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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 12 July 2025
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Displaying 1282 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

I am also interested in the support for people with additional needs, such as those with learning difficulties. The bill talks about

“ensuring that individuals who have difficulty communicating (in relation to speech, language or otherwise) can receive information and express themselves in ways that best meet their individual needs”.

I circled the word “otherwise” and wrote “mental health and dementia”, because the bill might need to clarify what “otherwise” means. I am interested to hear your feedback on that. The language in this framework bill should allow us to move forward with a co-design process. Does some of the language in the bill need to be tweaked to widen out what words such as “otherwise” mean?

09:30  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

Thank you. I want to pick up on what Cathie said about self-directed support not really working. I am aware of some local authority areas where that works really well. Even in one particular local authority area, where it is the perception of my office staff that it is not working well, some folk do get really good self-directed support. During the summer recess, the minister, Kevin Stewart, visited Dumfries to hear directly from folk about the good and bad sides of self-directed support.

I am interested to know whether you think that the national care service will help to raise awareness of what self-directed support is and what it can achieve. There are some folk who get good packages. I think you are right that some folk have never heard of it while other folk really know how to access self-directed support.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

One of the care home providers whom we spoke to in Dumfries, Jim Gatherum, thought that self-directed support should be available in care homes. Has anyone taken part in any discussion about that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

I have another wee question about establishing the care boards. Part of the bill covers training and the recognition of the exemplary skills that are required in order to provide care at home or in a care home. Career pathways need to be thought about, established and progressed, because we should value the carers who feel less valued. Is the bill able to create a formalised recognition of the skills that are required to be a carer?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

On the subject of integrated services, you have highlighted gaps such as, for example, the lack of onward care, which leads to people being held in secure facilities instead of moving on. Do you envisage the national care service bill addressing the issues that you have highlighted in order to ensure a seamless approach? In our evidence-taking sessions, we have heard about the importance of the third and independent sectors in supporting people who have mental health needs but who do not necessarily need an acute stay in a mental health hospital. Do you think that the national care service bill should be able to support a seamless transition?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

I have just one more question.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

Although the framework bill is pretty short, section 38, which covers three pages, is dedicated to rights to breaks for carers. We have had feedback from various people who have raised questions about what constitutes a break, whether it is a break for everybody and whether it is a break to get out or disengage completely. I am interested in hearing views on what the bill says about breaks for carers—in particular, unpaid carers—and whether it is sufficient to achieve what is required.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

So that bit of language might be too prescriptive.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

Therefore, a digital care record that is accessible, secure and safe is absolutely what we need to think about in the bill. You are right about choice, traceability and the ability to know who has accessed records. I come from a nursing background and, from that point of view, when we are operating on somebody, we want to know what has happened in the past, including about previous surgeries, and it is really handy to have a record to check for safety reasons.

The third sector does not have access to records. Would you support that access? When we consider who is looking after the person—someone might have self-directed support, for example—is it necessary that the right people have access to the record?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

The Food Train and other services that are equivalent to meals on wheels deliver to folks’ homes, and their staff might pick up on increased memory loss, for example, which might trigger an assessment or more care. Should such services be involved as part of the co-design process? Should they feed into the records even though they may not necessarily have access to them? Again, that is about on-going assessment. Should we think about that as part of the co-design process?