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 1027 contributions
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
The only caveat that I would add to that is that the people who are currently voting members of the IJB are elected members, who are accountable to the public. If we give voting powers to other members, the scenario might not be the same. I know that the issue is not insurmountable, but there is a slight difference.
I will quickly ask one question that has occurred to me. Minister, you know that I am a big advocate of the third sector, of hearing the voice of the third sector and of the impact that the third sector can have on communities. We have a healthcare system that is already bloated. In my opinion, there are too many people in our healthcare system who can say no, and now we are looking at adding more people to committees. If your plan is to bring the third sector and commissioned services into that scenario and to give them a vote, why not reduce the number of voting members in the other two categories—the NHS and the council—to keep the numbers down? We seem to be adding more and more people into the system.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
I do not know whether there is anything to add, because I know that we are really short of time. I have lots to talk about, but I will leave it there, given that we are so short of time.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
Good morning, Karen. A couple of things have arisen out of the conversations so far. In response to Sandesh Gulhane, the issue around trans people was raised and my colleague Joe FitzPatrick quite rightly highlighted vulnerabilities and how we deliver healthcare across that. In terms of vulnerable patients generally, are we seeking informed consent? The issue with informed consent keeps rearing its head, so where are we with that?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
From the discussions so far, it seems that we all agree that the third sector and those with lived experience should be heard, but you have highlighted the potential risks in extending voting rights to the individuals that we are talking about. How would you manage conflicts of interest if voting members were also providers or users of services under discussion, particularly when, as you mentioned earlier, financial decisions are being made? How would you deal with that?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
Wow.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
I have been looking at governance, codes of conduct, ethical standards and accountability frameworks. How does the Government plan to ensure consistent standards across all voting members? How will the Government ensure that the order encapsulates the issues around potential conflicts of interest for third sector organisations that are involved in commissioned services or individuals with lived experience who receive direct support?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
That leads me on to my next point, which is on whistleblowers. Again, the issue has been raised before and every board will tell you that it has a whistleblower champion—that it has somebody that people can go to. The reality is very different. How do you change that whole culture of trying to shut down whistleblowers? It is not peculiar to one area; it exists across the whole of Scotland at the moment.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
We know that there are third sector representatives who may also be commissioned providers and that there are lived experience members who may receive some of the services. What governance safeguards should be put in place for such situations? When there is a conflict, how do we make sure that there are safeguards in place for those who are sitting on the panel, so that we mitigate risk?
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
My concern is that there is potentially a breach of the law here, and we do not need any more of that within the health service.
Health, Social Care and Sport Committee [Draft]
Meeting date: 3 February 2026
Brian Whittle
You mentioned that there is no real national reporting. One of my hobby horses is the issue of data analysis and intelligence gathering. I am not sure that we do not have enough evidence, data and so on; my concern is that we are just not properly exploring what we have. Where are we with that? Is there a need to have a real think about how data is delivered and how we engage in data gathering?