Summary

  • The Health Committee gets its budget scrutiny underway with various witnesses looking at health and social care partnerships and then at the NHS

  • Topical questions features queries about support for families of children who died at Smyllum Park orphanage in Lanark and then on congestion on the approaches to the Queensferry Crossing.

  • Brexit Minister Mike Russell gives a statement on the EU Withdrawal Bill

  • Rural Economy Secretary Fergus Ewing outlines his plans to stabilise future CAP payments

  • Finance Secretary Derek Mackay will give his response to the Barclay review

  • Justice Secretary Michael Matheson gives a ministerial statement on policing, after Chief Constable Phil Gormley stood aside

  1. 'Disinvestment may not sit in a nice timezone'published at 11:33 British Summer Time 12 September 2017

    Elaine Tait from the Royal College of Physicians of Edinburgh

    Elaine Tait from the Royal College of Physicians of Edinburgh says the inequalities agenda shows patients from deprived areas make more use of unscheduled services than others.

    Ms Tait says "disinvestment may not sit in a nice timezone".

  2. Background: Former chief medical officer to lead NHS targets reviewpublished at 11:31 British Summer Time 12 September 2017

    Sir Harry Burns stepped down as chief medical officer in 2014Image source, bbc
    Image caption,

    Sir Harry Burns stepped down as chief medical officer in 2014

    Last year the former chief medical officer was appointed to lead a review of the approach to targets in Scotland's NHS.

    Sir Harry Burns is chairing the study, which is consulting NHS staff and patients to ensure targets and performance indicators are producing the best results for patients.

    An initial report and recommendations are expected in spring 2017.

    Mr Burns, who stepped down as chief medical officer in 2014, said it was vital that staff felt "empowered".

    The review of targets was announced by Health Secretary Shona Robison in June.

  3. The culture of targets requires reviewpublished at 11:30 British Summer Time 12 September 2017

    Jill Vickerman from BMA Scotland says the culture of targets requires review.

    Ms Vickerman says the findings of the review are still being awaited.

  4. Public must be involved in 'difficult decisions'published at 11:29 British Summer Time 12 September 2017

    Dr Miles Mack, Chair, RCGP Scotland

    Dr Miles Mack, Chair, RCGP Scotland says individual decisions should not lead to quick disinvestment decisions.

    Dr Mack says the public must be involved with these "difficult decisions".

  5. Postpublished at 11:28 British Summer Time 12 September 2017

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  6. Postpublished at 11:28 British Summer Time 12 September 2017

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  7. Already underway!published at 11:27 British Summer Time 12 September 2017

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  8. 'In the absence of evidence we are experimenting'published at 11:26 British Summer Time 12 September 2017

    SNP MSP Maree Todd asks if it is time for a national conversation with the public concerning expensive drugs that provide little.

    Elaine Tait from the Royal College of Physicians of Edinburgh says: "In the absence of evidence we are experimenting."

  9. Multiple readmissions must be avoidedpublished at 11:25 British Summer Time 12 September 2017

    Elaine Tait from the Royal College of Physicians of EdinburghImage source, bbc
    Image caption,

    Elaine Tait from the Royal College of Physicians of Edinburgh

    Elaine Tait from the Royal College of Physicians of Edinburgh says multiple readmission must be avoided.

  10. If you think the staff turnover in the NHS is high, you should try looking at social carepublished at 11:25 British Summer Time 12 September 2017

    Dave Watson

    Dave Watson from UNISON Scotland says the right community care services have to be available.

    Mr Watson says if you think the staff turnover in the NHS is high, you should try looking at social care.

  11. Becoming a GP must be made attractivepublished at 11:23 British Summer Time 12 September 2017

    Jill Vickerman from BMA ScotlandImage source, bbc
    Image caption,

    Jill Vickerman from BMA Scotland

    Jill Vickerman from BMA Scotland says the role of a new GP contract is key in going forward.

    Ms Vickerman says becoming a GP must be made attractive.

