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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 1 July 2025
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Displaying 3264 contributions

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Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Dr Williams wants to come in on this question.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Okay. Thank you. Again, we will return to some of those themes during the morning.

I will ask a final question about placing the observations in the Audit Scotland report in the context of how things are affected on the front line. Multidisciplinary teams were very much a theme in the 2018 contract. They were part of the new era that was being heralded at that time. However, when I read the Audit Scotland report that is under discussion at the committee this morning, it is quite scathing in that it says that

“the expansion of MDTs has been slower than planned”,

deadlines have not been met and there have been “implementation gaps”. Could you describe what that looks like on the front line of the provision of GP services across Scotland? I will begin with Dr Provan this time.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Okay. Thank you. Dr Williams wants to come in—briefly, perhaps, because I need to move on to Mr Beattie’s questions. Over to you, Dr Williams.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Thank you—that is really helpful. Again, I am sure that that will be picked up by other members of the committee. I now invite Colin Beattie to put some questions to you.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

I now invite Stephanie Callaghan to continue with the theme of the patient experience and other aspects of the Audit Scotland report.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Stephanie, we are quite short of time. If you agree, we will move on and I will invite Graham Simpson to put questions to the panel.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Thank you Stephanie; that is much appreciated. I turn to Colin Beattie, who has some questions to put to the witnesses.

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

I have two final questions to put to you, director general. The first may have been answered, not so much in the cabinet secretary’s statement, but in the associated paperwork that accompanied his statement, which I think Mr Chapman alluded to, in part, earlier on. I look back to the evidence that we took from the Auditor General on 14 May, which is reflected in paragraph 42 of the report. He said to us that

“the Scottish Government still needs to clarify its plans for general practice and to set out the actions, timescales and cost to deliver that.”—[Official Report, Public Audit Committee, 14 May 2025; c 4.]

What he is asking for there is very clear. Do you plan to publish that information?

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

In the fullness of time, you might perhaps be able to pause and reflect on the evidence session that we had with the BMA and the Royal College of General Practitioners before you came in, because they gave a rather different picture of the action that was needed.

I will ask you one final question, director general, which again relates to yesterday’s announcement. One of the things that was announced was the merger of National Services Scotland and NHS Education for Scotland. Mergers and reorganisations often deflect organisations from their core purpose. In the evidence session that we had before you came in and in this one that you have been involved in, it has emerged that both those institutions—both those parts of the delivery of services—are critical to meeting the aspirations and the ambitions of the 2018 contract. Do you not think that merging those organisations might deflect them from the things that we want them to get on with, including data collection and ensuring that GPs are properly and fully employed?

Public Audit Committee [Draft]

“General practice: Progress since the 2018 General Medical Services contract”

Meeting date: 18 June 2025

Richard Leonard

Thank you very much indeed. You have covered many of the topics that we will pick up this morning, including IT, premises, funding and the delivery of support and services.

I will begin with something that is a bit more political and practical, perhaps, by going back to the First Minister’s programme for government statement. He spoke about the delivery of an extra 100,000 appointments in GP surgeries. What was your reaction to that?