First Minister’s Question Time – in the Scottish Parliament at on 19 December 2024.
Sandesh Gulhane
Conservative
To ask the First Minister what steps the Scottish Government is taking in response to the reported announcement that NHS Scotland’s information technology software supplier, INPS, has entered administration, in light of concerns that this could leave general practitioners without the digital infrastructure to maintain electronic health records. (S6F-03654)
John Swinney
Scottish National Party
I begin by assuring the Parliament that there is currently no impact on patient care or the availability of IT systems for GPs as a result of the announcement.
Scottish Government officials are liaising with NHS National Services Scotland, which holds the national framework contract with INPS on behalf of NHS Scotland, and with the INPS administrators. NSS has established an incident management team, and contingency planning is under way. The Royal College of General Practitioners, the British Medical Association, GP practices and health boards in Scotland have been fully apprised of the situation. Officials have also engaged with counterparts across the four nations, with a further meeting being due to take place tomorrow.
This is an emerging situation. The company is now formally up for sale, and I anticipate that the Cabinet Secretary for Health and Social Care will be able to provide a fuller update to Parliament in January.
Sandesh Gulhane
Conservative
I declare an interest as a practising NHS GP.
The BMA has told me that the Scottish Government has not invested well in GP IT infrastructure. Hardware is out of date and we are using legacy software without support from software companies. Our systems in our Scottish GP surgeries were often designed for the English market and have been downgraded and shoehorned into our surgeries. The First Minister said that there are currently no issues, but INPS supplies Vision, which is one of our most vital systems. The situation is a disaster in waiting or in the making, as it will potentially leave GPs unable to safely see patients. A GP in Orkney wrote to us with that exact concern. What will the First Minister do to ensure the integrity of our vital NHS IT infrastructure?
John Swinney
Scottish National Party
The Government is focused on exactly that point. That is why I indicated that there is an incident management team, with contingency planning under way, and that the various relevant organisations that need to be advised about these issues are currently being advised.
There is, of course, technical capability in our GP practices already, and the health secretary will be actively engaged to ensure that our officials are doing everything that they can to support continued provision of that activity.
However, I come back to my key point, which is that there is currently no impact on patient care or the availability of IT systems for GPs as a result of the announcement.
Question Time is an opportunity for MPs and Members of the House of Lords to ask Government Ministers questions. These questions are asked in the Chamber itself and are known as Oral Questions. Members may also put down Written Questions. In the House of Commons, Question Time takes place for an hour on Mondays, Tuesdays, Wednesdays and Thursdays after Prayers. The different Government Departments answer questions according to a rota and the questions asked must relate to the responsibilities of the Government Department concerned. In the House of Lords up to four questions may be asked of the Government at the beginning of each day's business. They are known as 'starred questions' because they are marked with a star on the Order Paper. Questions may also be asked at the end of each day's business and these may include a short debate. They are known as 'unstarred questions' and are less frequent. Questions in both Houses must be written down in advance and put on the agenda and both Houses have methods for selecting the questions that will be asked. Further information can be obtained from factsheet P1 at the UK Parliament site.
Ministers make up the Government and almost all are members of the House of Lords or the House of Commons. There are three main types of Minister. Departmental Ministers are in charge of Government Departments. The Government is divided into different Departments which have responsibilities for different areas. For example the Treasury is in charge of Government spending. Departmental Ministers in the Cabinet are generally called 'Secretary of State' but some have special titles such as Chancellor of the Exchequer. Ministers of State and Junior Ministers assist the ministers in charge of the department. They normally have responsibility for a particular area within the department and are sometimes given a title that reflects this - for example Minister of Transport.
The cabinet is the group of twenty or so (and no more than 22) senior government ministers who are responsible for running the departments of state and deciding government policy.
It is chaired by the prime minister.
The cabinet is bound by collective responsibility, which means that all its members must abide by and defend the decisions it takes, despite any private doubts that they might have.
Cabinet ministers are appointed by the prime minister and chosen from MPs or peers of the governing party.
However, during periods of national emergency, or when no single party gains a large enough majority to govern alone, coalition governments have been formed with cabinets containing members from more than one political party.
War cabinets have sometimes been formed with a much smaller membership than the full cabinet.
From time to time the prime minister will reorganise the cabinet in order to bring in new members, or to move existing members around. This reorganisation is known as a cabinet re-shuffle.
The cabinet normally meets once a week in the cabinet room at Downing Street.