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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 19 April 2025
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Displaying 759 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Tess White

Cara, one person contacted the committee to say that they feared that their unwell mother’s 24/7 care responsibilities for their father would kill her, but she has been told there are no residential care beds due to lack of funding. Given that the national care service is now running behind schedule to allow for further consultation, what would you like the Scottish Government to do in the interim to improve social care and increase capacity?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Tess White

Lilian, what are your key concerns about the current and immediate issues in social care and support provision, such as staffing and capacity?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Tess White

I can. Thank you, Dr Elder-Woodward.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Tess White

Thank you, convener. I have a question for Dave Moxham, one for Cara Stevenson and one for Lilian Macer, if I may.

Dave, you made some criticism of the sector’s current organisation. To what extent are your members confident that the National Care Service (Scotland) Bill will provide a suitable framework for a robust and sustainable social care and support service?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

Professor Sengupta said earlier that it will be real only if we can pay for it. We have talked about the balance between the one-size-fits-all approach and variety. The one-size-fits-all approach is a lower-cost model, but when you add variety you add complexity and cost, so you cannot have both. I realise that that is a dilemma. With the NCS, we started off talking about a one-size-fits-all approach, but we have now moved completely to a different model—I could say that it is a fudge, but we are saying that we will have variety and we will individualise, but that has a huge cost.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

I have a final question. What difference will the single capitation arrangement make to patient access and treatment options, and how will you assess the impact of that change?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

It does. I have a quick follow-up question. At a previous committee meeting, we heard about the model that is used in Shetland. The minister said that it is a great model, so let us use that as an example. Hypothetically, if Shetland’s model was a great one to go for and there was a one-size-fits-all approach under the new national care service, local authorities would be forced to apply a model from another area, so costs would increase. Is that a major concern? How would that be managed?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

My point is that you cannot have both. Your point was that it is not real if we cannot pay for it, but the new model talks about variety and individual needs, while the one-size-fits-all approach is a low-cost model.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

How satisfied are COSLA and the local authorities that the new agreement has addressed the issues that councils raised?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

Mr Follan, does the sharing of legal responsibility between the Scottish Government, the NHS and local authorities blur the lines about who is accountable when services are not delivered adequately?