Skip to main content
Loading…

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.  

Filter your results Hide all filters

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 14 July 2025
Select which types of business to include


Select level of detail in results

Displaying 1619 contributions

|

Public Audit Committee

“Investing in Scotland’s infrastructure”

Meeting date: 7 March 2024

Jamie Greene

Based on what we have just heard, there is no estate replacement strategy. It is all on pause. You have accumulated an immense backlog and you have talked at great length about the 2024-25 budget. It is absolutely right to look at what we have in the purse at the moment, but backlogs, by their nature, are an accumulation of underinvestment over a substantial period—a decade or more in some cases. Is it the case that we simply did not fix the roof while the sun was shining, which has left us in the precarious position of having billions of pounds’ worth of backlogs from which we might never recover?

Public Audit Committee

“Investing in Scotland’s infrastructure”

Meeting date: 7 March 2024

Jamie Greene

But it was there. That is the point. It might not be there now, but it was there for many years.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 29 February 2024

Jamie Greene

Mr Murray, did you say that you are the longest-serving member of the board or just the longest-serving member who is here this morning?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 29 February 2024

Jamie Greene

Please do not take this question personally but, as the longest-serving board member here, you saw your health board escalated to level 4. That is one off from level 5, which is the most serious level and effectively means that the Government has no confidence in the board at all to deliver effective and safe care to patients. Level 4 is almost there. How could the board—collectively and individually—over a number of years have let things get to the stage at which the Government has had to intervene in such a fashion? Surely, the board, on an on-going basis, would be monitoring and auditing processes, outcomes and practices. If it was a private business, it is difficult to see how you would be sitting here this morning.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 29 February 2024

Jamie Greene

We are very short on time, and I want to move on. Surely the proof would have been in the pudding, and as Mr Simpson said, outcomes for patients are what matter. Could you see a pattern of deterioration in outcomes? For example, your four-hour emergency access compliance is down at 50 per cent, which is way below the Scottish average and that dropped considerably over a period of time. Surely, all those performance issues in relation to the CAMHS statistics, the out-of-hours GP access and the 18-week waiting times for referral for psychological assessment would have been massive red flags to the board that it was in danger of escalation.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 29 February 2024

Jamie Greene

Can I move on to the present day? We could spend a lot of time on retrospect, but I am sure that lessons will be learned and that there is a lot of personal regret in the executive leadership team.

Ms Croft, where are you currently with some of the service improvements? It is still looking quite grim for patients in Forth Valley with regard to waiting times across a number of key metrics. At the risk of my questions needing a lengthy answer that we do not have time for, what are some of the steps that you are taking right now to improve, for example, performance with regard to the four-hour A and E turnaround and 18-week referrals for mental health assessments? What are the limiting factors? We have talked about workforce and finances, but what key barriers exist right now to making immediate improvements so that you can de-escalate out of level 4?

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 29 February 2024

Jamie Greene

It is at 64 per cent, against a target of 80 per cent, so it is still—

Public Audit Committee

“Decarbonising heat in homes”

Meeting date: 29 February 2024

Jamie Greene

A lot of very good ground has already been covered, and I have been listening intently. I want to mop up a few other areas where you might share your wisdom.

First, there is an overarching discussion about how we define fuel poverty in the modern world. The technical definition is that a household is in fuel poverty if it spends more than 10 per cent of its net household income on fuel/energy consumption. As we know, if that figure reaches 20 per cent, a household is defined as being in extreme fuel poverty. It does not take very much to fall into that category. Even someone on a fairly substantial income who might be in a higher tax bracket could quickly find themselves in a position in which their annual fuel bill was £2,500 or £3,000, which would very easily take them into that situation. Are you worried that there is an assumption that people on very low incomes or people on various benefits are the sole victims of the current fuel poverty situation?

Public Audit Committee

“Decarbonising heat in homes”

Meeting date: 29 February 2024

Jamie Greene

Thank you. I appreciate that we are out of time, convener, so I will park my other questions.

Public Audit Committee

Section 22 Report: “The 2022/23 audit of NHS Forth Valley”

Meeting date: 29 February 2024

Jamie Greene

That is fine. My parting question is for Ms McCusker. It is your last day in the job as chair. What would your advice be to the incoming chair?