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Chamber and committees

Subordinate Legislation Committee, 06 Feb 2001

Meeting date: Tuesday, February 6, 2001


Contents


Regulation of Care (Scotland) Bill

The Convener:

The first item on the agenda is delegated powers scrutiny of the Regulation of Care (Scotland) Bill. We will pause as our three witnesses come in and settle down.

Good morning, and thank you for coming. We are grateful that you have come along to answer our questions. It would be useful if you could introduce yourselves and give us an outline of your views on the points we raised with you, which we intend to consider further.

Liz Lewis (Scottish Executive Health Department):

Thank you. I am Liz Lewis and I head the Scottish Executive's regulation of care project, which is responsible for the bill and its implementation. With me is Roddy Macdonald, the head of the bill team, and Lynda Towers, our legal adviser in the solicitor's office.

I will say a few words about the bill and the main points that the committee raised in its letter to us. The bill is intended to achieve two main outcomes: an improved experience of services for users and a confident, expert, effective and valued social services work force. It will do that by setting up two non-departmental public bodies. The first will regulate care services—not only those that are regulated by local authorities and health boards, but also local authorities' services and presently unregulated services such as care at home. The other will, for the first time, regulate the work force through registration, codes of conduct and practice, education and training.

The bill is substantial and sets out the main provisions relating to the structure and functions of the two bodies. A regulatory framework is intended to underpin the primary legislation. It will provide in detail for the way in which we expect the bodies to carry out their functions and ensure that there is sufficient clarity for the effective enforcement of the regulation of care.

Beneath the level of regulation, the bill provides for codes that will set out the requirements for the conduct and practice of the work force and the care standards for services. I know that the committee is especially interested in care standards. As we stated in our letter to you, the codes are being produced by the national care standards committee, which is chaired by the chief social work inspector, Angus Skinner. A consultative process on the standards is under way, which involves users and carers, as well as other stakeholders, in up to 16 focus groups. We have concluded the first round of consultation and are planning more. The consultation has also involved the Parliament's Health and Community Care Committee and its Education, Culture and Sport Committee.

The aim of the bill is to create standards that set out in an immediately understandable and relevant way what users can expect from services and the way in which the relevant standards should be demonstrated. The standards will also make it clear to providers what their services should look like and will give the registration and inspection staff of the Scottish commission for the regulation of care consistent and meaningful standards to inspect against. The standards therefore have three purposes.

The regulations will cover the essential criteria that must be met if a service is to operate, and the care standards will set out the wider package that a provider will have to meet, although there can be some discretion and qualitative judgment regarding the way in which individual criteria of that package are met in any specific case. We are keen that the documents should be meaningful to the users of services and recognisable to those who are working with us in developing them. The regulations, care standards and code of practice for employers will work as a total package. By the time the Parliament considers the regulations, final versions of the other documents will also be available.

Last month, the committee raised a number of points about the bill, and members will have read our reply of 25 January. We are interested in the committee's views on any aspect of the bill, and will answer any further questions that you have. We have reconsidered our written response to one point that was raised and I invite Lynda Towers to clarify our position before we proceed to further discussion.

Lynda Towers (Scottish Executive Solicitor’s Office):

The committee asked about the relationship between sections 58 and 59, regarding commencement orders. In our reply, we said that the commencement orders were to be subject to the negative procedure, but that is not correct. The intention is that the commencement orders, as is usual, will be laid and not subject to procedure. We will have to instruct that an amendment be lodged to make that intention clear.

Ian Jenkins (Tweeddale, Ettrick and Lauderdale) (LD):

Your statements are very helpful, but questions such as how much detail should be in the bill and whether the committee is happy with the idea of flexible codes of conduct being implemented later remain. I am happy for such codes to be flexible, but other committee members have said that they would prefer more detail in the bill. I am not making a specific point about that at the moment—I am happy to accept the structures that you describe. I also welcome the amendment that you mentioned.

The Convener:

I have a question on the national care standards. It has been suggested that one way of fleshing out the code without making the primary legislation more cumbersome and restrictive is to include a requirement in the bill for the draft code of practice to be laid before Parliament under the affirmative procedure, as for the animal welfare code.

Liz Lewis:

Are you referring to the code of practice for employers that the council would produce?

Yes. It is in section 5.

Liz Lewis:

There are two things. The care standards and the regulation of services are for the Scottish ministers to devise. There are also the codes of practice and the code of conduct for the work force, which are for the Scottish social services council to set. One function of the council is to be a self-regulatory body, so that the codes are owned by the work force. They should also mesh with equivalent codes in other parts of the UK, so that people can move around the UK and know what standards of conduct are expected of the profession. That is why the codes will be devised by the council, rather than through parliamentary procedure.

The Convener:

I understand that, but I am wondering how there can be some democratic input rather than just an edict dispensed by the minister, for which section 5(1) appears to provide. Given the importance of those matters to the members of the Health and Community Care Committee and the Parliament, balance might be achieved by including in the bill a requirement to set the code in a draft order, so that members can see whether anything is missing or not tidily drafted.

