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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 10 September 2025
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Displaying 917 contributions

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Public Audit Committee

Section 23 Report: “NHS in Scotland 2021”

Meeting date: 17 March 2022

Craig Hoy

The issue of general practitioner appointments—face-to-face appointments and appointments through NHS Near Me—has featured significantly in the news. The report highlights that data is not yet available on the number of GP appointments that have been carried out. That means that it is difficult to determine the true number of people who have avoided seeing their GP during the pandemic and who might therefore, in effect, be storing up health problems that could become more extreme later. Do you know why that data is not available? Should the Scottish Government be doing more to gather and disseminate it?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2021”

Meeting date: 17 March 2022

Craig Hoy

Good morning, Mr Boyle. As we know, the diagnosis and treatment backlog has got significantly worse because of Covid, but, in many respects, Covid is not its principal cause. Although NHS boards around Scotland are trying to tackle the backlog, it is, as you say in the report, still significant. Are you aware of any health boards in Scotland that are making good progress in that area? Conversely, are there any boards that you are concerned about with regard to the pace of tackling the backlog?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2021”

Meeting date: 17 March 2022

Craig Hoy

Ms Johnston, as you said, the report includes a recommendation to publish data on waiting times based on the categories in the clinical prioritisation framework, and that is being progressed by Public Health Scotland and NHS boards. What role is the Scottish Government playing in implementing that recommendation? If the information has not yet been published, what more should be done to get that data out there?

Public Audit Committee

Section 22 Report: “The 2020/21 audit of the Scottish Environment Protection Agency”

Meeting date: 17 March 2022

Craig Hoy

Obviously, the impact of the cyberattack is significant, and it will be felt throughout the organisation. I have questions about staff training and future workforce planning.

You all seem to be in quite good spirits this morning, but you might want to say a little about the impact of the attack on staff morale and how that has been managed since December 2020.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2021”

Meeting date: 17 March 2022

Craig Hoy

A stark statement in the report, at paragraph 45, is:

“The scale of delayed diagnosis and treatment and what this means for NHS services and patients is not yet known.”

To make progress on that, you recommend that

“a cohesive strategy is needed to better understand ... the wider health impact of Covid-19 ... on NHS services and inform future service provision.”

Do you know whether the Scottish Government has any plans to develop such a strategy?

Public Audit Committee

Section 22 Report: “The 2020/21 audit of the Scottish Environment Protection Agency”

Meeting date: 17 March 2022

Craig Hoy

That is reassuring—thank you.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2021”

Meeting date: 17 March 2022

Craig Hoy

Do you have any way of assessing or measuring how many patients might have chosen to self-fund their treatment in the independent sector during the pandemic? I asked NHS Lothian that question last week. Is there any way of capturing that detail, other than by looking at what happens when a patient’s appointment comes up or seeing whether they have elected to drop off the waiting list?

Public Audit Committee

“Planning for Skills”

Meeting date: 10 March 2022

Craig Hoy

Good morning, Mr Griffin. Before we go into issues of oversight and governance, I will echo the convener’s remarks about the late emergence of the shared outcomes framework. You have pulled the rug from under our feet to some extent in this session, because we have not had time to study the framework, but yet you are referring to it, almost like Chamberlain, saying, “Here it is, peace in our time between these two bodies”. On the announcement yesterday about the independent adviser’s report on education, if that is the sort of slap-dash, last-minute and inconsiderate way that the Scottish Government is operating, it is perhaps no surprise that we are increasingly seeing reports coming to the committee that identify serious and systemic failures in the operation, delivery, governance and oversight of key public services.

Before I turn to the questions that I have prepared—which I think are now redundant, in some respects—I want to go back to leadership, because I do not think that you fully answered the question from Mr Beattie. The second key message of the report says that

“The Scottish Government has not provided the necessary leadership for progress”

and that

“Many obstacles remain and present risks to progress. The Scottish Government now needs to take urgent action to realise its ambitions for skills alignment.”

Do not forget that we are talking about £2 billion of taxpayers’ money and two very large organisations—SDS and the SFC. I am looking at exhibit 1—the organogram. At the top of the tree is the Minister for Further Education and Higher Education, Youth Employment and Training. Is the failure of leadership ministerial, institutional or systemic, or is it a combination of all three?

Public Audit Committee

“Planning for Skills”

Meeting date: 10 March 2022

Craig Hoy

We might have you back at committee.

Public Audit Committee

“Planning for Skills”

Meeting date: 10 March 2022

Craig Hoy

I will turn now, in some detail, to governance and oversight. I accept that you were not in post in 2017 when the Scottish Government established the Enterprise and Skills Strategic Board. The view of the Auditor General is that

“The ESSB lacks the authority to hold the skills agencies to account”.

In 2020 the Scottish Government proposed a new skills alignment assurance group to replace the governance arrangements. In 2021 the Scottish Government wound up the SAAG. Here, in 2022, we have the shared outcomes assurance group. It strikes me that we have more groups than Eurovision and more directors than Hollywood, but this document might now be the one that works.

Looking back at that history, could you say what issues affected governance and what steps the Government is taking? Is the document the one that will get us to the point at which there will be sufficient assurance that appropriate governance and oversight arrangements are in place?