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 1659 contributions
Citizen Participation and Public Petitions Committee
Meeting date: 11 September 2024
Tess White
Those were about undergrounding and offshoring. I can send my notes, convener. My suggestion was to do with influencing alternatives to overhead headlines such as underground cables. There is also offshoring to consider.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
That is great. I will ask two questions then.
Both are for Carol Calder. Audit Scotland has highlighted the concerns about the lack of clarity in budget documentation on the impact of specific budget interventions on long-term health outcomes. In your opinion, how can the NPF improve transparency and ensure that budgetary decisions are closely linked to achieving measurable health improvements?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
Professor Donaldson, Audit Scotland highlighted concerns about the lack of clarity in budget documentation regarding the impact of specific budget interventions on long-term health outcomes, and we have heard this morning that it is hard to see where money is being spent in the Scottish budget. How can the NPF improve transparency and ensure that budgetary decisions are closely linked to achieving measurable health improvements?
10:15Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
So the issue is accountability and aligned targets—that is, NHS boards not having aligned targets with the IJBs and the IJBs having split accountability.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
Thank you.
A lot of what you have said this morning about prioritisation versus salami slicing and fiscal prudence has resonated with me. Some talk about austerity while others talk about fiscal prudence; however, they are at different ends of the scale. What you are saying is that we cannot go on unconstrained.
Let me give you a specific example. In the financial year 2022-23, more than 661,705 bed days were lost due to delayed discharge. That is the highest figure ever reported, with an annual cost to Scotland of a staggering £1 billion. As the IPPR has emphasised, it is a key example of not meeting the needs of our older people and, indeed, of depriving them of dignity.
A decade ago, this issue was a major priority for the Scottish Government; indeed, it basically pledged to eradicate delayed discharge. So, it was high priority; it was one of the top few things that had to be done, and the focus was on that. My question, therefore, is this: how, in your opinion, can the NPF finally ensure that funding is used effectively to address the negative outcomes that we are seeing for Scotland’s older people?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
Accountability of what?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
Thank you.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
What has been said about it being hard to see where the money is being spent and what the outcomes are is alarming. We do not know what the outcomes are, and we cannot manage what we do not measure properly. The committee’s meeting this morning is extremely important, because we are pressing pause and asking whether things are working. Is there any way of creating some hard wiring so that we know what the impact will be of spending X amount of money on something? As I said, the situation is alarming.
In its pre-budget scrutiny last year, the committee heard that the NPF is described as the Government’s “north star”, but the underpinning route has not been adequately mapped out. Is the NPF the best way to determine outcomes-based budgeting, or is there a better way?
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
Thank you.
Health, Social Care and Sport Committee
Meeting date: 10 September 2024
Tess White
Convener, do I have time for two questions or just one?