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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 4 May 2021
  6. Current session: 13 May 2021 to 12 November 2025
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Displaying 1219 contributions

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Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Paul Sweeney

Is there a balance to be struck around the clinical nature of diagnostic pathways? Are there examples from around the world of alternatives that could offer a better structure for Scotland?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Paul Sweeney

Are you aiming to get a clear picture of what the national baseline should be and of how each local authority or integration joint board is performing against that national baseline? Is that your ultimate goal as minister?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Paul Sweeney

We have heard from various stakeholders that support, information and resources are highly variable, particularly for neurodivergent people who are waiting for a diagnosis. To judge by the experiences that we have heard about, that seems to be a bit of a doom loop. We know that support should be available without the need for a diagnosis but, in practice, someone cannot get support without a diagnosis. We know that, for example, education authorities often use diagnosis as a gate-keeping tool in order to ration resources in the context of funding constraints.

How does the minister propose that we address that doom loop, which is a fundamental problem that repeatedly comes up as an issue? How do we open up a much wider discussion on the lack of support for neurodivergent people across the NHS? At the very least, we should be signposting people to the relevant support while they are waiting for a formal diagnosis.

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Paul Sweeney

The organisation child heads of psychology services in Scotland made the interesting point that there are areas of good practice. In its submission, it identified NHS Lanarkshire and NHS Lothian as having

“developed a bank of digital resources offered to those waiting to be seen, however this is not the case across the country”.

Do you share the view that a once-for-Scotland standard should be adopted? Do you agree that there should be rigorous benchmarking against good practice and that approaches should be brought under a national standard?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Paul Sweeney

Will you elaborate on your point about how we ensure that that is delivered? What mechanisms are at your disposal in the civil service to benchmark, assess and hold accountable authorities for not complying with standards?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Paul Sweeney

Where have you seen it done well?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Paul Sweeney

Does anyone else on the panel have anything to say on the issue of funding optimisation in an organisation?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Paul Sweeney

Thank you, Dr Srireddy. Does anyone else have any comments on that issue or suggestions for organisational improvement?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Paul Sweeney

Good morning. It has been really insightful to hear what our witnesses have had to say about some of the absurdities of the current system and how it militates against good patient outcomes and good outcomes for public resources.

One of the recurring themes that the committee observes concerns the disconnect between national priorities for the healthcare system and localised funding decisions that are made by integration joint boards and health and social care partnerships around funding for autism and ADHD services. Do our witnesses have any insights, recommendations or perhaps wisdom to share from their professional experience about how we might get to a situation in which local services have stable funding that is also modelled to support good patient outcomes and better use of public resources than we see in the current, inefficient model? What could we do to improve it?

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

Reducing Drug Deaths and Tackling Problem Drug Use

Meeting date: 2 October 2025

Paul Sweeney

Thank you for your initial comments, Dr Priyadarshi. It is promising to hear that there has been an uptick in the patronage and use of the facility over the past six months or so.

I want to establish some of the trends that you mentioned around cocaine injection, because you said that 70 per cent of injection episodes were related to cocaine. Can you comment on the typical pattern of behaviour for cocaine injection, particularly the frequency of the episodes relative to heroin and how it presents? Is there a greater frequency of injecting as a result of cocaine use?