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Displaying 2160 contributions
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
Just to conclude, how urgent is the work of the tax group, given the situation that we currently face and also what is outlined in your forecasts?
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
Thank you.
On reading your submission, I wondered about the scale of the change required. In the course of the committee’s inquiry, we have discussed the shift to preventative spend and the demographic challenges. Is the range of the programme that you are undertaking commensurate with the scale of the challenges that you, as a leader in your field, are seeing in demographics, technology and new forms of healthcare? Is the change that you have represented in your submission up to that task?
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
I want to broaden that question out beyond the digital infrastructure to the delivery of health services across the whole board area, including where services are situated, and the way in which you are looking at the future of your geography and your people. Do you have a change programme that addresses that broader set of issues?
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
On the broader issue of how you deal with a rapidly ageing population, are you advocating a technological approach to changing services instead of talking about, say, which areas of primary care might be addressed, how we might piece all of that together and so on? I am trying to think about this in a slightly broader way by looking at the driving forces, but you seem quite focused on the technology aspect.
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
In some of the evidence that we have had so far, there has been a little bit of dubiety about the Government’s absolute position on managing the workforce. The resource spending review, which came out a while back under the previous cabinet secretary for finance, committed the Government to reducing head count to pre-pandemic levels. However, you seem to be indicating that your intent is to remove non-full-time-equivalent permanent staff by trying to manage down your bank nurses and other contractors. Is such a characterisation right?
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
There would be a major impact on the public finances if we were to take the trajectory that was previously stated. When the permanent secretary was in front of us a few weeks ago, he stated that he was operating on the assumption that that was the direction of travel but that the new Government under the new First Minister had made no specific statement. If there were a specific statement, would you be modelling that?
10:00Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
Are you doing much work on, for instance, modelling on behavioural effects longer term, given where we are with the tax situation and the divergence within the UK?
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
Of course, but are you doing any of that pre-emptive work?
Finance and Public Administration Committee
Meeting date: 6 June 2023
Michael Marra
In the first instance?
Finance and Public Administration Committee
Meeting date: 30 May 2023
Michael Marra
Based on the submissions and what has been said today, I am interested to hear what drives reform. We have heard about Brexit and there has been an awful lot of talk about budgets. The Scottish Government has to meet the budget gap and push reform using that budget. Are there other things that we want to achieve through that? Are we adapting to demographics, climate and technology, or only to the negative reactive drivers? Are we being strategic?