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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.  

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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 5 May 2021
  6. Current session: 12 May 2021 to 16 August 2025
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Displaying 881 contributions

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Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

We have already met that target—we are ahead of schedule on it by two years, I think. That has already been delivered within this parliamentary session.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

The staff are key to the health service, and it is important that we provide them with the financial recognition for the important role that they play. That is why, in the past financial year, we have progressed our agenda for change commitments; it also accounts for how we have engaged with staff on pay negotiations. The pay increase inevitably creates financial stress in, and challenge for, the system, but it is critical that we do that, because staff are key to the delivery of our health services. The increase will have to be met within the existing budget allocations that are set out in the 2024-25 budget.

On social care, a key aim of our additional investment of over £800 million in the past couple of years is helping to address the pay issues in social care settings. We know that pay is a major challenge when it comes to recruiting into social care, and we also know that social care is critical to the performance of our NHS. Therefore, if we want our health and social care system to function effectively, we must ensure that we provide resources where we can to pay staff for their important role. That is the approach that we have taken on negotiations and through the agenda for change programme in relation to pay for health and social care staff.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

Good morning.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

I do not think that you would ever get a cabinet secretary for health to say that they would not want more resource to invest in the health and social care system. In the light of our very challenging budget settlement, we have achieved the best possible outcome that we can for the health and social care budget.

Notwithstanding that, efficiencies and savings will have to be made for us to live within the budget settlement that we have and the growing demand that we face. I think that this is the best outcome that we can achieve in challenging financial circumstances; however, there will be continued challenges for the health and social care system even with this budget.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

One is continued investment in our NHS recovery, including in prevention, with a particular focus on primary care. Another is continued investment in mental health services, to ensure that they meet the needs of citizens across the country. Another is continued investment in social care, to ensure that we are doing everything that we can to give it greater resilience, particularly by way of recruitment into the workforce, which is critical to supporting our NHS.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

I am sorry—I missed the first part of your question.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

Two hundred and fifty-four properties were identified as priorities. I think that only one property had to be vacated—actually, it was in the process of being vacated anyway. The vast majority of the others require only additional monitoring. That information is all publicly available. Health facilities Scotland has that on the NSS website, and each individual health board has published information on that as well.

Once health facilities Scotland had completed that work—as I stated previously, it was completed on time before the end of last year; I think that it was completed before the end of November—some additional sites were identified that were not previously known about. Some of those are not facilities that are directly owned by the NHS; they might be GP surgeries and so on. A programme of survey work on 100 or so such buildings is being taken forward. That information is all publicly available.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

The work that was carried out last year did not identify—

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

Our capital budget is dependent on the capital allocation that we get from the UK Government, which has cut our capital budget by 10 per cent. As a consequence, there is less capital funding available to invest in capital projects in Scotland. On top of that, we are experiencing significant challenges as a result of construction inflation. Indeed, some projects have almost doubled in cost as a result of the construction inflation that has been experienced over the past year to 18 months.

Not only are there increased costs for projects but, as a result of the UK Government’s decision to cut our capital budget, there is less money to invest in capital projects. That is a direct consequence of the decision by the UK Government to cut our capital budget.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

—any remedial work that was required, other than the normal routine maintenance work that boards do. Instead of surveys being carried out every three years, they are being carried out every year, and there are details on the types of things that should be taken forward. However, no major costs were identified from the survey work that was carried out by health facilities Scotland.