on pause. What is your understanding as to why the legislation has been paused? Is it to look further at the numbers?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Craig Hoy

Obviously, we understand that social care and the NHS are inextricably linked. Your report states that the Scottish Government’s NHS recovery plan was not informed by detailed and robust modelling, nor were NHS boards involved in setting the ambitions of the plan. It further states that the Scottish Government is undertaking an exercise to model capacity across the whole health system. To what extent are NHS boards involved in that modelling process? Should it also include all elements of the social care sector to ensure that we have the capacity for that displacement?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Craig Hoy

The first annual progress report was in October 2022, and the first milestones of increased activity fall into 2023. Is it fair to say that, if you were creating a dashboard of those milestones of increased activity, they would still be flashing red? Do we need greater transparency around those, given that that progress and recovery was meant to come to fruition this year?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Craig Hoy

The national care service envisages a significant role for the private sector; potentially, some have argued, a greater role for the private sector if local authorities step back from that. The true cost of care seems to be the fundamental issue. I looked at some numbers. The national care home contract rate is £832 a week and a 25 per cent increase takes it up to about £1,040 a week. Private sector care home providers, whom the scheme is meant to incentivise to free up capacity in order to address delayed discharge, argue that that still falls short of what they perceive to be the true cost of care, given that they are contending with the cost of living crisis, higher energy bills and staffing cost pressures. Is it part of the problem that, until we identify the true cost of care and therefore properly fund care—particularly for those who are not self-funding—and remove the element of cross-subsidy, we will never get the capacity that allows us to aggressively bring down those delayed discharge figures?

09:30  

Public Audit Committee

Section 22 Report: “The 2021/22 audit of the Commissioner for Ethical Standards in Public Life in Scotland”

Meeting date: 2 March 2023

Craig Hoy

I want to get a sense of whether we are turning the corner on the backlog. Exhibit 2 on page 7 of the report provides information about the increase in complaints that were still open at year-end in 2020-21 and 2021-22. It shows an increase of 122 in the number of complaints that were still open that related to local councils and boards, and an increase of 22 in cases relating to MSPs. You just mentioned the 2022-23 figures. Those backlogs relate to 31 March 2022. What is your impression of whether the backlog is falling now?

Public Audit Committee

Section 22 Report: “The 2021/22 audit of the Commissioner for Ethical Standards in Public Life in Scotland”

Meeting date: 2 March 2023

Craig Hoy

You have talked quite extensively about staffing restrictions and budgets, but I want to reflect on paragraph 22 of the report, which states that all vacancies bar one have now been filled. However, when discussing the complaints backlog, paragraph 25 states that

“While additional recruitment will help, it will take time for this to be completed”.

Does that mean that more additional posts have been created. If so, how many, and is a recruitment exercise currently under way?

Public Audit Committee

Section 22 Report: “The 2021/22 audit of the Commissioner for Ethical Standards in Public Life in Scotland”

Meeting date: 2 March 2023

Craig Hoy

For the public, elected members and board members to have confidence in the system, we must see sustained improvements in performance. Your report states that the commissioner’s office is planning to introduce performance indicators to track complaints handling, which will be introduced by March this year. Is that work going according to plan; will the deadline of March 2023 be met?

Public Audit Committee

Section 22 Report: “The 2021/22 audit of the Commissioner for Ethical Standards in Public Life in Scotland”

Meeting date: 2 March 2023

Craig Hoy

I have a final question that, again, asks for a somewhat crystal-ball projection. What would be an acceptable level of backlog, when the commission is compared with similar institutions?

Public Audit Committee

Section 22 Report: “The 2021/22 audit of the Scottish Government Consolidated Accounts” and “Scotland’s public finances: Challenges and risks”

Meeting date: 23 February 2023

Craig Hoy

Am I correct in assuming that the framework has not yet been used in relation to a particular investment decision?