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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: 24 October 2023

Paul Sweeney

I appreciate those points. Please keep us updated on your co-design activity and whether you feel that it is useful and sufficient.

Do you feel that, once the charter of rights is codified—to a satisfactory standard, hopefully—it should in principle be on the face of the bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Paul Sweeney

Okay. Thank you for that.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

The point about continuous improvement, benchmarking and bringing everyone up to the highest common denominator is a helpful insight into the Government’s aspirations. However, an issue was brought up in discussion with the cabinet secretary. Last month, he told the committee that scrapping non-residential care charges by 2026 was not necessarily going to be achievable any more and it certainly was not going to be a key priority going forward. How does the Government propose to address the postcode lottery without scrapping non-residential care charges? Is that being considered in the development of the national care service?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 3 October 2023

Paul Sweeney

I am intrigued about practical realities. How do you pivot the healthcare system from current acute spend in hospitals towards preventative spend in communities? We spend more on acute hospitals than any other healthcare system in the developed world does. How do we shift the balance practically?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

Sorry. Unfortunately, I do not have control of my mute button. Apologies for that.

I will move on to proposals for delivery of services. We know that there is a postcode lottery in access to social care services. How does the Scottish Government plan to improve access in the new structure of the national care service?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

Could it be an option to have the initial codified version of the charter in the bill—even if it was added at stage 3—and then have provisions in the bill so that the charter could be amended in the future through delegated powers? That would at least make it a focus point in the bill. The NHS charter is very much the focus of the Patient Rights (Scotland) Act 2011, so it would be nice to have the charter feature as part of primary legislation for the national care service. Might the Government consider that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

That is very helpful.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 3 October 2023

Paul Sweeney

I thank the witnesses for their contributions so far. I want to turn to health and social care outcomes. Many written submissions to the committee have noted that the short-term nature of national targets is impacting on clinical priorities for investment. Decisions are often made to satisfy expectations in the short term, as opposed to the long-term impact of patient investment being measured. What are the panel’s views on alternative measures for monitoring performance that would allow for longer-term planning and more rational decision making on investments?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 3 October 2023

Paul Sweeney

Yes. Sorry about the delay; I was waiting for my microphone to be unmuted.

That point is fairly made. However, I recently met GPs in Glasgow who said that they are so focused on dealing with immediate clinical requirements, which are overwhelming, that it is just not feasible for them to have any head space or time to consider continuous or process improvement with their teams in practice. There is not the capacity or the space to undertake such activity.

That really goes to the core of the tension between short-term firefighting and longer-term continuous improvement. The biggest commodity in the NHS is, of course, time. How can we move the NHS, as what we might call a learning organisation, away from such firefighting and being in crisis mode into creating a space for continuous improvement and for workstreams that can help to drive activity? For example, is there an account management service, or do you bring in specialisms from other industries? For instance, many economists say that we should look to the aerospace industry for good examples on how to drive productivity.

The NHS is the single largest employer in Scotland so its approach will have an impact on our national performance. How can we move to getting the everyday economy in areas such as the NHS mobilised in the same way? How can we bring a culture of productivity improvement into the service? Have you ideas for how that could be achieved?

11:30  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

At what point does the charter become stabilised as a codified document? Is it the intention that it will be codified? You said that it is a fluid process, but clearly at some point it will have to be finalised, agreed and ratified by all the stakeholders. At what point do you envisage that that will happen?