15. Objective evidence that the SNP are very bad at grown up government things.
I should have put this in yesterday’s batch of Nat failure and cock ups, but perhaps it deserves a post of its own. All governments work within a necessary system of checks and balances, without which the SNP dream of a tartan totalitarian dictatorship would quickly emerge. Many of them are beneath the radar – advice from government lawyers, things like that. In terms of public display though, the latest NHS round up from the sort-of-independent Audit Scotland, from the end of October, contains some depressing gems. I can do no better than quote from the Lib Dems (something I never thought I’d write):
Last week, the First Minister told us that she wants to be judged on her record. This week, Audit Scotland published a damning report on her government’s record on the NHS. The SNP claim to have protected investment in our NHS. Audit Scotland say that funding has been cut in real terms by nearly 1% over the last 7 years. Two health boards have been forced to take out loans from the Scottish Government just to break even. The SNP claim that things are getting better in our health service. Audit Scotland say that national performance against key targets and standards is getting worse. Waiting times targets have been missed and missed again. Health boards have experienced huge problems in recruiting and retaining qualified staff. Territorial health boards spent £284 million in 2014/15 for temporary workers, an increase of 15% from the previous year.
Quite. As the Auditor General for Scotland pointed out: “The Scottish government has had a policy to shift the balance of care for over a decade but, despite multiple strategies for reform, NHS funding has not changed course. Before that shift can occur, there needs to be a clear and detailed plan for change, setting out what the future of the NHS looks like, what it will cost to deliver and the workforce numbers and skills needed to make it a reality.” That’s more than 10 years of talking crap about change, which is always just around the corner. In fact the much heralded Integration of Health and Social Care Act – wholly owned by the SNP – came into reality in April, and no-one’s noticed any difference yet.
It’s not actually the current health minister’s fault – she is just the latest incumbent of the office in an arrogant administration of people who are cocky, but not…competent. And it’s not just in health either. So demented is the obsession with money in Scotland’s taxpayer-subsidised universities, Scottish students are being blatantly disadvantaged in favour of lucrative fees from elsewhere, one third of places go to non-Scots, and it’s getting worse.
The Scottish NHS is fixated on arbitrary targets, well beyond the sensible ones relating to emergency care and cancer treatment. It’s missed them all, with one happy exception, the ‘drug and alcohol treatment is being delivered on time’.
Just as well really