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Seòmar agus comataidhean

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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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 4 May 2021
  6. Current session: 13 May 2021 to 8 April 2026
  7. Session 6: 13 May 2021 to 8 April 2026
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Displaying 2494 contributions

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Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

I will quote another bit of this very good letter. It says:

“This poor involvement and lack of support for unpaid carers risks unplanned readmission of individuals, poorer outcomes and increases the cost of caring to carers’ own health. Carers are already experiencing high levels of poor health, with 30% living with poor physical health and 36% with poor mental health.

A lack of involvement in decisions around care … has long term consequences.”

The letter goes on to talk about the 2016 act, which you have referred to, saying that Carers Scotland welcomes the call in the report—its report, not the Auditor General’s report—for

“integration authorities with their partner NHS boards and councils to ensure they fully implement their duties and responsibilities for including unpaid carers as set out in the Carers (Scotland) Act 2016.”

Given the figures that I have just quoted, it appears that the duties in the act are not being met—why not?

10:15

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

It seems to me that we have an act that was brought in 10 years ago but the requirements in that act are not being fulfilled. You accept that they should be fulfilled, but we really need to do better, do we not?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

You agree—okay. How are we going to do better? If we come back here in a year’s time, will the figures be better?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

We have received a letter from Carers Scotland. I do not know whether you have seen it.

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of the Scottish Public Pensions Agency”

Meeting date: 18 February 2026

Graham Simpson

As with Joe FitzPatrick, a lot of what I was going to ask has been covered, but I will pick up on the point about people being overpaid, because it is a serious point. Even though it might affect only a small number of people, they might have been overpaid significant amounts. Throughout this period, a number of people will have passed away who were not getting enough or who were getting too much. What is happening in those cases?

Public Audit Committee [Draft]

Section 22 Report: “The 2024/25 audit of the Scottish Public Pensions Agency”

Meeting date: 18 February 2026

Graham Simpson

Do we know whether that has been going on? Just imagine that you are a widow or a widower and, unbeknown to you, your partner has not been getting enough pension or has been getting too much. Suddenly, you get either a letter saying, “We owe you this” or one that says, “You owe us that.” Has that been happening?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

The term “rosy picture” was used earlier, and you said that it is not quite a rosy picture, which it is not, is it? The figures in the Auditor General’s report—there is a graph, which is exhibit 1—shows that there was, as you would expect, a huge dip in delayed discharges during Covid, then it rocketed, and now it is basically a straight line. It is stubbornly high and is not coming down. There is the occasional blip, but, in essence, it is high. It is probably higher than it has ever been, and we do not seem to be getting any improvement. Why is that, given that we have known about the issue for years?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

The Auditor General had to resort to coming up with figures of his own. In paragraph 26, he tells us that it is cheaper to have someone in a care home than in hospital. If that is the case, why are we not properly funding care places in order partly to fix the problem?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

Okay.

I have one last question. I have noticed that there are a number of working groups and strategies around. You have mentioned the collaborative response and assurance group, or CRAG. There is also the national care service advisory board, whose remit is

“to provide advice and suggest where improvements could be made”,

and the health and social care delayed discharge and hospital occupancy action plan—I am not sure how that is coming along. We also have the rapid peer response and support team, which provides

“targeted support to IAs struggling with persistent delayed discharge pressures”.

How effective do you think all these committees and plans are?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Graham Simpson

I completely agree with what the convener has just said.

I will now go back to the issue of power of attorney, which the convener explored earlier. It is important for people to have that in place. I was reflecting on experiences that I have had, and there are cases where people’s health goes downhill very quickly, so there is not time to put a power of attorney in place. Do you think, therefore, that maybe we need to put in place a system that deals with such situations so that families can act quickly?