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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 9 January 2025
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Displaying 1041 contributions

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Local Government, Housing and Planning Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Kevin Stewart

Some of the same things were said just before we moved to integration joint boards. It was said at that point that many folk might choose not to stand for local government. I have no evidence of that, and it would be difficult for me to judge the position in other parties. Even with those changes, from the perspective of my party in my neck of the woods, more people have come forward to stand for election. Of course, that means that there will be much more choice as we move forward.

I have no evidence that the removal of social care from councils would be a barrier to people standing for local office. The same things were said previously, and I have seen no change. In fact, the opposite is the case.

11:30  

With regard to your previous question about the charter, I have found the relevant bit of my notes. As you can imagine, I have piles of documents in front of me. The national care service proposals are fully compatible with the articles of the European Charter of Local Self-Government. The charter clearly states that, when responsibility is allocated to another authority, the extent and nature of the tasks concerned and the requirements with regard to efficiency and economy should be weighed up. As the committee is well aware, the independent review of adult social care was clear about the need for a national care service, given the extent and nature of social care. I hope that that is helpful.

Local Government, Housing and Planning Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Kevin Stewart

I disagree completely and utterly because we are not setting up a quango; we are setting up a national care service for the good of the people of Scotland. I return to my earlier points around and about the huge opportunities that we have to get delivery right for the people of Scotland. The main reason for doing this is to ensure that we have a care system that is person centred and has human rights at its very heart. We need national high-quality standards, as I have said before.

We also need to sort out the accountability aspect. It has come out loud and clear from people that that is not right and that, in many cases, we are not serving them well. We need to deal with that.

From a union perspective—I declare an interest as a member of Unison—this is the greatest opportunity that there has ever been to get it right for the social care and social work professions, because of the opportunity for national sectoral bargaining to put right pay and conditions and, as I said previously, to create the right career pathways for folk. That will attract young people to the profession, which is not easy to do. One of the biggest takeaways that I have had from the young people in front-line social care and social work whom I have spoken to is that they want to see career pathways.

It has not yet been mentioned this morning, but this gives us the opportunity to embed ethical procurement in all that we do and to put fair work at the heart of it. I recognise that some people see negatives in what we are doing. There are always vested interests, but I ask that we balance that out with the needs of the people. I ask not only that we listen to the folks who are giving negative evidence—although it is not wholly negative, because almost everybody says that we need a national care service and that we need change—but that we look at the positives in all this and, in particular, listen to the voices of lived experience.

Local Government, Housing and Planning Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Kevin Stewart

If anyone was transferred in relation to the aspects that I laid out earlier, the local care board would be the employer. I do not think that the setting up of the national care service is a leap of faith at all. I think that it is the greatest opportunity for the social care and social work workforce that there has been for many years. It gives us the opportunity for national sectoral bargaining, which does not currently exist. It gives us the opportunity to drive up pay and conditions and to put in place career pathways that many young folk in social care and social work do not think exist at the moment.

When change is proposed, we are always likely to get the negatives first. However, from a workforce point of view, the national care service probably represents the greatest opportunity that has existed for the profession for a very long time, if not ever.

Local Government, Housing and Planning Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Kevin Stewart

As I said earlier about the local government workforce, I do not envisage there being a huge transfer of staff from local authorities to local care boards. Obviously, there will be discussions about that in the co-design process, but I see no reason for that to happen—unless, of course, a local authority chooses not to deliver care any more, which I cannot see happening. I do not envisage the transfer of a huge number of staff from the third sector to local care boards, either. I want to be very clear about that.

I say to Mr Briggs and others that, as part of my job, I see it as being absolutely at the top of the agenda to listen to the voices of lived experience, but also to speak to front-line staff. I have been open with front-line staff about their ability to speak to me and officials directly, and I have gone out of my way to hear views. At a recent meeting of the cross-party group on social work, for example, I made it clear that social workers should be telling us what they need, what change they want to see and what would make their jobs better. That is the way that we intend to proceed and that is the way that we will continue to operate as we move forward on that front.

Local Government, Housing and Planning Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Kevin Stewart

Absolutely, Mr Coffey. I have spent a huge chunk of the past 18 months listening to people and what they want to be changed. Some of the stories that I and my officials have heard are particularly galling; we have heard about problems that have reached crisis point because people have not been listened to at the right time, which is wrong. That is my point about the implementation gaps that have developed when changes have taken place previously. If there is one thing that I am absolutely adamant about, it is that we do as much as possible to get rid of those implementation gaps, because we cannot afford the amount of money that we are spending on crisis and we cannot afford the human cost of not getting it right earlier. That is why national high-quality standards are so important in all this.

We will continue to have local accountability, local flexibility and local design of services, but that must match up to national high-quality standards. We cannot afford postcode lotteries. Mr Coffey represents East Ayrshire where care delivery is very good, but I want everyone across the country to be able to expect that level of service and beyond. There are worries in certain quarters that, in all that we are doing, there might be a move backwards in certain places. That will not be the case. We must drive up the quality standard of care delivery right across the board.

Local Government, Housing and Planning Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Kevin Stewart

The national high-quality standards will go a long way in reaching consistency. Beyond that, we have other pieces of work going on with voices of lived experience and stakeholders around and about the charter of rights and responsibilities. It is some of the earliest co-design work that we are doing; I was involved in discussions on that last week that, for me, were very exciting.

We must ensure that we get the right design and that we monitor as we build on the principles of the bill, ensuring that we get the secondary legislation right and removing the implementation gaps that have existed before.

