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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 30 April 2025
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Displaying 761 contributions

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Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Professor Donaldson, Audit Scotland highlighted concerns about the lack of clarity in budget documentation regarding the impact of specific budget interventions on long-term health outcomes, and we have heard this morning that it is hard to see where money is being spent in the Scottish budget. How can the NPF improve transparency and ensure that budgetary decisions are closely linked to achieving measurable health improvements?

10:15  

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Thank you.

A lot of what you have said this morning about prioritisation versus salami slicing and fiscal prudence has resonated with me. Some talk about austerity while others talk about fiscal prudence; however, they are at different ends of the scale. What you are saying is that we cannot go on unconstrained.

Let me give you a specific example. In the financial year 2022-23, more than 661,705 bed days were lost due to delayed discharge. That is the highest figure ever reported, with an annual cost to Scotland of a staggering £1 billion. As the IPPR has emphasised, it is a key example of not meeting the needs of our older people and, indeed, of depriving them of dignity.

A decade ago, this issue was a major priority for the Scottish Government; indeed, it basically pledged to eradicate delayed discharge. So, it was high priority; it was one of the top few things that had to be done, and the focus was on that. My question, therefore, is this: how, in your opinion, can the NPF finally ensure that funding is used effectively to address the negative outcomes that we are seeing for Scotland’s older people?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Accountability of what?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Thank you.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

What has been said about it being hard to see where the money is being spent and what the outcomes are is alarming. We do not know what the outcomes are, and we cannot manage what we do not measure properly. The committee’s meeting this morning is extremely important, because we are pressing pause and asking whether things are working. Is there any way of creating some hard wiring so that we know what the impact will be of spending X amount of money on something? As I said, the situation is alarming.

In its pre-budget scrutiny last year, the committee heard that the NPF is described as the Government’s “north star”, but the underpinning route has not been adequately mapped out. Is the NPF the best way to determine outcomes-based budgeting, or is there a better way?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Thank you.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Convener, do I have time for two questions or just one?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

So the issue is accountability and aligned targets—that is, NHS boards not having aligned targets with the IJBs and the IJBs having split accountability.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

That relates to pay and your view on pay. In relation to staffing, your written submission highlights that the Scottish Government assumes 1 per cent growth in staffing over five years from 2022 while the English NHS workforce plan assumes growth of 20 to 21 per cent over the same period. In your view, what are the implications for Scotland of that divergence in staffing and the underpinning assumptions?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

I have a quick follow-up question for Pat Togher about the voluntary sector. There is a squeeze on the council-run care homes because the cost of care homes is increasing, and that is having a huge knock-on effect on the voluntary sector. Could you comment on that? I say that to Pat but I notice that Caroline Cameron is also nodding. I ask Pat and Caroline to comment on that, then that will be me.