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Seòmar agus comataidhean

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: 3 October 2023

Paul Sweeney

That is reassuring. Thank you very much.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 3 October 2023

Paul Sweeney

Thank you for that. Do you feel that lean improvement—continuous improvement—is very much driven from the ground up, and that it is often the innovators on the front line who have the best insights on what we need to do to improve productivity and efficiency?

With that in mind, do you feel that we could do more on continuing professional development, even looking across to different Scottish Government agencies, such as Scottish Enterprise and the Scottish manufacturing advisory service, to teach tools and techniques that could allow more practitioners in the national health service to identify opportunities where there is waste and where efficiencies could be achieved? In that way, we could start to develop those ideas organically and move them forward.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

I think that it does, and it brings us neatly on to the point about the charter being critical; it will be the linchpin of how the service will operate. There was a bit of dispute about having the charter in the bill. Will that opportunity be taken now, given that a draft has been produced and has gone out to consultation as part of the co-design process? Will Parliament be able to have sight of that and to codify it? Is it the intention of the Government that the NCS charter and the workforce charter be in the bill?

09:45  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

Thanks to the panel and the minister for attending today. There has been confusion about what co-design means and how it differs from consultation, so could you clarify exactly how much influence the learnings from this summer’s forum events will have? Are they geared towards how the national care service will operate in relation to the processes and procedures or the design of individual services in specific areas or in the territorial boards?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

Okay, thank you. My next question is also on the co-design process. There have been a lot of regional events to ensure that there is geographic coverage, but what other methods did you undertake to ensure that as many different stakeholders—underrepresented voices, in particular—as possible were given sufficient opportunity to input to the process?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Is a big institutional culture change still needed in Scotland? I know, for example, that when the unofficial overdose prevention pilot ran in Glasgow, the dean of the medical school at the University of Glasgow wrote to the students who were volunteering on it and said, “You’re jeopardising your GMC registration as doctors. Desist from doing this.” People were threatened with losing their jobs with third sector providers for volunteering and participating in those activities. Is there still an instinctive risk aversion from a lot of third sector and public sector bodies about engaging in MAT provision?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Thank you.

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Thank you—that is appreciated.

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

I thank the witnesses for that insight—it really helps to inform us.

It is interesting to reflect on the interface with the previous theme that we discussed, on supply chains. Throughout the 1990s, the national health service routinely prescribed benzodiazepines, and then there was a sudden pivot point in the early 2000s. Prescribing has since been restricted, thus seeding an illicit supply chain, which has caused significant problems, as you will be aware, and has driven the issues with drug-related deaths.

The June figures demonstrated that a third of alcohol and drug partnerships have failed to implement the first five MAT standards and we have covered some of the broad reasons for that. Does the overdose prevention pilot in Glasgow present a potentially novel interface for looking at how to improve MAT standards and provide an integrated interface for people to access care? It is about people transitioning from street-bought drugs into a more controlled MAT environment and so not relying on dangerous drugs that are supplied by organised criminals.

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Fair enough. Does anyone have an insight on that potential interface?