Most important in all this is that, in order to change the culture that exists in certain places, we have to continue to listen to the voices of lived experience and to listen to and trust front-line staff, because a lot of what has gone on over recent years has eroded the autonomy, independence and flexibility that front-line staff have in certain places. When front-line staff have greater freedom, autonomy and flexibility, there is usually better service delivery for people. People have to be at the very heart of all this. Even once the bill is passed and the secondary legislation and regulations are in place after co-design, we must continue to listen all the way through so that we continuously improve.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 8 November 2022

Kevin Stewart

Thank you, convener, and good morning to the committee. Thank you for having me along to give evidence and take questions on the National Care Service (Scotland) Bill and its financial memorandum.

The National Care Service (Scotland) Bill is an enabling bill that sets out a number of provisions. The national care service, as proposed in the bill, will bring together social work, social care and community health to strengthen health and social care integration for adult services. By the end of this parliamentary session, accountability for adult social work and care support will transfer from local government to the Scottish ministers. The Government is establishing a programme of evidence gathering and research to inform future decisions on children’s services and justice social work and on whether it would be appropriate for them to become part of the national care service, too.

The aim of the NCS is to improve the already high quality and consistency of care across Scotland and to reduce variation to ensure that everyone, no matter where they live in Scotland, is provided with the best possible care. The bill sets out that the functions at a national level will focus on consistency through national oversight, while services will continue to be designed and delivered locally. That is the right approach to support delivery with and for our communities and the people whom they serve. The purpose of the NCS is not to nationalise services.

The principles of any new system will be person centred, with human rights at the very heart of all that we do. That means that the NCS will be delivered in a way that respects, protects and fulfils the human rights of people who access care support and their carers.

The bill sets out a framework for change, but the key details will be developed as part of a co-design approach. Co-design is all about engaging and working with people—people with lived experience of and people who deliver community health and care support. Those are the people who understand the challenges best and are therefore best placed to help drive forward the improvements that we all want. It represents a new approach to drafting the detail of the bill, with the intention of working more collaboratively to reduce the gap between the legal and the policy intent and its delivery, following the difficulties faced in realising the changes identified in previous service reviews.

Integrated health and social care has long been the joint ambition of local and national Government, but the people who access and deliver care have told us that it is not delivering the quality of services that is needed consistently. Combining national oversight with local expertise will ensure that the right balance can be struck to ensure consistent and fair quality of service provision across Scotland, allow for better sharing of good practice and innovation and remove unwarranted duplication of functions in order to make the best use of public funds.

The financial memorandum sets out the estimated costs for establishing and running the national care service and the proposed local care boards. It does not cover any proposed changes to wider policy, such as those set out in the independent review. It includes significant assumptions about required investments in pay and terms and conditions for front-line local government care staff if they transfer to the NCS.

Discussions are on-going with regard to the potential transfer of staff or assets from local authorities. That is a key area for co-design and one that, given its importance, will not be rushed. Work is on-going, and all financial considerations are under constant review as new information becomes available. I want to make it clear that we are not waiting for the NCS to start improving social care; we are already taking steps to improve the outcomes for people who access care and support, and our priority will be to continue to maximise front-line spending.

The Scottish Government’s commitment to fair work and support for fair pay and conditions are long-standing policies that will be embedded in the values of the new national care service. By rewarding and valuing the workforce to deliver the best possible service for the people of Scotland, we will make the sector fit for the future and more attractive to people who come into the profession.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 8 November 2022

Kevin Stewart

They might argue that, but we have been at this for a very long time. It is not just a matter of the consultation itself; there was all the work that went into the independent review and all that Mr Feeley has done in that regard. Again, voices were listened to there. In fact, from what I have heard from the voices of lived experience, people think that all of this has been too slow. If you were to ask them whether the consultation was too short, the answer from most would, I think, be a resounding no.

A lot of people, organisations and stakeholders engaged with the consultation. I have spoken with and, most important, listened to thousands of people since I came into post. Officials have been engaging with people across the board. If the committee was to bring forward some folk from the likes of the social covenant steering group, they would say that things have taken too long, that the consultation was the right thing to do at the right time and that we need to move forward.

I make the point to the committee that, just because the consultation is over, that does not mean that engagement discontinues. It will continue throughout the process. A huge amount of my time and that of officials is spent talking to stakeholders and hearing the voices of those with lived experience so that we get this right. We want such folk to be fully engaged in the co-design process as we move forward.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 8 November 2022

Kevin Stewart

We know that there are financial challenges. You mentioned the emergency budget review; it would be better for us all if there was some more clarity from the United Kingdom Treasury about public spending as we move forward.

We know that, in the system that we have, huge sums of money are spent on dealing with crisis. We need to change that and ensure that, for the future, we invest in more preventative care. That will free up the resources that are currently spent on crisis, which also has a huge human cost attached to it.

As I am sure that the committee is well aware, the Government has also said that we will increase our social care spend by some £840 million by the end of the parliamentary session. We all know that we will have to get things right for the future, particularly if there continues to be restraint on the public purse. That is why we cannot stand still.

What we are proposing is not change for change’s sake. We are setting up a social care system that is fit for the future to deliver for the people of Scotland.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 8 November 2022

Kevin Stewart

My door is open to local government. I will listen to what it has to say on many of these issues, and we will act accordingly. As I have said, much local authority care provision is of high quality and we would not want to see that go.