Liz Lewis:

As I said, it is our intention that the draft versions of the standards should be available to the Parliament when it considers the regulations. We could certainly consider that point further.

The Convener:

We will then be in the same position as we are in with the Education (Graduate Endowment and Student Support) (Scotland) (No 2) Bill. The regulations are laid, and we see them, but there is no opportunity to do anything except lodge a motion against them.

Lynda Towers:

My understanding is that the regulations on the Education (Graduate Endowment and Student Support) (Scotland) (No 2) Bill will set out a framework within which various payments and procedures for moneys can be dealt with. The sort of thing that will be included in the care standards is very different. They are not a regulatory framework that would allow one to work out what one's entitlement was. The care standards are much more general and more suited to guidance and examples of best practice, which it would not usually be appropriate to include in regulation.

I have the first draft of the standards here—the second draft will be very different. The document says that the individual is to be

"cared for in a comfortable and homely environment".

Elsewhere, the document says that one must

"make sure that staff recognise and value diversity, especially in cultural and spiritual beliefs and non-belief."

Nobody would argue that those are not perfectly appropriate standards to which people should aspire, but it would be difficult to include those in a regulatory framework.

The Convener:

I agree. Perhaps that was a bad analogy. However, members, and in particular those with an interest in health, might want input on the standards. The downside of the standards not being fully detailed in section 5 is that there is no way in which members can do anything to add to or subtract from them. That is why I wondered whether laying a draft code before Parliament would create an avenue for greater scrutiny. Otherwise, we will be presented with an administrative edict—a fait accompli.

Liz Lewis:

The standards are being issued for consultation in three tranches, with a short consultation on the final one. The Education, Culture and Sport Committee and the Health and Community Care Committee have been involved in that process. Only the first tranche has been issued so far; the second will come out at Easter and the third in June. A further consultation on the costs associated with the standards will also be widely distributed.

We are trying to ensure that the stakeholders share the standards and the complicated process that we are implementing will mean that all the relevant stakeholders—but principally the service users—have an input. Once the standards have been couched in a language that is meaningful to service users and the consultation has taken place, it will be quite difficult for ministers or anyone else to participate at the end of the process. As a result, we are hoping that the parliamentary committees will participate while the consultations are still open.

Did the committees suggest the wording that Lynda Towers quoted from the draft standards document?

Liz Lewis:

No. That wording came from a consultation document that was issued to a wide range of individuals and bodies, including the committees, and was produced by the relevant working groups of the national care standards committee. That committee is made up of all the relevant stakeholders, including principally the users and carers.

I know that this is nit-picking, but what is the worth of that document? It has no legal standing and is not mentioned in the bill.

Liz Lewis:

The bill says that all the actions of the commission's registration inspection officers and any enforcement proceedings in the courts must take the national care standards into account.

Right.

Are you satisfied that the consultation process will deal with that issue?

Liz Lewis:

The process is at a very early stage; we have had only the first part. However, we are planning an extensive consultation. There has been a positive reaction from the various user groups who are speaking to the Health and Community Care Committee and the Education, Culture and Sport Committee.

The Convener:

Section 23(1)(a) refers to regulations relating to the commission and gives Scottish ministers the power to confer additional functions on the commission. I understand that those regulations will be dealt with by the negative procedure. Given what you have already conceded on sections 58 and 59, would such additional powers not be better dealt with by the affirmative procedure?

Liz Lewis:

What we have in mind is the kind of function that is currently the responsibility of ministers or another body but which might later seem more sensible for the commission to perform. Although we initially thought that the negative procedure was sufficient, we are certainly interested in hearing the committee's views on that issue.

Perhaps the first set of regulations might be subject to the affirmative procedure.

Liz Lewis:

If the committee were minded to recommend that, ministers would not feel that there were strong reasons for going against the committee's views.

The Convener:

I am open minded, but I wonder whether we might be giving ministers more positive powers, so to speak, and perhaps the logical approach would be to make those powers subject to the affirmative rather than the negative procedure. I will need to consider that point.

Liz Lewis:

The intention is that the power would not be used for anything terribly major. The commission will be set up with the powers that it needs to perform its main functions. However, we might decide in future to follow Sir Stewart Sutherland's recommendation and establish a national care commission to examine trends and so on, but we would not have provided that particular, useful function for the commission.

The Convener:

Section 24(10) says that ministers must consult on regulations that they make

"except regulations which amend other regulations made under any of those subsections and do not, in their opinion, effect any substantial change in the provision".

However, "substantial change" does not appear to be defined in the bill. What do you mean by "substantial change"? Do you foresee interpretation difficulties?

Liz Lewis:

The intention is that such regulations would effect only minor changes, would not require consultation and would not amend any major provisions in the regulations. Ministers would certainly wish to consult on anything that caused a substantive change. We believe that the wording of section 24(10) conveys that intention and would not allow ministers to amend regulations in a major way—that is not our intention.

