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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

Ms Martinez, do you have a point to make?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Okay—no problem.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

The biggest commodity in the national health service is time. There are opportunities to boost productivity through capital investments and to tackle inefficiencies through targeted process improvements, but GPs, for example, say understandably that they are too busy firefighting to undertake any sort of innovation or process improvement. Do panel members have examples from other countries of models of innovation that have demonstrably improved productivity and that have helped to deliver positive health and social care outcomes?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I will pick up on some of the modelling that has been done in the productivity paper that you prepared, Professor Ulph.

The number of people in the NHS workforce in Scotland would make it the fourth largest city in Scotland. I think that the head count sits at 181,000 people, so it is the biggest employer in Scotland by a considerable distance. That clearly has an effect on national performance in terms of productivity. Do you have any thoughts on whether we can improve our analysis of the productivity of the NHS workforce in informing national policy?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Sorry—it looked as though you wanted to comment.

Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Paul Sweeney

The recruitment crisis in social care is another major issue that has been fed back strongly to the committee. The programme for government included a commitment to a pay rise to £12 per hour for social care staff. If the Government had acted when calls for the rise to £12 per hour were made three years ago, that increased level would now be worth almost £14 per hour, after inflation. Does the cabinet secretary think that that is sufficient to address the scale of the recruitment and retention issues in social care, bearing in mind the opportunity cost of not acting?

Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Paul Sweeney

I want to pick up on the work of the COVID-19 Recovery Committee on its inquiry into dentistry services in Scotland. A number of stakeholders are concerned about those. For example, the British Dental Association said that

“uncertainty remains around whether”

the Scottish Government’s reform proposals will be enough to

“halt the exodus of dentists from NHS services”.

In my own experience, my recent check-up was cancelled for the first time ever because the permanent dentist had left the practice and it was relying on locums to cover appointments.

What is the Scottish Government doing to implement the recommendations of the COVID-19 Recovery Committee’s inquiry into NHS dental services, particularly on consideration of costing service model options?

Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Paul Sweeney

Okay. That is disappointing.

Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Paul Sweeney

I thank the cabinet secretary for that response. The Royal College of Nursing strongly fed back the point that nurses in training felt that they were not able to continue with their studies because of the financial costs. Having an employee status at the outset under an apprenticeship-led model would offer a way of remedying that.

Another major issue that has been fed back is the abolition of non-residential care charges. That was raised very strongly by stakeholders. Non-residential care charges are still in place, with the cost in Glasgow almost doubling. There was no mention of care charges in the programme for government, despite the strain of the cost of living crisis and its impact on some very vulnerable people. Is ending non-residential care charges still a priority for the Scottish Government, or is that not on the radar at the moment?

Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Paul Sweeney

We have had a lot of correspondence from members of the public as a result of our call for feedback on the state of the national health and social care system and mental health in Scotland, particularly on waiting times for child and adolescent mental health services. Waiting times data for the most recent quarter shows that 73.8 per cent of children and young people were seen by CAMHS within 18 weeks. That figure is lower than that for the previous quarter, and it falls short of the Scottish Government’s target of 90 per cent of people being seen within 18 weeks. I understand that the delivery plan for the mental health strategy will look at when boards can reach the waiting times standard, but will that plan be accompanied by funding so that health boards can build the required capacity to meet that target effectively?