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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 12 September 2025
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Displaying 3573 contributions

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Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

You were asked:

“If applicable, do you believe your comments on the financial assumptions have been accurately reflected in the financial memorandum”?

I found it interesting that you basically said that you did not believe that they had been. However, the Fraser of Allander Institute took the view that the

“analysis provided by the Scottish Government is reasoned and logical.”

Will Emma Congreve explain the institute’s thinking on that?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Thank you for that. You say in your submission:

“what could be the most significant”—

that great word again—

“public sector organisational change in recent memory must not be underestimated in both time, unnecessary distractions and increased costs.”

What do you mean by “unnecessary distractions”?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Thank you.

Emma, I found the Fraser of Allander Institute’s analysis quite interesting with regard to table 3 in its submission. You say:

“Decisions relating to the number of Care Boards have not yet been made, and the figures in Table 3 assume 32 are created, one for each local authority area.”

Does it seem efficient to you to go from 32 local authorities to 32 care boards? What impact would that have on delivering what the bill is ultimately setting out to do, which is to ensure high and consistent quality of care across Scotland?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Do you have a view on that, Mark?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 1 November 2022

Kenneth Gibson

Do you have any fears about slippage in relation to cost? For example, it was indicated that the programme business case would be provided in the autumn, but we have not seen those figures yet, and they might or might not be available. Is it a worry that there might be slippage in cost and that the whole delivery might be delayed?

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?