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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 7 August 2025
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Displaying 2881 contributions

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Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

While we are on the subject of the national care board, has there been a decision about whether that will be a legal entity, a public board on its own or some other type of body?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

Do you expect the NHS and the local council to hand over a sum of money to the local integration authority, such that the authority then has complete freedom over what it does with it, or are we expecting both the council and the NHS to take a hands-on approach, especially as to how money is spent but on other things, too? Would the national care board have any involvement in spending and so on?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

So there will still be room for a bit of variation around the 31 integration authorities. Presumably, the way that Shetland does things and the way that Glasgow does things will always be slightly different.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

There is something that I noticed in the programme business case that I do not think we got round to discussing on Tuesday. It says:

“Another key area of benefits resulting from the NCS is the possibility of efficiency savings.”

What kind of efficiency savings would there be? Does that involve the third sector and the private sector, too?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

One of the answers that we had on Tuesday was that we would better understand unmet need, and I think that you are confirming that. I am a little surprised that we do not know what that need is. For example, I guess that some people who are at home need to be in a care home but that there is no budget or space for that.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

Okay, so there are two different kinds of unmet need, in a sense: the one that we know about and the one that we do not know about.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

Are the third sector and the private sector involved in that discussion?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

I understand that the Government has an assumption against the creation of new bodies unless there is a very good reason for it.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

Right, so you have not decided that—that is fine.

On Tuesday, as your colleagues will remember, I asked about integration authorities and will touch on that again. I asked about the relationship between integration authorities and what sits around them: councils, the NHS and the new national care board. My feeling is that, in the past, because councils and the NHS viewed budgets in slightly different ways, that caused a bit of a challenge for the integration authorities, and I wonder whether that will become more complex once we have the national care board as well.

10:15  

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

John Mason

How quickly would even the one that we know about be met? I should probably say that I used to work in the care sector. However, to take a personal example, my mother was falling regularly and we as a family decided that she needed to be in a care home. It took quite some time for the local authority to confirm that she needed to be in a care home, although it eventually did. During that gap period, my mother was able to afford the fees. The council made its contribution eventually. Will that change at all?