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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 5 May 2021
  6. Current session: 12 May 2021 to 2 July 2025
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Displaying 846 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Stephanie Callaghan

One of the barriers to that seems to be the idea of incorporating community health primary care services and taking that kind of public health approach. If we are saying that no health staff will be transferred into the national care service, can that really be achieved?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Stephanie Callaghan

I am grateful to you for allowing me to come back in, convener.

Minister, last week, we had Mark Hazelwood from the Scottish Partnership for Palliative Care, who talked about the fact that not everybody will recover and that one in three hospital beds is used by someone who is in their last year of life. The partnership would like two specific things to be included in the bill. It wants to have something in the bill about people with irreversible health conditions through illness or old age and who are approaching the end of life. Secondly, the partnership wants something about interventions that are about preventing or delaying the development of care needs and reducing care needs and support for those with irreversible health conditions. It feels like end-of-life issues are not included in the bill, even though that is something that we will all face at some point, and the issue is becoming larger proportionately as the demographics change.

Will you consider changes to the principles of the bill to include end-of-life issues?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Stephanie Callaghan

I have another two, so do not take too long.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Stephanie Callaghan

On that, the concern seems to be that there is not really any mention of community health services in the bill. Does that need further consideration? Where exactly are you with that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Stephanie Callaghan

Will you give us a couple of examples of the type of detail that you would like to see?

10:00  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Stephanie Callaghan

I will wind back a bit. How do we ensure that people who are receiving support are kept central to the evaluations that we are talking about? Would the national performance framework be helpful, and would it be part of that in your view?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Stephanie Callaghan

My first question is to Henry Simmons and Dr Manji. Are there parts of the bill that you would like to be enacted immediately and are there other provisions about which you think that more time should be taken to co-design them?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Stephanie Callaghan

I was panicking there, convener, because I have two questions.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Stephanie Callaghan

My question is for Mark Hazelwood, too. Palliative care brings so much comfort and reassurance to families—in fact, it is priceless—but how well are things working in relation to keeping people at home as much as possible? You talked earlier about one in three hospital beds being used by someone in their last year of life and increased admissions and discharges. How can we improve that situation, and how could the national care service help in that respect? I am wondering about the ability to quickly step up and step down care at a local level. What are the important factors that should be considered?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Stephanie Callaghan

Yes, and then I have a quick follow-up question.