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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 1 November 2024
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Displaying 593 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

One of the challenges that the Scottish Government has is that we do not have control over employment law. We would like to see many changes in the employment of social care staff in the sector, but we do not have the power to intervene directly. Ethical commissioning gives us some power to ensure that, where we use public money, staff are treated well. That is an important part of what we hope to achieve with the national care service.

When I think about the change that we are trying to make, the two groups of people whom I have in mind, day in and day out, are the people who access care—from whom I hear every day about just how difficult that can be—and the people who work in social care. I am pretty confident that ethical commissioning gives us a tool with which to improve their pay and conditions, to hear their voice and to build fair work principles into the procurement process.

Donna Bell, do you want to say a little bit more about that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

A lot of work is being done. Obviously, the delivery of £12 an hour is key, and I think that it will help, but it is not everything. As well as improving pay, work is going on across the board to improve conditions, focusing initially on maternity leave and sick pay—that is one of the fair work strands. Work is also going on with the Scottish Social Services Council and NHS Education for Scotland to provide educational opportunities to support the social care workforce so that, when people come into it, they feel well supported, know what they need to do, and have clear pathways to improve and to further careers, should they wish to study and move on.

As I say, a great deal of work is going on across the board, and not all of it requires primary legislation to happen—we can deliver some of it without primary legislation. A transformative change is required if we are to achieve one of the things that I hope we will achieve, which is an increase in the status of social care. I would love it if, in Scotland, we were talking about social care not just as something that helps the NHS when it is in trouble or harms the NHS when it is not functioning right, but as something that is valued in its own right and for its inherent ability to change people’s lives.

Social care totally transforms the lives of people who can access it, and it transforms their families’ lives. Day in and day out, I meet carers who are stretched to the limit trying to cope with the situations that they are in. An effective social care system takes the burden off families and it contributes to communities and to the economy. We talk a lot about the cost of social care, but we do not talk quite so much about its value. I am determined to move the conversation on to the value. On a very regular basis, I meet people who are struggling to work because of their caring responsibilities. If we get social care working right, it will have an impact on the economy. If we can articulate that better, we will stop thinking quite so much about the cost and start recognising the value, which is what we do with the NHS.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

It is going on things such as increased wages. We have drastically increased the amount of money that people who are working in social care get paid. In the past couple of years, they have had a 14 per cent wage rise. That is one clear improvement that will be felt by everyone who is working in social care. People who work in social care in Scotland are now paid more than their counterparts all over the United Kingdom.

There is more to be done, but that sets us on a clear path, and I expect to do more of that.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

Yes, because we have a mixed market.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

Yes.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

I would challenge that narrative. We are not treading water. This is the second time that I have been in front of this committee to explain exactly the level of work that is going on across the country.

We paused and then worked very hard with partners, local government, trade unions and people with lived experience to try to find a way forward. You will be aware that we were pretty much in a situation in which we could not move forward because the level of opposition to the bill was so great. Therefore, I am really pleased that we have achieved consensus and that we are moving forward now.

I think that, last week, we provided the Finance and Public Administration Committee with costs for the bill so far. If you check the papers for that meeting, you will be able to see exactly how much spending there has been on the bill at each stage.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Maree Todd

That is a good question. There is a lot of work and a lot of evidence there—perhaps there is almost too much, and people are finding it hard to navigate the volume of information. We can reflect on how to communicate. We have specific forums where we meet, hear from and talk to people with lived experience. We also have on-going engagement with trade unions, which has been vital to improving communication. When I first came into post, a number of people were concerned about things that just were not correct. Correcting those myths has been an important part of the work that has been done during the pause.

We have a social media programme, which is a really rich way to bring the information to life. As members, we all love reading, and we read a lot for our work, but it can be tough for Joe Bloggs to read through pages and pages of information in somewhat dense text. There are “Voices of Care” videos that bring to life different aspects that we are working on. I recommend that people have a look at those, as they really bring to life what we are trying to achieve.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 26 September 2023

Maree Todd

Donna, do you have a longer-term view than I do? It is still a framework bill, so we expect the detail to be in the secondary legislation.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 26 September 2023

Maree Todd

Yes.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 26 September 2023

Maree Todd

I will ask Fiona Bennett to answer that question.