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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 April 2025
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Displaying 710 contributions

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Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

The Feeley review made it clear that, although there are some areas of good practice, procurement needs to improve: it needs to be ethical, outcome focused, person led, flexible and collaborative, and to embed fair work. Although I am confident that the current suite of procurement legislation already provides the flexibility to deliver most of the improvements that are needed, there are two areas where changes to legislation would be of benefit—first, extending the reserved contracting process to third sector organisations that meet the listed criteria for services and, secondly, providing a new ministerial power to amend the light-touch regime threshold.

Before turning to the detail of my amendments on the reserved contracting process, I take this opportunity to reiterate my appreciation to all providers that deliver vital services to our communities. I am aware that there has been some concern about what this process will mean for the market, so I want to be clear that we need a mix of third sector, for-profit and public sector organisations to provide social care throughout Scotland. The extension of the reserved contracting process will not change that. Providers that do not meet the criteria to participate through that process will still have access to other contract opportunities through different procurement routes.

I turn to the detail of the amendments. Amendment 51 will remove the limit on the duration of contracts that can be made subject to the reserved process. Representatives of the third sector have told us that the five-year limit that was proposed in the bill as introduced would be unhelpful. As a result of amendment 51, the decision on the length of a contract that is subject to the reserved process will be made on a case-by-case basis by the relevant public body.

Amendment 52 is a tidying-up amendment to replace a reference to services being provided

“to or on behalf of the National Care Service”,

in consequence of the removal of part 1 of the bill.

Amendment 53 will broaden the definition of the bodies that will qualify to bid for contracts through the reserved process. That reflects extensive work that has been undertaken with stakeholders to ensure that the criteria fulfil the policy intention of ensuring that third sector organisations, including social enterprises, can bid through the process. I thank all the stakeholders involved for their invaluable feedback.

Amendment 54 will make is a minor drafting adjustment.

Before I move on from the reserved process, I urge members not to support Brian Whittle’s amendment 53A. The purpose of section 41 is to create a process for bidding for certain contracts that is open only to third sector organisations, so that they are not always crowded out by big for-profit companies. Last week, Brian Whittle made it clear in speaking to his amendment 139, which would remove section 41, that he is opposed to that approach in principle. His amendment implies that the state should have no role in providing a level playing field to ensure that the sector has an appropriate mix of for-profit and not-for-profit providers.

Mr Whittle’s amendment 53A is more of the same. It would allow companies that are principally set up to make profit for their shareholders or members to enter the reserved process, provided that they say that they do not intend to use the profits from reserved contracts for private gain. That would still be opening up the reserved process to organisations beyond third sector organisations, which are the organisations that section 41 was designed to benefit. That is understandable from Brian Whittle, who we know is opposed to the whole principle behind section 41, but members who are not opposed to that should vote against amendment 53A.

Finally on this group, I turn to my amendment 55. Procurement legislation details the rules that apply when public sector bodies purchase from external providers. It sets thresholds at which rules, such as requirements for specific competitive processes, apply. The rules depend on the type and value of what is being purchased. For health and social care services, the light-touch regime threshold and rules apply. There is currently no mechanism for changing the threshold of the light-touch regime, and the current threshold has been in place since 2015.

Amendment 55 provides a power to change the threshold by regulations for health and social care contracts. Any future changes to the threshold must be exercised in compliance with international law, including trade agreements, and would be subject to the negative procedure.

I move amendment 51.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

I cannot support either of Sandesh Gulhane’s amendments. They would require ministers to make regulations for matters that are already dealt with by the Public Services Reform (Scotland) Act 2010.

I do not know what additional powers Sandesh Gulhane envisages the regulations would give the Care Inspectorate. It is not clear what sanctions the regulation-making power could put in place to back any new powers that it gives the Care Inspectorate, nor is it clear how those new powers would sit alongside those that are already in the 2010 act.

If Dr Gulhane feels that there are specific gaps in the Care Inspectorate’s powers, I am happy to discuss what can be done to address that ahead of stage 3. However, requiring ministers to use subordinate legislation to make unspecified changes for a vaguely defined purpose in an area where primary legislation already governs what can be done by the Care Inspectorate—and, indeed, by other bodies, including the Scottish Social Services Council and the Scottish Public Services Ombudsman—is legally and constitutionally the wrong way to go about closing whatever the perceived gap might be.

I ask the committee not to support Sandesh Gulhane’s amendments 142 and 154.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

Adult support and protection is everyone’s business. We all have a responsibility to support and protect the most vulnerable people in our society, and we want to make it as easy as possible for those at risk of harm to receive the right support at the right time.

