The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1316 contributions
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
You mentioned the Care Quality Commission as a sort of template. Have you looked at anything similar to that?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Ms Masterson, do you have any thoughts on the democratic deficit?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Thank you, minister, for your opening statement. I want to establish what specific problems in the current governance framework the order is intended to solve, and how extending voting rights will deliver those outcomes.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
It depends on how pressed we are for time.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
It strikes me that connecting membership to a mandate is quite a useful innovation, so perhaps we need to further consider that.
Critics have raised concerns that elected officials—primarily, councillors, although the occasional person on a health board might be directly elected—would become a minority on integration joint boards. On the line of accountability from the public to the decisions that are made, which might often involve a fraught financial dispute or a dilemma about which services to fund and defund, how will representatives of the public be held accountable? How will the extension of voting rights strengthen, rather than dilute, accountability for decisions on the allocation of public funds?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Integration joint boards have been subject to increasing financial pressure in recent years. Disagreement and possibly divisive votes are more likely on boards when difficult decisions are being made and dilemmas are being faced. How would the shift in voting composition affect responsibility for budget setting and public accountability? Perhaps Councillor Kelly could set out the implications of that.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
It seems to me that the issue is the question of what mandate the members of the IJB have. Previously, there have been debates about whether health boards should be directly elected—we have not had a recent debate on that. However, it seems that your point is that there should be a direct public mandate for any representation on these IJBs, given that the IJBs make financially significant decisions about public services.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
I assume that the nearby Marriott would not have the same problem, so why does the hospital have that problem? Perhaps there are benchmarking opportunities there.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Thank you, convener, and thanks to members of the panel for joining us today. Supporters of the order to change the voting composition of integration joint boards suggest that giving those with lived experience and the third sector voting rights would close a democratic deficit for those voices, which have a significant stake in decisions made by IJBs. How do you define that deficit locally, within an IJB area, and what practical change in accountability do you expect if those representatives are given voting rights?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
My colleagues might ask questions that will allow you to elaborate, but we need to keep the discussion pacey.
Are there any further points about whether the changes will dilute or strengthen accountability?