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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 854 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

The buck has to stop somewhere.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

I will ask one final question. In relation to accountability and responsibility, if the assets, staffing and budget stay with councils, is there not a huge concern that there is a difference and that one party will be responsible and another accountable?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

My point is that you cannot have both. Your point was that it is not real if we cannot pay for it, but the new model talks about variety and individual needs, while the one-size-fits-all approach is a low-cost model.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

Professor Sengupta said earlier that it will be real only if we can pay for it. We have talked about the balance between the one-size-fits-all approach and variety. The one-size-fits-all approach is a lower-cost model, but when you add variety you add complexity and cost, so you cannot have both. I realise that that is a dilemma. With the NCS, we started off talking about a one-size-fits-all approach, but we have now moved completely to a different model—I could say that it is a fudge, but we are saying that we will have variety and we will individualise, but that has a huge cost.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

Thank you for coming today, minister.

Was any consideration given to other reforms? The current focus is on a disease-centred model. Did you look at preventative, instead of disease-centred, approaches?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

I have a final question. What difference will the single capitation arrangement make to patient access and treatment options, and how will you assess the impact of that change?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

It does. I have a quick follow-up question. At a previous committee meeting, we heard about the model that is used in Shetland. The minister said that it is a great model, so let us use that as an example. Hypothetically, if Shetland’s model was a great one to go for and there was a one-size-fits-all approach under the new national care service, local authorities would be forced to apply a model from another area, so costs would increase. Is that a major concern? How would that be managed?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

Mr Follan, does the sharing of legal responsibility between the Scottish Government, the NHS and local authorities blur the lines about who is accountable when services are not delivered adequately?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

In relation to reform, the number of university places for graduates has flatlined, and graduates who qualify tend not to want to go into the NHS because of the funding model. Will the new model attract graduates to the profession?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

That is attractive for training, but will the reforms help to stop the bloodletting from dentistry?