The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1316 contributions
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
Cabinet secretary, you highlighted the longer-term increase in mental health expenditure. The 10 per cent target was set by the Government and progress towards it has stalled. It is certainly stalling this year and we are going backwards in real terms. Is there a high risk of not achieving the target? Is there a red flag against the target to say that we will be challenged to achieve it by the end of the parliamentary session?
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
That is very kind. I have a quick question on the issue that has been raised by NHS staff in Glasgow about safe staffing levels. Do you monitor where there are potentially dangerous levels of understaffing and target resource expenditure to ensure that there is a minimum safe staffing level across the healthcare system, particularly in acute hospitals?
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
I want to pick up on points raised by the Association of Anaesthetists in response to our call for views.
First, the association has highlighted the issue of distinction of registration. Although it welcomes the fact that AAs and PAs will have different registration numbers to distinguish them from doctors under GMC registration numbers, it is also calling for a register, either online or in print, that is separate and distinct from that for doctors in order to
“provide absolute clarity for patients and others accessing the registers.”
It says that that
“is to protect everyone from accidental or deliberate misrepresentation. There is no legitimate reason that this could not be done with modern information technology systems.”
Is the cabinet secretary sympathetic to that perspective?
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
Do you discuss the specification of such matters with the GMC, or is that matter entirely for the GMC itself?
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
That is certainly an interesting point.
The Association of Anaesthetists has also raised concerns relating to the scope of practice. It highlights that there should be
“a national scope of practice for AAs both on their qualification and for any postqualification extension of practice. Any future changes to scope should be developed in conjunction with the regulator and should be agreed at a national level.”
It believes that it should not be for individual health boards to determine such changes. Do you agree that that is an appropriate way forward? Do you have anything to say on that matter?
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
I want to come back to the detail of mental health expenditure. The Government’s long-standing target is to achieve a 10 per cent allocation of front-line NHS expenditure to mental health services by the end of the current parliamentary session. The current allocation sits at around 8.8 per cent, which represents an actual expenditure shortfall of £1.8 million. How does the cabinet secretary intend to achieve the target by the end of the parliamentary session under the current curve?
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
An area of particular concern that was mentioned earlier is the real-terms cut to drug and alcohol service budgets. I think that they are down 1.6 per cent this coming financial year, which represents a real cut of £100,000 or so. It might seem quite minor, but it is having a direct effect, such as the proposed closure next month of Turning Point Scotland’s 218 service in Glasgow, due to the funding settlement from the integration joint board in Glasgow of just £650,000, down from £1.3 million. That was described by Turning Point Scotland as unworkable, thus it is closing down the service, which will potentially impact women’s mental health and the recovery of people who are suffering from addiction and possibly also interacting with the justice system. I am also cognisant of preventative spending and the need to rehabilitate people.
Will the cabinet secretary consider engaging directly with Glasgow City Council and the health and social care partnership to find a way to possibly salvage the service, the loss of which could have a big impact on the healthcare budget? I know that the service interacts with justice, but it has a cross-cutting effect on healthcare as well.
Health, Social Care and Sport Committee
Meeting date: 16 January 2024
Paul Sweeney
That is great; much appreciated.
Health, Social Care and Sport Committee
Meeting date: 19 December 2023
Paul Sweeney
Is there a feedback loop whereby practitioners describe a problem and a solution is developed and co-designed with them, or are changes dumped on you and you just have to deal with the adaptation?
Health, Social Care and Sport Committee
Meeting date: 19 December 2023
Paul Sweeney
If there is fragmentation, does that introduce problems with interactions with other healthcare services?