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.
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Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
This is the final meeting of the committee ahead of the summer recess. Further details of our next meeting will be published towards the end of August.
That concludes the public part of our meeting.
11:26 Meeting continued in private until 12:07.Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
Welcome to the 24th meeting in 2022 of the Health, Social Care and Sport Committee. I have received apologies from the convener, Gillian Martin.
Agenda item 1 is a decision on taking business in private. Do members agree to take in private items 6, 7 and 8 on today’s agenda and our next meeting on 6 September?
Members indicated agreement.
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
Agenda item 2 is the final evidence-taking session for our inquiry into health inequalities. I welcome to the committee Maree Todd, the Minister for Public Health, Women’s Health and Sport, who is soon to be joined by Michael Kellet, director of population health at the Scottish Government.
I invite the minister to make a brief opening statement.
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
Tess White has a supplementary question.
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
Thank you, minister. We now move to questions on a variety of themes and on the issues that you have raised in your opening remarks. I will start on the progress that we are making on health inequalities.
Minister, I appreciate that you have covered in your opening remarks the progress that has been made over the past seven years, and you have pointed to some of the reasons for poor health equality in highlighting UK Government decision making and austerity. I want to broaden that out a little more. Why have we been unable to make greater progress in addressing health inequalities over the past seven years, notwithstanding the issue that you have raised? What more do we need to do to make progress?
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
I have a brief question about the financial effects. Previously, I asked the cabinet secretary this question, on the funding for environmental health officers to carry out the measure. I appreciate that the paragraph on financial effects states:
“Local Authorities are already funded to undertake tobacco ... work”.
I am conscious that there may be a higher number of hospitals in the city of Edinburgh and Glasgow city than in other local authority areas, so there will perhaps be a corresponding pressure on those teams. I suppose that I am just looking for an assurance that, if costs are exorbitant or add pressures for particular departments, that will be monitored by the Government and any adjustments will be made if required.
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
That is fair, and it is good of you to remind me of my central belt bias, which often accidentally slips out.
Given that there are no further questions, we move to item 4, which is the formal debate on the made affirmative instrument on which we have just taken evidence. I remind the committee that members should not put questions to the minister during the formal debate; and officials may not speak.
Minister, do you wish to say anything further on motion S6M-04798, before I invite you to move it?
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
I invite contributions to the debate.
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
I want to further explore the policies and objectives that relate to addressing health inequalities. Last week, Professor Sir Michael Marmot, who has previously given evidence to the committee, provided compelling evidence about the measures that have been taken in England, particularly in Wolverhampton and Manchester, under his Marmot cities model. He uses six approaches that can make a difference—and which, on the basis of reports on those cities, have been shown to have made a difference.
Last week, I said that those things are not “rocket science”; we probably all recognise them as important things to do that make a difference. They are very often offered and supported by local government and the third sector. However, we know that their funding is reducing, which is challenging, so I am keen to get a sense of how we progress a Marmot cities agenda in Scotland, particularly in our city regions, and how we can sustain funding in the six areas that Professor Marmot has identified.
Health, Social Care and Sport Committee
Meeting date: 28 June 2022
Paul O'Kane
It is good to hear that that meeting is taking place today and that progress on that work is being made, because the committee felt very strongly about that evidence.
I want to ask about health inequalities that are driven by poverty. The committee heard evidence from many organisations that, to some extent, the only proven policy relating to poverty and its impact has been the child payment, given the progress that has been made in that regard. It has had an impact because income goes directly to the poorest families in our society. Would the minister support a further increase to the child payment in order to tackle inequalities?
09:15