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Chamber and committees

Health and Sport Committee

Meeting date: Tuesday, January 17, 2012


Contents


Subordinate Legislation


Social Care and Social Work Improvement Scotland (Excepted Services) Regulations 2012 [Draft]


Public Services Reform (Social Services Inspections) (Scotland) Amendment Regulations 2012 [Draft]

The Convener

Item 2 is an evidence session with the Minister for Public Health on two draft affirmative instruments. Members will have received a cover note that sets out the purpose of the instruments and the fact that the Subordinate Legislation Committee had no comments to make on them.

I welcome to the meeting Michael Matheson and Scottish Government officials Alessia Morris, head of sponsorship and social services improvement team; Nicholas Duffy, solicitor with the food, health and community care division; and Geoff Huggins, head of the mental health division. Before we proceed to questions, I invite the minister to make some brief opening remarks.

The Minister for Public Health (Michael Matheson)

Convener, thank you for the chance to say a few words about the two sets of regulations.

I turn first to the excepted services regulations. Under the previous scrutiny regime, regulations were made under the Regulation of Care (Scotland) Act 2001 to exclude certain services from the scope of that act. Fresh regulations are required given the repeal and re-enactment of part of that act by the Public Services Reform (Scotland) Act 2010.

The regulations are therefore technical provisions to exclude certain activities from a definition of care services under part 5 of the 2010 act. They do not take forward any new policy. The exceptions are necessary to reflect the legislation that focuses on the protection of people receiving care services. The regulations ensure that activities whose primary purpose is not that of providing a care service under the 2010 act or which are not instrumental to the provision of care as part of a planned programme of care are excluded from the scope of the 2010 act.

The excepted services include services that nursing agencies provide on behalf of the national health service and counselling when not part of a care programme offered by a residential establishment. In essence, the regulations simply preserve the status quo for what are viewed as care services.

I turn secondly to the social services inspections regulations. In the statement that the Cabinet Secretary for Health, Wellbeing and Cities Strategy made in connection with the care homes debate on 15 September 2011 and in her evidence to the inquiry into the regulation of care for older people on 4 October 2011, Ms Sturgeon announced that a new inspection regime for care homes would be introduced, obliging a minimum frequency of inspection of services on an unannounced basis, and that the minimum frequency would be placed on a statutory footing. The social services inspections regulations will honour that commitment.

The regulations amend the existing Public Services Reform (Social Services Inspections) (Scotland) Regulations 2011 to make it a statutory requirement that all care home services, including care homes for the elderly and both residential and secure care homes for children, be inspected at least once in every 12-month period and that those inspections will be carried out on an unannounced basis. The same regime will also apply to care-at-home services for the elderly and certain personal and at-home care services for children.

The regulations will provide the minimum inspection frequency for such services. Social Care and Social Work Improvement Scotland—the care inspectorate—will continue to be required to inspect in accordance with the inspection plan agreed with ministers under the 2010 act and it will retain the power to inspect more often as a result of ministerial direction, intelligence triggers from local authorities, police and other regulators, notification from providers or complaints. The care inspectorate will also continue to undertake random sampling of care services over the course of the year. Those arrangements will ensure that services can sustain performance in between inspections.

Provided that the Parliament agrees to them, both sets of regulations will come into force by 7 February 2012 at the latest. That will meet the concerns that this committee raised during its inquiry into the regulation of care for older people that it was keen to see the inspection frequency commence before the original intended date of 1 April. As members will be aware, in response to that concern the cabinet secretary agreed to bring forward the regulations on an increased inspection frequency for certain older people’s services so that they come into force as early as February. That is what the regulations will do.

I am happy to answer any questions that the committee has.

I thank the minister for those opening remarks. Do members have any questions?

Dr Richard Simpson (Mid Scotland and Fife) (Lab)

I have two questions.

Minister, you gave two examples in relation to the first Scottish statutory instrument—the excepted services regulations. What exactly is field social work? I understood the two examples that you gave, but field social work is not a term that I have heard. It is presumably a transfer from previous legislation.

Michael Matheson

My understanding is that field social work is largely considered to be general social work provision—in other words, normal social work care provision organised by social workers in carrying out their duties. For example, a social worker who undertakes day-to-day work is carrying out field social work responsibilities.

And that is exempt from these regulations.

Yes.

That is fine.

My second question relates to the agreement that you mentioned between ministers and the new care inspectorate regime. Will that be published?

The agreement with regard to?

With regard to the programme of care inspection to which you referred. Will that agreement be published?

Yes.

Fiona McLeod (Strathkelvin and Bearsden) (SNP)

I do not have a question as such, but simply wish to reflect—I hope—the committee’s thanks for the speed with which you have introduced the regulations governing annual inspections. They are very much in line with the findings in our inquiry and I am delighted that the commitment made by the cabinet secretary in September will be met in February.

