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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 4 August 2025
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Displaying 1072 contributions

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Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

Agenda item 2 is the final evidence-taking session for our inquiry into health inequalities. I welcome to the committee Maree Todd, the Minister for Public Health, Women’s Health and Sport, who is soon to be joined by Michael Kellet, director of population health at the Scottish Government.

I invite the minister to make a brief opening statement.

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

Tess White has a supplementary question.

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

Thank you, minister. We now move to questions on a variety of themes and on the issues that you have raised in your opening remarks. I will start on the progress that we are making on health inequalities.

Minister, I appreciate that you have covered in your opening remarks the progress that has been made over the past seven years, and you have pointed to some of the reasons for poor health equality in highlighting UK Government decision making and austerity. I want to broaden that out a little more. Why have we been unable to make greater progress in addressing health inequalities over the past seven years, notwithstanding the issue that you have raised? What more do we need to do to make progress?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 28 June 2022

Paul O'Kane

I have a brief question about the financial effects. Previously, I asked the cabinet secretary this question, on the funding for environmental health officers to carry out the measure. I appreciate that the paragraph on financial effects states:

“Local Authorities are already funded to undertake tobacco ... work”.

I am conscious that there may be a higher number of hospitals in the city of Edinburgh and Glasgow city than in other local authority areas, so there will perhaps be a corresponding pressure on those teams. I suppose that I am just looking for an assurance that, if costs are exorbitant or add pressures for particular departments, that will be monitored by the Government and any adjustments will be made if required.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 28 June 2022

Paul O'Kane

That is fair, and it is good of you to remind me of my central belt bias, which often accidentally slips out.

Given that there are no further questions, we move to item 4, which is the formal debate on the made affirmative instrument on which we have just taken evidence. I remind the committee that members should not put questions to the minister during the formal debate; and officials may not speak.

Minister, do you wish to say anything further on motion S6M-04798, before I invite you to move it?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 28 June 2022

Paul O'Kane

I invite contributions to the debate.

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

I want to further explore the policies and objectives that relate to addressing health inequalities. Last week, Professor Sir Michael Marmot, who has previously given evidence to the committee, provided compelling evidence about the measures that have been taken in England, particularly in Wolverhampton and Manchester, under his Marmot cities model. He uses six approaches that can make a difference—and which, on the basis of reports on those cities, have been shown to have made a difference.

Last week, I said that those things are not “rocket science”; we probably all recognise them as important things to do that make a difference. They are very often offered and supported by local government and the third sector. However, we know that their funding is reducing, which is challenging, so I am keen to get a sense of how we progress a Marmot cities agenda in Scotland, particularly in our city regions, and how we can sustain funding in the six areas that Professor Marmot has identified.

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

It is good to hear that that meeting is taking place today and that progress on that work is being made, because the committee felt very strongly about that evidence.

I want to ask about health inequalities that are driven by poverty. The committee heard evidence from many organisations that, to some extent, the only proven policy relating to poverty and its impact has been the child payment, given the progress that has been made in that regard. It has had an impact because income goes directly to the poorest families in our society. Would the minister support a further increase to the child payment in order to tackle inequalities?

09:15  

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

Thank you very much. I will move on to questions from my colleague Emma Harper.

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 28 June 2022

Paul O'Kane

We move to questions on national strategy, which will be led by my colleague Evelyn Tweed.