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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 17 December 2025
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Displaying 2811 contributions

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Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

What is the main driver of the need for brokerage? Are staff costs driving it, or is it the cost of drugs?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

What happens if we look at quantifiable areas, such as drug costs? How do those compare with the percentages that are being spent elsewhere?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

Are there any indications that the drive for efficiency savings is impacting on service delivery or performance?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

I have one final question, which is on brokerage. The Scottish Government wants to put a cap on the additional financial support that might be available to boards in 2024-25. What happens if they exceed that cap?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

That is a very high percentage, but the NHS is a people organisation.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

You need the bodies there to deal with the patients. Unfortunately, robots are not yet available for that. How do we compare with other health boards south of the border and on the continent?

10:00  

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

I said that the organisation is inevitably people driven. When we think about how well we are doing, we often compare ourselves to south of the border. We have additional staff and have a higher headcount than south of the border, so why are we not exponentially better?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

NHS Highland covers greater areas at greater cost. That should not incur brokerage—it should be part of the cost of running the health board in that area, because that is never going to go away. It is part and parcel of the delivery of services. To say that geography makes a contribution to the need for brokerage does not seem valid.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

So if boards need brokerage, that will not be caused by the fact that they have to bear the additional costs of their geographical areas.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Colin Beattie

I am sorry to interrupt, but when was that unit established?