The Convener

The minister will be aware that, in its report on its inquiry into care inspections and such matters, the committee considered it essential for the care inspectorate to have sufficient resources to implement the new inspection regime and deal with the additional workload that it would have. Are you confident that those resources are now in place to meet that requirement?

Michael Matheson

In taking forward the regulations we have obviously had discussions with the care inspectorate. Given that the regulations come into force on 7 February, the inspectorate will be required to consider how it will manage its inspection plan into the new year and, from those discussions, we are confident that it has the necessary resources to carry out that work.

During the inquiry, we heard that £400,000-worth of efficiencies would have to be made in order to reinvest in more staff. Are you confident that those efficiencies are being and will be made to meet those demands?

Michael Matheson

Any public body, including the care inspectorate, needs to ensure that it is making the most effective use of resources and targeting them where they are most needed. One of our discussions with the inspectorate has been about ensuring that it is in a position to meet the statutory obligations that will arise as a result of the regulations, and we are confident that it has the capacity in that respect and that it will continue to make the necessary efficiencies that any public sector organisation should make to ensure that it is using public money as efficiently and effectively as possible.

And the inspectorate has informed you that it sees no impediment to meeting those demands and that it is on course in that respect. I see Mr Huggins nodding.

The inspectorate has raised no concerns about its ability to meet the challenges arising from the regulations.

Mr Huggins, has the care inspectorate confirmed that it is on course to meet the £400,000 efficiencies target?

Geoff Huggins (Scottish Government)

Yes. As you will recall—and as the cabinet secretary herself announced—the inspectorate’s budget was adjusted and now gradually increases over the next three years. As a result, its budget for the year that we are about to enter and the following two years is broadly equivalent to that for the current year, which had included additional resources for redundancies and further shrinkage that will not now happen. Between the two years in question, the inspectorate is now confident that it can deliver the inspection programme with the resources that it has been given.

The Convener

But the committee heard evidence that, with the shortfall in the number of staff needed to meet this requirement, the inspectorate would need to create efficiency savings of £400,000 to secure additional staff. How is it on course to put in place a sufficient number of staff to meet the increased frequency of inspections?

Geoff Huggins

You might recall that, prior to the cabinet secretary’s intervention, it had been decided that the inspectorate would have to make significantly greater efficiencies next year and the following year. In effect, the efficiency target has been reduced, while the inspection target has been increased. On that basis, the inspectorate is able to be confident about delivery.

09:45

Another important part of the puzzle was to ensure that the fees that are available to the care commission are in place to fund the regime. Has the fees issue with local government been resolved?

Geoff Huggins

The fees that the care inspectorate charges are to providers of discrete services, such as care homes. It does not charge fees to local government; it charges them to care homes or care-at-home services. There is an existing schedule of fees, which is also subject to regulation.

When the cabinet secretary made the announcement about the regulations on the changed frequency of inspection, she also announced that there would be a review of the charges because of the different ways in which the current fee schedule is constructed, with some services, such as care homes, being charged at full cost recovery while other services such as child minding are not. There are good reasons for different approaches based on the value of the different services, but there is no issue with local government about fees.

Is the fees review continuing?

Geoff Huggins

The cabinet secretary announced that we would publish a consultation note by Easter to have an open discussion about how fees should be structured in future.

The Convener

I have one final question on the other significant work that the care inspectorate deals with—children’s services. Are we confident that that work will not be compromised as a result of the focus on and additional requirements of the increased frequency of inspections?

Michael Matheson

That should not happen. The care inspectorate will bring forward its report and annual plan on how it intends to take forward that area of work. We are confident that it will be able to balance its resources and ensure that that work continues.

The Convener

That may be something that the committee will wish to discuss with the care inspectorate.

If there are no other questions, we will move to the question on the motion. I ask the minister to move the motion. [Interruption.] We are on agenda item 3. With all my questions, I have moved off my script.

Under agenda item 3, I ask the minister to move motion S4M-01684.

Motion moved,

That the Health and Sport Committee recommends that the Social Care and Social Work Improvement Scotland (Excepted Services) Regulations 2012 [draft] be approved.—[Michael Matheson.]

Motion agreed to.

The Convener

Under agenda item 4, I ask the minister to move motion S4M-01686.

Motion moved,

That the Health and Sport Committee recommends that the Public Services Reform (Social Services Inspections) (Scotland) Amendment Regulations 2012 [draft] be approved.—[Michael Matheson.]

Motion agreed to.

I thank the minister and the officials for their attendance this morning.

09:48 Meeting suspended.

09:51 On resuming—