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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 3 April 2025
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Displaying 981 contributions

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Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Paul O'Kane

Your assessment is fair. There is a sense that there were challenges in relation to getting things up and running initially—for example, on proof of vaccination, which took a while to come on stream in a digital format.

You make an interesting point about that younger cohort. However, my sense from my inbox is that it goes across age ranges—people have a real desire to have things in one place, such as in one app, particularly when it comes to their vaccination status. There have certainly been issues around where people can book vaccinations and so on. Covid has brought all that to fore.

There is ambition to bring those seams together and to have that one-digital-door approach. More broadly, it is also about how we access services. The question is how we bring all the parts of that together. Is there an ambition to have a one-door app that would allow us to access our medical records if we require them and also to use services? That might be Jim Miller’s bailiwick.

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Paul O'Kane

Good morning. Obviously, primary care is very much in focus at the moment, particularly in the context of the pandemic. However, it is fair to say that there has, over many years, been commentary that the data in relation to primary care, and an understanding of who is using primary care and where the trends are, have not always been good or available enough. As an overview, will the witnesses outline what information about primary care activity and demand is currently publicly available?

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

I am verbose if nothing else, minister.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

The point has been made about accountability. We have had structural change already in social care with the introduction of integration joint boards and seven years, I think, of work on the integration of health and social care that has not yet been well analysed.

Local authorities are concerned about the changes that are proposed to accountability, because it will move to ministers rather than being with them. It would be helpful for the committee to understand what discussion is going on with local authorities about their role. COSLA has been critical of the proposal, so it would be useful if the minister could explain what discussions he is having before we get to the publication of a bill.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

I appreciate that the minister touched on suicide prevention in his earlier answers, which were very informative. Currently, Scotland has an increasing suicide rate. When we take that as a comparator across the UK, we see that our rate is higher than those in England, Wales and Northern Ireland. Are we engaging with other parts of the United Kingdom to understand their experience and what has been done in them? How can we share best practice? Notwithstanding the work that is already being done, I think that we can learn from other people.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

All of us on the committee would want to associate ourselves with your comment that one suicide is one too many and to welcome any decrease in the figures.

On “Scotland’s Suicide Prevention Action Plan: Every Life Matters”, the outcome of the review in March was that progress was perhaps slower than expected in some areas. Indeed, I think that you alluded to the need for us to go further and do more. Notwithstanding the challenges that we have all experienced through the pandemic and lockdown and the fact that they have exacerbated the situation with services and people’s lived experience, I am keen to understand how we will drive towards the plan’s very ambitious target of reducing the rate of suicide by 20 per cent by 2022. How achievable is that target? What further actions need to be taken to reach it?

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

I will be brief, convener. I just want to welcome the minister’s comments about grass-roots organisations in communities, which I think all of us will have experience of. Does the minister feel that there is space to fund some of those organisations at a more localised level and move that sort of thing forward where required?

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

I declare an interest as a councillor for East Renfrewshire.

I think that this is the first time that the minister has had the opportunity to talk about the national care service with the committee and I am sure that it will not be the last as the proposal progresses in legislation.

We are coming to the end of the consultation phase and I want to start my questions by asking about scope. The scope of the Government’s consultation goes further than Feeley did. There has been a degree of commentary about that. For example, Fiona Duncan, chair of the Promise Scotland, said that she was puzzled as to why children’s services were in the consultation and she expressed some concerns about how we deliver the Promise if it becomes part of the national care service.

I was at the cross-party group on learning disability and lots of folk were concerned about the consultation’s scope and the particular needs of adult social care getting lost in that. What was the rationale for arriving at the scope in the consultation and why does it go beyond Feeley? How do you envisage the bill in comparison to the consultation, once we have processed the responses? I appreciate that there is a lot in those questions.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Paul O'Kane

I thank the minister for that response. I am sure that he will be keen to come to the cross-party group on learning disability as well, so I will book him in for that.

The minister said that people want change. My experience from talking to people is that there is a desire for change but it is perhaps about cultural change rather than being solely focused on structural change.

My next question is—

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 9 November 2021

Paul O'Kane

Yes, thank you for giving us more time, minister. We have had a meaningful discussion about public health and the huge amount that needs to be done. The narrative of a public health Parliament has permeated the discussion.

We are dealing with Covid-19 and its far-reaching impact. In the next part of the meeting, we will hear about the pressures on our NHS as we approach the winter. How can we address the wider public health challenges, which have been exacerbated by the pandemic, while dealing with the huge challenge of remobilisation and getting the delivery of acute services, in particular, back to the right level?