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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 17 June 2025
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Displaying 1290 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

My questions are on the national care service charter, to give you an opportunity to say something about that. What are your thoughts on the co-design process and whether the charter will be effective? I am keen to hear, too, whether you think that it might be good for the charter to ultimately be a living document that could develop as we get experience of the national care service. Finally, do you have any thoughts on what a complaints process for the proposed NCS might look like?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

Simon Macfarlane and Keir Greenaway suggested that one of the reasons for their opposition to the bill was what they described as a power grab from and a loss of local accountability to local government. Simon mentioned the Verity house agreement a couple of times. I note for the record that I was the minister who was responsible, along with the then Deputy First Minister, for taking forward that agreement.

One of the key aspects of the Verity house agreement is that the Government should not interfere in pay negotiations, which are devolved. How do we address the matter given that, on the one hand, you are saying that we should respect the agreement and that there should be local accountability, but, on the other hand, every time that there is a pay dispute, both unions come forward and say that the Government should get involved, which goes against what the agreement says?

I would also like a quick comment on the fact that, as MSPs, we frequently hear constituents complain about what they call a postcode lottery—that is, that care services are different depending on where you live. How do we balance that call by people who use the services across Scotland with your call for local accountability? Either Simon or Keir can respond.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

You are then asking for a national board with more powers. If power goes there, it must come from somewhere else—if it is shared—but you want it to be meaningful.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

That is helpful—thank you.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Joe FitzPatrick

I apologise for not asking Katie MacGregor whether she wanted to comment on that.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

On the BMA’s view about the process of a critical review, the ultimate test of the robustness of scientific research is normally a peer review process. Apart from the University of York, which I think was a partner rather than a peer reviewer, are you aware of that having happened before the publication of the Cass review? Normally, there would be a peer review before someone published a paper in, for example, Nature.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

Do you have any thoughts on why there appears to be a difference in this case? As you have said, this evidence exists—it was produced by other people—and it has, in the Cass review, been distilled in a particular way and used in coming to the review’s conclusions. I have no medical training so I will not question that at all. However, it appears that people with similar qualifications and medical experience in other countries have come to very different conclusions. Do you have any thoughts on that? It is never black and white, is it?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That is really helpful.

You mentioned treatment, so I will home in on one area of treatment about which there is concern, namely, hormone treatments. Prior to the assessment of the Cass review, of the significant numbers of people who came for support, a relatively small number were receiving hormone treatment. That has been suspended.

What are your thoughts on what that means for those young people? I am aware of constituents who, even under the previous system, were accessing hormone treatment by legal private means, with all the risks that go with being unable to get support with on-going assessment of their hormone levels. What will be the implications of the current restriction for young people?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

That is really helpful in distinguishing between puberty blockers and other hormonal treatments. Have other hormonal treatments been restricted as well?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Joe FitzPatrick

I totally understand that you will conduct a clinical trial to examine the effects of treatment. However, most of us will have come across trans people who did not manage to receive support. I can remember one man who knew that he was a man when he was at the pre-teenager stage, but went through his whole life until he retired before being able to take affirmative action on that. That is someone whose life has not been as full as it might have been, had he had affirmative treatment sooner. Will you also be looking at the issue of not treating people?