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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 16 January 2026
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Displaying 3682 contributions

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Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

Item 2 is further consideration of the Audit Scotland report “General practice: Progress since the 2018 General Medical Services contract”. I am pleased to welcome our witnesses for the first session. We are joined by Dr Iain Morrison, chair of the Scottish general practice committee of the British Medical Association Scotland. Alongside him is Dr Chris Provan, chair of the Royal College of General Practitioners Scotland. We are joined remotely by the vice-chair of RCGP Scotland, Dr Chris Williams. Dr Williams, if you want to come in at any point to answer the committee’s questions, indicate that in the chat box and we will endeavour to bring you in.

We have quite a number of questions to put but, before we get to them, I invite the representatives in the room to give us short opening statements. I will begin with Dr Morrison.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

The route map will be published within a year. What about action? What about the implementation of the terms of the 2018 contract?

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

We can hear you, but we cannot see you, Stephanie.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

There you are. Please proceed.

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

You mentioned investment. I want to check with you on some of the figures that have been used. In paragraph 28 and exhibit 4, the Audit Scotland report talks about the funding situation. Basically, it says that, between 2017-18 and 2023-24, direct spending on GPs by the Scottish Government was up by 33 per cent in cash terms. The report describes that as a 7 per cent real-terms increase. It goes on to talk about a real-terms reduction of 6 per cent between 2021-22 and 2023-24. That is the overall impression that is created in the Audit Scotland report that is before us.

However, in the letter that you sent to the committee, Dr Morrison, and in some of the things that you have said this morning, you are talking about a funding shortfall of 22.8 per cent. The expression that you used in communications with the committee is:

“The funding practices receive for every patient has been eroded year after year against inflation since 2008.”

How do you reconcile the conclusion drawn by Audit Scotland with what you have been saying?

Public Audit Committee

“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

“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

“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

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

Meeting date: 18 June 2025

Richard Leonard

On that rather stark warning note, we are going to have to draw this session to a close. We had some other questions that we wanted to put to you, but we have run out of time. I would propose that, if you agree, we put those questions in writing and make sure that you get an opportunity to give us answers. We did not get on to premises and other areas that we think are important to you and are part of the 2018 contract.

With that, I thank Dr Chris Williams, who joined us online, for your input. I thank Dr Chris Provan for being in the committee room and giving us the benefit of your expertise. Dr Iain Morrison, I thank you also for your time and for the evidence that you have given us this morning. It has been a very useful session, and I thank you all for your participation.

I suspend the meeting, because we need to change over witnesses.

11:04 Meeting suspended.  

11:09 On resuming—  

Public Audit Committee

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

Meeting date: 18 June 2025

Richard Leonard

You said at the start of your statement that the Scottish Government engaged in the production of the report and, at the end, that it was an opportune time to pause and reflect on the report. Do you accept the findings and recommendations of the report?