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Chamber and committees

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 5 May 2021
  6. Current session: 12 May 2021 to 7 August 2025
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Displaying 1174 contributions

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Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

Could the cabinet secretary provide more detail on the changes that underpin the significant decline in the “miscellaneous other services and resource income” budget line?

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

That is helpful. Is it still the intention of the Government to increase direct investment in mental health services by 25 per cent over the course of this parliamentary session and to allocate 10 per cent of NHS front-line expenditure to mental health?

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

The cabinet secretary is right to point out a real crisis in mental health in the country, with the rise in general issues. He also pointed out that the Government’s stated objective was to increase the overall percentages of mental health investment, yet the 2025-26 budget shows a 1.1 per cent real-terms cut to the mental health services budget line. That comes back to the cash versus real-terms issue, as well as where you measure from—budget to budget or autumn review to budget. Certainly, when we look at the 2025-26 allocation compared with the 2024-25 budget—not the post-autumn budget review figures but from budget to budget—we see that the mental health services budget faces a cash cut of £20 million. How does it marry with the Government’s stated intention to grow the overall slice of the NHS budget pie that goes to mental health, when that is actually going backwards?

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

Where the Government has set clear missions—a 25 per cent increase in direct investment in mental health services and 10 per cent of NHS front-line expenditure being allocated to mental health—it would be really useful to know exactly where the Government is in meeting those targets.

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

I thank the cabinet secretary for his opening statement. Health and social care is a huge area of public expenditure for the Scottish Government. Next year, the overall health and social care budget is forecast to be 42 per cent of all Government revenue expenditure, which is a significant amount.

Understanding like-for-like comparators can be quite challenging; there are cash figures, real-terms figures and percentages. Our concern is that the change in baseline presentation in this year’s budget presents challenges when trying to do a meaningful interpretation of year-on-year changes to the health and social care budget.

We note that, from budget to budget, there is a real-terms increase of 3.4 per cent, but under the new presentation of autumn review to budget, it is 7.5 per cent, which is a clear difference. Do you accept that the previous budget-to-budget presentation was more meaningful, given the significant in-year transfers that take place each year from health to local government and, in the case of clinical training, to education?

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

Thank you very much.

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

That would be really helpful. If transfers are known about and tend to take place year on year as a common practice in Scottish Government financing, would it make more sense to show the budgets from the outset in the portfolio area that will ultimately undertake the spending? For example, that could be local government in respect of social care budgets or education in respect of nursing tuition.

Health, Social Care and Sport Committee

Budget 2025-26

Meeting date: 17 December 2024

Paul Sweeney

That would be welcome.

Does the cabinet secretary remain committed to the Scottish Government policy to pass on all health-related Barnett consequentials to the Scottish health budget? To what extent will that support the current 2024-25 budget?

Health, Social Care and Sport Committee

National Health Service Dental Services

Meeting date: 10 December 2024

Paul Sweeney

I appreciate that response. Thank you.

Health, Social Care and Sport Committee

National Health Service Dental Services

Meeting date: 10 December 2024

Paul Sweeney

I want to touch on the point about payment reform and the idea of creating an incentive, which is certainly logical. NHS National Services Scotland payment remuneration data shows an increase on the pre-dental reform figure, which demonstrates an increase in NHS activity. However, the most recent Scottish health survey found that the proportion of adults reporting difficulties in accessing a dentist is at its highest since 2019, at 34 per cent. Might there be a lag between the data sets, and do you agree that we might need to look at a richer picture of data in order to understand fully what is going on?