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Displaying 2811 contributions
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
Do you have any idea of the numbers that are involved?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
It is not quite a follow-up, convener.
Ms Lamb, last time that you were in front of the committee, you had been criticised for not visiting hospitals, and I asked you about that. However, you have told us today that, in the past few months, you have visited a number of frailty units. Now that you have been out and about and seen at first hand the problems on the ground, has that new approach of getting out of the office been useful to you in your job?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
I am glad that you felt able to share that. You do not have to share such very personal things, but you have put it on the record. You spoke very well about your experience of visiting the frailty units and you have told us how useful that has been. We will leave the personal stuff, but at least you have had the chance to put it on the record.
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
I think that it was Michael Oliphant who mentioned the reliance on manual processes, which seems a bit bizarre in this day and age. In the pension sector, it used to be normal practice for someone to sit down and work things out manually but I would not imagine that that is the case nowadays—although it appears to be the case with the SPPA. Why has it got to the stage of people having to sit down with a pen and paper and a calculator to work things out, rather than hitting a button to get a figure?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
That is really concerning. Do you know whether SPPA has ever looked at bringing in some help from the private sector to get it through this period?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
There is a knock-on impact on ambulance waiting times, for example. There are people in hospital who do not need to be there. Ambulances turn up, bring people to accident and emergency, and there is nowhere for those people to go. There is a whole-system impact.
Mr Greive mentioned costs, but, according to the report,
“There has been no published information on the costs of delayed discharges since 2019/20.”
Why not? If we managed to do it then, why have we not managed to do it since?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
Will you do that?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
I will quote another bit of this very good letter. It says:
“This poor involvement and lack of support for unpaid carers risks unplanned readmission of individuals, poorer outcomes and increases the cost of caring to carers’ own health. Carers are already experiencing high levels of poor health, with 30% living with poor physical health and 36% with poor mental health.
A lack of involvement in decisions around care … has long term consequences.”
The letter goes on to talk about the 2016 act, which you have referred to, saying that Carers Scotland welcomes the call in the report—its report, not the Auditor General’s report—for
“integration authorities with their partner NHS boards and councils to ensure they fully implement their duties and responsibilities for including unpaid carers as set out in the Carers (Scotland) Act 2016.”
Given the figures that I have just quoted, it appears that the duties in the act are not being met—why not?
10:15
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
It seems to me that we have an act that was brought in 10 years ago but the requirements in that act are not being fulfilled. You accept that they should be fulfilled, but we really need to do better, do we not?
Public Audit Committee [Draft]
Meeting date: 18 February 2026
Graham Simpson
You agree—okay. How are we going to do better? If we come back here in a year’s time, will the figures be better?