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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

Welcome to the second half of the meeting. We are looking at the Audit Scotland report, “General Practice: Progress since the 2018 General Medical Services contract”.

I am pleased to welcome a team from the Scottish Government, led by Caroline Lamb, who is the director general of health and social care and the chief executive of NHS Scotland. Good morning. Alongside Caroline Lamb are Tim McDonnell, who is the director of primary care; Susan Gallacher, the deputy director of general practice policy; and Andrew Chapman, the unit head for the general practice contract and operations. We have some questions to put to you.

Stephanie Callaghan joins us online, and I will bring her in at the appropriate time. Before we get to our questions, director general, I invite you to make an opening statement.

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

You accept the key messages that are set out at the beginning of the report, including message 1, which says that the

“commitment to increase the number of GPs by 800 is unlikely to be met by 2027”.

You accept, presumably, that commitments that were part of the contract and were supposed to be completed by 2021

“have still not been fully implemented”

that things have been “slower than planned”, that the Scottish Government has not been transparent, that there is a lack of clarity and that direct spending to GPs has decreased. Do you accept all those findings?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

Before I go to Graham Simpson, I will ask you about paragraph 100 of the report. I have never seen this language in an Audit Scotland report in all the time that I have convened the committee. It says quite bluntly, and Audit Scotland witnesses repeated it when they gave oral evidence to us, that the Scottish Government, in a press release in February 2019, was misleading, because it claimed that 172 loans to GP practices to improve or to purchase or to sell on their premises had been applied for successfully, when it turns out that only 63 had.

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

Well, these are not my words; these are the words of the Auditor General, who said that the Government was “misleading”.

Just for completeness, instead of £30 million being made available in sustainability loans for GP premises, only £15 million has been loaned out. That is half the headline figure that is in the 2018 document. Why is that?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

Okay. It seems to me that this should not have come as a surprise. At the time of the publication of the contract in November 2017, it clearly stated that

“the contract offer proposes significant new arrangements for GP premises”,

so there was an acknowledgement that this was pioneering, it was significant and it was new. I am therefore a little bit puzzled as to why some of the difficulties have come as a bit of a shock to the Government.

I will move on and invite Graham Simpson 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 invite Stephanie Callaghan to put some questions to the witnesses around access to GP services. As I mentioned earlier, Stephanie joins us online.

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

Did we get timescales yesterday?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

Okay. Everything within a year?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

The next plan about the plan will be published within a year?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

You just described the process as creating a bigger organisation. Presumably, part of the thinking behind merging two organisations is to rationalise and look at whether there is duplication, and whether a synergy might lead to fewer people being employed in the organisation or to the services being delivered in a different way. Is that part of your thinking?