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: 3 September 2024
Paul Sweeney
I have a quick question to put to Professor Bell. You note in your submission that the short-term decisions that IJBs make might reduce spend at the front end but can prove to be more expensive in the longer run, in the whole system. How can we ensure that IJBs make a fuller assessment of any long-term detrimental impact on health outcomes before taking such decisions on budgets?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
I thank the witnesses for their points so far. I turn to commissioning and procurement. What would promote a more ethical and productive approach to that? Is the current approach to strategic commissioning the source of the problem and does that need to be revised, or is it the processes themselves, or is it both? I invite the IJB leads to offer their thoughts.
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
Thanks for that point.
The Accounts Commission report highlights strong examples of innovation, but how could innovation efforts be better supported? Are there barriers to benchmarking, learning from other IJBs, levelling up—if you like—and promoting the best practice across the country as standard? How does that function at present? Are there too many silos and too much fragmentation?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
On the point about empowerment, how do you articulate the absurdity, if you like, of the decision that you are being faced with? How do you communicate that to the wider system? Is that something that we could improve?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
That is an interesting point. Some strong examples of innovation and efforts to improve the commissioning and contracting of services have been highlighted in the Accounts Commission report. How can those efforts be further supported and the pace of change improved? Are there practical opportunities to do that?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
Noting Professor Bell’s point about resource, particularly in rural areas, does that drive towards lowest-cost tenders militate against efficiency and good-quality service delivery? Have you noted that tendency? Does that model of chasing the lowest-cost solution need to be changed?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
Sharon, do you have any points to make?
Health, Social Care and Sport Committee
Meeting date: 3 September 2024
Paul Sweeney
Is that currently a barrier to improvement? Does it inhibit opportunities to improve service delivery? Is that identified as a key blocker? Have you identified any other blockers or barriers to be overcome?
Health, Social Care and Sport Committee
Meeting date: 25 June 2024
Paul Sweeney
I thank witnesses for their answers so far. Previous witnesses highlighted flaws in data—certainly, in the qualitative aspects of data collection. That is well understood. They also highlighted concerns about the interface with the Public Bodies (Joint Working) (Scotland) Act 2014—how that has created a culture of competition for resources and how other areas of public social care provision are superseding the principles of SDS. Will you seek to further investigate that? A number of witnesses raised the concern that the principles have not been well embedded in the 2014 act and that that is creating a culture that militates against its effects.
10:00Health, Social Care and Sport Committee
Meeting date: 11 June 2024
Paul Sweeney
Thank you, convener. I want to discuss variability across criteria and particularly—stakeholders in previous sessions highlighted this issue to us—the ability to carry over packages of care across local authorities and so on. What practices and procedures do you have in place to examine cases where there have been complaints, how do you learn from those and do you benchmark against each other? Will you provide us with a bit more understanding of how you act as an ecosystem across local authorities to try to maintain consistency in eligibility criteria?