- 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 was carried out, prior to contract award, of the functionality, reliability, integration capability and clinical usability of the Vision 3 system in modern general practice settings.
Answer
During the procurement process, supplier responses were assessed through a series of scoring exercises involving Subject Matter Experts (SMEs), including GPs, nurses, pharmacists, practice managers, health board facilitators, IT specialists and information governance experts. Functional and non-functional requirements were reviewed, tested and validated by both clinical and administrative users to ensure they met the agreed specification. Evidence of compliance was assessed and approved by relevant experts, and all requirements were accredited before migrations commenced.
- 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 review the contractual arrangements for the Vision 3 system, in light of reported concerns raised by GP practices about the system’s functionality, usability and impact on workload and patient care.
Answer
A contract was signed in 2022, its Initial Term ends in August 2029 and appropriate governance (Public Services Delivery Scotland Contract Approval Board) will consider extending or replacing at that time. In the meantime, the functional specifications and Service Levels achievements continue to be monitored, and the KPIs reviewed, by existing governance groups to ensure that the Vision system is managed and maintained efficiently and safely.
- 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 how many reports of concerns, complaints or incidents it has received regarding the rollout or operation of the Vision 3 system in GP practices, broken down by NHS board area.
Answer
Scottish Government do not hold records of the number of reports of concerns, complaints or incidents regarding the rollout or operation of the Vision 3 system broken down by health board area.
The Scottish Government is aware of concerns raised by practices and representative bodies, including through correspondence, ministerial correspondences and representations from the Royal College of General Practitioners (RCGP). The Scottish Government has also received Parliamentary Questions on these matters and continues to engage with PSD Scotland about the issues being raised.
- 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.