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Displaying 1062 contributions
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
I should say that the national health service was dealt with in exactly the same way at its inception—there was a framework bill with regulations.
As Mr Balfour is aware—I will probably bore him by repeating myself from other committees here—the reason for doing it that way and using secondary legislation for a number of areas is so that we have the ability to change legislation much more quickly. One thing that we have found over the years in relation to our social care integration journey is that although—as I have said previously—we have put in place good legislation, we have been unable to amend that legislation when we have found out that there are flaws or loopholes that have not been right for service delivery. This approach will give us the ability to be much more flexible in making those amendments when we require to.
The use of secondary legislation is not quite as black and white as Mr Balfour said. As members of this committee well know, there are other alternatives when it comes to secondary legislation. As I have said to others, I am more than willing to consider how we approach that secondary legislation.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
Mr Balfour has heard me being questioned about such issues at other committees as well. As always, in any legislation in which I have been involved, I want to ensure that there is full collaboration, co-operation and communication at every stage. I will have an open door in terms of listening to what MSPs have to say and, of course, listening to what stakeholders and other people have to say about the bill.
I will outline the co-design stages, which I think are extremely important. There is understanding co-design, sense making, agreeing, drafting the regulations and consultation on those regulations. We have said that we want folk to be involved at every stage, and they will be. I am very sincere about all of that and, as I said, my door is always open in that regard.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
I have not made any comments about the Faculty of Advocates.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
I have read submissions from all organisations, Mr Mundell, but if you want me to reflect on those submissions at the moment, I cannot do so, because I do not have them in front of me. In all fairness, I think that you will understand that I cannot remember every single submission that I have seen.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
I will turn to Mr Richards to answer that.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
What I have said all the way through is that we will continue to listen to parliamentarians when it comes to the secondary legislation. Mr Mundell and others are used to the processes of primary legislation and making amendments at stages 2 and 3. I recognise that many folks are comfortable with all of that. That would not work with co-design—it would blow co-design out of the water.
We want to ensure that people are at the very heart of the shaping of the national care service. We want to ensure that we have the flexibility to make changes when they are necessary in what is an ever-moving world when it comes to the delivery of social care. As we move forward, I will look at any stage 2 amendments that are lodged and are within the scope of the bill and will, again, have an open-door policy so that I can discuss issues with members.
11:00Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
I disagree with Mr Mundell. This is the seventh committee that I have been at with the bill, so it has already had a fair amount of scrutiny. One of the things about this is the co-design process; what I have and want others to have is faith in the people and in the voices of lived experience of the carers and those who work on the front line, because they will help us to shape a service that is fit for the future.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
Thank you, convener, and thanks to the committee for asking me to give evidence today. Happy new year to all.
It is fair to say that the national care service represents one of the most ambitious reforms of public services. It will end the postcode lottery of care provision across Scotland and ensure that people who need it have access to consistent, high-quality care and support to enable them to live full lives wherever they are.
People who have experience of receiving and providing social care are clear that significant reform is needed, despite the changes that have been made over the past 20 years. We have excellent legislation and policies, but when it comes to putting them into practice, there is a gap.
The NCS bill sets out a framework for the changes that we want to make and allows scope for further decisions to be made in collaboration with the people who will be most affected by them. That flexibility will enable the NCS to develop, to adapt and to respond to new circumstances over time.
It is important that we start by establishing the principle of transferring accountability for social care to the Scottish ministers. The new system will be person centred, to ensure that the NCS is delivered in a way that respects, protects and fulfils the human rights of people who access care and support, as well as associated people such as carers.
We are fully committed to improving the experience of staff in the social care sector, too, because we recognise and value the work that they do.
Our co-design process will ensure that the national care service is built with the people whom it serves and those who deliver it at its very heart.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
Some committees have suggested that we could have done it the other way round, by having the co-design process first. My response is that that would have impinged on the folk who would have been involved in the co-design. The co-design work might have gone to waste, in people’s eyes, if Parliament then changed far too much of what the folks who helped us with the design wanted in place.
Therefore, I think that it is right to have the framework bill and its principles in place before we move it on through collaboration and co-operation with people in order to co-design that extremely important change to our public service delivery.
Delegated Powers and Law Reform Committee
Meeting date: 10 January 2023
Kevin Stewart
As I said, we are already at the beginning of the process. We have already done the workshops that I spoke about, and we will move forward and bring folk with us to get that right.
What guarantees do folk have that they will be listened to? They will be listened to. However, the committee will understand that not every single person will get what they want. We have to weigh up what is brought forward. That said, we must listen to stakeholders and to the voices of lived experience, and we must listen to staff.
Over the past year and a half or so since I have been in this job, I have spent a lot of time listening to front-line staff. I do not think that anybody on the committee would say that we do not value, or have not valued, front-line social work and social care staff in the way that we should over the piece. That is why fair work is at the very heart of this bill, which is about not only pay but conditions.
Another aspect is the things that we do not necessarily think about unless we listen to those on the front line. For example, we do not attract enough young people to work in social care; they do not see it as an attractive opportunity. That is not necessarily only about pay and conditions. A number of them have told me that it is also because they do not see career pathways. We therefore have work going on looking at what career pathways we can put in place to ensure that we attract folk for the future, and make it easier for folk to move from social care to social work or from social care to the NHS or the other way round, which is often quite an arduous process. As I said, by listening, we are coming up with new ways forward in order to get this right.
In order to have the social care system that we need for the future, there is absolutely no doubt that we have to make changes. We have to make changes on pay and conditions, career pathways and ethical procurement, and we have to value front-line staff more than we have done over the past few decades.