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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 20 April 2025
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Displaying 671 contributions

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Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Gillian Mackay

Good morning. I feel that we have talked about data for years—what we should be collecting, what we are not collecting and what we could be collecting. Is it the case that, sometimes, we need to talk about collecting different data, rather than simply more, and joining it up to ensure that it covers priorities across health and social care as a whole, to deliver outcomes for people as a whole? How do we get there from where we are now? What do we need to encourage IJBs and others to do to ensure that we can get to that reality, where data can be used in a rounded way?

I see Michael Kellet nodding, so I will pick on him first.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Gillian Mackay

Good morning. According to the stakeholders whom the Accounts Commission spoke to, current data does not provide good evidence across the whole system or show how one part impacts another, and data does not help to inform improvements for better outcomes. There is too much focus on data that is used by individual bodies for their governance and operational purposes rather than on collective and joint priorities, and there is no whole-system approach to performance management and reporting. Given the variability in the capacity of IJBs, what can be developed to guide data collection and reporting to enable more accurate comparisons and benchmarking and to move towards a whole-system approach to performance management and reporting?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Gillian Mackay

I absolutely agree.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Gillian Mackay

You mention the different layers of delivery. Policy can be quite inspirational and forward looking, but by the time you get through all the layers, a change in interpretation can suddenly take things away from what the initial policy set out to do. That is probably what we are hearing from people in relation to some of that local variation. How do we pull that back into alignment? How do we make sure that the initial ethos of that self-directed support being the primary delivery model for social care—it is still not well understood that it is the primary delivery model—aligns neatly all the way down the structure, rather than what we are seeing at the moment with that interpretation knocking it out of line in different places?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Gillian Mackay

Self-directed support has, understandably, been implemented alongside other pressing issues. Some believe that that has affected its prioritisation. How can we better manage and align the implementation of SDS with other legislative and policy demands to ensure that it receives the necessary focus and resources?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 18 June 2024

Gillian Mackay

Yes—that variation is regularly brought to the attention of MSPs.

Did most of your study’s recommendations concern implementation? Were there conclusions around the need for the 2013 act to be amended? What are the top findings from your study that the committee should look at in order to bring about improvements?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 18 June 2024

Gillian Mackay

Yes—it does.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 18 June 2024

Gillian Mackay

That is really useful—thank you.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 18 June 2024

Gillian Mackay

Yes.

09:30  

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 18 June 2024

Gillian Mackay

My next question is for all the witnesses.

Local authorities collect data and all of you collect data—there are layers and layers of organisations collecting data from service users, and they are not always joining up across the piece in order to gain a wider overview. Should we be gathering additional data or evidence, or should we just join up all the information about the outcomes for individuals that is being gathered by various organisations in order to get that bigger picture?