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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 20 April 2025
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Displaying 986 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

Susan, you have pre-empted my next question, which is on the consensus that came out of the Feeley review. Given the nature of a condition such as MND, would you have preferred to see more action being taken more quickly on some of the issues that were raised in the review, particularly on the workforce, non-residential care charges and support for people and their families?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

Should there have been more co-design before the bill was introduced? What co-design would you like to see included in secondary legislation?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

I wonder whether I can briefly pivot to Cathie Russell on that question. She mentioned the Feeley review. Are there things that could be done now, outwith the bill, that would make a difference?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

Of course.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

Thank you; that is very helpful.

I move on to talk about the whole concept of care boards. Do you feel that there is still too little detail around what they will do and what their composition will be, including who will have the voting rights in them? I go to Dr Manji first.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

My question is this: if, for example, Mr and Mrs Smith decide to make a representation to an elected member, where does that responsibility sit most effectively and appropriately? I take your point, but I wonder about that more local focus.

Convener, if I may, I would like to move on to the points that Age Scotland made in its submission about aspects of the Feeley report that the bill does not cover. Adam, you alluded to the financial memorandum not correlating with what is in the bill. Are you concerned that things are being missed because they are not in the bill? I am referring to things such as free personal nursing care rates, the removal of non-residential care charging and the terms and conditions of social care staff. Should they have been in the bill in the first place?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

My next question, which is for Elinor Jayne, is on a broadly similar theme. Obviously, the scope of what is proposed has extended beyond what was in the Feeley report, and we have heard suggestions that elements of social work could go into the national care service. How would SHAAP feel about that, given the strong links between social work and support for those with problematic alcohol and drug use?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

Given your mention of resources, are you concerned about the resourcing of the national care service, given the Finance and Public Administration Committee’s concerns about the total cost as well as the concerns that have been expressed about the Scottish Government’s budget, which we will hear about later in the week?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

Good morning to the panel. I will pick up on what Adam Stachura said about the cabinet secretary’s accountability for social care. Would you contend that local councillors are not currently accountable in that way and that people would have a better chance of holding the whole system to account via the 129 members of the Scottish Parliament than they would through our hundreds of councillors? I have to be honest and say that it can be challenging for MSPs to hold health boards to account. In my 10 years as a councillor, I often found it easier to hold social care providers to account. Could you expand on that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Paul O'Kane

It was just about whether things could be done now in terms of the Feeley agenda.