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
Meeting date: 10 September 2024
Paul Sweeney
I want to pick up on a point that was raised last week in the pre-budget scrutiny session. Michael Kellet from Public Health Scotland suggested that the planned refresh of the national performance framework offers opportunities to further prioritise preventative spend. He talked about the split between revenue and capital spend in the 1990s, when there was a change in national budgeting. Does the panel agree with that approach in principle, and how do you think it could potentially work in practice if we further developed ring fencing, if you like, of preventative spend as well as of capital and revenue?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
I want to pick up on the point about root cause being linked to prevention. In our pre-budget scrutiny session last week, Michael Kellet from Public Health Scotland said that the planned refresh of the national performance framework offered opportunities to further prioritise preventative spend. The example or analogy that he gave was the separation of revenue and capital expenditure in the fiscal frameworks, which was introduced in 1998, and he suggested that something similar could be done in order to secure and protect preventative expenditure in order to deal with root-cause problems. Is that something that you would agree with, and is there a practical way to achieve that?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
It is for you, yes, and anyone else who would like to contribute.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
It highlights the relationship with capital investment, yes.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
Thank you.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
I highlight that, although mental wellbeing is the only health indicator that has shown declining performance, the mental health budget has faced real-terms cuts in recent financial years. How can we translate such framework findings into meaningful actions? Is there extra data that we could gather to demonstrate what is happening? It goes back to the point that was made earlier about well-intentioned reports not necessarily leading to firm, tangible outcomes.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
Mental wellbeing is the only health indicator that has shown declining performance, yet the mental health budget has faced real-terms cuts in recent financial years. Do the witnesses have a view on how we can translate findings within the national framework into a set of clear, tangible actions that relate back to that? You mentioned the inability to translate expenditure into performance or outcomes. Is there more data that we could be gathering to help to drive that improvement?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Paul Sweeney
I was asking about how having very high-level indicators breaks down into a set of clear actions that are monitored over time; for example, aligning certain activities in primary care, such as deep-end GP practices, with how the indicators are set.
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
I thank the witnesses for their contributions so far.
I want to turn to commissioning and procurement. How can we promote a more ethical and productive approach to those things? Is it the current approach to strategic commissioning that needs to be revised, or is it the processes themselves—or is it both?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
We have discussed the pressures on prevention. Given the financial constraints that GPs face, it is a challenge to reconcile the different elements, as has been discussed. Commissioning decisions are often based on which provider offers the lowest cost, but that can have a deadening effect on quality and innovation. The answer from the previous witnesses was to get more resource, particularly in rural areas, which can be quite challenging.
Do you have other views on how we can empower IJBs to look beyond cost and consider the longer-term benefits of investing in innovation and prevention as part of budget decisions? For example, in Glasgow, there was a decision to cut a transition from custody service, which will result in back-up in the prisons and cost the country more money in the long run. How do we avoid those short-termist reactionary decisions in future planning?