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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 14 September 2025
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Displaying 1296 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill (Stage 1 Timetable)

Meeting date: 9 May 2023

Emma Harper

The words “co-design” and “co-production” are often used interchangeably but, in this case, we are pursuing co-design. Just yesterday, I had a conversation with an elected member who used “co-production” and “co-design” as if they were interchangeable. I am interested to hear about what the co-design process really is and how distinct it is from co-production.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill (Stage 1 Timetable)

Meeting date: 9 May 2023

Emma Harper

I will pick up on some of the issues about engaging with COSLA and the unions. We took evidence from the Scottish Partnership for Palliative Care and heard that

“The national care service is a real opportunity to be part of improving people’s experiences of living with serious illness, and of dying and bereavement.”—[Official Report, Health, Social Care and Sport Committee, 13 December 2022; c 5.]

Age Scotland said that the Scottish Government has made it clear that there is a commitment to involving people with lived experience.

I would be interested in hearing about engagement with unions. I read a statement from Unison that said that

“the bill leaves profiteering at the heart of care”

and I know that there are concerns about employment and pensions. In contrast with the position of the Health and Social Care Alliance Scotland, the Scottish Partnership for Palliative Care and Age Scotland, who all welcome the bill, others have concerns and may feel that they need to have a voice. Can you speak about that, minister?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill (Stage 1 Timetable)

Meeting date: 9 May 2023

Emma Harper

When you made your opening statement, minister, you talked about the fact that you are a Highland MSP. The Highlands is a rural area. I am an MSP for South Scotland, which is also rural. There are complexities in designing impactful changes, so I am glad to hear about the processes that will be undertaken, especially those that will look at services.

In Dumfries and Galloway, there are no council-run care homes, but in the Borders, for instance, there is a mix of private and council-run care homes. Is that going to affect the work that is taken forward? Will that look at the fact that individual areas have specific needs?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill (Stage 1 Timetable)

Meeting date: 9 May 2023

Emma Harper

In its report on the bill, which I have in front of me, COSLA made a positive statement. It said that it recognised that a national care service in some form

“could provide national leadership on matters such as workforce planning, training, terms and conditions, national standards, ethical procurement, registration, inspection, and improvement.”

However, COSLA had concerns, and it asked for the bill to be amended. That means that you will need to work with COSLA and with the relevant representatives, as you have indicated. I just wanted to clarify that.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill (Stage 1 Timetable)

Meeting date: 9 May 2023

Emma Harper

I have one final question on this wee section. Things such as the regional forums will help to identify the differences that you described, such as differences in pay. As a former nurse educator, I am interested in support for career pathways and career progression, and I think that a national standard approach would give more weight to career pathways for social workers and carers. Will the forums and the plans for regional approaches help to determine that a standardised approach to education will be part of the national aspect?

09:15  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill (Stage 1 Timetable)

Meeting date: 9 May 2023

Emma Harper

We need people to be empowered to understand that they will be part of the co-design process and that the bill is a framework that we will build on. Is that what we are asking people to believe and trust—that they will be part of the co-design?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

Professor Archibald, you talked about prevention and keeping folk out of hospital. I am the convener of the cross-party group in the Scottish Parliament on lung health. We talk about keeping fit, healthy and out of hospital people who have chronic obstructive pulmonary disease. It is the same for asthma. Are you undertaking such work as well?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

It is just a quick question. What has been learned from the Sturrock review, which has been taken forward in other NHS boards?

Health, Social Care and Sport Committee

Complex Mesh Surgical Service

Meeting date: 2 May 2023

Emma Harper

How are women advised about waiting times, for instance, or what they should expect? Do you have feedback around the processes? Is the communication done electronically or by letter or telephone call? How do we ensure that each individual feels that their preferred way of communicating is what is used?

Health, Social Care and Sport Committee

Complex Mesh Surgical Service

Meeting date: 2 May 2023

Emma Harper

I am interested in going right back to the beginning, knowing what we now know about complications caused by mesh implanted for stress urinary incontinence. As a nurse who worked in the operating theatre, I participated in anterior and posterior pelvic floor repair operations. However, before we even go there, is there work being done to encourage continence nurses, physios, midwives, and so on, to talk about things such as pelvic floor exercises? That advice would be free. Are we measuring whether that work, which might mitigate the need for any surgical intervention in the first place, is happening?