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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 23 May 2025
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Displaying 3259 contributions

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Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

We will always have those variabilities—

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

—but will they be reduced by the time we get to the stage 1 debate, or will we still be looking at those figures?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

Incidentally, I have a wee query. Why are carer breaks classed as “Service Strategy” in the financial memorandum? I would have thought that “Carer breaks” would have been a much easier way to explain that, so that anyone looking at it—a layperson—would understand a wee bit more about what that money was being spent on.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

Okay.

On digital, the business case says:

“New technology will be required to deliver the integrated social care and health and social care record.”

It mentions the

“need to invest in the sector”,

and it says:

“There is significant work already underway to ensure the NHS has the capability and capacity to support the introduction of the record.”

The word “significant” can mean anything, of course. What are we looking at by way of costs for that? When will that work conclude?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

Thanks. I will make one final point.

Minister, you have spoken about the 36,000 people in relation to unmet need. You have also talked about the many excellent people who work in the sector and about the need to improve quality, pay, conditions and so on. How many additional people will be needed to deliver the service on the ground? If we are improving the care that people receive and the quality of that care, that takes time and people. There are chronic recruitment challenges. Jamie Halcro Johnston has mentioned the islands. I have two islands in my constituency, with more than 6,000 people living on them. Trying to get care staff there is a nightmare. Even if hourly wages could be increased to £15, £16 or £17 an hour, we would really struggle to get people, as the demand is high. We have a demographic challenge.

We are looking at a financial memorandum with 2 per cent inflation and a 3 per cent real-terms increase, but some of that 3 per cent real-terms increase will be absorbed by the increasing number of people receiving care. How many additional staff will we need, and where will we get them from? What kind of recruitment and training programmes will be introduced in order to find those people?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

We will have a final question from Michael Marra after which we will wind up this evidence session.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

I did not think for a minute that it was. I think that Mr Flannigan made that quite clear on Tuesday. It has obviously been picked up incorrectly.

Let us start where we finished last time. On Tuesday, I asked Donna Bell about the fact that the bill is much less complex than the one that we started off with, in that we will not need to transfer assets and staff or to think about the Transfer of Undertakings (Protection of Employment) Regulations or about having 31 or 32 potential care boards, et cetera. The variance in the costs is much reduced. Previously, the variance between the minimum and the maximum cost was up to 150 per cent. It is now about 45 per cent, so the parameters have reduced.

However, the delay in the legislation’s being implemented has almost doubled. Instead of waiting a couple of years for implementation, the process will now take in the order of four years. I recognise that Donna Bell said that you were looking at things pessimistically, but you have emphasised how important it is that the bill works for the people who will benefit from it. Surely that is an inordinate delay.

I did not feel that the responses that I got on Tuesday were great. Basically, the officials said that it will potentially still be quite a complex process and that, if the Government could do the work more quickly, it would be happy to do so. If it is a resource issue, is it not best to say, “The reality is that we don’t have the resources to implement what we want to do in the time period that we envisaged”? Is that, in fact, the case?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

What about carers’ breaks? What is the position there, in comparison to where it would have been under the previous iteration of the bill?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

In your opening statement, you talked about the economy of greater wellbeing. Earlier this week, Donna Bell said:

“The Scottish Government remains committed to responding to the need for reform, with significant changes being needed at local level to realise the intended quality and consistency that will be required. By providing timely support when it is needed, we can reduce overall service costs in the long term and empower people to maintain their physical and mental health, which will, in turn, create a healthier overall economy.”—[Official Report, Finance and Public Administration Committee, 23 January 2024; c 3.]

You have reiterated that. Do you have any examples of what that would mean financially? It is a bold statement and it sounds logical, but in the financial memorandum we see only the implementation costs and not the economic benefits or, indeed, anything on the implications and how it will reduce costs in other parts of the Scottish budget, such as in the NHS.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

It is in cash terms. In real terms, what will that mean, using, if possible, the gross domestic product deflator, given that that is what we will have to work with?