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 12 contributions
Health, Care and Sport Committee [Draft]
Meeting date: 16 September 2026
Alison Thewliss
It is really about partnership working. I do not want to sit here and blame local government, because that is neither constructive nor helpful. It is also not really true to say that those in local government are at fault in any way. At the moment, the system is complex, and individuals and those who support them do their best to navigate a system that perhaps does not work as well as it could.
As the cabinet secretary laid out, it is important to ensure that, as soon as someone goes into hospital, there is a plan in place for their discharge, including what support will look like at that point. During some of the visits that I have made across the country, I have heard that, when people go into hospital, their care package stops after a time, which makes it more difficult to restart when they leave hospital and can therefore delay discharge.
We also need to look at the front end of the system. Before people get to hospital, do they get the support that they need? Ms Todd talked about services around frailty. Is there a way to prevent people from having those falls in the first place, prevent them from going into hospital, which might not be the best place for them, and therefore prevent delays when they are ready to leave hospital?
We need to look at the whole journey that somebody goes on, including the reasons that people go into hospital. There is really good work in some local authorities to look at the whole person and ensure that the whole system is wrapped around them, that we understand who they are and what their needs are, and that we identify what can keep them well for longer and prevent them from moving into longer-term care.
Health, Care and Sport Committee [Draft]
Meeting date: 16 September 2026
Alison Thewliss
Yes, absolutely. I agree with that, and I noted a comment from Donald Macaskill in his evidence to this committee about social care not being simply a mechanism
“to support the NHS”
but existing to
“enable people to live”—[Official Report, Health, Care and Sport Committee, 9 September 2026; c 5.]
full and independent lives. That is a key point, because social care is a very wide spectrum. Often, social care is narrowed to older people, but it is much wider than that, as the committee knows, so we need to think about how best to support people during their lives.