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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 13 August 2025
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Displaying 1174 contributions

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Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

It is for you, yes, and anyone else who would like to contribute.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

It highlights the relationship with capital investment, yes.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

Thank you.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

I highlight that, although mental wellbeing is the only health indicator that has shown declining performance, the mental health budget has faced real-terms cuts in recent financial years. How can we translate such framework findings into meaningful actions? Is there extra data that we could gather to demonstrate what is happening? It goes back to the point that was made earlier about well-intentioned reports not necessarily leading to firm, tangible outcomes.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

Mental wellbeing is the only health indicator that has shown declining performance, yet the mental health budget has faced real-terms cuts in recent financial years. Do the witnesses have a view on how we can translate findings within the national framework into a set of clear, tangible actions that relate back to that? You mentioned the inability to translate expenditure into performance or outcomes. Is there more data that we could be gathering to help to drive that improvement?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Paul Sweeney

I was asking about how having very high-level indicators breaks down into a set of clear actions that are monitored over time; for example, aligning certain activities in primary care, such as deep-end GP practices, with how the indicators are set.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

I thank the witnesses for their contributions so far.

I want to turn to commissioning and procurement. How can we promote a more ethical and productive approach to those things? Is it the current approach to strategic commissioning that needs to be revised, or is it the processes themselves鈥攐r is it both?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

We have discussed the pressures on prevention. Given the financial constraints that GPs face, it is a challenge to reconcile the different elements, as has been discussed. Commissioning decisions are often based on which provider offers the lowest cost, but that can have a deadening effect on quality and innovation. The answer from the previous witnesses was to get more resource, particularly in rural areas, which can be quite challenging.

Do you have other views on how we can empower IJBs to look beyond cost and consider the longer-term benefits of investing in innovation and prevention as part of budget decisions? For example, in Glasgow, there was a decision to cut a transition from custody service, which will result in back-up in the prisons and cost the country more money in the long run. How do we avoid those short-termist reactionary decisions in future planning?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

I have a quick question to put to Professor Bell. You note in your submission that the short-term decisions that IJBs make might reduce spend at the front end but can prove to be more expensive in the longer run, in the whole system. How can we ensure that IJBs make a fuller assessment of any long-term detrimental impact on health outcomes before taking such decisions on budgets?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

I thank the witnesses for their points so far. I turn to commissioning and procurement. What would promote a more ethical and productive approach to that? Is the current approach to strategic commissioning the source of the problem and does that need to be revised, or is it the processes themselves, or is it both? I invite the IJB leads to offer their thoughts.