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Displaying 3016 contributions
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
In order to make material improvements in the quality and availability of data, is there specific support that you consider to be necessary for general practices, to help them consistently collect and record the data that is required? Historically, there have always been slight differences in the way data is collected across different practices. How can we tackle that?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
I refer you to paragraph 35 of the Auditor General’s report, which says:
“While some local areas have carried out analysis of the impact of MDTs, robust, routinely available information across Scotland on the impact of the roll-out of MDTs is lacking.”
He goes on to give some more information on that. Do we have data, or do we not?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
Have you consulted GPs to get their opinion on the transition, how long it will take and what different skills will have to be developed?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
You touched on the Scottish Government. What do it and NHS boards need to provide in the way of support across the board in order to improve data collection?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
Dr Williams, you have had the finger pointed at you as an IT expert in this area. Do you have any input?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
I will move on to something a little bit different. We have talked about people having difficulty in accessing healthcare in general, and the Auditor General’s report highlights that
“People are finding it more difficult to access healthcare at their general practice”.
Here is an easy question for you: what are the reasons for that? Do you have a view on the steps that the Scottish Government has taken so far to address that? I will bring in Dr Morrison first.
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
Dr Williams, do you want to add anything?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
I have some questions about the multidisciplinary teams and about progress in transferring services to NHS boards, which apparently has not been going well.
The Auditor General’s report makes it clear that there are still implementation gaps and that there is insufficient data about the value for money and impact of MDTs. What is the impact of not fully implementing MDTs? The ambition is to reduce GPs’ workloads and to enable them to focus on the more complex patients and on whole-system quality improvement, so what is the impact of that delay?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
My final question is about MDTs, which were seen as a huge opportunity to improve the situation in GP surgeries. As has been touched on, the Auditor General refers in his report to the 2023 survey by Public Health Scotland, which found that
“MDTs in some cases created more work”
and increased GPs’ workload. That is partly because GPs spent more time on supervising and training.
I would like to understand what else is involved in that work, as there are obviously different strands to it. Do you have a view on that? What steps have been taken to improve the situation?
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
Is it not a case of short-term pain for long-term gain?