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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 31 January 2026
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Displaying 2564 contributions

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Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 21 January 2026

Graham Simpson

Think of the impact on the patients.

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 21 January 2026

Graham Simpson

You mentioned the impact on somebody of staying in hospital when they do not need to. In paragraph 16, you spell out that

“24 hours in bed can reduce muscle power by two to five per cent, and up to 20 per cent in seven days, increasing fall risks and care needs.”

It can lead to “dependency and demotivation”. The risk is quite obvious. That, in itself, can lead to extra costs on the system. If people are getting out of hospital—if they do get out—and then having falls, is that not an extra cost on the system?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 21 January 2026

Graham Simpson

Exhibit 1 on page 11 shows that the number of delayed discharges has fluctuated, but the trend is up, certainly since 2020. Why do you think that it is going up?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 21 January 2026

Graham Simpson

What is the worst delay that you have come across?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 21 January 2026

Graham Simpson

That is pretty astonishing.

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

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]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

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]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

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]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

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]

“Improving care experience: Delivering The Promise”

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.