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It is for either Beth Lawton or Ken Macdonald.

We have talked a lot about personal data, but now we have a couple of questions on the monitoring and evaluation of the national care service.

I am interested in whether the bill as introduced has suitable information on the monitoring and evaluation of care as it is delivered. Should anything be added, or will the framework legislation allow the service to be monitored and evaluated in the way that we intend?

Good morning, everybody. Our papers contain information about the establishment of a new national social work agency. I would be interested to hear the panel’s thoughts on the proposed creation of a centralised quality improvement body in the form of a national social work agency. Do you welcome that, or would you prefer an alternative approach to be taken? If so, what would that be? Let us go to Suzanne McGuinness first.

We have talked about advocacy and complaints. Is the bill adequate to be able to deal with that kind of support if there are any issues and we need to look at who is responsible and who is accountable? One of the issues that came up during the lockdown was to do with legal liability insurance. That was a real challenge, because care homes, rather than protecting one resident, were protecting all residents. Does that need further consideration?

I think that Daren Fitzhenry might want to come in but, before he does so, I will pick up on the fact that things are happening right now. For example, Badger Notes for maternity services enables women who are pregnant to have real-time access to the information in their pregnancy care record. The clinical portal is another part of what is being developed to enable access to care records that the patients do not necessarily get to see but the clinicians do. There is work in progress, which can be built on. I am interested in how we can use that as a way to measure how we implement a future safe and secure data care system.

Page 3 of the policy memorandum says that the creation of a national social work agency is part of the plan, but that is not in the bill. It seems pretty significant to create a national social work agency—if that is what is proposed—so does that need to be in the bill?

I have just a quick thought. Yesterday in Dumfries, one of the people round the table said that we should move away from talking about person-centred care and talk about relationship-centred care, which is based on trust between, for example, a person and their carer at home or in a care home. What are your thoughts on the language that we use? Of course, we want a person-centred approach, because the situation is very dependent on what data is shared and who is allowed access to data, such as the combination for a key safe, as Ken Meechan was talking about. Can I have brief thoughts on person-centred versus relationship-centred care?

The primary legislation will state what we want to achieve and, from there, we will work back towards what the secondary legislation will need to include. Part of that is about co-design with people who matter and those who know how a co-design process can be taken forward. The co-design part relates to Ken Macdonald’s comments and the working back part relates to Beth Lawton’s comments.

This might be a question for Lynsey Cleland, too, but I want to look at the issues of quality and education that have been mentioned and which have been raised in previous evidence-taking sessions. Yesterday in Dumfries, we heard that some of our carers are doing percutaneous endoscopic gastrostomy—or PEG—tube feeding. These really complex skills must be valued and, as a former nurse educator, I think that it is important that we measure and monitor such things and ensure that people are able to deliver these complex forms of care.

We also heard yesterday that older skilled and experienced care workers might retire early instead of undertaking mandatory training. Have you heard about that issue? Have you experienced it at all? Is there some plan to ensure that older experienced people who might not want to achieve the required levels can continue to work in whatever capacity, given that they already demonstrate a lot of those skills?

One of the main drivers for introducing Anne’s law was the recognition that families and friends were absolutely essential in supporting the health and wellbeing of care home residents during the Covid pandemic. Suzanne McGuinness might want to answer this question because of the health and wellbeing aspects of the introduction of Anne’s law, which is about enabling visits to residents in care homes and visits by care home residents—as well as enabling people to go into care homes, it gives residents the ability to go out. Do you think that the aspects in the bill about visits to care homes or outside visits by care home residents are adequate to meet the needs of residents and support their wellbeing?