As members will see from the bill, we are consulting on everything that we can think of. We had not intended there to be any deep meaning in that particular exception. We want to avoid the need for consultation on only minor changes to the regulations.

Ms MacDonald:

The road to hell is paved with good intentions. Not that I doubt anyone's good intentions at this stage, but the way in which the bill is drafted leaves a loophole for a less constructive approach to the business of care. That is why I want to stick on the point.

Lynda Towers:

Perhaps I could clarify the issue. Regulations that are made under section 24(10), whether they make substantial changes or otherwise, would come before the Parliament. If it was felt that the change was substantial, the committee could bring that to the Executive's attention. Therefore, there is a means of regulating the exercise of the power.

I agree, but it would be up to us to spot that.

Lynda Towers:

Let us assume that the Executive's view is that a proposed change to a regulation is not substantial. It would be normal for the narrative to indicate whether consultation had taken place and it would therefore be quite clear if the power had been exercised without consultation. In examining the effect of the regulations, you might consider that the change was substantial and the fact that there was a question about consultation would be highlighted. You would be able to raise the matter at that stage.

May I ask for some guidance? Is it up to the committee to decide whether or not a change is substantial? We are talking about a policy change.

The Convener:

We are straying into a grey area—if it is a policy change, it would not be for us to decide whether the change was substantial. From the committee's point of view, our difficulty would be noticing that it was a substantial change and that consultation had not taken place. There is a danger that such a change could fall through the net if we were not specifically looking for it.

I understand the difficulty in defining "substantial change". I presume that, if we noticed that phrase, we would be able to ask the Executive whether it had consulted on the regulations and, if it had not, why. We would then bring the matter to the attention of the relevant committee. The action then taken would have to be all or nothing, unless the Executive, in its wisdom, was prepared to withdraw the words and go back and consult.

Lynda Towers:

I would have thought that, for such a qualification, it would be incumbent on the Executive, in the note accompanying the relevant regulations, to explain why it had not consulted—if it had not done so—and why the effect of the change in question was not substantial.

The Convener:

If there are no further questions, I thank the witnesses for their time and trouble. They have made matters clearer.

Do members have any points to make about the evidence? We clearly secured a concession on sections 58 and 59. I would have thought that the same should have applied to section 23. It is not much of a matter, but if the Executive is prepared to concede on sections 58 and 59, I do not see why it will not concede on section 23. If powers are to be added, they should be subject to the affirmative rather than the negative procedure.

The more important matter was covered by the last point that we discussed. I was reasonably satisfied by the logic that the Executive note should provide the necessary explanation, but a lot rests on our advisers: they must ensure that they notice whether any wording is defective or not. If the Executive does not inform the committee by a note, it is difficult to see how "substantial change" can be defined without deciding that specific sections or provisions cannot be amended.

The arrangements are all right just now because there is consensus. However, should that consensus break, there is room in the drafting that would allow the Executive of the time to introduce substantial changes if it wanted to.

The Convener:

You are right—it is a question of how we monitor the situation. It comes down to the importance of greater experience on the committee. In due course, more people will start looking out for whether there has been consultation, rather than simply relying on the fact that similar instruments have previously come before us, sometimes with evidence from witnesses. The question, for our advisers and for members, will be whether there has been consultation, and if there has not, why. When he was a member of the committee, Fergus Ewing used frequently to ask that on agriculture matters—and rightly so.

The only alternative is to say that we wish "substantial change" to be defined. But how can it be? Our consideration today has been of benefit. We have now registered in our own minds the importance of looking out for consultation when similar matters come before us, whether they are about health or other issues.

You are probably right, convener.

The Convener:

On that basis, should we simply draw the matter to the lead committee's attention, highlighting the potential difficulty, but saying that we cannot see an easy way to address it directly without producing a lexicon on reams and reams of paper?

Ms MacDonald:

It is the responsibility of the lead committee—because it is on top of the issues in a way that we are not—to determine when a change is substantial and when it is not and to question the Executive on the extent of the consultation and so on. Presumably it will tell us if it is dissatisfied.

That is the only practical way to proceed.

The Convener:

Do we wish to comment on the care standards? The only other point would be whether we want the code of practice produced before the regulations come before Parliament. We could indicate to the lead committee that that is an alternative—although I was reasonably satisfied that there would be substantial, on-going consultation in tranches. That is probably as beneficial as laying an instrument at a later stage. Early consultation is probably better than a document being laid.

It would be interesting to get a legal definition of "homely".

I do not know about yours, but no one would want to stay in my home.

The Convener:

Given that the lead committee is the one with responsibility to the stakeholders—I think that that was the terminology used—all that we can do is draw its attention to the options available and ask how it considers that consultation would best be achieved.

The business under way in the Education, Culture and Sport Committee shows that consultation is going ahead well and that people feel included.

David Mundell:

The only difficulty is how the codes of practice can be amended once they are produced, and that problem is not specific to the bill. The difficulty lies in producing a code which on the face of it seems fine, but which subsequent experience demonstrates is not. The procedure for amending such codes is unclear, to say the least.

We can flag that up to the lead committee.