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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 4 May 2021
  6. Current session: 13 May 2021 to 7 November 2025
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Displaying 1365 contributions

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Health, Social Care and Sport Committee

National Health Service Dental Services

Meeting date: 10 December 2024

Joe FitzPatrick

I will ask about the oral health improvement plan. I had some supplementary questions, but we covered quite a bit of ground in the first couple of questions.

The oral health improvement plan has been around for a number of years. We have talked about the payment reforms that have been made but it does not feel that those fit with what the plan envisaged, which was to move closer to a GP-type model. Are we getting to the point where we need a new plan to reflect how reality has moved on and is a bit different from what was envisaged back in 2018, when the plan was first brought in?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill

Meeting date: 26 November 2024

Joe FitzPatrick

In his initial question, Paul Sweeney asked about the immediate challenges and financial pressures that social care is facing. One big thing that has happened recently is the UK Government’s decision to raise employer national insurance contributions but not to exempt the social care sector. Will you talk a little bit about the impact of that decision?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill

Meeting date: 26 November 2024

Joe FitzPatrick

You mentioned costs of £21 million and £84 million. Those are annual costs, so they cannot be filled from reserves.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 19 November 2024

Joe FitzPatrick

I want to ask about coercion—we almost just went to that area. Coercion is one of the big issues that even people who support the bill are concerned about. First, do you think that health professionals have the skills to identify whether coercion is happening? Secondly, is the model that is suggested in the bill the best way forward? Last week, witnesses suggested that a better, alternative system would be to use independent assessors—similar to those the Human Tissue Authority uses to ensure that coercion is not happening in relation to living donors—which would provide stronger safeguards. Is it necessary to have those stronger safeguards, or do you already have the skills in your team? Dr Provan, you almost went to that area.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 19 November 2024

Joe FitzPatrick

That is helpful. Fiona McIntyre, do you want to respond?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Joe FitzPatrick

Although some of this area has been touched on under Gillian Mackay’s question at the very start, I want to ask about the requirement for self-administration. The member in charge is very clear in his explanatory notes that the policy intention is that patients accessing assisted dying would have to “self-administer the substance” used to end their life.

10:15  

However, there is some suggestion that perhaps the wording in the bill is less clear. Is the wording clear enough to meet the member in charge’s policy intent—and is that a good thing? Last week, we heard from colleagues in Australia, who were concerned about making sure that everyone had access to the new right; physician-assisted means were important to people who would not be in a position to take a substance themselves.

First, is the wording clear? Secondly, is there a concern over the human rights of people who might not be able to take a substance themselves to access that end-of-life choice?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Joe FitzPatrick

Perhaps you would write to us on that. There is some suggestion that it may not be as clear as the member intended, so it would be useful to hear from you. It is in section 15(1).

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Joe FitzPatrick

Thank you.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Joe FitzPatrick

An argument that is sometimes made in support of assisted dying is that, without a lawful alternative, people might choose to die by suicide. Indeed, I think that Dr Coelho touched on that. Have you seen a difference in that respect? Has there been a reduction in folk using suicide as a way of ending their lives now that there is a legal alternative?

As you mentioned the point, Dr Coelho, do you want to answer that question first?

18:00  

Standards, Procedures and Public Appointments Committee

Scottish Elections (Representation and Reform) Bill: Stage 2

Meeting date: 7 November 2024

Joe FitzPatrick

I am sympathetic to Ross Greer’s point in relation to amendment 68, despite the fact that we have just won a by-election in Dundee that gives us three out of four of the seats in the Lochee ward. However, the proposal represents a significant change, and I do not see how we could make such a change at this stage or at stage 3 and still manage to have the necessary discussions with local government colleagues in particular, who might feel that the change is a case of the Parliament doing something to them rather than engaging with them in order to do something. It is good that the proposal has been aired, but I hope that Ross Greer does not pursue the issue at stage 3, because I think that it is something that requires a bit more discussion with local government colleagues.