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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 1 January 2026
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Displaying 2845 contributions

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Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

From the committee’s point of view, I am sure that every member simply wants to get a full understanding of the detail behind the comments that are made, so that we can make our own judgments.

I turn to financial sustainability. Paragraph 19 of the report says that, despite the savings of £25 million in 2023-24, there is a £15.6 million residual deficit. Can you tell us more about that deficit and what the short and long-term impacts will be if it is not addressed properly?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

In the report, you clearly talk about

“the lead-in time needed”

to bring in those savings, and the lack of staffing capacity, which you touched on just now.

How did we get to a position in which, two and a half months before the end of the financial year, we are still £10 million out?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

That sounds a bit gloomy.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

I will highlight an issue that comes up fairly regularly. Is NHS Forth Valley using or managing vacancies to help to address the deficit?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

Do you have a percentage for those vacancies?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

It would be interesting to see whether it is in the same ball park as the percentage for other organisations.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

The issues that NHS Forth Valley faces are not dissimilar to those that are faced by other NHS boards, with regard to the difficulty in identifying recurring cost savings.

However, the level of non-recurring savings is very high, at 69 per cent, as a proportion of the £29.3 million in efficiency savings in 2022-23. That is a huge chunk, which means that the board has to identify that amount again the following year. What steps is the board taking to address that problem? It is currently only rolling up the problem into the future—it is not resolving it.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

I suppose that I have to ask: is that achievable?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

Indeed. Has it been escalated?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 25 January 2024

Colin Beattie

There is a target for all NHS boards to deliver 3 per cent recurring savings. Is that being addressed as a separate specific item, or is it just part of the whole in terms of meeting the deficit?