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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 10 March 2026
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Displaying 2770 contributions

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Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

I have a few questions to cover, but I will start with a press release that the BMA has just put out. You will not have seen it, because it has just been issued.

The BMA is talking about the number of consultant vacancies. The information is based on the freedom of information requests it made to health boards—it appears to request the information every year—which shows that there are more than 1,100 whole-time equivalent consultant vacancies in Scotland. However, the BMA says that official figures show that there are only 447 vacancies. That is a big discrepancy. In its press release, the BMA argues that, based on those figures, which are quite stark, it is little wonder that people are waiting so long for health treatment.

I will highlight some of the figures. For example, NHS Lanarkshire—I live in Lanarkshire; it is my health board—has 180 consultant vacancies; NHS Lothian has 144; and NHS Dumfries and Galloway has 119. The BMA says that vacancies have gone up since its previous FOI requests. That is concerning, is it not? Those levels are really worrying.

The official vacancy figure, according to the BMA, is 447, but the figure that it has uncovered from its FOI requests is 1,100 vacancies across Scotland. Which is right? I know that you have not seen the press release.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

It is a big difference. The information comes from responses to FOI requests, which show that more than 1,000 posts are unfilled. I accept that your figures are different, but we have those FOI responses. There is a difference somewhere. Perhaps the way in which you collate your figures should be reviewed. We need to know the true picture.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

I do not know whether the number is relatively small, but it is clear that an increasing number of people are turning to private healthcare. That is out of desperation, really, because they feel that they are not getting the treatment that they need in the NHS. That is the reality.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

If I go into a pharmacy, rather than a GP, and the pharmacist prescribes me something, what would the pharmacy be paid for that?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

I guess that it is a difficult area, but I will not be unique in going into a pharmacy and thinking “I want to buy some stuff—just tell me what to buy.” I was given the medication for nothing, which cost the taxpayer money that did not need to be spent. Have you looked at such examples?

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

It would be interesting to know, so it would be good if you could get that information for us.

On preventative health measures, in the chamber, I raised with the Cabinet Secretary for Health and Social Care the issue of screening for certain types of cancers, such as lung cancer. In many areas of England—perhaps throughout England—there is a system in which people who are deemed to be at risk of lung cancer, such as anyone over a certain age who has ever smoked, can be called in and given a routine screening.

I know someone in that position who lives just over the border. In that case, cancer was picked up, so the individual is now waiting for an operation. Had that screening not happened, they might not have found out that they had cancer until it was too late. That would obviously have been terrible for that individual, but it would also not have been good for the NHS, because it is better and cheaper if we pick things up earlier. We do not have such a national system in Scotland. The health secretary said that the Government is looking at the idea, but it seems to me that it ought to be a priority.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

To do the learning, you just need to go to Carlisle.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

Right. I do not know what the problem is or where the sticking point is. What needs to happen is quite obvious, but it needs to happen at pace and it is not happening at pace. It is a frustration.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

It is saying that the rate is 14.4 per cent. That is quite a difference.

Public Audit Committee [Draft]

“NHS in Scotland 2025: Finance and performance”

Meeting date: 4 March 2026

Graham Simpson

The chair of the BMA, Dr Joanna Bredski, says that the BMA has

“consistently warned of the urgent need to deliver a comprehensive and forward-thinking workforce plan for the NHS which looks at level of patient need and the doctors required for the future.”

You presumably agree with that. Dr Bredski also says that, given that level of vacancies, it is little wonder that waiting lists are what they are. It is also little wonder that people turn to private healthcare.