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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 July 2025
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Displaying 881 contributions

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Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Michael Matheson

I have nothing to add.

I move,

That the Health, Social Care and Sport Committee recommends that the Anaesthesia Associates and Physician Associates Order 2024 [draft] be approved.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

The reality is that about £1.3 billion is invested in mental health services. About £290 million of that is central funding from the Scottish Government, and that has increased—in fact, it has doubled since 2020-21. Over the course of the past two to three years alone, we have doubled the level of that investment and maintained it, despite the difficult financial environment in which we are operating. That has allowed a very significant expansion of mental health services in Scotland, and we want to sustain and maintain that. Over the course of the past couple of years, there has been a huge increase in the level of investment that we are putting into mental health services.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Michael Matheson

Yes, it is part of a long-standing piece of work that we have been taking forward with the UK Government. Back in 2019, the then Cabinet Secretary for Health and Sport signalled agreement with the UK Government that we should introduce legislation to regulate AAs and PAs. However, there were issues around the wider regulatory framework, which was part of that discussion, and with carrying out a significant review of the regulation of healthcare professionals. The view was that trying to do all that at one time would not be effective, because it was too complex, and it was decided to deal with the AA and PA aspect of regulation separately from the wider work on health regulation. That is a separate piece of work, which is why the AA and PA aspect is being dealt with through a standalone order.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

Through our medium-term financial framework—I think that we published that in 2022. Is that correct?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

We have already met that target—we are ahead of schedule on it by two years, I think. That has already been delivered within this parliamentary session.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

The staff are key to the health service, and it is important that we provide them with the financial recognition for the important role that they play. That is why, in the past financial year, we have progressed our agenda for change commitments; it also accounts for how we have engaged with staff on pay negotiations. The pay increase inevitably creates financial stress in, and challenge for, the system, but it is critical that we do that, because staff are key to the delivery of our health services. The increase will have to be met within the existing budget allocations that are set out in the 2024-25 budget.

On social care, a key aim of our additional investment of over £800 million in the past couple of years is helping to address the pay issues in social care settings. We know that pay is a major challenge when it comes to recruiting into social care, and we also know that social care is critical to the performance of our NHS. Therefore, if we want our health and social care system to function effectively, we must ensure that we provide resources where we can to pay staff for their important role. That is the approach that we have taken on negotiations and through the agenda for change programme in relation to pay for health and social care staff.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

Good morning.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

I do not think that you would ever get a cabinet secretary for health to say that they would not want more resource to invest in the health and social care system. In the light of our very challenging budget settlement, we have achieved the best possible outcome that we can for the health and social care budget.

Notwithstanding that, efficiencies and savings will have to be made for us to live within the budget settlement that we have and the growing demand that we face. I think that this is the best outcome that we can achieve in challenging financial circumstances; however, there will be continued challenges for the health and social care system even with this budget.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

One is continued investment in our NHS recovery, including in prevention, with a particular focus on primary care. Another is continued investment in mental health services, to ensure that they meet the needs of citizens across the country. Another is continued investment in social care, to ensure that we are doing everything that we can to give it greater resilience, particularly by way of recruitment into the workforce, which is critical to supporting our NHS.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Michael Matheson

I am sorry—I missed the first part of your question.