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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 6 September 2025
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Displaying 2216 contributions

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Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

Dr Williams mentioned websites and IT. Some of the websites for GP practices around Lanarkshire are not as advanced as those that are south of the border. My mother, who is in her 80s, lives in Carlisle. If she logs into her GP practice website, she gets a lot more information than I can get. I think that she is able to book appointments online, and she can get details of what drugs she has been prescribed. I cannot get any of that in Scotland. We seem to be in the dark ages here. Is that a fair comment?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

So I am right about that.

My final question is for Dr Morrison. We have got a situation in which GPs are up against it. Some GPs are suffering burnout and leaving the profession. We have got GPs who are qualified but cannot get enough work. You have described some GPs as feeling that the service is on the brink. Are we getting to the stage when GPs are prepared to take action about that?

11:00  

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

Yes, but I am interested in the number of actual people who are trained to be GPs who cannot get work.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

The statistic that you quoted—two thirds of your members saying that patient safety is compromised—is extremely alarming.

Dr Morrison, over the weekend, you issued a press release on your own survey, which showed that a large number of GPs—about half—say that they have “no realistic chance” of meeting patient demand.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

You recognise that. Presumably, you also recognise that, in order to achieve that aim—although this might be difficult—we will need more investment in GP services, which is what the BMA is calling for.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

I will move on to IT. I have asked you before about an NHS Scotland app, similar to the one that they have in England. We explored the matter in the earlier part of the evidence session. It is quite clear that we in Scotland are way behind what is happening south of the border. The level of information that a patient in England can get by logging on is far greater than a patient in Scotland can get.

The doctors in the earlier evidence session described our IT systems. To be frank, they are creaking, and are in desperate need of upgrading. We heard about the NHS spine digital system in England. We are way behind. Ms Lamb, you have come to the committee before and promised that progress is being made, but progress has not been made. Where are we with all this?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

I know that it is, and I know that there is a different contractual arrangement in England that allows NHS England to get more information from GP practices. I do not get why we cannot do the same here. We do not know even basic information, such as the number of hours that GPs are working in Scotland—

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

No, you are absolutely right. It is a contractual arrangement. I just do not know why we do not have it here, and why we have not tackled the issue.

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

Good morning. I should say that, like Mr Beattie, I have previously met Dr Morrison. We had a very useful chat on Friday.

I will go back to the convener’s first question, which was about the First Minister’s announcement of an extra 100,000 appointments in GP surgeries, to be focused on things such as high blood pressure. When I heard that, I thought that it was a load of baloney because, when I get my annual blood pressure check, that is usually with the nurse, not the GP. I have a choice of a couple of places to go to in East Kilbride, where I live. The place that I choose to go to is not my GP practice. I go along and have my blood pressure taken, and they might do a blood test and check my weight. Last time, the result was a bit alarming, so I need to do something about that. However, I do not see a GP at that time, so that is not really getting people to see GPs, is it?

Public Audit Committee

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Graham Simpson

As somebody who lives in Lanarkshire, I am very interested in that, but I want to know how it will affect me as a patient who uses a GP occasionally. What information will I be able to get through the app from NHS Lanarkshire? Will I be able to use it for digital prescribing or for booking appointments, or is the app not for that?