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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 759 contributions

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Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

My first question is to Caroline Cameron.

With the funding gap for IJBs set to triple for 2023-24, it is clear that they are facing an alarming financial crisis. What is the impact of those intense budgetary pressures on the delivery of primary care services, including phase 2 of the 2018 general medical services contract, which has still not been delivered?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Professor Bell, thank you for your written submission, which I found particularly helpful. You highlight the Scottish Fiscal Commission’s concerns over the financial impact of the Scottish Government’s public sector pay assumptions. Can you talk us through the anticipated impact of the in-year budget cuts for IJBs that you outline in your submission?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

I will make a comment rather than ask a question, as I know that we will cover data later. If you are talking about improving performance, it is almost about doing more with less rather than saying that there is a fundamental problem with the assumption on staffing.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Thank you. That is very helpful.

My second question is for Pat Togher. The Accounts Commission report highlights that IJBs were intended to shift the balance of care out of hospital to the community, but that has not happened in practice, and we are seeing decreased funding and decreased patient satisfaction instead. With the significant budgetary shortfalls, do you believe that it is still possible to achieve that shift?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Thank you. This is my third and final question. You talk about the cost pressures of providing care in the community. What do you anticipate the impact of the Scottish Government’s in-year budget cuts will be? We will start off with Sharon Wearing, then maybe the other panel members can give a view.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

But you cannot manage what you cannot measure. If you do not have the data, you cannot measure it. How can you improve the data if you do not have it?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

I just have one question on the next section, which is about national consistency. Joanne Finlay talked about funding of £3.69 million. Will the additional funding in the social care budget be ring fenced so that it directly supports activities that improve capacity and the ability of local authorities to offer the good outcomes that have been promised?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

How can you do that if data does not come forward to Public Health Scotland? You cannot improve the data if some local authorities are not providing it. We have struggled with the data. We had a whole session on it last week. The data is not there. It is not being provided. How can you give local authorities the resources to implement options 2, 3 and 4 if you do not know what options are being delivered, where they are being delivered, or why they are not being delivered? That is what I am struggling with.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

I think that people just want the resources to get it in place. May I go on to the next section?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

Good morning, minister. A stakeholder in the social care sector shared with me that SDS has not

“been the opportunity so far that has fulfilled its promise.”

You have alluded to that this morning. She said that

“social care is rationed heavily”,

that

“a new case can only be funded when one person no longer needs it”,

and that the

“number needing support is growing.”

I recognise that you have said that you acknowledge that, but do you accept that, in principle, the resources are not in place? Why not put that right now and get accurate data before overlaying additional complexity?