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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 March 2026
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Displaying 1542 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

Page 3 of the policy memorandum says that the creation of a national social work agency is part of the plan, but that is not in the bill. It seems pretty significant to create a national social work agency—if that is what is proposed—so does that need to be in the bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

I have just a quick thought. Yesterday in Dumfries, one of the people round the table said that we should move away from talking about person-centred care and talk about relationship-centred care, which is based on trust between, for example, a person and their carer at home or in a care home. What are your thoughts on the language that we use? Of course, we want a person-centred approach, because the situation is very dependent on what data is shared and who is allowed access to data, such as the combination for a key safe, as Ken Meechan was talking about. Can I have brief thoughts on person-centred versus relationship-centred care?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

The primary legislation will state what we want to achieve and, from there, we will work back towards what the secondary legislation will need to include. Part of that is about co-design with people who matter and those who know how a co-design process can be taken forward. The co-design part relates to Ken Macdonald’s comments and the working back part relates to Beth Lawton’s comments.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

It is for either Beth Lawton or Ken Macdonald.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

We have talked a lot about personal data, but now we have a couple of questions on the monitoring and evaluation of the national care service.

I am interested in whether the bill as introduced has suitable information on the monitoring and evaluation of care as it is delivered. Should anything be added, or will the framework legislation allow the service to be monitored and evaluated in the way that we intend?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

Good morning, everybody. Our papers contain information about the establishment of a new national social work agency. I would be interested to hear the panel’s thoughts on the proposed creation of a centralised quality improvement body in the form of a national social work agency. Do you welcome that, or would you prefer an alternative approach to be taken? If so, what would that be? Let us go to Suzanne McGuinness first.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Emma Harper

I will pick up on Roz Foyer’s point about collective bargaining. A Scottish Government document from February 2021 states:

“The Scottish Government has made a clear commitment to promote collective bargaining through the inclusion of an employee voice indicator, measured by collective bargaining coverage, within the National Performance Framework, and will work in partnership with the STUC to achieve increased coverage.”

Therefore, the intention to do that work already exists; it is part of what is being progressed.

If that work is already taking place elsewhere in the Government’s processes, do you think that language around that needs to be in the bill, rather than using secondary legislation down the line to embed that in the co-designed approach? It looks like the Scottish Government is already taking forward that work.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Emma Harper

Much employment law is still reserved to Westminster, so certain aspects of that cannot be achieved in Scotland. We have to look at what is doable in legislation in Scotland.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Emma Harper

There are real challenges right now. We know that there are issues with recruitment and retention. One of the issues that I have raised is the need for a national approach to standards of training and education. Would that help to support the message that social care is a worthwhile career and a great way to look after people? We know that, predominantly, it is women who are carers and that they often care for other people at the same time. Will what is set out in the bill on training and a standardised approach move us forward in supporting recruitment and retention?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 15 November 2022

Emma Harper

My understanding of the financial issue is that the projected costs for the bill are estimates that are already being used for health and social care. This is not £1.5 billion that is coming from somewhere else; it is for care delivery that is already happening on the ground. That might be worth picking up.

My questions are about training and research. We have covered many of the issues around the necessity for training to be standardised, which could be part of a national approach to supporting staff. This is about what people who are in receipt of care want—the folk who are being cared for and the carers who provide the care want a national care service. They can see what could be fixed and they know what works. We know that self-directed support works really well in some places but doesnae in others. The creation of the national care service is about helping to support people on the ground, because that is what people want. I am interested in that and in the training that will deliver what folk are asking for.