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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

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 14 March 2023

Paul Sweeney

During our evidence-taking session with Dr Henrietta Hughes, the Patient Safety Commissioner for England, we discussed the issue of escalation. She was emphatic about the need for collaboration and a culture of openness, rather than for an inquisitor who would come in and berate people for failures. That is an important insight to note.

However, where there have been egregious problems, there will need to be very clear recommendations that ought to be implemented. In situations in which there is an area of injustice or an issue that needs to be urgently addressed and which could not simply be left to collegiate encouragement, perhaps there is a need for an escalation process. In responding to my question about that, Dr Hughes said that it was quite early days and that she would not necessarily be clear about what the next step of escalation would be in that instance. Obviously, the reporting line in this case is to Parliament rather than to ministers. Does the minister have a view on how the bill might better define that process of potential escalation, if there is such a lack of co-operation in the future?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 14 March 2023

Paul Sweeney

I raised the point about data with the English commissioner and asked her about the

“huge risk of data inundation”

and having to make sense of large streams and volumes of information that might have been collected for completely different purposes, might not be comparable, might not have the same baselines and might as a result have accuracy risks. In response to being asked how “meaningful conclusions” could be drawn from the different streams of data being fed into her office and how they would be processed, the commissioner said:

“Having a data and digital function in my team so that we can use and manipulate that data in a way that can bring fresh insight that will help the system to attend and listen to things that it may not have been aware of in the past is key.”

Moreover, Dr Duncan, the chief of staff, said that the commissioner was

“right to say that, without a data analytics function, the novel insights that a commissioner could have would be limited.”—[Official Report, Health, Social Care and Sport Committee, 21 February 2023; c 39.]

Do you agree with that assessment?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 14 March 2023

Paul Sweeney

Thanks for that. Minister, the point that you hinted at earlier was important. We often hear qualitative insights from patients, as we did in relation to the mesh scandal. The Public Petitions Committee unpacked a lot of that because the system did not respond. Doctors were dismissing patients saying that it was psychosomatic or imagined. A data signal was not being transmitted through the healthcare system to illustrate that there was a problem. That sort of case might be an opportunity for the commissioner to instruct the gathering of data.

Health, Social Care and Sport Committee

Female Participation in Sport and Physical Activity

Meeting date: 14 March 2023

Paul Sweeney

Thank you, convener.

Health, Social Care and Sport Committee

Female Participation in Sport and Physical Activity

Meeting date: 14 March 2023

Paul Sweeney

Rather than simply take a laissez-faire approach to social media influencing, should the state have a more active role in promoting positive messaging through influencers to direct people in positive directions, particularly through targeted advertising to young people?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 14 March 2023

Paul Sweeney

You mentioned the opportunity of collaboration across the system, which was also mentioned by the commissioner. She mentioned that partnership working would have value here. Is there an opportunity to further define that in the bill to say that there are obligations or say where we would expect interfaces to work in the system?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 14 March 2023

Paul Sweeney

To go back to the point about powers, will there be an appropriate element of compulsion for the commissioner to exercise when it is instructing, for example, health boards to gather certain types of data based on complaints that have been picked up that we cannot verify through data? Is there a mechanism whereby the commissioner could say that people should start assessing the issue at primary or secondary care interfaces, to enable us to gain a greater understanding of the issue? Could that be defined?

Health, Social Care and Sport Committee

Female Participation in Sport and Physical Activity

Meeting date: 14 March 2023

Paul Sweeney

I do not know whether there is a collective noun for Pauls.

I want to touch on the addictive aspects of unhealthy body image, social media and role models.

You mentioned the education context. A traumatic incident in school could really damage a person’s self-confidence and create destructive behaviours in terms of addictions. I do not necessarily mean addictions to substances, but addictions with regard to creating unattainable goals in terms of physical image. Do you have a view on the reinforcing mechanisms of social media algorithms, and whether they can lead to the real harm that you have identified?

Health, Social Care and Sport Committee

Female Participation in Sport and Physical Activity

Meeting date: 14 March 2023

Paul Sweeney

You mentioned earlier that there were some good examples, so can you elaborate on that? Are they examples that we could reinforce from a public policy perspective, through public health advertising to push things in the right direction?

Health, Social Care and Sport Committee

Female Participation in Sport and Physical Activity

Meeting date: 14 March 2023

Paul Sweeney

Thanks. That is really helpful.