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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 5 April 2025
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Displaying 986 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Paul O'Kane

A number of witnesses have commented on the potential for alternative pathways to increase—[Inaudible.] We have heard that in many of the answers.

I want to get a sense of the mitigations that we can put in place. We have heard about some of those, particularly digital mitigations, although it is still not clear how we can ensure that people have digital access. That is a bigger question and goes beyond health. Do the witnesses have ideas about any mitigations that could be put in place immediately?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Paul O'Kane

Yes. Thank you, convener.

11:15  

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Paul O'Kane

Margaret McKay’s observation was helpful, because public transport is a key issue in reducing isolation. However, does anyone else have a reflection on the digital element? We see challenges with library services and other places where people normally access IT if they do not have regular access. Obviously, the situation has been compounded by the pandemic, but there are challenges with the availability of services that are run by local authorities. Macmillan Cancer Support offers a cancer service in many libraries, which is helpful and welcome. Do we need more engagement with library services and more funding for them, perhaps from the health stream, to support libraries as hubs?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Paul O'Kane

Good morning, panel. The theme that I am focusing on is the patient perspective. You have already said a lot about that in your answers, which is most helpful, but perhaps I can drill down a wee bit into what patients said in response to our call for views. One thing that they highlighted is a negative perception of reception teams in general practice. We can all probably relate to some of that. When we consider people’s attitude towards those staff, they are often seen as gatekeepers or, negatively, as barriers to seeing a GP, which is often wrong.

How can we communicate better on the triage pathway that now exists in many practices? Triage pathways are perhaps clearer in emergency medicine than they are in general practice. I am keen to understand your experiences of that and how we can continue to communicate with patients.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Paul O'Kane

That was a helpful answer. You mention how to create space for training, perhaps by diverting people to other pathways, and NHS 24 having a bit of a support role. What are your experiences of things like NHS 24? I know that people are directed there more often as an alternative to presenting at accident and emergency but, in the past wee while, we have seen frustration with the accessibility of that service, with 240,000 unanswered calls in a two-month period. The convener mentioned frustration with phones ringing out at GP surgeries, too. Are our alternative systems for phone advice up to par and able to support people?

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Paul O'Kane

I will follow on from many of the points that have been made. Alison Douglas talked about the importance of reporting. Other witnesses talked about knowing what is working. In September, I asked the minister about alcohol and drug partnership reporting. Previously, we broke down information on the granular spending for ADPs by IJB. That certainly happened in 2016-17 and 2017-18, but we have not had that level of detail since, so is there enough certainty on funding to measure how effectively approaches are working?

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Paul O'Kane

I mean certainty that funding is available and that we are not seeing gradual cuts or more top slicing, which has been referred to. From that, how can we measure the effectiveness of the interventions that the spend pays for? Does that make sense?

Health, Social Care and Sport Committee

Social Care

Meeting date: 22 February 2022

Paul O'Kane

My follow-up question is about next steps. Some of the respondents have asked for a clear road map for how we are going to get to the legislation and for implementation. Annie Gunner Logan has talked about addressing some of those points. Are people keen for the short-term solutions that we have just talked about to be set out clearly, as well as the longer-term piece of work?

Health, Social Care and Sport Committee

Social Care

Meeting date: 22 February 2022

Paul O'Kane

We now have the analysis of the responses to the consultation on the national care service. There is obviously a clear degree of support for moving to a national care service, but much of the information in the analysis poses more questions. It is quite interesting that 33 per cent of respondents said that they were dissatisfied with the consultation process. I am keen to get a sense of your and your members’ experience of that process, but also of the next steps that you would like to see as we go into the longer-term work on the national care service.

Health, Social Care and Sport Committee

Health and Wellbeing of Children and Young People

Meeting date: 8 February 2022

Paul O'Kane

I have a technical question about Barnett consequentials—in particular, the Barnett consequentials from the UK council tax rebate and their most effective use in relation to the cost of living. What is the Government’s view on how they will be used? Are there plans in place?