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 2113 contributions
Meeting of the Parliament
Meeting date: 26 October 2022
Paul O'Kane
Our NHS is facing a humanitarian crisis this winter, and—let us be frank—the responsibility lies at the door of this Government and this cabinet secretary.
Today, we have again heard about the scale of the crisis in our NHS. We have heard from Jackie Baillie about the personal cost behind each and every one of the numbers, each of which represents a person with a family and their own story who is cared for by our amazing NHS staff, who are at breaking point.
The debate has been characterised by the cabinet secretary’s thin skin. He complained about being personally attacked, but the reality is that all that Jackie Baillie and Labour members did was point out his failures in comparison with his predecessors in the job of health secretary, including Jeane Freeman, who led the country through the beginning of the pandemic. Alex Cole-Hamilton took a similar approach when he pointed out what Paul Gray has said about the head of steam that has built up, the perfect storm that has been created and the fact that it is not all about Covid.
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
I wonder whether Sir Harry wants to come in, particularly in relation to testing change. Obviously, he has experience of testing change and seeing what works.
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
Pardon that expression.
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
I want to ask about social work. I imagine that it is challenging to make a comparison, because the scope of the bill goes beyond the practical delivery of social care. Northern Ireland is perhaps a good example to look at, because social work there is delivered slightly differently via more of a health board model. Have you found any international examples of elements of social work, as a profession, being put into a national social care structure?
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
Do those arrangements involve criminal justice, children and young people’s services or learning disability services, for example, as well as just older people’s services?
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
We have begun to touch on the issue of what the bill will actually achieve. I would like to reflect on some of the commentary that there has been since the bill’s publication. The Centre for Care said that there must be greater clarity on how the reforms will achieve the intended goals. It asked how we will test the bill against the theory of change and how we will establish whether it has done what we want it to do. There has been commentary on whether the bill will fully deliver the recommendations of the Feeley review, and there has been commentary from trade unions on whether it will do anything to tackle the issues around pay and terms and conditions. Unison has gone as far as to say that the bill should be paused.
In that context, I am keen to get a sense of how the bill can achieve the aims that have been set out. Perhaps we could start with Nick Kempe.
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
That leads me neatly on to my next question. The sense that I am getting from those contributions is that this has to be about cultures, not structures, and that we have to avoid that top-down approach. Indeed, Reform Scotland said in response to the call for views that there has not been an
“adequate explanation about why simply removing local government”,
for example, from social care would lead to implementation or to innovation in delivery. Do the panellists agree that we need to look at that in a more rounded fashion?
Health, Social Care and Sport Committee
Meeting date: 25 October 2022
Paul O'Kane
Forgive me—we have not done this before as a committee. As there is obviously an issue relating to local government and the structure of local government, is that an issue for the Local Government, Housing and Planning Committee? With the best will in the world, we are not going to be able to make a recommendation on the restructuring of local government in Scotland.
That is just a thought, and I am not sure how the ping-pong between committees works.
Meeting of the Parliament
Meeting date: 6 October 2022
Paul O'Kane
To ask the Scottish Government what plans it has to provide additional financial resources for third sector organisations that are on the front line in providing advice and support services as the cost of living crisis continues to deepen. (S6O-01429)
Meeting of the Parliament
Meeting date: 6 October 2022
Paul O'Kane
In the summer, I met a wide range of third sector organisations across West Scotland, including the Lochwinnoch community larder and starter packs Inverclyde. New research from the Scottish Council for Voluntary Organisations has revealed the precarious situation that third sector organisations are facing, with figures showing that 64 per cent of those organisations have reported an increase in demand and 61 per cent have described facing imminent financial challenges. Many are worried about how they will keep their lights on and doors open.
Will the cabinet secretary commit to establishing a new third sector resilience fund, such as that which was put in place at the start of the pandemic, to ensure that third sector organisations can continue to support the most vulnerable, rather than focus on their own survival?