The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 3016 contributions
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
I should probably declare an interest, in that I have met Dr Morrison previously in his capacity as a senior partner of a medical centre in my constituency.
I turn to the subject of information, which the committee has talked about in many iterations. Publicly available information for the Government is, in general, of extremely poor quality across the NHS, and it has been difficult to pull it together. The information on GPs in particular is not very good, and the impact of poor-quality and incomplete data on decision making and the use of public funds has frequently been discussed at the committee. If we do not know the outcomes of what we are spending our money on, we do not know whether we are putting the money in the right place.
What role should GPs play in providing that information and supporting improved data collection? I will start with Dr Morrison.
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
Dr Provan, I have become aware of the fact that we push pharmacists as a back-up for primary care. Pharmacists issue prescriptions, yet I am told that that aspect does not interface with the GP practice. That means that anything could be happening in the pharmacy, but there is no record of it.
Public Audit Committee
Meeting date: 18 June 2025
Colin Beattie
Are you saying that the sites have fully recruited?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
In your report, you highlighted the challenges that exist in recruiting board chairs, and you raised concerns about time commitments and pay, although I believe that there has recently been an uplift in remuneration. Will the changes, which will be phased in over four years, be made quickly enough or go far enough to address your concerns?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
Is that not a red flag?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
I want to come back to the leading to change programme. Are you confident that it will address the challenges that have been highlighted? Could you give a bit more detail on that and its ancillary project?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
Auditor General, for quite a lot of years now, we have had concerns about the quality of leadership across the public sector, with, of course, specific concerns quite often arising about the national health service.
I note that your report lays out some issues with regard to recruitment. That is not a new thing; indeed, as far back as 2019, our predecessor committee called on the Scottish Government to take urgent action to address the leadership challenges across the public sector.
There are a number of issues in that respect. The previous committee looked at the apparent insufficiency of people putting themselves forward for, say, chief executive posts and so on, and at a round-table meeting that was held, there was a feeling was that there was a problem with the environment that some of these people were expected to be promoted into as chief executives and that that was a deterrent in itself. I do not know whether that was a valid statement; it simply came up at the round-table session.
Has that situation improved? Are there more people coming up who have the skills and ability—and, indeed, the willingness—to take on chief executive posts?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
Given that this is a bit of an anomaly, what is the situation like in the rest of the UK? Are the issues similar? Is turnover of senior staff similar?
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
You mentioned stability, which is tremendously important. Given the number of movements that we are seeing, is it not inevitable that some instability will feed into the system, given that so many people have taken up their posts over such a short time? Surely it will be difficult to provide continuity.
Public Audit Committee [Draft]
Meeting date: 11 June 2025
Colin Beattie
You mentioned all the changes that the NHS needs to drive through. Are you satisfied that internal recruitment will achieve that? Although there are benefits to internal recruitment, we want there to be competition so that we get the best people into post. Are we losing out from the point of view of cross-pollination in getting the skills that we need?