For clarity, I note that local health and social care partnerships continue to hold overall responsibility for investigating and supporting adults who might be at risk of harm.

I have heard from a wide range of stakeholders, including those from health, social work and police sectors, that the variation in how adult protection guidance, including profession-specific guidance, is applied across Scotland can leave them unsure of the most appropriate action to take when they have concerns about an adult at risk.

Amendment 58 seeks to address that by clarifying that, where there are concerns about an adult at risk, information can be shared quickly, proportionately and safely between independent healthcare providers, including private providers, and the local authority. It will allow relevant healthcare services to contribute to adult protection committees, which take strategic action on improvements to governance and planning. The amendment will improve consistency and reduce variation in relation to supporting and protecting our most vulnerable adults in Scotland.

I move amendment 58.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

As the development of the national care service, the national social work agency and related policies progresses, we must ensure that the appropriate bodies can undertake all necessary activities in a cohesive and complementary way. Amendment 57 provides clarification of a power that Scottish ministers already hold. They can already delegate to the Scottish Social Services Council or authorise other relevant persons to undertake on their behalf any of the functions under section 58 of the Regulation of Care (Scotland) Act 2001. Amendment 57 clarifies that a function can be delegated in part as well as entirely. For example, a function may be delegated only in so far as it relates to a particular workforce.

I move amendment 57.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

I support Gillian Mackay’s amendments 86 and 87, which seek to ensure that carers can access support on a reasonable timescale, including support under the new right to breaks. Until a carer has an adult carer support plan or a young carer statement, they are unable to access statutory carer support, including short-break support. I acknowledge how essential it is for carers to be supported to take care of their own health and wellbeing while maintaining their caring role, and statutory timescales would support consistency between areas and help promote early intervention.

However, I am well aware of pressures on local carer services. Therefore, when it comes to setting timescales, it will be important to engage with carers and services in order to balance the need for such plans to be prepared in a reasonable time, while not adding to the pressure on services and allowing them to prioritise carers in urgent need. With that in mind, I intend to retain the accelerated timescales that are currently set out in regulations for carers looking after someone with a terminal illness.

I urge members to support amendments 86 and 87.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

I cannot support any of the amendments in this group. I understand the intention behind amendment 143, which would require an annual report to be made on the provision of personal care to under-65s. I, too, value robust data collection. However, I can confirm that the information that is required by amendment 143 is already published annually in relation to personal care, therefore the intention behind the amendment is already being met. If the member’s intention is to require the publication of additional information, the amendment would fail to do so, and I consider that it should not be supported.

The intention behind amendment 144, as drafted, is not clear, and I cannot support a duty that I do not understand. Having heard what Brian Whittle has had to say about the amendment, I am not sure that “equality of ... services” is the right expression to use, and if the amendment were to be agreed in its current terms, its legal effect would be unclear. I therefore invite Brian Whittle not to move it, and I will be happy to discuss the particular proposal in advance of stage 3.

10:45  

Amendment 147 would require publication of a report on the act’s operation every two years for ever more. I cannot support that perpetual drain on public resources that would have no clear purpose. The delivery of the national care service will, as I have explained, be about so much more than what is done through the bill alone. A report of the type that is envisaged would therefore tell only part of the story, and it would be a very disjointed story at that, given that most of what is in the bill amends existing legislation. It is hard to understand what sort of report Brian Whittle envisages, as it would comment on arrangements only to the extent that the legislation that underpins them will be amended by the bill. A report in the terms that are proposed would be bizarre and it would add nothing to the existing mechanisms that are available to this Parliament and the public to scrutinise the health and social care system overall. I therefore urge members to reject amendment 147.

I also urge members to reject amendment 157, which would prevent the act that results from the bill from being commenced until ministers had prepared a report on the estimated costs arising from it. Like the amendments to leave out all the bill’s sections, that is simply another wrecking attempt by Mr Whittle, and I urge members to reject amendment 157 as they rejected those other amendments.

The financial implications of the bill as amended at stage 2 will be subject to scrutiny in the usual way when the supplementary financial memorandum is produced. The Finance and Public Administration Committee will scrutinise that in the usual way, and there are ample routes for this committee or any member to obtain information about costs from the Government at any time. Amendment 157 is simply an attempt to put a completely unnecessary procedural hurdle in the way of getting on with improving the flow of information through our health and social care systems, delivering breaks for carers and delivering Anne’s law.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

No.

