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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 5 May 2021
  6. Current session: 12 May 2021 to 5 August 2025
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Displaying 1072 contributions

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Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 17 January 2023

Paul O'Kane

Thank you. That concludes consideration of the instrument. I thank the cabinet secretary for his time and his officials for attending.

At our next meeting, we will take evidence from Cricket Scotland and sportscotland to get an update on their response to the independent review of racism in Scottish cricket. We will then take evidence from representatives of Food Standards Scotland. That concludes the public part of our meeting today.

11:46 Meeting continued in private until 12:06.  

 

 

Health, Social Care and Sport Committee

Petitions

Meeting date: 17 January 2023

Paul O'Kane

We have a number of supplementary questions and we will start with one from Tess White.

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

I wonder whether I can return to the point about pay for the social care workforce. We have heard a variety of evidence in the committee, and in recent days we have heard that pay could really make the difference in terms of retaining people in the system. We know the challenges that exist, particularly when social care workers can earn more in Lidl, for example. Has the cabinet secretary done any cost benefit analysis or any other analysis of what the difference would be to the NHS in terms of attendance at A and E and delayed discharge if we were to move to a position of £12 an hour and then look to raise that to £15 an hour over the course of the parliamentary session?

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

I am keen to start with the sustainability of management of finances within NHS boards. Audit Scotland previously highlighted a lack of stable senior leadership, with high turnover and short-term tenure. When we went through this session last year, we discussed some similar issues. Therefore, it would be good to know what progress the cabinet secretary feels has been made on financial stewardship within boards and whether he feels that more has to be done to tackle those issues.

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

Given the acute situation that we find ourselves in and the announcements that the cabinet secretary will make later this afternoon, that detailed piece of analysis on the benefit of increasing pay should stand alone and be done by the Government. I am sure that the cabinet secretary intends to make an announcement containing further detail about the beds that he will purchase in care homes. That will require a staffing element, and we know about the staffing challenges. It is not just that, because, obviously, there are care at home staffing issues, and I agree with him about terms and conditions. My sense from his previous answers is that we are being told that, four years down the line, the national care service will deliver all of this and we can move the dial. Does he not accept that we need to do more now and look at the issues right now, instead of wishing them away to the national care service?

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

I will ask about something else that Audit Scotland has consistently raised, which is the impact that multiyear budgeting would have and the adverse impact that a lack of multiyear budgeting has on longer-term financial planning, ensuring that innovation can be planned for and other things that we are keen to see. What is your view on how multiyear budgets might assist in achieving financial stability, and what do you perceive as being the barriers to offering those multiyear settlements?

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

Good morning, cabinet secretary, and happy new year. I will pick up on the point about NHS 24 recruitment. I appreciate that further detail will be provided this afternoon, I imagine, in the cabinet secretary’s statement, but he will recall that, last year, he and I had an exchange about contact tracing staff and the potential for them to be redeployed to NHS 24 to bolster capacity. At the time, the cabinet secretary gave an undertaking to try to do as much of that as possible. I do not know whether he can say now how many of those staff were transferred or whether he can write to me with further detail on the transfer.

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

Convener, would you like me to move on to the national care service?

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

Following on from that point, the cabinet secretary has outlined his 48p and lower pay rise this year for care staff. In the evidence that we have heard in this committee around the National Care Service (Scotland) Bill, there has been a lot of criticism about the process and about this being focused on structural change. He has already referenced the financial memorandum and the commentary of the Finance and Public Administration Committee. Does he not acknowledge that this is the opportunity to pause on the bill, to take account of all of that criticism and to look at how we deal with the immediate pressures in this financial year, and then to make a plan going forward that brings all of the partners who have significant criticisms around the table?

Health, Social Care and Sport Committee

Budget Scrutiny 2023-24

Meeting date: 10 January 2023

Paul O'Kane

In that vein of being constructive and helpful, I do not think that what I have said is a surprise to the cabinet secretary, given that, in our robust discussions in the chamber and elsewhere, I have called for a pause for some time. If he is willing to have that consideration, that is welcome, and I hope that he will respond to COSLA, trade unions, front-line staff and others who are calling for that dialogue prior to the legislation going through its stages.