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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 18 August 2025
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Displaying 1174 contributions

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Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Do you have any examples of service provision in Scotland or other countries where that transition has been managed and is showing promising signs?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Okay. Written submissions to the committee have noted that the short-term nature of national targets is having an impact on clinical priorities, with decisions made to satisfy expectations as opposed to measuring long-term impact. Do panel members have a view on alternative measures鈥攑erhaps through budgeting鈥攖hat could be used to monitor performance and would allow for longer-term planning? How do we shift from short-termism to a longer-term funding and service delivery model鈥攂earing in mind the complex interactions between the Treasury and the Scottish Government?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

That is helpful鈥攖hank you.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I might come back to you to ask for further information about the potential for doing deeper analysis on the national health service and its productivity. That might be of interest to the committee, so thanks for that insight.

10:45  

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

That is helpful. Does anyone have any insights on the benchmarks that are used in relation to other healthcare systems in the developed world?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Ms Martinez, do you have a point to make?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Okay鈥攏o problem.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

The biggest commodity in the national health service is time. There are opportunities to boost productivity through capital investments and to tackle inefficiencies through targeted process improvements, but GPs, for example, say understandably that they are too busy firefighting to undertake any sort of innovation or process improvement. Do panel members have examples from other countries of models of innovation that have demonstrably improved productivity and that have helped to deliver positive health and social care outcomes?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

I will pick up on some of the modelling that has been done in the productivity paper that you prepared, Professor Ulph.

The number of people in the NHS workforce in Scotland would make it the fourth largest city in Scotland. I think that the head count sits at 181,000 people, so it is the biggest employer in Scotland by a considerable distance. That clearly has an effect on national performance in terms of productivity. Do you have any thoughts on whether we can improve our analysis of the productivity of the NHS workforce in informing national policy?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Paul Sweeney

Sorry鈥攊t looked as though you wanted to comment.