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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 5 May 2021
  6. Current session: 12 May 2021 to 5 May 2025
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Displaying 1114 contributions

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Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

You mentioned pay, but there are also a lot of issues to do with working conditions. I spoke recently to some doctors. Some of their comments were about there being no compensation or time off in lieu of having to stay late at work. Some were expected to come in early. Some spoke about there being no rest facilities for night shift or when on call. Sometimes, if they get a chance to take a break, they have to put two chairs together to try to sleep. Some have been told that they cannot attend otherwise mandatory teaching sessions as workload and staffing do not allow it. The list goes on. Those trainee doctors will not stay if those are the conditions that they experience during their training years. Are all health boards involved in looking at working conditions for doctors?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

We have the figure of 800 GPs, but that is a head count. I have heard that many GPs are now going part time. If you have 800 GPs who work five days a week, that is one thing, but if you have 800 GPs who work only three days a week, that would take, I think, 300 GPs off your figures. Do you have equivalent figures, so that it is not misleading to say that we have 800 GPs? If we recruit GPs and they all work part time, we are not actually getting full-time equivalent GPs into the system.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

Okay. Thanks.

How successful has the Scottish Government’s international recruitment strategy been to date? Will international recruitment form part of future workforce plans?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

When the Scottish Government puts out an announcement—for example, the one saying that we will have 800 more general practitioners—are there conversations between the NHS, the Scottish Government and the universities on a workforce plan, in order that you can see how many places you will need on those courses?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

Okay. Thank you.

Can you tell us more about what funding arrangements the Scottish Government is putting in place to ensure that Scottish students have access to places on medical courses that are offered by Scottish universities?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

There is an extra premium when you take on international staff. Are you looking at or tracking retention rates of international staff compared with those of domestic staff?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

You have spoken a lot about recruitment. What are you doing to retain the staff that you already have? Many junior doctors seem to be taking a gap year when they complete foundation year 2, because they say that they are overworked and exhausted. I have figures showing that 15,000 NHS workers left the health service in 2021-22. You have said that numbers have increased to 156,000 compared to 142,000 pre-pandemic, but a lot of staff still seem to be leaving because they are overworked. What are we doing to retain the staff that we already have?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

Good morning. What steps has the Scottish Government taken to reduce reliance on bank and agency staff and the significant increase in expenditure on that?

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

So, when you are doing workforce planning and you see a gap where you need more students on certain courses, the Scottish Government has conversations with the universities.

Public Audit Committee

Section 23 Report: “NHS in Scotland 2022”

Meeting date: 4 May 2023

Sharon Dowey

That is fine. Thank you.

Does the Scottish Government agree that the target to increase the GP workforce by 800 by 2027-28 is on track?