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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 4 May 2021
  6. Current session: 13 May 2021 to 26 December 2025
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Displaying 1257 contributions

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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.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Thanks for that point.

The Accounts Commission report highlights strong examples of innovation, but how could innovation efforts be better supported? Are there barriers to benchmarking, learning from other IJBs, levelling up鈥攊f you like鈥攁nd promoting the best practice across the country as standard? How does that function at present? Are there too many silos and too much fragmentation?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

On the point about empowerment, how do you articulate the absurdity, if you like, of the decision that you are being faced with? How do you communicate that to the wider system? Is that something that we could improve?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

That is an interesting point. Some strong examples of innovation and efforts to improve the commissioning and contracting of services have been highlighted in the Accounts Commission report. How can those efforts be further supported and the pace of change improved? Are there practical opportunities to do that?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Noting Professor Bell鈥檚 point about resource, particularly in rural areas, does that drive towards lowest-cost tenders militate against efficiency and good-quality service delivery? Have you noted that tendency? Does that model of chasing the lowest-cost solution need to be changed?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Sharon, do you have any points to make?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Paul Sweeney

Is that currently a barrier to improvement? Does it inhibit opportunities to improve service delivery? Is that identified as a key blocker? Have you identified any other blockers or barriers to be overcome?

Health, Social Care and Sport Committee

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

Meeting date: 25 June 2024

Paul Sweeney

I thank witnesses for their answers so far. Previous witnesses highlighted flaws in data鈥攃ertainly, in the qualitative aspects of data collection. That is well understood. They also highlighted concerns about the interface with the Public Bodies (Joint Working) (Scotland) Act 2014鈥攈ow that has created a culture of competition for resources and how other areas of public social care provision are superseding the principles of SDS. Will you seek to further investigate that? A number of witnesses raised the concern that the principles have not been well embedded in the 2014 act and that that is creating a culture that militates against its effects.

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