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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 4 April 2025
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Displaying 1217 contributions

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Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 29 October 2024

Joe FitzPatrick

Gillian Mackay mentioned that she had spoken to young trans people, and that that was where some of her questions were coming from.

The Cass review was about children—that was the work that was done. There is, however, a concern from some young trans people that its reach goes further than just children, and that there have been policy decisions that affect those in the 17 to 24 age group. Have there been such policy decisions? It has been suggested that the Chalmers clinic has paused gender-affirming treatments for that age group. What is the decision-making process around that? Is there a policy change, and what can those young people expect for the future?

Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 29 October 2024

Joe FitzPatrick

Young people have said to a number of members that they have been told by the Chalmers clinic that there has been a pause on gender-affirming treatments. Is that not true, or is it something that you would want to go away and have a look at?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 8 October 2024

Joe FitzPatrick

I have two quick questions. First, does COSLA think that the bill will be improved by the stage 2 amendments, or will the amendments make it worse? Would you prefer the bill without the stage 2 amendments, which have not yet been passed? Secondly, have you done any work on amendments of your own that you might ask MSPs to lodge during the stage 2 process? We are in an unusual situation of having a pre-stage 2, which means that the amendments have been proposed, but have not been voted on yet.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

Can you just expand a bit on the differences between independent advocacy and independent advice? I think that it is a really important point.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

That is really helpful, thank you.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

My question was about pay.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

I will be quick, as we are almost out of time. I have questions on the national care service charter. Are there any thoughts on the charter and the co-design process—which is one thing that has been flagged up as a positive? If we are going to have a charter, should it be a living document that can include learning from experience of its working in practice?

I am also keen to hear any comments that folk have about a complaints process and what that might look like.

Katie, do you want to go first?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

My questions are on the national care service charter, to give you an opportunity to say something about that. What are your thoughts on the co-design process and whether the charter will be effective? I am keen to hear, too, whether you think that it might be good for the charter to ultimately be a living document that could develop as we get experience of the national care service. Finally, do you have any thoughts on what a complaints process for the proposed NCS might look like?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

Simon Macfarlane and Keir Greenaway suggested that one of the reasons for their opposition to the bill was what they described as a power grab from and a loss of local accountability to local government. Simon mentioned the Verity house agreement a couple of times. I note for the record that I was the minister who was responsible, along with the then Deputy First Minister, for taking forward that agreement.

One of the key aspects of the Verity house agreement is that the Government should not interfere in pay negotiations, which are devolved. How do we address the matter given that, on the one hand, you are saying that we should respect the agreement and that there should be local accountability, but, on the other hand, every time that there is a pay dispute, both unions come forward and say that the Government should get involved, which goes against what the agreement says?

I would also like a quick comment on the fact that, as MSPs, we frequently hear constituents complain about what they call a postcode lottery—that is, that care services are different depending on where you live. How do we balance that call by people who use the services across Scotland with your call for local accountability? Either Simon or Keir can respond.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

You are then asking for a national board with more powers. If power goes there, it must come from somewhere else—if it is shared—but you want it to be meaningful.