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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

Key Issues in the Social Care Sector

Meeting date: 9 September 2026

Joe Long

I have a question on profit in the sector.

Health, Care and Sport Committee

Key Issues in the Social Care Sector

Meeting date: 9 September 2026

Joe Long

It is more of a provocation. We have heard that health and social care integration has not really been an integration of equals. We have heard various terms—Donald Macaskill talked about dovetailing services, and Rachel Cackett talked about “flow”—but what we have really heard is that social care is a distinct sector in its own right. Is the trope of “integration” still a useful term for us to use in policy?

Health, Care and Sport Committee

Key Issues in the Social Care Sector

Meeting date: 9 September 2026

Joe Long

Rachel Cackett, I think that you wanted to comment on integration.

Health, Care and Sport Committee

Key Issues in the Social Care Sector

Meeting date: 9 September 2026

Joe Long

No, that is why I asked that one. My final question is for Donald Macaskill, in particular. We have talked about the financial constraints on the sector and the fiscal situation that we are in. I am aware that the private sector is a diverse sector, with everything from small care homes to very big conglomerates. We have heard from other people who have given or submitted evidence on the question around profit in the sector and whether there is room for that in such a fiscally constrained situation. Do you have a response to those who think that there probably should not be a place for profit in the care sector?

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Joe Long

I note that my entry in the register of members’ interests states that I was director of a third sector social care provider until 8 May.

I am very interested in the relationship between the health service and the social care sector, their interdependencies and how that relationship functions. One criticism of integration joint boards is that they are not always partnerships of equals between health and social care, and that they do not always function effectively. Given that, in his speech yesterday, the First Minister opened up the possibility of looking again at that relationship, I am interested in hearing witnesses’ views on what would make a good and functional relationship, particularly in relation to social care, given the earlier discussion about its status.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Joe Long

Yes—I am sorry. My question is about continuity of care and the relationships for those who are supporting people over the long term. I was just wondering how that experience was for your members and those with lived experience.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Joe Long

Yes.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Joe Long

Yes. We could talk about workforce planning across the board; it seems like that might be a future session in itself.

I was struck by the fact that Dr Murray-Cavanagh’s submission from the BMA says:

“There is no long-term, evidence-based plan on how Scotland will make sure it has the workforce required to deliver care”

in the future. I was also particularly struck by the mention of “underemployed GPs”. We hear all the time about people having difficulty accessing primary care. Could you tell us a bit more about what is causing that underemployment situation and how it is playing out for BMA members?

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Joe Long

I will save my question for later.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Joe Long

Yes. In fact, my question relates to all long-term conditions. This week, we have had a proposal from the Scottish Government on the flow of care, and a plan for that. I am mindful that the independent review of social care a few years ago talked about the relational rather than the transactional elements of support. I am really interested in how crucial those relationships are, particularly for the continuity of care for people with long-term conditions. I would like to hear more about how those are working, or not working, in providing long-term support. Perhaps Jane Ormerod could respond to that in the first instance.