- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government what support is being provided to GP practices that are experiencing operational difficulties following the transition to the Vision 3 system.
Answer
Public Services Delivery Scotland and One Advanced provide support to health board teams and GP practices to guide them through the use of a new system and the migration process.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government whether it considers the current Vision 3 system to be meeting the operational needs of GP practices, and what evidence it has used to reach that view.
Answer
The Scottish Government considers that the Vision 3 system meets the operational needs of GP practices, having successfully met the standards and requirements set through the national procurement framework. These requirements were developed with input from GPs and other stakeholders to ensure that procured systems support the operational needs of general practice.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government what assessment it has made of the impact of the Vision 3 system on GP and practice staff workload, wellbeing, morale and retention.
Answer
Public Services Delivery Scotland, on behalf of the Scottish Government, is working with health boards to ensure that training is delivered at the right stages of the migration process, reinforced following go-live, and supported through practical, hands-on learning opportunities.
Health boards have been asked to ensure that practices receive appropriate support before, during and after migration, including sufficient protected time for training and familiarisation with the system. Where necessary, health boards may consider temporary adjustments to clinical activity to support a safe transition and staff wellbeing.
PSDS is also working closely with One Advanced and health boards to address issues identified by practices and to improve the overall user experience as the rollout progresses.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government what escalation process is in place for GP practices that consider that the Vision 3 system is unworkable or having an adverse impact on patient care.
Answer
GP practices can escalate issues with the Vision system via their health board representatives, who in turn can raise these with the programme team. GP practice scan log any issues with the One Advanced(Vision) Service Desk.
The GP IT Re-provisioning Programme has a robust governance framework, governed by the GP IT Service Management Board, which meets regularly and features representation from Scottish Government, RCGP, SGPC and NHS Scotland stakeholders, including health board representation. Programme progress and status are assessed as part of each meeting.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government what consideration was given to EMIS or EMIS Web as an alternative to the Vision 3 system during the procurement process for a GP clinical IT system.
Answer
EMIS originally joined the framework agreement with its EMIS-X product. It later advised NSS (now Public Services Delivery Scotland) that the solution to be delivered in Scotland would instead be EMIS Web. However, in October 2022, EMIS notified NSS that it was withdrawing from the framework agreement.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government whether it has received representations from GP practices, NHS boards, primary care staff or professional bodies regarding the implementation or functionality of the Vision 3 system, and, if so, what action it has taken in response.
Answer
Scottish Government has received a range of correspondence in relation to Vision 3. We take all feedback received seriously and are actively engaged with Public Services Delivery Scotland as the lead organisation responsible for delivery of the programme to ensure any concerns raised are proactively investigated and addressed in conjunction with One Advanced, the supplier of Vision 3.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government what assessment it has made of the impact of the rollout of the Vision 3 system on GP practices, including on appointment capacity, consultation times, administrative workload and the ability of practices to deliver safe and effective patient care.
Answer
The Scottish Government continues to monitor the impact of the Vision hosted system rollout through Public Service Delivery Scotland (PSDS)’engagement with health boards, GP practices and the supplier OneAdvanced.
While some practices have experienced performance issues following migration, particularly where users are adapting from EMIS to Vision, additional training and post-migration support have been put in place.
OneAdvanced is implementing system improvements to address issues affecting appointments, prescribing and task management, and recent infrastructure changes have improved system stability. PSDS continues to work with Boards and the supplier to minimise and mitigate any impacts reported as a result of the system changes.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government what consideration it has given to the approach taken by other UK administrations in relation to GP clinical IT systems, including any decisions to move away from Vision-based systems.
Answer
The GPIT procurement was undertaken through a formal, competitive procurement process led by National Services Scotland (now Public Services Delivery Scotland), in line with European Single Procurement Document (ESPD) requirements.
Three suppliers met the criteria for inclusion on the Scottish GP IT framework :Cegedim/INPS (Vision), Optum (EMIS) and Microtest/EVA Technologies. However, Microtest withdrew from the framework in 2021 and EMIS withdrew in 2022. As a result, Vision became the only remaining supplier on the framework and is currently the only GP clinical system available through that national procurement arrangement.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 23 July 2026
To ask the Scottish Government whether it will consider allowing GP practices to return to, or adopt, alternative clinical IT systems, including EMIS or EMIS Web, where practices consider that the Vision 3 system is adversely affecting their ability to provide safe and efficient care.
Answer
Optum/EMIS has advised that EMIS PCS will be end-of-life and no longer available for use after June 2027. As a result, practices currently using EMIS PCS are required to migrate to an alternative GP clinical system before that date.
Vision 3 is currently the only GP clinical system available through the national framework for replacement of EMIS PCS in Scotland.
- Asked by: Finlay Carson, MSP for Galloway and West Dumfries, Scottish Conservative and Unionist Party
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Date lodged: Friday, 26 June 2026
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Current Status:
Answered by Angela Constance on 14 July 2026
To ask the Scottish Government what consultation it undertook with GPs, practice managers, reception staff and other primary care professionals prior to the procurement and rollout of the Vision 3 system.
Answer
Between 2017 and 2018, a multidisciplinary group of subject matter experts (SMEs) worked to define the requirements for a future GP clinical system. This group included GPs, nurses, pharmacists, practice managers, health board facilitators, and specialists in IT and information governance.
By February 2019, following structured evaluation and scoring involving the SME group, Vision was one of three suppliers appointed to a Scottish framework agreement.
SMEs remain members of governance groups supporting the implementation of the migration programme.