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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 7 December 2025
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Displaying 654 contributions

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Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Good morning. I want to talk about the equalities impacts, which I asked the previous panel about. A moment ago, Lesley Blair talked about the number of women-led businesses in the industry and followed that by saying very firmly that safety is paramount. I would like to explore that balance a bit.

The previous panel was quite clear about the positive opportunities for people who provide such services and about wanting to ensure that there is still access to the services. It was a bit more difficult to draw out the disproportionate risks and harms that particular groups in our society might face at the moment. Do you agree in principle that a completely deregulated, free-market approach to the issue would reduce inequalities in business opportunities and might reduce inequalities in access to treatment but would massively exacerbate inequalities in relation to harm and risk? Do you agree with the Government’s position that the bill strikes the right balance in mitigating some of the negative equalities impacts? The Government’s view is that the positive equalities impacts from the bill would outweigh the negative ones.

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

I do not want to put words in everybody’s mouths, but it sounds as though both of the witnesses are saying that the equalities impacts of the bill lean more towards positive than negative.

One witness on the previous panel made the suggestion that, in addition, some people are having language accessibility issues in relation to the provision of available information, and one witness suggested that there could be improvements to mitigate any disproportionate risk of harm to people in that category. What are the present witnesses’ reactions to that? I will come on to the issue of age in a moment.

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

I am sorry that we cannot hear from one witness. Every witness is free to send us a written note after the meeting if there was something that you wanted to put on the record.

The Government asserts that mitigations to the potential negative impacts could be put in place. The Government’s view is that there is a positive balance between the positive and negative equalities impacts, but that there can be mitigations for the negative impacts. Will the witnesses comment on what mitigations they believe will be in place or ought to be in place to ensure that we get the maximum positive equalities impacts and the minimum negative equalities impacts?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Thank you, both.

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Finally, is Consumer Scotland confident that the approach that the bill proposes will reduce the disproportionate risk for people with, for example, low levels of literacy or other barriers to understanding what services are being offered, what they are being sold and what the risks are? Will the bill reduce that potential inequality of harm or risk that is being run by certain groups in accessing services?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Thanks very much. That is all from me, convener. Do you want to check one last time if Tina McCaffery’s audio has been sorted out?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Finally, let us turn to the issue of age. There seems to be a broad welcome for having an age limit of 18. I do not hear any dissent about that. However, judging from one or two of the comments that I have heard, there is a question mark over whether any additional safeguards are needed for younger adults—that is, people who are over 18, who are adults, but who may for one reason or another be particularly vulnerable to social media influence, coercion or the social pressures that drive people to access these services for the wrong reasons.

If we were talking about healthcare, I would say that I am a strong advocate of Gillick competence. The principle that young people—including those who are not yet adults—have the competence to understand decisions about their own lives needs to be respected on an individual basis. However, we are not talking about healthcare; we are talking about buying services. I am resistant to using the term “treatment”, which implies that it is treatment for a condition, as these services are on sale on a commercial basis. Is there a need for any additional safeguards for younger adults or for other groups that may be particularly vulnerable to those pressures and social influences?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Good morning. As the Scottish Government does with all legislation, it has carried out an equalities impact assessment. Several witnesses have mentioned that a great many of the businesses that would be affected by the bill are female led. Unless I missed something, that might be the only equalities impact that has come up in the discussion so far.

Aside from that issue about providers of services or the people running businesses, can you reflect on the range of equalities impacts in relation to people who access or buy services, whether those relate to gender, socioeconomic inequalities, disability or the impact on rural areas? In doing so, could you consider not only access to the services but safety and whether the attempt to drive out what some witnesses have described as rogue operators and to ensure a high standard of safety has a positive equalities impact for the particular groups that might have specific reasons for accessing the services that these businesses provide?

As I am not in the room, I will not point to anyone, so whichever witness wants to jump in will be very welcome.

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 2 December 2025

Patrick Harvie

Sorry, convener, but I would like to come back in, as neither of the witnesses who has spoken so far has touched on the second aspect that I raised.

The Government asserts that the equalities impact of raising standards and addressing the safety issues that particular groups who are perhaps more likely to access those services are currently exposed to will be positive. This touches a bit on the points that Brian Whittle raised about advertising. Advertising in its broadest sense and cultural pressures impact on marginalised groups, whether that is around gender norms or the way that gender norms can be racialised. Those issues might push people toward accessing services in different ways.

I encourage the two witnesses who have not spoken to touch on that aspect. Will the raising of standards have a positive impact, as the Government suggests, for disadvantaged, marginalised or other equalities groups?

Constitution, Europe, External Affairs and Culture Committee [Draft]

Legal Mechanism for any Independence Referendum

Meeting date: 27 November 2025

Patrick Harvie

Does anyone have the secret plan?