Health, Social Care and Sport Committee [Draft]

Subordinate Legislation

Meeting date: 4 March 2025

Maree Todd

The member is absolutely correct to say that the GDP deflator was used in previous years—from 2011 to 2015—and we then had a number of years when the rates remained static, before we went back to the GDP deflator. Over the past few years, including during the pandemic, there have been above GDP deflator increases. There was an increase of 7.5 per cent in 2021-22, of 10 per cent in 2022-23 and of 9.5 per cent in 2023-24. In 2024-25, we went back to the GDP deflator increase, which, in that year, was 6.68 per cent. Historically, we have used that measure as the benchmark for the uplift, and we are very pleased that we have been able to allocate additional resources to fund free personal and nursing care.

The member will understand that we are operating in an extremely challenging financial context. As such, although there is no doubt that I would have preferred to increase it beyond that, it is simply not possible this year.

11:15  

Health, Social Care and Sport Committee [Draft]

Subordinate Legislation

Meeting date: 4 March 2025

Maree Todd

We have always either used the GDP deflator itself or used it to calculate an above-inflation rise. Over the number of years that we have done this, we have used it either in it itself or to calculate an increased rate. The reason that we are not having an above-inflation rise this year is the challenging financial context in which we are operating. In that context, I am pleased that we are able to raise it in line with the GDP deflator and make an increase that will benefit all the people who are accessing personal care and social care and paying for it themselves.

Health, Social Care and Sport Committee [Draft]

National Care Service (Scotland) Bill: Stage 2

Meeting date: 4 March 2025

Maree Todd

I cannot support either of the amendments in the group. Amendment 89 would place a duty on ministers to make regulations that would impose requirements on care service providers that are publicly funded, but it is unclear what the limits to that power would be. At face value, the amendment suggests that the requirements could be about anything, which seems to be rather broad.

There are two particular things that amendment 89 says the regulations would have to impose requirements about—“tax status” and “transparency of ownership”. It is unclear what those requirements would be or what could be done to a provider that does not comply with whatever the requirements are.

It is also unclear which services the regulations would apply to. Beyond the challenges that are posed by its drafting, amendment 89 has the potential to cause problems regarding compliance with the United Kingdom Internal Market Act 2020, which Katy Clark’s colleagues at Westminster have refused to abolish.

It might be that some, or all, of what Katy Clark seeks to achieve with amendments 89 and 90 can already be done. Public bodies already have powers to exclude providers through regulation 58 of the Public Contracts (Scotland) Regulations 2015 and regulation 9 of the Procurement (Scotland) Regulations 2016. The powers include the power to exclude providers that have breached their obligations relating to payment of taxes or social security contributions.

My door is always open, if Katy Clark wants to discuss further what can be done to address any specific concerns that she has, but I believe that amendment 89 is the wrong answer to those concerns.

Amendment 90 would extend the requirements of the Freedom of Information (Scotland) Act 2002 to persons

“providing publicly funded care services”.

I understand the desire to improve access to information about care services. I agree that access to information is critical in fostering public trust and ensuring effective delivery of services. That is why the Government has already committed to consulting on extension of the freedom of information law to private and third sector care homes and care-at-home services.

10:00  

Amendment 90 is not the way to take forward such a change; the right way to take forward change in the area is the existing power under section 5 of the Freedom of Information (Scotland) Act 2002. That allows for and requires specific consultation, thereby ensuring that any extension of freedom of information law would be properly planned and tailored to the sector’s specific needs. It means, in particular, that there would be an opportunity to consult in order to get an appropriate definition of the bodies that we would make subject to the freedom of information requirement.

The expression “publicly funded care services” that is used in amendment 90 is unclear and, I think, might cover more bodies than Katy Clark intends it to cover. Around 11,000 care services are registered with the Care Inspectorate, and many are delivered in partnership with private and third sector providers of varying sizes.

Being subject to freedom of information laws also comes with certain resource implications, which have to be carefully considered when we are deciding which bodies to extend the laws to, especially in the context of a sector that is already facing substantial financial challenges following the recent national insurance hike. I note that the Coalition of Care and Support Providers in Scotland—CCPS—has indicated to the committee that it does not support amendment 90, citing concerns about the resource implications of new obligations being placed on providers.

Therefore, I ask Katy Clark not to move amendment 90. I will be pleased to discuss with her, in advance of stage 3, the work that the Government already has under way on access to information rights in the sector, and the other avenues for making progress on this important issue.