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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. Session 6: 13 May 2021 to 8 April 2026
  7. Current session: 14 May 2026 to 23 October 2026
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Displaying 211 contributions

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Public Service Reform Committee

Delivering Public Service Reform

Meeting date: 10 September 2026

Ivan McKee

That is a great example of what we talked about previously. I will be honest with you: I have no doubt that there will be significant cost savings to be made, but the bigger driver for the consolidation of health boards is improving public service delivery. At the moment, there are barriers and obstacles to the best delivery of services for planned care and, indeed, unscheduled care.

If we look at waiting lists and capacity in health boards, each health board has a separate waiting list and it runs that based on its own capacity. The process is not integrated and joined up in the way that it could be, because each health board runs its own budget, which is tied to the patient. If a board moves patients, it needs to move budget, and boards do not want to move budget for lots of reasons.

All those barriers prevent more effective service delivery, particularly in planned care. That is the primary reason for the change, and we recognise the potential for significant financial savings, as well.