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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 6 November 2025
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Displaying 1219 contributions

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Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Can you elaborate on the evidence base for longer-term objective setting and setting those budgets accordingly? An interesting example might be health and social care partnerships cutting a programme without any reference back to the centre and the impact that that might have on national performance. Do we need to do more to improve those metrics and key performance indicators?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I thank the witnesses for their contributions so far. We have discussed pay pressures in the NHS and general financial pressures. The Scottish Government agreed a pay increase for 2023-24 of 6.5 per cent for most NHS staff and 12.4 per cent for junior doctors. Nonetheless, payroll pressures continue to persist as a structural challenge for the NHS.

Mr Whyte, you said that wages account for a lot of spend. We need to balance that with recruiting new staff and retaining staff who might otherwise bleed overseas or to external agencies, for example. How do we strike that balance? Do you have any insight into how well boards or national pay bargaining structures are performing in that regard? Structurally, are we potentially adrift from where we need to be?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I have a follow-up question about the potential consequences of capital investment. Do you see an issue with capital investment and productivity enhancement vis-à-vis labour intensity in the system?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I thank the members of the panel for their contributions.

The committee recently invited views on winter planning in the NHS. It was suggested in many submissions that the development of a whole-systems approach is hindered by the short-term nature of planning and funding. Do panel members have a view on how we can achieve a whole-systems approach in any practical sense?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

In its recent report, “Tipping the Scales: the Social and Economic Harm of Poverty in Scotland”, IPPR Scotland highlighted the fact that the cycle of reactive spending is avoidable. Do you have a view on how, against a backdrop of such acute pressures on secondary services, we can disrupt that cycle and transition to an increase in preventative spend?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Do you have any examples of service provision in Scotland or other countries where that transition has been managed and is showing promising signs?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Okay. Written submissions to the committee have noted that the short-term nature of national targets is having an impact on clinical priorities, with decisions made to satisfy expectations as opposed to measuring long-term impact. Do panel members have a view on alternative measures—perhaps through budgeting—that could be used to monitor performance and would allow for longer-term planning? How do we shift from short-termism to a longer-term funding and service delivery model—bearing in mind the complex interactions between the Treasury and the Scottish Government?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

That is helpful—thank you.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I might come back to you to ask for further information about the potential for doing deeper analysis on the national health service and its productivity. That might be of interest to the committee, so thanks for that insight.

10:45  

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

That is helpful. Does anyone have any insights on the benchmarks that are used in relation to other healthcare systems in the developed world?