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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 13 July 2025
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Displaying 854 contributions

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Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Tess White

Convener, do I have time for two questions or just one?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Professor Bell, thank you for your written submission, which I found particularly helpful. You highlight the Scottish Fiscal Commission’s concerns over the financial impact of the Scottish Government’s public sector pay assumptions. Can you talk us through the anticipated impact of the in-year budget cuts for IJBs that you outline in your submission?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

I will make a comment rather than ask a question, as I know that we will cover data later. If you are talking about improving performance, it is almost about doing more with less rather than saying that there is a fundamental problem with the assumption on staffing.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

That relates to pay and your view on pay. In relation to staffing, your written submission highlights that the Scottish Government assumes 1 per cent growth in staffing over five years from 2022 while the English NHS workforce plan assumes growth of 20 to 21 per cent over the same period. In your view, what are the implications for Scotland of that divergence in staffing and the underpinning assumptions?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

I have a quick follow-up question for Pat Togher about the voluntary sector. There is a squeeze on the council-run care homes because the cost of care homes is increasing, and that is having a huge knock-on effect on the voluntary sector. Could you comment on that? I say that to Pat but I notice that Caroline Cameron is also nodding. I ask Pat and Caroline to comment on that, then that will be me.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Can I just go back to your point about pay?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Very briefly.

You are almost saying that it is due to the Barnett consequentials rather than the Scottish Government having the levers in relation to the decisions on pay increases. Could you just clarify that point before we move on?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

My first question is to Caroline Cameron.

With the funding gap for IJBs set to triple for 2023-24, it is clear that they are facing an alarming financial crisis. What is the impact of those intense budgetary pressures on the delivery of primary care services, including phase 2 of the 2018 general medical services contract, which has still not been delivered?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Thank you. That is very helpful.

My second question is for Pat Togher. The Accounts Commission report highlights that IJBs were intended to shift the balance of care out of hospital to the community, but that has not happened in practice, and we are seeing decreased funding and decreased patient satisfaction instead. With the significant budgetary shortfalls, do you believe that it is still possible to achieve that shift?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2025-26

Meeting date: 3 September 2024

Tess White

Thank you. This is my third and final question. You talk about the cost pressures of providing care in the community. What do you anticipate the impact of the Scottish Government’s in-year budget cuts will be? We will start off with Sharon Wearing, then maybe the other panel members can give a view.