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Seòmar agus comataidhean

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 4 April 2025
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Displaying 310 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

James Dornan

In the process of your investigation for your report, did you come across a barrier to the idea of centralisation from vested interests? I do not mean that in a critical way—I mean the likes of people who are doing the job just now. Did you find that they are opposed to centralisation because they think that it might take away some of their influence and power, or think that it might damage the service?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

James Dornan

I was on a health and social care partnership when I was a councillor, and I saw the benefit of that joint working, although the silo mentality was still very strong then. I am pleased to hear that things have improved in the IJBs.

I have a question for Alison Keir. The bill is a framework bill, so you all have an opportunity to feed in what you would like to see and to co-design the service. You mentioned the specifics of different terms and conditions. Surely the bill will go some way towards alleviating the problems that arise from the staff of the two bodies having different terms and conditions.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

James Dornan

However, we are at the very beginning of the process. This is the time—

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

Thank you very much for the very helpful presentation, Dr Connon. I want to ask about eligibility. You seem to suggest that there is a balancing act here: either we make the eligibility criteria higher and give a better service or we lower them and have a lower than optimum service that extends to more people. What are your thoughts on that? Where do you see the balance being struck?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

I have one more question. Under the heading “Findings 3”, you say, pretty clearly:

“Increasing integration has had a relatively limited effect on reducing existing health inequalities to date.?”

Is that because there are different systems across the UK, with different amounts of funding—or lack of funding—going into them, or is it because the new system has not been running long enough, as is the case in Scotland?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

Thanks very much for that.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

I agree with everything that you have said. Data is the important issue here. We need to collate it so that we know what it is that we are facing and how we can improve on it. One of the things that we will be fighting against is what we saw with the named person legislation, which is that people are very unwilling for others to get the data that is required. How do we overcome that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

Thank you.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

It is about informal care expectations. How did you figure out the low, high and mixed levels of expectation? When you say that the expectation is low in the UK countries, I take that to mean that there is not an expectation that your family will look after you, but we all know of cases of families looking after people.

09:45  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 25 October 2022

James Dornan

I appreciate that, and I agree completely. However, that is what the named person legislation was meant to be about, but opposition to it was so great that we could not move forward. You are right—without that information, we cannot help people like the man you described.