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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 26 June 2025
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Displaying 1165 contributions

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Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Do you think, Mr Williams, that there is a vicious circle of stress levels and time constraints that inhibits there being the space to undertake improvement, or even just to contemplate how you might improve the service? Basically, is the very fact that that resource is not there inhibiting reform and improvement?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Thank you, convener. I want to discuss variability across criteria and particularly—stakeholders in previous sessions highlighted this issue to us—the ability to carry over packages of care across local authorities and so on. What practices and procedures do you have in place to examine cases where there have been complaints, how do you learn from those and do you benchmark against each other? Will you provide us with a bit more understanding of how you act as an ecosystem across local authorities to try to maintain consistency in eligibility criteria?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Will you provide a bit more detail about how the network manages those cases and how the case reviews work? Is there a robust formal mechanism or is it more of an informal discussion about the experience? I am curious as to whether there are specific rigorous protocols for saying, “This case wasn’t handled well; here are the counter-measures and how we improve across the service”. Is there something as robust as that, or is it more a general discussion and chat that takes place between senior social workers?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Okay. Thanks very much, convener.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Does no one else have anything to add?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Do other members of the panel want to come in with any insights or thoughts?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

I also want to understand how you use the data that is being collected to drive improvements. Can you point to any examples of where you have said, “We’ve seen this problem arise, this is how we have addressed it, this is how the service has now improved to deliver better support”? We have had a lot of feedback about the approach being reactive and risk-based rather than focused on good outcomes for a person’s wellbeing.

There was a suggestion that annualised budgets are a way forward in respect of improving provision and providing the extra capability, scope and agency for individuals to direct their own care. I throw that in as one example that I have heard in recent discussions with stakeholders. Can you point to any other examples where you have identified opportunities for improvement and are looking to make improvements but maybe not been done so yet?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

Are you looking specifically at improving the pooling and annualising of budgets? Is that workstream being taken forward in those forums?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

[Inaudible.]—previous line of questioning, but I want to ask how clearly the culture of self-directed support is embedded across staff and what formal training and programmes are in place to inform staff about the full range of the options available? Is there a formalised process of continuous professional development courses such that staff have protected time available to undertake training to understand the latest developments in self-directed support and how to improve the services?

We talked about senior social workers discussing continuous improvement. Does that also take place at a lower level within health and social care partnerships? Any insights there would be useful.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 11 June 2024

Paul Sweeney

I appreciate that; thank you.