The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1542 contributions
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
Good morning. Thanks for being here today, Mr Ross. I will pick up on the rural issue, but my first question is about evidence that we have taken that the bill does not incorporate appropriately the principles of trauma-informed practice. We know that trauma can lead to somebody ending up making harmful use of alcohol or drugs. Will you address that issue?
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
Last week, as I am sure you heard, there was evidence about section 2, in which, on the procedure for determining treatment, there is a requirement that a meeting between the relevant health professional and the patient be “in person”. Challenges have been brought up about people who are experiencing homelessness and people in rural areas. We know how technology has moved forward, especially post-pandemic, when it comes to getting appointments, for example. What are your thoughts on the requirement for an in-person appointment?
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
Good morning. We heard last week from the CCPS and Scottish Care that the terms “collective bargaining” and “sectoral bargaining” are both used. Both involve negotiations between workers and employees, but they differ. Can you put on the record the difference between collective bargaining and sectoral bargaining?
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
It is good to hear that relationships are better at the moment. I am sure that that makes negotiations with our UK Government partners easier.
I have another question. If the Scottish Government were to proceed with establishing a national negotiating body, how would you ensure that the mistakes that were highlighted in the Strathesk Resolutions report on collective bargaining in the college sector were not repeated?
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
Some of the benefits could involve things such as access to skills development, competence enhancement and support for clinical advancement. I say that as a former clinical nurse educator who taught people across the care sector.
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
As a former liver transplant nurse, I know that one of the treatment options for addiction is a liver transplant. If someone was seeking a treatment option and wanted such a transplant, would that be part of the list?
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
I have a wee supplementary question about the reference in the bill to
“a second relevant health professional”.
Is there a hierarchy of health professionals? I am thinking of what might happen if the first health professional was a specialist in alcohol and drug harm reduction, and a medical doctor, and the second was an advanced nurse practitioner, and their opinions were different.
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
I know about the challenges of helping to support people to reduce harm from alcohol and drugs. It is really complicated. We speak about polydrug use, and there are issues with benzodiazepines being delivered to people’s doors by taxi companies and people buying stuff off the internet when they do not even know the dosage of things such as blue benzos, as they are known. I am also thinking about the medication assisted treatment standards that have been implemented. There is the roll-out of heroin reversal agents such as naloxone, and research is being done on a reversal agent for benzodiazepine called Romazicon. A lot of work is being done, so is the bill sufficiently future proofed in its drafting to account for the evolution of the way that people are taking drugs—including nitazines, for example?
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
Another thing that came out of the evidence is the primary focus on a medical model of treatment rather than broader psychosocial factors. It is similar to the trauma-informed practice issue. Some of the concerns are about focusing only on a medical model, instead of including the wider psychosocial aspects.
Health, Social Care and Sport Committee
Meeting date: 27 May 2025
Emma Harper
On having a sectoral negotiating body, our briefing papers say that the bill is in the House of Lords at the moment, so it is reserved legislation. It would be better if employment law was devolved to Scotland completely, as that would give us more control over what we do with employment throughout Scotland. If the legislative consent motion is agreed to, what will be the next steps to establish a sector-wide negotiating body?