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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 14 January 2026
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Displaying 2875 contributions

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Public Audit Committee [Draft]

Section 22 Report: “The 2023/24 audit of UHI Perth”

Meeting date: 7 January 2026

Colin Beattie

Is it true to say that there is some responsibility for monitoring on the part of UHI?

Public Audit Committee [Draft]

Section 22 Report: “The 2023/24 audit of UHI Perth”

Meeting date: 7 January 2026

Colin Beattie

I would like to look at one or two aspects of governance. Some of them have been touched on already but there are points that I want to be sure of, for my own clarification.

This is probably a question for Vicki Nairn and Mike Baxter. My understanding is that all communications on financial matters, budgets and so on are funnelled through UHI. Is that correct?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Colin Beattie

I have one or two questions about the financial support for NHS boards, particularly in relation to the proposed change of support. Paragraph 31 of your report says that

“brokerage had increased sharply in recent years, that it was unsustainable, and that it created an inequity with those boards who were operating within their statutory duty to break even.”

The report mentions three sources of funding that the Scottish Government has replaced brokerage with: sustainability funding; deficit support funding; and financial support funding. It also states that there is a

“lack of clarity and transparency around the introduction”

of those deficit support funding mechanisms. Will you elaborate on why you reached that conclusion?

Public Audit Committee [Draft]

Section 22 Report: “The 2023/24 audit of UHI Perth”

Meeting date: 7 January 2026

Colin Beattie

You said that you did not become aware of the lack of a budget for Perth immediately. You first of all received notification from somewhere—probably from Perth, but I do not know—saying that there had been audit delays.

Public Audit Committee [Draft]

Section 22 Report: “The 2023/24 audit of UHI Perth”

Meeting date: 7 January 2026

Colin Beattie

So a delay was not unexpected.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Colin Beattie

I also want to bring the question of PFIs and their maturity into the mix. When I read the PFI contract for Edinburgh royal infirmary, I found it quite a thriller. In that contract, and a few others that I have skimmed, there are potential commitments to making capital payments to terminate them. There are different options, some of which are quite complex. Has the Scottish Government factored that in? I think that it would have done so somewhere, but is that evident?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Colin Beattie

You have already stated that you will be looking into the matter to see how the arrangements were applied in reality. We look forward to seeing the results—or, indeed, our successor committee will.

On capital spending, with previous reports, we have considered the difficulties with the backlog in repairs and so on. Your report states that capital investment has been “on a downward trend”, with a 22 per cent decrease since 2021-22. That is quite a big difference, given the huge deficit. Can you clarify some of the reasons, as you understand them, for that fall in capital investment? How do the current levels compare with those before the pandemic? Is that even relevant? We keep referring to “pre-pandemic” as if it were a wonderful era, but we are in a new reality now, so we should perhaps be more cautious in that respect. Do you foresee any patient safety or service delivery issues or risks with the current levels of capital investment?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Colin Beattie

I want to clarify one basic thing. Your report says:

“The Scottish Government advised NHS boards in December 2024 that there would be no brokerage for NHS boards in 2025/26”,

which implies that brokerage is already in place.

Public Audit Committee [Draft]

Section 22 Report: “The 2023/24 audit of UHI Perth”

Meeting date: 7 January 2026

Colin Beattie

At the moment, I am trying to see at what point UHI became aware of the problem in creating a budget for 2023-24 and what was done about it.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Colin Beattie

I have to confess that, in looking at it, I am not entirely sure how it will work, but they no doubt have something in mind.

You mention in the report that the Scottish Government has said that, in part, the brokerage system has been replaced due to the

“inequity with those boards who were operating within their statutory duty to break even.”

The new system has a deficit support funding component that is not repayable, and it is given to boards that are escalated to the support and intervention framework. Given that boards that perform well will not have access to that element of the funding, does that not risk preserving elements of the inequity from the previous system?