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 2811 contributions
Public Audit Committee
Meeting date: 5 February 2025
Graham Simpson
That is interesting and useful information. It sheds a bit of light on why you got rid of Mr Tydeman.
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
I am just trying to think realistically. I cannot see the Government putting itself in a position where, if a board comes to it and says, “Look, we’re really struggling here”, you will say no.
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
You mentioned it. Are we potentially talking about not treating people for varicose veins?
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
Okay; that would be useful.
The Auditor General is always talking about the need to reform public services, and he says it again in this report. In paragraph 94, he says:
“Over recent years we have regularly called for the NHS to drive forward innovation, reform and long-term fundamental change. Our NHS in Scotland 2023 report made clear the urgency of the issues faced. This year’s report details a worsening financial position and ongoing performance issues.”
He also says:
“The need for reform is more urgent than ever.”
Basically, he is saying that he is not seeing much sign of reform. Do you think that the First Minister’s announcement earlier this week is a sign that the Government wants to reform? If that is the case, what does it want to change? Where is the reform?
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
Okay. It is just that there are various parts to it.
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
Well, just give me an example off the top of your head.
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
We do not yet have an app in Scotland. People in England are lucky enough to have access to the NHS app, but we do not have one here, which is a source of real frustration. I think that people in England can book GP appointments through the app. In Scotland, there might be one or two practices that have their own individual apps, but we do not have a national app.
In the announcement earlier this week, it was mentioned that the Scottish Government is getting round to launching an app, which will be rolled out first in Lanarkshire. From my point of view, that is good. Can you tell us more about that? Where are you at? What will the app cover?
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
The deputy convener will ask you about waiting times, so I will not do that. I will ask about GPs.
The Auditor General did not cover this subject in his report, but it is really important. The First Minister and the health secretary mentioned GPs earlier in the week. They referred to what is known as the 8 am rush. You will recall that, at a previous committee meeting in June, when we were discussing GP appointment booking practices, I mentioned that I had done a survey of GPs in Lanarkshire. The result was a pretty mixed picture. To be fair, not all GPs operate the 8 am rush model. Some of them used to but have moved away from it. There might be a perception that every GP operates a system in which you have to phone up at 8 am, but that is not the case. Not every GP is doing so, but some are—too many are.
I was in a position in which my GP operated that system. As someone who has to come to work every day, it proved impossible to get an appointment. I got on my bike—literally—and cycled around East Kilbride, found another GP practice that did not operate that model and managed to transfer to it.
However, too many of my constituents do not find it as easy as I did. It is too difficult for them to switch, even though GPs are private businesses. My view was, “I’m a customer of a business that isn’t serving my needs, so I’ve got the right to move.” I do not think that people find it terribly easy to do that. Do you not think that it should be made easier for people to switch GP if the service is not good enough?
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
Okay. Finally, I want to ask about the NHS app. I have asked you about that before.
Public Audit Committee
Meeting date: 29 January 2025
Graham Simpson
The cabinet secretary’s recent written answer did not mention that being rolled out to GP practices—it just mentioned hospital appointments, getting information about local services and people updating their personal information—so what you have said is interesting.