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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 4 May 2021
  6. Current session: 13 May 2021 to 22 December 2025
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Displaying 971 contributions

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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.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

How can you do that if data does not come forward to Public Health Scotland? You cannot improve the data if some local authorities are not providing it. We have struggled with the data. We had a whole session on it last week. The data is not there. It is not being provided. How can you give local authorities the resources to implement options 2, 3 and 4 if you do not know what options are being delivered, where they are being delivered, or why they are not being delivered? That is what I am struggling with.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

I think that people just want the resources to get it in place. May I go on to the next section?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Tess White

But you cannot manage what you cannot measure. If you do not have the data, you cannot measure it. How can you improve the data if you do not have it?