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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 23 March 2026
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Displaying 2811 contributions

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Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Graham Simpson

In the interests of time, I will move on and ask you about A and E, because that is really important to folk. At paragraph 80, you say:

“Headline indicators show that performance in emergency departments is still poor. Performance against the four-hour standard has remained at around 70 per cent nationally over the past year. The number of waits over 12 hours”—

over 12 hours; that is incredible—

“increased … in the year from August 2024 to July 2025”

to around 76,000, which was an increase of 3 per cent. Can you give us any further insight into why A and E targets are still being missed?

Public Audit Committee [Draft]

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

Meeting date: 7 January 2026

Graham Simpson

How have you done that?

Public Audit Committee [Draft]

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

Meeting date: 7 January 2026

Graham Simpson

Mr MacColl flagged that there were problems.

Public Audit Committee [Draft]

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

Meeting date: 7 January 2026

Graham Simpson

Who is responsible for it, then?

Public Audit Committee [Draft]

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

Meeting date: 7 January 2026

Graham Simpson

Have you perhaps hinted that we can end the years of flat-cash settlements?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Graham Simpson

It is very challenging. It would be lovely if that was to come about, but I really cannot see it.

Significant additional funding has been provided to reduce waiting lists, but—as we have said—long waits remain high in many areas. Is there any evidence that that investment is delivering improvements for boards?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Graham Simpson

Is it the case that we have not been able to open enough of those units?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Graham Simpson

How many of them actually have a frailty unit?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 7 January 2026

Graham Simpson

I am aware of the time, so I will try to be as brief as possible. I will cover waiting times, and then I will ask about accident and emergency performance. During that section, I will also ask about ambulances.

I will start with waiting times, of which the report paints quite a bleak picture. I will quote from parts of the report before I come to my question. At paragraph 53, you say:

“NHS boards are only meeting three of the eight key waiting times standards that are currently reported. Five of the eight key waiting times standards have also seen a drop in performance from June 2024 to June 2025”.

You go on to say, at paragraph 54, that

“No board met the planned care targets for the new outpatient standard that people referred for a new outpatient appointment should be seen within 12 weeks, or the Treatment Time Guarantee that people should begin inpatient/day-case treatment within 12 weeks of the decision to treat.”

That does not sound to me like much of a guarantee.

At paragraph 58, you say that the Government’s

“Operational Improvement Plan … published in March 2025 … committed to eliminating long waits and ensuring that no one is waiting longer than a year for their new outpatient appointment or inpatient/day-case procedure by March”

this year. You go on to say:

“Current figures show that long waits remain high. It is unclear whether the target can be achieved in the stated timeframe.”

Before I ask you about that, I invite you to look at exhibit 10 in the report, on “Commitments and progress on long waiting times”, which is very relevant. There are some quite alarming statistics there. If we look at the previous targets on “Length of wait to be eradicated”—those commitments were made in 2022—we see that only one of them has been met, which is a target for out-patient waits. For waits of more than two years, the commitment was to eliminate those by 31 August 2022, and that target was met. However, a whole series of other targets have not been met.

The targets appear to have been refreshed, so we have a new date of March 2026 by which they should be met. However, the figure for out-patients on the waiting list for more than 18 months in September last year was 17,561, and for waits of more than a year, the total was 56,439. In the in-patient sector, 5,000 people were waiting for more than two years; 13,000 for more than 18 months; and 29,417 for more than a year.

I come to my question. The Government wants

“to eliminate waits of over a year by March”.

How realistic is that?

Public Audit Committee [Draft]

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

Meeting date: 7 January 2026

Graham Simpson

Yes, I understand that. However, he was there as an observer on your behalf, so it would be expected that, if things came up and he heard about them during meetings, he would come back and say, “I think you need to know this”.