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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 15 March 2026
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Displaying 3016 contributions

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Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Are you satisfied that we have a grip of that? The potential downside is huge, given the size of these contracts.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

That is good to hear. There are also backlog maintenance issues with the estate. I have a figure here of £1.3 billion, which is an awful lot of money, and £59 million of that is high risk in one way or another. What actions are being taken to address the high-risk maintenance issues that pose a direct threat to patient safety or operational continuity?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

You say that the high-risk areas are 100 per cent covered. Does that relate to the £59 million, or is it a different figure?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

Audit Scotland spoke to us about planned improvements such as frailty units and alternative pathways, but it also stated that those have been rolled out too slowly to ease the pressure. What progress has been made on those planned improvements?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

But there is not one in each A and E department, of course.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Colin Beattie

At our meeting on 7 January, the Auditor General highlighted the fact that we are now entering a cycle in which private finance initiative—PFI—contracts are starting to fall due. Obviously, they are very complex. I have read through one of the contracts for the Edinburgh royal infirmary, and the financial options that are woven into the end of the contract are quite complex when it comes to what the outcomes might be and what the best option is to take. According to the Auditor General, it is not unusual for each PFI contract to have many different terms at the end, as to how the handover takes place and so on. There is no template. It is a bit surprising that they are not more similar, but, clearly, they were all negotiated individually. What financial risks arise from PFI contracts that are now reaching maturity? How are the boards preparing for the potential handover costs and the long-term liabilities that might go with that?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Colin Beattie

I want to explore issues relating to governance and leadership that have been highlighted in the reports.

I will start with NHS Ayrshire and Arran. In relation to service reform, the auditors recommended that more focused and effective leadership was needed to drive change and to promote a culture of challenge. There was a discussion about leadership capacity, which was constrained by a vacancy in the acute director role. I understand that that role has now been filled. When was it filled?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Colin Beattie

:That, in itself, will not cure all the leadership deficiencies.

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Colin Beattie

:Still on leadership, I note that Viridian Associates will leave you at the end of the current financial year. From what you have said, it is obvious that the company has been instrumental in moving you forward in many different ways and providing skills that you did not have. Are you satisfied that, when it departs, you will have the leadership skills within NHS Ayrshire and Arran to carry things forward and keep the momentum going? Do you have the capacity?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Colin Beattie

:One of the big deficiencies that we have seen in previous such situations is the lack of challenge from board members. Are you satisfied that there is adequate challenge from board members? Do you have any examples of that?