The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 2137 contributions
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
That is so way off target. You are 30 percentage points off the target. What is going wrong?
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
I can tell you that, anecdotally, when I speak to care homes, workforce is the issue, and getting staff is part of the problem.
On people, which is my final topic, where are we at with head count? Let us look at three statistics. First, let us look at the total head count in the NHS now in comparison with the number in the past couple of years. Just to give you a heads up, secondly, I will ask about the sickness absence rates in the workforce and, thirdly, I will look at turnover rates. What statistics do you have to share with us on those three issues?
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
It has dropped since September 2023, when it was sitting at above 70 per cent, and it has dropped considerably since September 2018, when it was 92 per cent—in fact, you almost made the target. However, we are now saying that two in three people will not be seen within four hours. Is that right?
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
Do not worry—I am coming to that.
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
Can I stop you there for a second? I am still trying to get my head around this. According to what you have just said, there are two reasons why we are so far under the target. Overall, you said that there were three points, but the first one is a positive—the number of emergency admissions is going down, which is good news. However, the other two points are not positives. You are saying that the age profile of people and the fact that they stay in hospital a little bit longer than they used to are the reasons why so many people are sitting in accident and emergency for eight or nine hours. I do not see the link. Please explain it to me.
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
I have a final question. How much is being spent on agency staff?
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
I have some numbers. That is in the hundreds of millions of pounds. It is a lot of money, and having agency staff is way more expensive than having full-time equivalent staff. There is all this talk about privatising the health service. You are already privatising it if you are outsourcing work to agencies that charge hundreds of pounds per hour.
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
Yes—I was called back at 2 in the morning. I have to say that all the people whom I spoke to were lovely. I am really grateful to every one of them: it was clear that they were all really overworked and were doing their best.
However, I think that you get the gist of my point. People end up in a vicious circle in which the only option is to present to A and E, and we all know the problems that A and E departments are facing.
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
I will move on, because there is a lot to cover.
We have to talk about delayed discharge. I know that this is not a political setting, but ministers have promised to eradicate delayed discharge. That is ambitious and probably not achievable. There are targets—official and unofficial—but the statistics do not seem to bear out that progress is being made on that.
That can be analysed in a number of ways, such as by using the average number of people per month who are waiting to be discharged or the number of days that are spent in hospital by people who are ready to be discharged. I will not go into all the numbers, but where are we at with delayed discharge in Scotland at the moment? Are we making any progress at all, or are things getting worse?
Public Audit Committee
Meeting date: 20 June 2024
Jamie Greene
There is not continual improvement; it is continually getting worse.