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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

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

Would the cancers that are being diagnosed at A and E ones typically be diagnosed through screening?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

Thank you to the witnesses for their contributions so far. We are looking at the factors that contribute to longer waits for diagnostic tests, which certainly chimes with what we heard from oncologists, who said that it is agonising for them to watch patients go from diagnosis to a terminal situation.

What factors are contributing to that, what progress has been made to ensure that rapid cancer diagnosis is available across Scotland, and what more needs to be done?

Health, Social Care and Sport Committee

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

Meeting date: 4 June 2024

Paul Sweeney

On the impact of funding on future service design, local authorities have, on average, had a 10 per cent cut over the past decade. Around 80 per cent of local authority funding is central Government grant and 20 per cent is raised through council tax and local charges. In Glasgow, the percentage of funding that is spent on education and social care has risen from 60-odd per cent to over 70 per cent. Clearly, the council鈥檚 focus has been pared down to two big areas of policy delivery, which puts subsequent pressure on delivery.

How do we break the cycle of annual budgets that are under increasing pressure, which is being ratcheted up, for health and social care partnerships and integration joint boards, which we then see being backed up into the NHS? I am trying to figure out how we break this prison of accountancy, if you like, and build the case for cost avoidance. We just heard about people presenting at A and E departments with late-stage cancer. Those are obvious business cases that show that, if we deal with something earlier, we will avoid a lot of costs to the public in the longer term and have better outcomes for people. What are your insights into how we better design that model for the future?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

Some of the organisations that run screening programmes for the NHS have said that invitations to present for screening can vary widely across different social and demographic areas. For example, there is a difference between getting a letter and getting a text message. Have you seen differences in how people react to different types of screening invitation?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

That certainly chimes with an experience that I had visiting a Marie Curie hospice in Glasgow, where I met a lady with throat cancer. She lived in Bridgeton, in the east end of Glasgow, and she expressed her devastation that, on presenting to her GP, she was fobbed off repeatedly. By the time she got a diagnosis, it was terminal, and she was only in her early 40s. That was quite harrowing. She died the day after my visit.

What practical steps can we take to address that? Is it an attitudinal or cultural issue? Is it a practical thing? Is there a means of better escalation for patients who feel that they are not being listened to? Is it purely about patient agency? What other aspects could we consider?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

Is the issue then not just about the structure of GPs as individual contractors, if you like, and their obligations to undertake data gathering and so on, but also about the work that is currently being done to understand where late-stage referrals are happening and whether they correlate to areas of high deprivation, and to then investigate the cause of that late presentation鈥攚hether it was frustration with access or simply that the person had not presented until a late stage? Is there any data around that at the moment that will give us an insight?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

That is helpful.

I met some GPs in Glasgow, who indicated that even referrals to urgent suspicion of cancer have become a meaningless escalation, because of the scale of the demand. Would you agree with that? If even a referral that is marked as urgent is not necessarily being addressed with the urgency that one would expect, how do we address that issue?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Paul Sweeney

I have a question about the impact of Covid on late-stage diagnosis and the severity of presentation. Have you noticed an effect? I have certainly heard plenty of anecdotal evidence of that. What impact has it had and what can we do to control and counteract it?

Health, Social Care and Sport Committee

Abortion Services (Safe Access Zones) (Scotland) Bill: Stage 2

Meeting date: 28 May 2024

Paul Sweeney

Do you have examples of specific scenarios or facilities in Scotland about which you have concerns?

Health, Social Care and Sport Committee

Abortion Services (Safe Access Zones) (Scotland) Bill: Stage 2

Meeting date: 28 May 2024

Paul Sweeney

Will you give way on that point?