  12. Background: Nursing and midwifery vacancy rates at record highpublished at 11:22 British Summer Time 12 September 2017

    NursesImage source, Getty Images

    In June we reported that nursing leaders are warning the NHS in Scotland has "too few nurses" after vacancies rose to record levels.

    Latest figures show the the nursing and midwifery vacancy rate stands at 4.5% - the highest ever reported.

    The Royal College of Nursing (RCN) said the current situation with unfilled posts threatened patient care.

    Health Secretary Shona Robison insisted staff levels within the NHS had risen to "historically high levels" under the SNP.

    Figures from ISD Scotland show 2,818.9 whole-time equivalent (WTE) posts were unfilled at the end of March, a 27.5% increase from March last year.

    The number of such posts lying unfilled for three months or more was up 51.3% year on year to 670.6.

  13. 'We need to make sure people are only in hospital when they absolutely have to be'published at 11:22 British Summer Time 12 September 2017

    Rachel Cackett

    Rachel Cackett from the Royal College of Nursing Scotland says there are times when hospital is absolutely the right place but "we need to make sure people are only in hospital when they absolutely have to be."

    Ms Cacket says decision makers are required to be in place in the community 24/7 to make sure people are getting the proper care where required.

    She says it is important to consider what is being asked of people providing care and the level of work that is coming their way.

    "We need to make sure that we have the right nursing workforce and less vacancies," she says.

  14. Background: Almost 1 in 4 Scottish GP practices is seeking a doctorpublished at 11:20 British Summer Time 12 September 2017

    Media caption,

    Almost 1 in 4 Scottish GP practices is seeking a doctor

    More than one in four GP practices in Scotland has a vacancy for a doctor, according to new figures obtained by the BBC.

    The latest survey from the British Medical Association shows little change in the number of unfilled posts, despite a Scottish government recruitment drive launched last summer.

    Can a speed-dating event help fill the vacancies, nearly 75% of which have been unfilled for more than six months?

    BBC Scotland's health and social care correspondent Shelley Jofre reports.

  15. 'We desperately need to invest in general practice'published at 11:18 British Summer Time 12 September 2017

    Dr Miles Mack from RCGP Scotland
    Image caption,

    Dr Miles Mack from RCGP Scotland

    SNP MSP Maree Todd says there are repercussions from admission to hospital and asks how better care would look.

    Dr Miles Mack from RCGP Scotland says there have been moves to move care from hospitals to the community.

    Dr Mack says there has been a struggle to deliver that.

    He says there must be more funding for general practice and yet there has been a fall in percentage funding to general practice.

    The GP says: "We desperately need to invest in general practice, in GP numbers."

  16. NHS evidence session is next............published at 11:11 British Summer Time 12 September 2017

    The second evidence session will now hear from:

    GPImage source, PA

    Read their submissions to the committee here, external.

  17. That ends this evidence session...published at 11:11 British Summer Time 12 September 2017

    Committee convener Neil Findlay suspends committee to allow a change of panel.

  18. RCGP giving evidence next...............published at 11:09 British Summer Time 12 September 2017

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  19. Decrease in bed days in Glasgow as a result of work by IJBspublished at 11:07 British Summer Time 12 September 2017

    Sharon Wearing from CIPFA IJB Chief Finance Officer Section

    Sharon Wearing from CIPFA IJB Chief Finance Officer Section says there has been a significant decrease in bed days in Glasgow as a result of work by IJBs and work in the community.

    SNP MSP Ivan McKee asks if there is any evidence of a cost saving in West Lothian by offering exercise rather than drugs.

    Councillor Peter Johnston from COSLA says he cannot give figures on this.

  20. 'We cannot go on standing still'published at 11:04 British Summer Time 12 September 2017

    Councillor Peter Johnston from COSLA says all policy proposals should challenge inequalities.

    Mr Johnston says: "We cannot go on standing still."

    He says if we carry on doing the same things our health and care system simply will not cope.