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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 24 June 2025
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Displaying 3510 contributions

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Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

I thank the witnesses for their excellent contributions. The committee will continue our evidence taking on the financial memorandum next week, when we will hear from Kevin Stewart, the Minister for Mental Wellbeing and Social Care.

That concludes the public part of today’s meeting. The next item on our agenda, which will be discussed in private, is consideration of a proposed contingent liability.

10:51 Meeting continued in private until 12:03.  

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Yes, it does. I will follow on from that and move things on a wee bit. Your submission says:

“The ALLIANCE ... supports Volunteer Scotland’s calls to ensure that volunteers—while a valuable asset to the health and social care landscape—are not expected to substitute for paid care provision.”

Is there any indication that that is being considered?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

I will let colleagues come in in a minute or two. Although I have given you quite a barrage of questions, there are huge areas that we have not touched on. I will ask one more question to Ralph Roberts, Mark Taylor and Emma Congreve, and then I will open up the session. Ralph, the potential for efficiency savings has been spoken about but, in your written submission, you said that

“it would be difficult to find additional efficiency savings”.

If those cannot be found, must the Scottish Government make a commitment to meet the cost, or should the cost be shared? Do you hope that efficiency savings can somehow be found? If so, where could they possibly be found?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

It does—thank you.

Mark, you commented that paragraph 51 of the financial memorandum

“provides details of the components of core management costs assessed, but the subsequent analysis does not provide any information against these headings.”

What level of cost could we be talking about?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Emma, you say in your submission:

“The creation of an electronic integrated health and social care record is in the legislation, but no costing has been produced. The reason given is that the work is at a too early stage to estimate costs, but it will be provided in the Programme business case due in Autumn 2022.”

We are now in the autumn. Have you been advised as to when those figures will be provided, if they have not been provided already?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Ralph, you state in your submission:

“The purpose of creating the NCS is to improve the delivery of community health and social care together. The clear definition of community health is not evident within the Bill and therefore it is significantly more challenging to understand the financial implications on services and costs.”

What impact might that have?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 October 2022

Kenneth Gibson

That concludes questions from members. I have a few to wind up with.

The first is a follow-up to Douglas Lumsden’s point. The briefing by the Scottish Parliament information centre says:

“The stated purpose of the Bill is to improve the quality and consistency of social services in Scotland.”

From our discussion today, it seems like you are using a sledgehammer to crack a nut. Surely, if there are issues of consistency and quality, as you have just touched on in your answer to Douglas, they should be addressed directly. Who has the problems of quality and consistency? Name and shame them. Would it not be easier just to impose duties to ensure that they raise their standards to the level of those who are doing best? I would be happy for you to name them, too.

As Michelle Thomson pointed out, it seems to be a monumental risk to have a bill of this nature, with all the financial implications, because a few service deliverers are not up to scratch.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 October 2022

Kenneth Gibson

All the submissions that the committee has received express concern about the VAT baseline, which is included in the figures in table 2 of the financial memorandum. To be fair, time has trundled on, and that was published before the latest skyrocketing levels of inflation. However, in its response, COSLA states:

“These figures are misleadingly uprated each year, from a 2019/20 baseline, by inflation plus 3%. This uprating does not reflect subsequent Local Government settlements”.

That is important, given that it was announced way back in May. The response goes on to say that the uprating

“is completely at odds with the reality presented by the Scottish Government’s own Resource Spending Review, of a 'flat cash' settlement”.

Surely that alone means that the financial memorandum is no longer fit for purpose and requires to be updated at least.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 October 2022

Kenneth Gibson

The last question from me—and the last in this session—is: does the financial memorandum, in your view, deliver best estimates of the cost of delivering the legislation?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 October 2022

Kenneth Gibson

Good morning, and welcome to the 26th meeting in 2022 of the Finance and Public Administration Committee. We are joined in the public gallery by members of the California Lawyers Association. I welcome them all to the Scottish Parliament.

We have received apologies from Ross Greer and Daniel Johnson.

The first item on our agenda is an evidence session with Scottish Government officials on the financial memorandum to the National Care Service (Scotland) Bill. I welcome Donna Bell, director of social care and national care service development, and Fiona Bennett, interim deputy director for national health service, integration and social care finance.

I understand that Donna Bell would like to make a short opening statement.