Skip to main content
Loading…

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.  

Filter your results Hide all filters

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 15 July 2025
Select which types of business to include


Select level of detail in results

Displaying 854 contributions

|

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

Professor Sengupta said earlier that it will be real only if we can pay for it. We have talked about the balance between the one-size-fits-all approach and variety. The one-size-fits-all approach is a lower-cost model, but when you add variety you add complexity and cost, so you cannot have both. I realise that that is a dilemma. With the NCS, we started off talking about a one-size-fits-all approach, but we have now moved completely to a different model—I could say that it is a fudge, but we are saying that we will have variety and we will individualise, but that has a huge cost.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

Thank you for coming today, minister.

Was any consideration given to other reforms? The current focus is on a disease-centred model. Did you look at preventative, instead of disease-centred, approaches?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

I have a final question. What difference will the single capitation arrangement make to patient access and treatment options, and how will you assess the impact of that change?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

It does. I have a quick follow-up question. At a previous committee meeting, we heard about the model that is used in Shetland. The minister said that it is a great model, so let us use that as an example. Hypothetically, if Shetland’s model was a great one to go for and there was a one-size-fits-all approach under the new national care service, local authorities would be forced to apply a model from another area, so costs would increase. Is that a major concern? How would that be managed?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

Mr Follan, does the sharing of legal responsibility between the Scottish Government, the NHS and local authorities blur the lines about who is accountable when services are not delivered adequately?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

In relation to reform, the number of university places for graduates has flatlined, and graduates who qualify tend not to want to go into the NHS because of the funding model. Will the new model attract graduates to the profession?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 24 October 2023

Tess White

That is attractive for training, but will the reforms help to stop the bloodletting from dentistry?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

How satisfied are COSLA and the local authorities that the new agreement has addressed the issues that councils raised?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

I register my interest as a fellow of the Chartered Institute of Personnel and Development.

My question is for Professor Sengupta. You said that it will be real only if we can pay for it. Most staff—76 per cent—are employed by private sector providers. The current model involves outsourcing to the third sector, and it focuses on cost and the lowest price for those providers. One of the consequences of that has been that, historically, wages have been kept low—if there is competition on price, wages are kept low. In your view, how does that conflict with fair work and ethical commissioning? Does the new model need to involve a significant change?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 24 October 2023

Tess White

The buck has to stop somewhere.