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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. Current session: 13 May 2021 to 6 April 2026
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Displaying 1557 contributions

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Health, Social Care and Sport Committee [Draft]

Patient Safety Commissioner for Scotland

Meeting date: 3 February 2026

Joe FitzPatrick

I was not going to come in here, but you have said a couple of times something that will concern some of the most vulnerable patients in Scotland: trans patients. A couple of times, you have almost implied that women need to be protected from trans patients, so I just want to give you the opportunity to make it clear that, as well as protecting women’s rights, we should be protecting trans people’s rights.

Health, Social Care and Sport Committee [Draft]

Patient Safety Commissioner for Scotland

Meeting date: 3 February 2026

Joe FitzPatrick

You said that you are speaking to the Women’s Rights Network, which takes a particular view in relation to excluding trans people. Are you also speaking to LGBTQ organisations, to ensure that you hear the lived experience of that very vulnerable group of people, particularly trans patients?

Health, Social Care and Sport Committee [Draft]

Patient Safety Commissioner for Scotland

Meeting date: 3 February 2026

Joe FitzPatrick

I want to follow up on what has been said about the Eljamel situation. Obviously, the overwhelming majority of our surgeons and staff in the NHS are amazing and do a fantastic job. I acknowledge that the inquiry is on-going but I would raise two particular aspects that should be mentioned. First is the issue of the closing of ranks, which you have talked about, and which we probably all accept that we need to get better at dealing with. We need to ensure that the duty of candour that is in law now and the whistleblowing legislation are used to benefit patient safety.

The other aspect concerns the fact that Eljamel was performing outwith his competences. You say that you are not confident that the Eljamel situation could not happen again. Do you think that there could be a situation in which someone who is not qualified ends up doing surgery that they are not qualified to do?

Public Audit Committee [Draft]

“Administration of Scottish income tax 2024-25”

Meeting date: 28 January 2026

Joe FitzPatrick

You talked earlier about the on-going evaluation. Did something specific trigger that evaluation? What can we expect from it?

Public Audit Committee [Draft]

“Administration of Scottish income tax 2024-25”

Meeting date: 28 January 2026

Joe FitzPatrick

When you are doing the work to assess whether the risk has changed, do you look just at the tax base side of things or do you look, for instance, at the wider social contract? There is evidence that people are moving from the rest of the UK into Scotland because of the social contract and in spite of tax differences.

Public Audit Committee [Draft]

“Administration of Scottish income tax 2024-25”

Meeting date: 28 January 2026

Joe FitzPatrick

The witnesses have already covered the area that I will raise a bit, so I will tighten my questions. I want to talk about compliance risk. You have said that HMRC’s assessment is that Scotland’s compliance risk is similar to that for the UK overall, given the current levels of divergence. Is there a certain level of divergence at which the risk would change?

Health, Social Care and Sport Committee [Draft]

Budget Scrutiny 2026-27

Meeting date: 27 January 2026

Joe FitzPatrick

As the convener said, I am going to cover preventative spend, but I also want to cover the mental health budget, so I will start there.

Cabinet secretary, given that the latest data that we have for mental health spending relates to 2023-24, are you able to give us a commitment that we will get more timely analysis of mental health spending patterns in the future?

Health, Social Care and Sport Committee [Draft]

Budget Scrutiny 2026-27

Meeting date: 27 January 2026

Joe FitzPatrick

That is really helpful—thank you.

There is another area of the mental health budget that I am keen to explore a little. The mental health budgets have now been baselined to a degree; that feels like a good thing to do, but it makes our job a little bit more difficult in terms of being able to see where the money is. Is there a commitment to making sure that there is much transparency as possible, while recognising that baselining these kinds of budgets is a good thing?

Health, Social Care and Sport Committee [Draft]

Budget Scrutiny 2026-27

Meeting date: 27 January 2026

Joe FitzPatrick

Thank you—that will be appreciated by future committees, I am sure.

I will move on to preventive spending, although I will stick with mental health at first. We know that there are some fantastic examples of where early spend is having an impact. One such example is the Hope Point centre in Dundee, which is having a real impact; we will, it is hoped, potentially see the benefits of that spend in terms of people not being in crisis.

That spend is always done in partnership—it never goes just to the health board. It always involves a partnership, often with the third sector. How do we ensure that we keep that focus on partnership working?

Health, Social Care and Sport Committee [Draft]

Budget Scrutiny 2026-27

Meeting date: 27 January 2026

Joe FitzPatrick

When I joined the Parliament in 2007, I sat on the Finance Committee, so I am aware that preventive spend and spend to save has been a continuous goal of the Parliament since then, and probably since before then. However, that is difficult to do, and it is difficult to track where money is being spent for that purpose. I know that the Government is making some efforts to be able to understand where preventative spending is taking place so that the shift can come at a later stage. Perhaps you can say a little about the work that you are doing in that area.