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Seòmar agus comataidhean

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 August 2025
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Displaying 1229 contributions

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Standards, Procedures and Public Appointments Committee

Minister for Parliamentary Business

Meeting date: 23 November 2023

Ivan McKee

The clarification from the minister is welcome.

I will ask a bit about the costs of FOI. I cannot recall the number of requests, but we have had a briefing on it and it runs to, I think, many, many tens of thousands across the public sector annually. I think that it is increasing, which clearly carries a cost with it. Do you have any sense of how much of the Scottish Government’s total cost, which is somewhere in excess of £700 million per year, is a consequence of compliance with FOI legislation and what that looks like across the broader public sector? Is there any work on or any view or assessment of what those numbers might look like?

Standards, Procedures and Public Appointments Committee

Minister for Parliamentary Business

Meeting date: 23 November 2023

Ivan McKee

I do not know whether you are reading too much into it. It would be ironic if, in a process to do with transparency, we took a decision not to have transparency on the costs. I understand what you are saying, but understanding an approximate assessment of the number does not necessarily lead to saying that it is too high. It could lead to saying that we need to have more efficient processes, whether through proactive or automated data release.

Standards, Procedures and Public Appointments Committee

Minister for Parliamentary Business

Meeting date: 23 November 2023

Ivan McKee

I was going to pick up on some other—

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Ivan McKee

Good morning, and thank you for coming in this morning. I have a few questions about the plan. I think that it is true to say that you came into post a period of time after “Women’s Health Plan” was pulled together and launched. To get a sense of whether the plan covers the areas that you think it should and whether its areas of focus are correct, you helpfully unpicked the fact that some conditions are female only, others are shared, and there are some issues that affect the latter category. Do you think that balance is correct?

It was interesting to read in the plan some of the stuff about how women want to play an active role, share decision making and have access to information. That also applies to men. Could any learning from the plan be applied more widely?

I have some more points to make but perhaps you could pick up on those first.

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Ivan McKee

You are absolutely correct. My wife tells me that frequently.

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Ivan McKee

It is an interesting observation that more engagement leads to poorer medical outcomes.

The plan has a big focus on inequality, which is great. It is interesting that women’s health outcomes are significantly better than men’s for many headline issues, such as alcohol and drugs, Covid and even heart conditions. I think that I am right in saying that men’s death rates are still significantly worse than women’s. How do you approach those differences, in terms what can be measured?

Typically, when we look at an inequality issue, we would say that one group is performing worse than others and the objective would be to close the gap. In this situation, there are many measures, such as life expectancy, on which women are performing significantly better than men. How would you measure success in closing that inequality gap?

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Ivan McKee

Your observation that because women go to the GP more often, they are less likely to be believed is interesting. If anything, you would have thought that more engagement with the health service would have led to better, rather than worse, outcomes.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 21 November 2023

Ivan McKee

Does anyone have further comments on that?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 21 November 2023

Ivan McKee

Good morning, panel.

When we talk about remote and rural healthcare, we often look at it through the same lens as we look at healthcare elsewhere. We consider that, for various reasons, healthcare in rural areas is not as good as we would like it to be in comparison with the rest of the country, and we look at how we can improve its standing.

That is hugely important, but I want to flip that around and look at the subject through another lens—in relation to digitisation, remote healthcare, telehealth and so on. There are clearly opportunities for us not only to get ahead of the curve in how we deploy those technologies at scale in rural communities and drive up health outcomes as a consequence, but to position Scotland as a leading global player in those technologies. I know that we have done a lot of that already, and that there are great examples of it in the Highlands and Islands and elsewhere. To what extent do you see the national centre focusing on such opportunities, as it does on the many existing challenges that we have discussed?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 21 November 2023

Ivan McKee

Have you specific examples of technology and digitisation having been deployed in rural areas in advance of that happening elsewhere in the country, or are there plans in which that is in train?