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Displaying 2811 contributions
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
What is the worst delay that you have come across?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
That is pretty astonishing.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
You mentioned some things in your report that may help with the problem, and you provided some case studies. One case study is the discharge without delay programme, which I guess is what we have been talking about. That is when somebody comes into hospital and we try to get them out of hospital into an appropriate setting. Discharge without delay is described in your report as a collaborative that meets fortnightly, that has over 50 members and that covers 11 health boards across Scotland. How successful has it been?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
I will start on the money. Why is it that the cost of delayed discharges is not known?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
The figures in the appendix that you reference are a bit all over the place, and there is no set pattern to them. People can look at it for themselves. I am keen to explore the reasons for delayed discharges. In exhibit 2, you have helpfully set out some of them. There is no one leading reason. It could be due to waiting for a care home place, for availability at a high-level specialist facility, for a care package at home or for adaptations to be made in the patient’s home. There are all kinds of reasons.
11:15
However, I was struck by these words in paragraph 67:
“If a person is admitted to a hospital, the discharge planning process should start immediately”.
That is my thinking, because, as you have highlighted, most people who are affected by delayed discharges are aged over 75, so if somebody of that age is going into hospital, it should not be too difficult to figure out that they might need a package of care in order to leave. I would have thought—and you say—that the planning should start as soon as they get into hospital.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
Your report also mentioned the hospital at home model. There is a commitment to increase the number of hospital at home beds to at least 2,000 by December. Are we on track to achieve that?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
My reading of the situation is that it is more likely that we will not get there by 2030.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
Okay. There are a couple of letters that you have sent in that I want to ask about. First, there is the letter that you sent to the Auditor General on 4 September last year. There were some comments in there directed at the Auditor General and we have not really seen comments like that directed at the Auditor General before. Have you got the letter?
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
Okay. If we look at what actually appeared in the final draft, we see the Auditor General saying that
“the Scottish Government and COSLA, with support from The Promise Scotland, should … work together to identify where resources need to be targeted to deliver The Promise”.
That is basically the same thing, in different words.
Public Audit Committee [Draft]
Meeting date: 21 January 2026
Graham Simpson
It is just that you used the phrase:
“the report could derail … progress”.
The report is essentially an analysis of where we are, how the Promise is going and whether we are on track. It is far more detailed than that, but, in summary, that is what it is and that is what the Auditor General does. That process in itself is hardly going to derail anything, is it? It is surely more of a help than a hindrance.