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 1200 contributions
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
I want to ask about social work. I imagine that it is challenging to make a comparison, because the scope of the bill goes beyond the practical delivery of social care. Northern Ireland is perhaps a good example to look at, because social work there is delivered slightly differently via more of a health board model. Have you found any international examples of elements of social work, as a profession, being put into a national social care structure?
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
Do those arrangements involve criminal justice, children and young people’s services or learning disability services, for example, as well as just older people’s services?
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
We have begun to touch on the issue of what the bill will actually achieve. I would like to reflect on some of the commentary that there has been since the bill’s publication. The Centre for Care said that there must be greater clarity on how the reforms will achieve the intended goals. It asked how we will test the bill against the theory of change and how we will establish whether it has done what we want it to do. There has been commentary on whether the bill will fully deliver the recommendations of the Feeley review, and there has been commentary from trade unions on whether it will do anything to tackle the issues around pay and terms and conditions. Unison has gone as far as to say that the bill should be paused.
In that context, I am keen to get a sense of how the bill can achieve the aims that have been set out. Perhaps we could start with Nick Kempe.
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
That leads me neatly on to my next question. The sense that I am getting from those contributions is that this has to be about cultures, not structures, and that we have to avoid that top-down approach. Indeed, Reform Scotland said in response to the call for views that there has not been an
“adequate explanation about why simply removing local government”,
for example, from social care would lead to implementation or to innovation in delivery. Do the panellists agree that we need to look at that in a more rounded fashion?
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
Forgive me—we have not done this before as a committee. As there is obviously an issue relating to local government and the structure of local government, is that an issue for the Local Government, Housing and Planning Committee? With the best will in the world, we are not going to be able to make a recommendation on the restructuring of local government in Scotland.
That is just a thought, and I am not sure how the ping-pong between committees works.
Health, Social Care and Sport Committee
Meeting date: 4 October 2022
Paul O'Kane
Sure. Putting the pandemic to one side, do you get the sense that integration is well embedded, or is it still very much a work in progress in terms of the wider picture?
Health, Social Care and Sport Committee
Meeting date: 4 October 2022
Paul O'Kane
That was very helpful.
Health, Social Care and Sport Committee
Meeting date: 4 October 2022
Paul O'Kane
We have already touched on some of the points that I want to raise in talking about the governance and scrutiny in IJBs and having different partners round the table, particularly third sector and trade union colleagues and others. Sometimes, people are present and are asked to leave when a vote happens, or they are at the table and do not have a vote. To what extent does that fray or fracture relationships and affect people’s ability to make a meaningful contribution?
Health, Social Care and Sport Committee
Meeting date: 4 October 2022
Paul O'Kane
It is clear that we need to drill down. My point about speaking to those communities is absolutely vital.
I will move the discussion on slightly, because I am conscious of the time.
Is there a challenge for many people in respect of professional players setting an example and the players whom they play alongside not understanding some of the systemic issues, the deep-rooted nature of racism and the challenges around that, and very often not being aware of the challenges that other people face? To what extent has there been training for other professional players on racism and how they conduct themselves on social media and in various other spaces? Does that training currently exist?
Health, Social Care and Sport Committee
Meeting date: 4 October 2022
Paul O'Kane
I will pull this opening segment together. I am keen to understand the learning from this process as we move towards another process. What do you know now that you wish you had known at the start of that integration process and can be used as we scrutinise the forthcoming bill?