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.
Displaying 1038 contributions
Health, Social Care and Sport Committee
Meeting date: 31 October 2023
Tess White
Wow. That is it in a nutshell.
Health, Social Care and Sport Committee
Meeting date: 31 October 2023
Tess White
I can. Thank you, Dr Elder-Woodward.
Health, Social Care and Sport Committee
Meeting date: 31 October 2023
Tess White
Thank you, convener. I have a question for Dave Moxham, one for Cara Stevenson and one for Lilian Macer, if I may.
Dave, you made some criticism of the sector’s current organisation. To what extent are your members confident that the National Care Service (Scotland) Bill will provide a suitable framework for a robust and sustainable social care and support service?
Health, Social Care and Sport Committee
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
Meeting date: 24 October 2023
Tess White
The buck has to stop somewhere.
Health, Social Care and Sport Committee
Meeting date: 24 October 2023
Tess White
I will ask one final question. In relation to accountability and responsibility, if the assets, staffing and budget stay with councils, is there not a huge concern that there is a difference and that one party will be responsible and another accountable?
Health, Social Care and Sport Committee
Meeting date: 24 October 2023
Tess White
My point is that you cannot have both. Your point was that it is not real if we cannot pay for it, but the new model talks about variety and individual needs, while the one-size-fits-all approach is a low-cost model.
Health, Social Care and Sport Committee
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
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
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?