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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 17 February 2026
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Displaying 721 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

Through co-design and evidence gathering, you will likely, as we have heard, see examples of good practice in different parts of the country. How are those being incorporated into the plans for the bill and the implementation afterwards? We talked earlier about the implementation gap. How does current work on the bill ensure that that will not happen with this piece of reform?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

The policy memorandum talks about a new national social work agency that will be a department of Government. However, some witnesses have requested that the agency be independent. What is your view on that, and what do you say to those who believe that the agency should be independent of Government?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

There might be many people who transition through different tenures of housing during their social care journey, whether they be disabled people or people who are approaching the end of life and who might move from, for example, a family home into supported accommodation—sheltered housing, for example—palliative care or a care home. How can we ensure that, through the national care service and co-design, we take on board some of the experience that people have had through those journeys, whether it is good or bad, and that we make those journeys and transitions as smooth as possible for people?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

It has been suggested that reinforced provisions on commissioning and procurement would be an important way of giving practical effect to embedding fair work principles in the social care sector. I appreciate that there are complexities to that, and that you have said that work is on-going on it. However, what provisions would you like to see in the bill? Will you work with me and others ahead of stage 2 on amendments to embed some of those principles?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

I raised the issue of sustainability of co-design with Derek Feeley. Given the number of workstreams that are under way and the length of time that co-design could take, what work is being done to ensure that people who are contributing, particularly those with lived experience, can continue to do so in a way that is not unduly taxing?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

Thank you, convener. I will pop both my questions into one to save some time.

Good morning, minister. We have heard from witnesses different opinions about what the bill could achieve in the medium term. Could you provide practical examples of the impact that the bill could have on issues that are facing social care? The bill represents a large structural reform. Many of the issues that we are, quite rightly, covering today are very technical. Although they might be difficult for many people in the general public to digest and follow, they could have a large impact on how they or a loved one receive care. What differences do you hope that workers and people who receive care will see as a result of the legislation?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Gillian Mackay

Minister, how do you envision that the bill will engage with people who are experiencing homelessness, particularly in relation to community health? How do you envisage the bill improving the lives of people who are experiencing homelessness and other things that might cause chaotic periods in people’s lives?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Gillian Mackay

What opportunities are there for the bill to improve support and treatment for people who experience problematic drug or alcohol use, and what changes to it would the panel members like there to be, to ensure that those are realised?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Gillian Mackay

Cathie Russell, how do we ensure that the process of co-design is ethical and sustainable for people to participate in? We are aware that a multitude of workstreams is on the go, and I am a bit concerned about how individuals and small organisations can continue to participate in co-design throughout the national care service’s implementation.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Gillian Mackay

Thanks, convener. I will come to Adam Stachura, in particular. Age Scotland’s “About Dementia” project submission highlighted a lack of trust between service users and carers and professionals working in social care, because they have been consulted on change for many years, with little result. How can that trust be rebuilt, and will the reforms that are proposed by the bill contribute positively to that building of trust?