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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 5 May 2021
  6. Current session: 12 May 2021 to 19 May 2025
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Displaying 2699 contributions

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Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Those are difficult choices.

Back at the start of the meeting, Ms Lamb, you spoke about the announcement made by the First Minister and the health secretary earlier this week, in which they made a series of pledges. You said that there will be a delivery plan for those at the end of March. From that, it sounded to me as though the First Minister had made all those pledges with no idea about how they would be achieved.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Others will probably ask about the detail of what was announced earlier in the week, so I will leave that to them.

There has been talk for some time about having a national conversation on the health service. The Government loves that phrase, along with task forces and consultations. We have quite a lot of that. If we had a national conversation about the health service, the Cabinet Secretary for Health and Social Care would not have time to attend football matches because members of the public would be telling him a few home truths. Has that so-called conversation started, how long will it take and what will it cover?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Good morning. I want to follow up on the question about brokerage. People watching this meeting might not know what brokerage is. If I might put it in layman’s terms, it is about bailing out boards because they are overspending and need extra money. To follow up on Colin Beattie’s question, which I do not think was fully answered, what happens if a board says, “We just can’t do it—we need extra money”? Mr Gray, I know that you want to move away from that model—and rightly so—but there will be circumstances where boards just cannot meet their budgets. What will you do then?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Are you saying that the conversation has started?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

Oh, it has.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

You mentioned varicose veins.

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

In that continuing conversation, are you considering things that are of limited clinical value? I point you to what the Auditor General says:

“The Scottish Government and NHS boards should:

Ahead of 2025/26, jointly identify areas of limited clinical value and consider how services can be provided more efficiently, or withdrawn”.

When I asked him about that, the Auditor General told me:

“The Government itself, in its clinical strategy from 2016, cited a source that said that 20 per cent of medical interventions were of limited value. In our view, there needs to be transparency around what interventions exactly, in the Government’s view, are of limited clinical value”—[Official Report, Public Audit Committee, 12 December 2024; c11.]

Can you tell me what medicines and procedures are of limited or low clinical value and whether you have decided which ones you do not want to proceed with?

Public Audit Committee

“NHS in Scotland 2024: Finance and performance”

Meeting date: 29 January 2025

Graham Simpson

GP practices are private businesses. On a practical level, you cannot make them do anything. The cabinet secretary might have the ambition to end the 8 am rush, but, realistically, he cannot enforce that, can he?

Meeting of the Parliament

Portfolio Question Time

Meeting date: 29 January 2025

Graham Simpson

To ask the Scottish Government what measures it is undertaking to reopen historic sites that are managed by Historic Environment Scotland over the coming months. (S6O-04250)

Meeting of the Parliament

Portfolio Question Time

Meeting date: 29 January 2025

Graham Simpson

The cabinet secretary is absolutely right to mention traditional skills, because a lack of traditional skills such as stonemasonry has been part of the problem that we face in getting some of those sites open.

I discussed the issue with HES when I visited its excellent skills centre in Stirling last week. I know that skills are not part of the cabinet secretary's remit, but he appears to agree with me that they are important, so I wonder whether he could raise it with colleagues in Government.

I will also just be cheeky and ask that a list of sites that will be open for the spring be published on HES’s website, and that indicative dates be given for the others.