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
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?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Several local authorities and COSLA have argued in correspondence that the amendment risks diluting democratic accountability by placing elected councillors who sit on integration joint boards in a minority. Will you explain and outline why the change would be viewed as undermining the mandate of local government representation and what consequences you therefore see for democratic oversight of the boards?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Mr Smellie, do you have a perspective on that?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
I also want to look at your role in implementing recommendations. As a parliamentary office-holder, do you see any role for yourself in reviewing the implementation of public inquiries and reviews that are relevant to patient safety and making sure that their recommendations are being delivered?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
We have covered benchmarking opportunities and time-bound accountability for implementation. Are there any other metrics or processes that you envisage using to assess whether interventions are being properly implemented and are actively promoting patient safety?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Thank you.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Do you have any examples of good practice that you have seen? I mentioned Perth and Kinross. Is there a gold standard that you have seen that you want to become the standard everywhere? If we are introducing such a structural change, we will want to see standing orders, if you like, or certain procedures being embedded, with good practice carried out. Should there be a wide consultation within the community to seek candidates and endorsements of individuals to represent groups on the IJB, for example?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
The concern was raised that the lack of a link back to a public mandate might be a concern. We know that is there is certainly a public mandate in relation to councillors, but that is maybe less the case with health board members, most of whom tend to be appointed. There was an interesting discussion earlier about people from certain care-experienced or lived-experience backgrounds who would have sought a democratic mandate of sorts if they had the right support—there was an interesting example from Perth and Kinross. Have you looked at how you would deepen that level of democratic legitimacy in light of the change to IJBs and whether that can be woven into the structure?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Ms Auld, do you have a perspective on this?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Paul Sweeney
Thanks. You mentioned that you were democratically elected to the IJB. Can you explain the context of that election?