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Two-tier health system talks should be investigated, demand Scottish Tories

Tory MSP Craig Hoy has called for Audit Scotland to look at the circumstances of the meeting.

Rebecca McCurdy
Tuesday 22 November 2022 09:43 EST
Talks involving NHS leaders looked at the possibility of a two-tier system, it has been revealed (Peter Byrne/PA)
Talks involving NHS leaders looked at the possibility of a two-tier system, it has been revealed (Peter Byrne/PA) (PA Wire)

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An urgent investigation is being called for by the Scottish Tories after NHS chiefs discussed the creation of a ā€œtwo-tierā€ health service which would charge the wealthy.

Audit Scotland have been urged to intervene after leaked minutes of a September meeting with senior health official say they were given the ā€œgreen lightā€ to discuss reforms by NHS Scotland chief executive Caroline Lamb.

One suggestion in the minutes, seen by the BBC, was to ā€œdesign a two-tier systemā€ which would see those who could afford to, go private.

Nicola Sturgeon quashed the discussion yesterday as she told the PA news agency she was ā€œemphaticallyā€ against the idea, stating the principles of the NHS were ā€œnot up for discussionā€.

Health Secretary Humza Yousaf also shot down the claims, which he described as ā€œabhorrentā€.

The leaked document also discussed sending patients home more quickly after treatment and pausing the funding of some new drugs.

It comes as the health service in Scotland faces crisis, with weekly A&E waits within four hours remaining significantly below the 95% target, at 65.3% on the week ending November 13.

Despite the Scottish Governmentā€™s moves to dismiss suggestions of a two-tier system, Tory MSP Craig Hoy has said the public need to know why such radical proposals were being debated.

He said an Audit Scotland probe is necessary to cast light on the ā€œcontroversy surrounding this meetingā€.

Mr Hoy said: ā€œNicola Sturgeon and Humza Yousaf may have been at pains to try to shoot these reports down but that should not be the end of the matter.

ā€œWe need Audit Scotland to investigate the controversy surrounding this meeting.

ā€œThe leaked minutes clearly suggest NHS leaders were given the green light to think the unthinkable ā€“ including patient charging.

ā€œWe must urgently find out why that was.

ā€œPresumably this came from the top and senior ministers gave the political cover to examine every eventuality to reform our NHS.

ā€œWe need to know if they are now speaking with forked tongues.

ā€œThis is a matter of huge public interest ā€“ and yet we have already seen the desperation of nationalists to close down the story, as the BBC were forced to defend even running it on Monday following a barrage of criticism.

ā€œOf course, itā€™s a reflection of Humza Yousafā€™s rank mismanagement of Scotlandā€™s health service that NHS leaders were forced to consider such unpalatable options.

ā€œRather than contemplating such a Doomsday scenario, Nicola Sturgeon should sack her failing Health Secretary and go back to the drawing board.ā€

The issue was addressed by Tory health spokesman Dr Sandesh Gulhane in Holyrood on Tuesday.

In response, Mr Yousaf said: ā€œIt is genuinely laughable that Sandesh Gulhane thinks this is a really good use of Audit Scotlandā€™s time, to investigate an informal meeting where one NHS chief executive was there.

ā€œAnd of course, as Iā€™ve said, it does not represent the view neither of NHS chief executives, nor NHS chairs, nor the chief executive of the NHS, nor the chief operating officer, and may I say, most importantly, by anybody in Government, because we are the ones of course who decide the policy of the NHS.

ā€œNo, I wonā€™t ask Audit Scotland.ā€

And he told Dr Gulhane that the threat of NHS privatisation comes from Westminster after Tory MPs were reportedly whipped to vote against House of Lord amendments to rule out potential NHS deals in the future.

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