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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 21 August 2025
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Displaying 1222 contributions

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Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 6 June 2023

Liz Smith

You are, in effect, saying that the better decisions鈥攁nd the ones that will probably be more accepted by the public鈥攚ill be those made by clinicians and medics rather than by administrators.

In relation to the Covid era, it is interesting that, given how serious the situation was for everybody, decision making in hospitals was pretty effective, because clinicians decided how they had to run the wards. It provides quite an interesting lesson for the future, as it shows how incredibly important clinicians and medics will be in changing the health service鈥檚 whole set-up. I am interested in hearing your views on how easy it is in modern health services to ensure that the medics, rather than the administrators, take these decisions.

Finance and Public Administration Committee

Economic and Fiscal Forecasts and Medium-term Financial Strategy

Meeting date: 6 June 2023

Liz Smith

You are quite right to say that you cannot comment on projected policies that the Scottish Government should employ, but I am interested in finding out whether, in all the analysis that you are doing and the data that you are using, you are aware of other countries or other attempts to try to reform public services in the way that you have described with regard to increasing efficiency, making use of technology or whatever. You have already given us three or four examples, but are there any other areas that, without projecting into Scottish Government policy, you think that we should be looking at?

Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 6 June 2023

Liz Smith

So you are recommending that the structure of oversight of the health service change a bit to facilitate that. I realise that we were due to speak to other witnesses, too, but does that include the integration joint board structure? Would you recommend any changes on that front?

Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 6 June 2023

Liz Smith

Thank you.

Finance and Public Administration Committee

Economic and Fiscal Forecasts and Medium-term Financial Strategy

Meeting date: 6 June 2023

Liz Smith

Thank you. That was helpful.

Obviously, there is a question to be asked about medium and longer-term planning for the economy; indeed, you cited that in your response to Michael Marra. The gap between Scottish Government projected expenditure and the tax take is a very serious issue, and I think that it focuses the committee鈥檚 attention on two questions. First, what is the scope for serious public sector reform that would help to address the problem? Secondly, how can we increase the tax take?

On the first of those issues, do you have suggestions for the most likely areas of public sector reform that could help with things, given the fact that there is almost certainly no scope to reduce spending on health, social security and social care? Indeed, as your own estimates have shown, spending on those areas is going to increase very substantially. What scope is there for public sector reform that could really help with that side of the equation?

Finance and Public Administration Committee

Economic and Fiscal Forecasts and Medium-term Financial Strategy

Meeting date: 6 June 2023

Liz Smith

The second aspect of my question is about tax revenues, which you have mentioned. There are ways to increase tax revenue by changing tax rates and thresholds and so on, but there is a question around the change to tax structures. A debate is going on down south just now about whether inheritance tax should be replaced, and we have had lots of debates up here about whether council tax should change, and so on.

I go back to the analysis, of which you are aware, around other countries that have changed their tax structures. Is that debate an urgent one to have here in order to address some of the concerns that we have about a weakening tax return?

Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 30 May 2023

Liz Smith

I come back to the question about data sharing. Four of you have been up front about saying that there is considerable potential in that regard if we get it right, but you have flagged up issues around cybersecurity, the right kind of employment and confidentiality.

Are there any other potential barriers to that? Secondly, are they surmountable?

Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 30 May 2023

Liz Smith

I am really interested in that. Reading the room, I can see that the potential for change is considerable, but there are quite a lot of difficulties in the way. We need to work out how we might address those.

Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 30 May 2023

Liz Smith

Is there a dearth of people with the right skills or is the competition so wide that everybody is trying to access those people?

Finance and Public Administration Committee

Public Service Reform Programme

Meeting date: 30 May 2023

Liz Smith

I just want to know whether data sharing can work. Most of the witnesses have said that the potential is very considerable, but we have to make it work.