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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 1119 contributions

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Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

Thank you.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

I have a quick question to put to Professor Bell. You note in your submission that the short-term decisions that IJBs make might reduce spend at the front end but can prove to be more expensive in the longer run, in the whole system. How can we ensure that IJBs make a fuller assessment of any long-term detrimental impact on health outcomes before taking such decisions on budgets?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

I thank the witnesses for their points so far. I turn to commissioning and procurement. What would promote a more ethical and productive approach to that? Is the current approach to strategic commissioning the source of the problem and does that need to be revised, or is it the processes themselves, or is it both? I invite the IJB leads to offer their thoughts.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Thanks for that point.

The Accounts Commission report highlights strong examples of innovation, but how could innovation efforts be better supported? Are there barriers to benchmarking, learning from other IJBs, levelling up—if you like—and promoting the best practice across the country as standard? How does that function at present? Are there too many silos and too much fragmentation?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

On the point about empowerment, how do you articulate the absurdity, if you like, of the decision that you are being faced with? How do you communicate that to the wider system? Is that something that we could improve?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

That is an interesting point. Some strong examples of innovation and efforts to improve the commissioning and contracting of services have been highlighted in the Accounts Commission report. How can those efforts be further supported and the pace of change improved? Are there practical opportunities to do that?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

I thank the witnesses for their contributions so far.

I want to turn to commissioning and procurement. How can we promote a more ethical and productive approach to those things? Is it the current approach to strategic commissioning that needs to be revised, or is it the processes themselves—or is it both?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

We have discussed the pressures on prevention. Given the financial constraints that GPs face, it is a challenge to reconcile the different elements, as has been discussed. Commissioning decisions are often based on which provider offers the lowest cost, but that can have a deadening effect on quality and innovation. The answer from the previous witnesses was to get more resource, particularly in rural areas, which can be quite challenging.

Do you have other views on how we can empower IJBs to look beyond cost and consider the longer-term benefits of investing in innovation and prevention as part of budget decisions? For example, in Glasgow, there was a decision to cut a transition from custody service, which will result in back-up in the prisons and cost the country more money in the long run. How do we avoid those short-termist reactionary decisions in future planning?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Noting Professor Bell’s point about resource, particularly in rural areas, does that drive towards lowest-cost tenders militate against efficiency and good-quality service delivery? Have you noted that tendency? Does that model of chasing the lowest-cost solution need to be changed?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Sharon, do you have any points to make?