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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 28 December 2025
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Displaying 1446 contributions

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Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Joe FitzPatrick

I am very sympathetic to what the member is trying to achieve in these amendments, but, given the way in which they are worded, it seems like the directive is less a voluntary thing and more something that has to be done. The amendments seem to be saying, “You must have an advance care directive,” whereas I believe very much that it should be a matter of patient choice. My concern is that, if patients do not want an advance care directive, they should not have to have one. I think that you said that that was your intention, so I wonder whether it would be better if the wording could be finessed and the amendment brought back at stage 3, in order to make it clear that the provision is not saying, “You must have this in order to proceed.”

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Joe FitzPatrick

That is nonsense.

Public Audit Committee [Draft}

“Improving care experience: Delivering The Promise”

Meeting date: 5 November 2025

Joe FitzPatrick

Before I ask my questions on resources, I want to pick up on a point that was made during the contribution from my colleague Graham Simpson. He was talking about the complexity of understanding whether the Promise is being delivered. He also read the quote about the urgency of the lived experience, which made me think that it is difficult to know when we have got this right, but it is absolutely clear when we have got it wrong, isn’t it?

When a care-experienced person’s journey is not what it should be, are we putting the urgency on that to, first of all, fix that for that person in the context of the Promise? Are we looking at how we make sure that it does not happen to someone else? When I have come across a care-experienced person who has not had a great journey, the first thing that I have said to them is, “Thank you so much for speaking up, because it is not just about you; it is about all the other folk who are likely to be experiencing it because the system is not working as it should.” Have we managed to join those dots?

Public Audit Committee [Draft}

“Improving care experience: Delivering The Promise”

Meeting date: 5 November 2025

Joe FitzPatrick

Where you see good practice, is that being shared? Are other areas looking at that, or are they saying, “That is Glasgow, so we are not going to do that”? Have they managed to break that down to put the folk that this is about at the heart of decision making?

Public Audit Committee [Draft}

“Improving care experience: Delivering The Promise”

Meeting date: 5 November 2025

Joe FitzPatrick

Thank you. I think that other colleagues have more questions in this area, so I will leave it open.

Public Audit Committee [Draft}

“Adult Disability Payment”

Meeting date: 5 November 2025

Joe FitzPatrick

Good morning. I think that you have partly answered this question, but it would be good to hear about the background to the review, what spurred its being set up as an independent review and what its remit was. You have partly answered that, but could you give us a bit more detail on the remit and some information on how you went about carrying out your work?

Public Audit Committee [Draft}

“Adult Disability Payment”

Meeting date: 5 November 2025

Joe FitzPatrick

Okay. Thank you.

Public Audit Committee [Draft}

“Adult Disability Payment”

Meeting date: 5 November 2025

Joe FitzPatrick

Thank you. I guess that you were restricted to some extent, and the cabinet secretary would want a degree of focus. I assume that it would be her intention to act on your recommendations. Have you had any indication from the Scottish Government of when it will be able to respond to your recommendations?

Public Audit Committee [Draft}

“Adult Disability Payment”

Meeting date: 5 November 2025

Joe FitzPatrick

Do you expect the Government’s response to say how it will deliver on your recommendations, or do you think it will be more finessed?

Public Audit Committee [Draft}

“Improving care experience: Delivering The Promise”

Meeting date: 5 November 2025

Joe FitzPatrick

Thank you.

I will move on to resources. Key message 5 talks about the challenges of getting a clear assessment of what resources and skills are required. The report also talks about how local government spending has gone up and Scottish Government funding for the Promise has increased, but it highlights the challenges of understanding how that funding is being allocated. It is obviously complex to know where the money is going and how it is being spent. On page 32, you highlight the challenges that arise because of differences in local systems. If the children’s services are part of the integration joint board, as you have suggested, it is more difficult to get clarity. We need to add to that the NHS’s contribution. How do we understand how the money is managing to flow if we have all these different systems? While respecting that different areas will want to do things differently—that is important for local democracy—how can we get consistency of understanding how the money is spent, so that we can ensure that the funding that has been allocated is being used and we can monitor that?