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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 19 September 2025
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Displaying 1306 contributions

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Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 16 September 2025

Emma Harper

Calum MacLeod mentioned social care and Craig Smith mentioned integration joint boards. Some IJBs do mental health budgeting differently. I am interested to hear your thoughts on how IJBs are using their budgets. Are there good examples of IJBs that are doing very well in budgeting for mental health? Is that budgeting effective? Is it joined up? Are there no good examples?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 16 September 2025

Emma Harper

Good morning. I found the previous session very interesting. I know that our population health framework is a joint Scottish Government and Convention of Scottish Local Authorities framework. I am interested in how mental health funding is delivered for integration joint boards, because some IJBs have different mental health approaches. How do we compare and know whether some things are working well and others could be done differently?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 16 September 2025

Emma Harper

Other colleagues will come on to prevention issues, so I will not go down that route. Are there any changes that you would like to see? Everybody would probably say, “Yes, give us some more money.” Are there changes that could be made to improve mental health?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 16 September 2025

Emma Harper

Good morning, everyone. I get to kick off today.

I always feel that, within our health budget, and even within our mental health budget, there are so many priorities to consider, from child and adolescent mental health and community-based mental health support to adult mental health and, now, the increase in eating disorders. To what extent do you consider that the Scottish Government’s strategy for mental health sets out the appropriate priorities?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 16 September 2025

Emma Harper

My final question is about multi-annual funding, which came up in the earlier session. Brian Whittle asked how we manage that away from the politics. Full fiscal autonomy for Scotland would allow us to deliver policies independently. The last time that the figures were published, we saw that £600 million—more than half a billion pounds—was invested to mitigate the bedroom tax that was implemented by another Government. As well as multi-annual funding, would it not be beneficial to have more fiscal autonomy?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Emma Harper

Our papers talk about how the Scottish Government piloted the use of PBMA in 2012. That is a while ago. Does the Scottish Government continue to use PBMA in, for example, health and social care?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Emma Harper

Okay. Thanks. I will stop there for now.

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Emma Harper

Good morning. Before I start delving into programme budgeting and marginal analysis—PBMA—in healthcare, can you tell us what that is?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Emma Harper

Okay. I forgot to mention that I am a registered nurse and a former employee of NHS Dumfries and Galloway. I have been a nurse for probably about 40 years.

I have type 1 diabetes and use an insulin pump. Part of the reason for investing in better blood glucose control using diabetes technology would be to reduce complications that lead to dialysis and eye problems that need laser treatment, which then lead to other complications. Can PBMA be used to show that, although insulin pumps and other devices will cost money, investing in them will reduce spend on potential complications?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Emma Harper

No health board has successfully implemented or used it. You mentioned integration joint boards. In Dumfries and Galloway, we have health and social care partnerships, one health board and one local authority. Having only one health board and one local authority might make it easier for PBMA to work there.