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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 13 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

Meeting date: 20 December 2022

Emma Harper

How will we monitor and evaluate the implementation and success—assuming that it is a success—of this framework bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Emma Harper

I have a wee quick question. In evidence to the committee, Karen Hedge of Scottish Care expressed concerns that

“care boards ... might just be recreating a system that”—[Official Report, Health, Social Care and Sport Committee, 29 November 2022; c 8.]

already exists. We have also heard folk talking about moving the deck chairs around.

I seek clarity that the bill is about establishing a care system that will benefit personally the people on the ground who have been asking for better care and support for themselves.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Emma Harper

I will ask a short question, after which I am happy to move on, but I am sure that I will pick up on stuff later.

People have given us evidence that we should fix the situation now. They have said that we should not pursue the national care service at this point because we need to act to fix the system now. They have asked why we would waste so much money—£1.5 billion—on massive structural reform for a national care service, rather than fixing the current situation. How do you respond to that, minister?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Emma Harper

We have heard people talk about co-design and co-production. They are often used interchangeably, but we know that co-design is actually different from co-production. What is co-design, in terms of shaping the national care service bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Emma Harper

I have a couple of questions on the establishment of care boards. There are sections in the bill on

“Establishment and abolition of care boards”,

on

“Directions to care boards”

and on

“Removal of care board members”.

I am interested to hear how we will move forward on developing care boards, who will be on them and whether they will be commissioning or delivery bodies or a bit of both.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Emma Harper

I have a quick question on breaks for carers. In last week’s evidence, it was mentioned that what is sufficient for one person might differ from what is sufficient for another, so I am interested in following up on that. The bill talks about defining “sufficient breaks”. It says:

“Regulations under subsection (2) may in particular make provision about—

(a) the meaning of any reference to sufficient breaks in this Act,

(b) standards or criteria in relation to the sufficiency of such breaks (including the nature, frequency or duration of breaks)”.

At last week’s cross-party group on health inequalities, Richard Meade gave a presentation and we talked a bit about breaks. Susan Chambers, from Pasda, which is an East Lothian support group for people with autism, also spoke at the meeting.

What are your thoughts on the issue of sufficient breaks? I am not sure that further detail is needed in the bill if the matter can be dealt with through regulations.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 20 December 2022

Emma Harper

I will pick up on self-directed support. You came to Dumfries and we spent some time together. I appreciated that because it allowed me to see that some people were really happy with the self-directed support that they had been offered, while other folk had not been offered it or had never even heard of it.

Would a national approach to training ensure that people know that self-directed support exists, what it means and what options there are, and would that support be delivered in a more standardised way by the 32 local authorities?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

On the subject of integrated services, you have highlighted gaps such as, for example, the lack of onward care, which leads to people being held in secure facilities instead of moving on. Do you envisage the national care service bill addressing the issues that you have highlighted in order to ensure a seamless approach? In our evidence-taking sessions, we have heard about the importance of the third and independent sectors in supporting people who have mental health needs but who do not necessarily need an acute stay in a mental health hospital. Do you think that the national care service bill should be able to support a seamless transition?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

I have just one more question.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 13 December 2022

Emma Harper

Although the framework bill is pretty short, section 38, which covers three pages, is dedicated to rights to breaks for carers. We have had feedback from various people who have raised questions about what constitutes a break, whether it is a break for everybody and whether it is a break to get out or disengage completely. I am interested in hearing views on what the bill says about breaks for carers—in particular, unpaid carers—and whether it is sufficient to achieve what is required.