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All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
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Displaying 3918 contributions
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
That was a public information announcement by the Auditor General. Excellent. Craig Hoy wanted to come in on this area.
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
Thanks. We are short of time. The committee will want to return to these areas because they are worthy of further examination. Time is tight, so I will ask Willie Coffey to come in. He has questions on the use of agency nurses and so on.
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
One of the most startling figures in the report is in paragraph 46, where you talk about the extent to which bank or agency nursing staff are being called upon. Those figures are for the three health board areas that you have looked at in most depth and they are striking. You say that the expenditure on bank nursing is up by 57.2 per cent in NHS Lothian, by 90.5 per cent in NHS Highland and, in NHS Ayrshire and Arran, by even more at 90.8 per cent. Why on earth is that happening?
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
As a committee, we will retain a strong interest in that to see where it goes in the next financial year.
We are short of time, so I will bring in Bill Kidd, who has a number of questions.
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
Thank you. We will add that to the list of watching briefs on which the committee will need to keep an eye. I have one more question before we draw to a close. I will also bring in Sharon Dowey, Bill Kidd and Willie Coffey for one last go each.
I am interested in teasing this out. I know that, in July 2022, new national planned care targets were announced. As I understand it, the deadline for some of those targets has already passed without their being met. Are you aware of whether those targets are being reviewed and do you know what the new targets and timescales will be?
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
Yes, we will return to that next week and beyond. Craig Hoy has questions on one of the other topics that is important to the Parliament.
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
Thank you very much indeed. Without further ado, I invite the deputy convener, Sharon Dowey, to open the questioning.
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
Yes, thanks. The broader questions, which we have touched on before, are around inequality and poverty, which are often the drivers of the demands that are placed on the national health service. So, there is a broader public health question and a societal question. We probably do not have time to go into that this morning, but it is an important thread that runs through the issue.
I will apply the handbrake and jump on to something else, which is related but quite different. In the report, you talk about the capital maintenance backlog budget. I know that it has been the focus of attention in previous years. Again, there is a long-standing critique of why it should be backlog maintenance rather than proactive maintenance. If maintenance is carried out on an on-going basis, it becomes less reactive and probably more cost effective. Again, that might be another debate for us to have.
In the report, you indicate that it is proposed to double investment in the capital maintenance backlog budget over the next five years. Given all the other pressures on spending in the national health service, how confident are you that that is an achievable goal?
Public Audit Committee
Meeting date: 23 March 2023
Richard Leonard
My take from that is that we cannot rely on a top-down solution; there needs to be proper participatory engagement of people if there is going to be any faith placed in any reforms that happen.
Thank you so much for your evidence. As I said at the start, the report was impactful when it was published and I think that it will continue to resonate. It has certainly given us, as a committee, quite a number of areas that we will want to pursue to get to where we think public interest needs to get to on where these reforms are; what is happening with the money that is going into the NHS; whether the outcomes are being delivered; and, if they are not, why not and what can be done to fix that. Thank you very much for your contributions this morning, and I thank committee members for their questions.
10:34 Meeting continued in private until 11:10.Public Audit Committee
Meeting date: 2 March 2023
Richard Leonard
I want to cover a couple of areas before we close. One is in the table in exhibit 2 that tells us about the rates of complaints. I must say that one of the things that struck me was about the 1,227 elected councillors in Scotland. That number does not include board members, who can be added to that category. They are facing 146 complaints. However, the 129 MSPs are facing 760 complaints. Why is there that difference?