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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 4 May 2021
  6. Current session: 13 May 2021 to 18 September 2025
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Displaying 1301 contributions

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Rural Affairs and Islands Committee

United Kingdom Subordinate Legislation

Meeting date: 1 March 2023

Emma Harper

I know that I am not a regular attendee of the committee—I am here as a substitute—but I would like to comment. In the notification, it says that the SI is to

“adjust the level of European seabass that may be caught within British fishing limits”.

I am aware that only one licence has been issued for catching sea bass in Scotland, so, when the notification talks about adjusting, does that mean both up and down?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

Good morning, everybody. I have a quick question about the remit of the patient safety commissioner. Sometimes the impact of care or—I should say—unsafe care is not directly or overtly evident. I note that Dr Williams suggested that the commissioner’s remit should include advocating for patients. I am thinking of groups or populations in which harm has occurred as a result of, say, a lack of compassion or some other issue that is not directly related to safety. Would you expect the patient safety commissioner’s remit to be wide enough to cover the patient population to whom overt harm might not have been caused?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

It is for Dr Williams.

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Emma Harper

I did not think that I would be talking about roads in Dumfries and Galloway—the A75 and the A77—at a meeting of the Health, Social Care and Sport Committee, but the issue is relevant to the many challenges with recruitment and retention.

We must remember that we have the Scottish graduate entry medicine programme. It would be really good to hear how that is working. What is the retention level? Where is that programme doing well? That is part of it. There are also programmes for trained general nurses to become midwives and vice versa, although that is not happening in my part of the South Scotland region because Dumfries and Galloway was not selected for the dual training approach.

Work is being taken forward, but it will not be an overnight fix. I support doing whatever we need to do to look at rural health and social care.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

I welcome the witnesses to the Scottish Parliament—it is good to have you here. I am interested in how your remit and role compare with the proposed remit of the patient safety commissioner for Scotland, which seems to be a bit wider. Do you have an opinion on whether there would be any benefits or drawbacks of the remit being a bit different in Scotland? Has your remit given you enough to work on, without considering wider issues?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

What Matthew McClelland said is pretty clear. I do not like the idea of a patient safety commissioner who would create an adversarial and defensive environment. I agree that a patient safety commissioner should promote patient safety.

Are there any additional powers that might need to be included in the bill, for example around naming a health board, company or business? Is anything like that missing from the bill?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

Okay, thank you.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

People have also intimated that the patient safety commissioner’s role should be about healthcare, not health and social care. However, if we move towards having a national care service, which would encompass the whole of a patient’s care journey, would you expect the remit to be wider and to include social care down the line?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Emma Harper

I asked the previous witnesses about the commissioner not focusing only on safety, because care and compassion are at the heart of how we support a patient’s journey—whatever care they are in receipt of—and determine whether harm has occurred. Do you have any comments on whether we should focus only on safety aspects or whether we should consider the whole patient journey in relation to care and compassion?

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Emma Harper

I know the work that Dr Gordon Baird and the Galloway community hospital action group have done to get the petition to the Parliament, and I know that local people feel powerless. I know that Professor Sir Lewis Ritchie is interested in how Australia’s National Rural Health Commissioner works—Australia is also a big rural country. I also know that a centre of excellence for remote and rural medicine is being created, but it does not have an advocacy role. That is what Professor Sir Lewis Ritchie said when he gave evidence.

The proposed agency is not about picking up individual casework. That is not what Dr Gordon Baird was after when he asked for an agency to be created. It is about advocating for and giving a voice to people who feel powerless and who do not know that, for example, they should be offered a choice of care that might be closer to home. That is one of the challenges.

NHS Dumfries and Galloway committed to addressing cancer care pathways and then Covid came along. Therefore, when the board comes in front of us, we will need to ask specific questions about where it is with altering cancer care pathways and what steps it has taken. This is not about addressing all the challenges overnight. I know that there are real challenges—everybody does; I was a healthcare clinician as well.

I am keen to ensure that, whatever pathway we take, Dr Gordon Baird is permitted or invited to give evidence about the challenges for remote and rural healthcare and advocacy for patients.