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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. Session 6: 13 May 2021 to 8 April 2026
  7. Current session: 14 May 2026 to 10 November 2026
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Displaying 53 contributions

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Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 28 October 2026

Joe Long

We will talk a bit more about investment later, but I want to stay on Professor Feeley’s review for a minute. I should make a declaration of interest first. My entry in the register of members’ interests shows that, until May this year, I was director of Scottish Autism, which is a social care provider in Scotland, and I engaged in the review in that capacity and during the subsequent national care service conversations.

A big part of the review—which I think was welcomed by the third sector—was the emphasis on ethical and collaborative commissioning. Can you reflect on why that emerged as an important theme in the review? Also, it does not necessarily require structural reform. How do you think we are doing on that and how could that be improved, even ahead of any big structural reform?

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 28 October 2026

Joe Long

I will follow up on that. We talk about people as our biggest investment, but, from an economist’s point of view, I wonder what other key investments we could make that would be game changing for the care sector. I am thinking about emerging technologies and infrastructure. What would you see as being the key focuses of investment beyond the workforce?

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 28 October 2026

Joe Long

What does the proportion of that investment look like right now in your organisation?

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 28 October 2026

Joe Long

Thank you.

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 7 October 2026

Joe Long

It was—thank you.

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 7 October 2026

Joe Long

I will park my question on capital spending—we might come back to that issue—because it seems as though we are moving towards the issue of budget tagging, which a few of us want to ask about. It is striking that a slightly more comprehensive model for tagging preventative spending is emerging, which will allow us to work out how much of notionally preventative spending is tertiary spending on, for example, people who are already in the system.

I have two questions. First, a lot of preventative spend will be outside the health system and hard to evidence. Has Audit Scotland, Professor Bauld or anyone else thought about how we evidence more community-based wellbeing spending that might have health benefits but might not be covered by the tagging system? Secondly, how do we prevent people from tagging as preventative spending things that are already happening and that fit quite neatly into the tertiary category? I am just throwing out those two questions.

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 7 October 2026

Joe Long

Can you unpack some of the issues that you unearthed around leadership and culture? What does that look like on the ground?

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 7 October 2026

Joe Long

What would you need to maintain your role in a big restructure? What do you need to ensure stays in place in order for you to be able to make those recommendations?

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 7 October 2026

Joe Long

I am loth to leave the prevention agenda—

Health, Care and Sport Committee [Draft]

Pre-budget Scrutiny 2027-28

Meeting date: 7 October 2026

Joe Long

—because there is a good deal of consensus on it, but, as has been alluded to, we are riding two horses in trying to shift to prevention and reform the health service at the same time.

I want to pick up Paul McLennan’s point about the potential massive restructuring of the NHS by asking Robbie Pearson a question. Healthcare Improvement Scotland’s briefing talks about the needs of the health service, and I was struck that you identified governance, culture and leadership as areas in which work is needed. Governance relates to structure, but leadership and culture do not necessarily relate to structure. In relation to reforming what we have, can you unpack what you have found around those phenomena and tell us what you think might be needed?

10:30