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Seòmar agus comataidhean

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 4 August 2025
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Displaying 1072 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

Nick, do you recognise that many of the things that you have just said are, at their heart, Derek Feeley’s recommendations?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

I want to push you on your feelings about the distance between the Feeley review and the current bill. Is the bill focusing too much on structure and not enough on culture?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

Do you feel, though, that people become fatigued by structural change? I think that it is fair to say that, in this sector particularly, we have seen various structural changes over many years, and actually what people are driving at is cultural change. Integration, on which we are not quite at the 10-year mark, would be an example of that. What are your thoughts?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

I will try to draw some of this together and think about the broad theme of how we will measure the success or otherwise of the bill. There has been a lot of discussion this morning, and with other witnesses, of Derek Feeley’s review and of how to achieve what was set out in that review. How will we assess and measure the success of the national care service bill, and will the current level of detail in the bill be sufficient to allow us to judge whether it has achieved its aims? I will start with Peter McCormick, and then Margaret McCarthy, Fanchea Kelly and Nick Price might want to come in.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

Rachel, CCPS submission’s says:

“The Scottish Government appears to have taken the view that aspects of the detailed implementation of the Bill should be subject to codesign but that the overall approach to system redesign and structural reform should not.”

Do you think that that is back to front in some ways and that there should have been co-design in advance of the bill to inform what it looks like? How would you respond to those who have called for a pause on the bill to try to get it right?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

In the Randolph Hill submission, you spoke about being concerned about an absence of criteria to judge success or failure. Do you recognise that there is not enough detail in the bill to measure success against?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

I am interested in any of the other witnesses’ comments on the broad question about measuring success.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

I want to follow on from that by pulling some of the threads together and going back to first principles with the Feeley review, which Rachel Cackett mentioned in a previous answer. Can the bill achieve what everyone agreed with regard to the review’s aims, or is there too much focus now on structure as opposed to the investment in social care that we have just talked about? I appreciate that that is a broad question, but I ask Rachel Cackett and then Karen Hedge to comment.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Paul O'Kane

I wonder whether we can look at the relationships that already exist on a local level. Both CCPS and Scotland Excel have expressed concern that the focus on structure could be to the detriment of the existing local relationships. Rachel Cackett has commented on that, which was helpful, and I want to ask Julie Welsh to elaborate on the Scotland Excel concerns. Julie, do you feel that there is a risk that the bill could damage already well-established and successful local relationships?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee: Joint Committee

Reducing Drug Deaths in Scotland and Tackling Problem Drug Use

Meeting date: 24 November 2022

Paul O'Kane

That is helpful. I am keen to ensure that the minister reviews that matter. I am not trying to catch her out or to add to what is an important piece of work, but it is important that we capture those other aspects, so that we can ensure that all our resource is focused. That is particularly important with regard to the resources that are available to communities for work on the broader associated issues, including accidents that are related to drug use and personal safety. Does the minister want to add anything on that?