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All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
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Displaying 3919 contributions
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
That is fine. I do not know whether I am asking you to break an embargo, but could you give us an early insight into how 70 per cent and 46 per cent increases in spend compare with the figures that you have been unearthing in your preparation of the overall NHS report?
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
One of the inferences of what came out of the Healthcare Improvement Scotland report is that, because of things such as poor leadership, there might be higher-than-average levels of absenteeism, and the figure for bank and agency expenditure might be a function of that, but we are being told this morning that that is not the case. I want to try to clarify that.
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
I think that Healthcare Improvement Scotland’s initial report identified an excessive reliance on bank and agency staff as one concern. I think that it used the description of “serious concerns” in its report, and that was one of its serious concerns.
We now turn to Colin Beattie, who has some more questions to put, and perhaps an initial observation to start us off.
09:30Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
Yes. One of the lessons that we have learned is that culture change is one thing, but it is keeping the culture change going that is probably the harder task.
My final question—I think that you alluded to this in answering Graham Simpson’s questions—is about how far there is to go through the assurance board process and so on. Again, when I had a briefing from the assurance board, which I think was as far back as May of last year, the expression that its members used was that they thought that there was a long way to go at that stage. We are now several months down the line, so that position might have been revised but, at that time, the assurance board was saying—I took a note of it—that there was no clear path to de-escalation. What is your assessment of that today?
10:30Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
That will be a bit of a relief for my constituents in the Forth Valley health board area. Nonetheless, although we are talking about recovery from Covid and the backlog in treatments because of Covid, an already ageing population and, probably, a climate of rising demand, health boards are expected to produce savings of 3 per cent across the board and, as you described, NHS Forth Valley will have to come up with at least twice that amount. Will you explain how that works? It strikes me that that might be unsustainable financially and in terms of outcomes.
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
Rebbecca McConnachie, did you say that NHS Forth Valley would be required to make savings of the order of 28 per cent?
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
Thank you. I invite Willie Coffey to put some questions to you.
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
Good morning, and welcome to the third meeting in 2024 of the Public Audit Committee. The first item for consideration is whether to take agenda items 3 and 4 in private. Are we agreed?
Members indicated agreement.
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
Thank you very much, Auditor General.
I invite the deputy convener, Sharon Dowey, to ask the first series of questions.
Public Audit Committee
Meeting date: 25 January 2024
Richard Leonard
Okay—that is fine. I will take us back to current financial year performance. Colin Beattie will talk about the deficit issue, which is a major feature of the report, but I will look at the current year.
You mention in the report that there has been
“An overspend of £3.2 ... million in acute services”,
but
“An underspend of £1.3 ... million in corporate functions”
and
“An underspend of £2.245 million in ringfenced and contingent budgets.”
Could you explain a little bit more the detail that lies behind those figures, please?