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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

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 [Draft]

“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?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

We all accept that, yesterday afternoon, a service renewal framework was set out by the Cabinet Secretary for Health and Social Care. However, we are talking about a contract that really has its roots back in 2016. I return to my question. Do you accept the report’s findings, which include criticisms of the Government’s tardiness and the extent to which the Government has been transparent?

Public Audit Committee [Draft]

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

Meeting date: 18 June 2025

Richard Leonard

Okay, but I am not going to allow you to get away with blaming the pandemic, because the consultation on this contract began in November 2016, the document was produced in November 2017 and phase 1 of its implementation began in April 2018, which is almost two years before the pandemic. You really cannot blame the pandemic for a failure to implement most of the objectives that are set out in the contract.

Public Audit Committee [Draft]

“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 [Draft]

“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 [Draft]

“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 [Draft]

Decision on Taking Business in Private

Meeting date: 18 June 2025

Richard Leonard

Good morning. I welcome everyone to the 20th meeting in 2025 of the Public Audit Committee. We have apologies from Jamie Greene and Stuart McMillan, but I am pleased to welcome Stephanie Callaghan, who is substituting for Stuart McMillan. She is attending the committee remotely.

Agenda item 1 is for the committee to consider whether to take items 3, 4 and 5 in private. Do we agree to take those items in private?

Members indicated agreement.

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. Dr Provan will now give his opening statement.

Public Audit Committee [Draft]

“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?