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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

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Paul Sweeney

Thank you.

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Paul Sweeney

My view is that we are not bound to the petitioners’ specific ask, and an inquiry would give us a useful basis on which to roll the issues forward. We can still retreat from that. In my view, it is not a binary thing, in that we have to agree whether there should be an agency or not. We can certainly take on board—

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Paul Sweeney

When we had the discussion at the Citizen Participation and Public Petitions Committee, the petitioners were not committed hard and fast to the idea of an agency. They were happy to row back from that opening gambit. I do not know whether there are technical rules around this, but I would be content to keep the petition open with an understanding that we could look beyond the simple ask for an agency, because the issue is the concept of who has agency in the system.

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Paul Sweeney

If the impact of the petition is that the committee holds a related inquiry, it will have done its job in a way. In that sense, perhaps whether or not the petition is kept open is not such a big deal. I would be content to rest on that.

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Paul Sweeney

I have nothing to add.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Paul Sweeney

It is proposed that the patient safety commissioner for Scotland will be a parliamentary commissioner—in other words, they will be appointed by the Scottish Parliament, not by the Scottish Government. Is it preferable that the proposed line of accountability is to Parliament rather than to Government or the national health service as an institution?

I will bring in the front-line representatives on that, starting with Mr McClelland.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Paul Sweeney

I am thinking about the need for a combination of powers and the capacity to gather meaningful insights. Let us take, for example, the transvaginal mesh scandal, where the patient voice was ignored and not heard by the data collecting mechanisms in the Scottish national system, which meant that patients found themselves at a loss to express their concerns beyond petitioning Parliament—it was only then that an inquiry was pursued. Do you see the need to advise change in the way in which data is collected and managed? If you were hearing qualitative insights from patients, but you did not have the quantitative information to verify whether there was a wider national issue, would you be able to recommend that such information would have to start being collected at a certain point in the patient journey in order for us to understand over time whether there was a wider concern? Would you consider such a mechanism necessary?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Paul Sweeney

I want to pick up on the point about resourcing. Budget and head count are one thing, but understanding the competences that you need in the team is critical. There is a huge risk of data inundation and having to make sense of large volumes of information. Have you given much thought to how you can build a process that is resilient enough to draw meaningful conclusions from what is being fed into your office and how you process that? We have a major concern about how that can be managed by what is, initially, such a small team.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Paul Sweeney

That is helpful. It is a help to know about the line to the select committee, which is something that we can reflect on.

11:15  

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 7 February 2023

Paul Sweeney

Those were really important points about anticipating problems. Service design is done in the context of resource constraints. There is a finite resource that cannot neatly match increasing demand. Inevitably, decisions that are made will have safety implications. A recent example is that the Glasgow health and social care partnership has advised that, under the current settlement for local government, it will not be able to meet its statutory requirement for service delivery in Glasgow. There is clearly a patient safety consideration there.

Is there scope for the commissioner to have a role in assessing decisions within different public bodies about the potential impact on patient safety, and perhaps making a recommendation to Parliament on what the commissioner thinks is the optimum balance or solution in that context? It is not necessarily a patient referring an issue that they are reacting to; rather, it is anticipating the allocation of constrained resources in a difficult environment, such as the one that we are looking at now, in the budgets, and considering the impact of such decisions. The impact, for example, on discharges from mental health estates into more appropriate settings, is that patients might have to stay in hospital as opposed to being discharged.