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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 22 April 2025
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Displaying 1119 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Paul Sweeney

A key component of what is proposed in the bill is the charter of rights, which has been mentioned in recent comments. Does the charter need to be on the face of the bill? Can it not just be subordinated to secondary legislation? Maybe Dr Elder-Woodward has a view on that.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Paul Sweeney

That is helpful; thank you.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Paul Sweeney

Thanks for that. Lilian Macer, do you have thoughts on the charter?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Paul Sweeney

There is an issue around preventative care, which is mentioned in the policy notes. It is concerning that the drumbeat for a routine check-up will slip from six-monthly to yearly. What modelling have you undertaken to assess the impact on overall oral health in the population?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Paul Sweeney

I thank the panel, in particular the minister, for coming today.

The changes that are coming in on 1 November have caused some confusion and concern among patients, which has been communicated to us. What support is the Scottish Government providing to dentists to respond to an influx of concerned inquiries, and what public messaging and information are being provided to assure people that the change is nothing to be overly concerned about?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Paul Sweeney

Our notes say that delayed discharge has cost the NHS £190 million in the past year. That is clearly an opportunity cost. A lot of it is to do with the lack of efficient integration of healthcare with social care and hospice care. Do local authorities receive sufficient financial resources to deal with social care and efficiencies in the here and now?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Paul Sweeney

I also want to raise a concern that the British Dental Association raised, which was about whether that approach is sufficient to narrow inequalities. My recent experience of trying to get an appointment for a check-up in my practice, which is probably in one of the poorer districts of Glasgow, is that it was very difficult, because the permanent dentist has left the practice, which is now using locums.

With regard to patients’ oral health, the change of wording in the regulations from “securing and maintaining” to “managing” arguably places more responsibility on the patient for their oral health. We know how difficult it is to rebook appointments when they are cancelled, and the appointment could slip. That could be even more complex for people who have poor mental health or chaotic lifestyles. Has the Scottish Government anticipated that risk? If so, what plans and measures are in place to mitigate it?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Paul Sweeney

I thank the witnesses for their contributions so far. The minister gave evidence to the committee prior to the October recess and her officials confirmed to the committee that the co-design process for the charter of rights is still on-going. Have any of you been involved in a specific example of co-design in relation to the bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Paul Sweeney

Do you feel that such an inherent part of the legislation and such a critical part of the ethos of how it will operate should be formed as a product of co-design with local government? Should that be a principle?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Paul Sweeney

I appreciate that outline and your helpful explanation of the complex interfaces between the acute hospitals and social care settings. The fixation on delayed discharge might be to do with the fact that it is a clear measurement, whereas something such as avoidance of hospital admission is harder to quantify in firm numerical terms. That is a fair challenge.

However, I highlight the fact that Scotland’s acute hospital expenditure relative to expenditure on the healthcare system overall is probably among the highest in the Organisation for Economic Co-operation and Development. How do we pivot that back towards a more sustainable ratio that is more in line with OECD averages? How will the health and social care integration that is proposed through the national care service help to improve processes such as design processes, and to improve integration by pivoting the system away from the acute hospitals and more towards community settings?