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 3690 contributions
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
Welcome back to the second half of our meeting this morning. We now continue our evidence taking on the Scottish Government’s public service reform programme. Today, we will hear from Claire Burden, the chief executive of NHS Ayrshire and Arran, whom I welcome to the committee. We were meant to also be hearing from a representative of the Argyll and Bute integration joint board, but they are unable to attend today. I apologise that you are in the spotlight, Claire, but I am sure that we will get on okay.
We have about an hour, but we do not have to use all that time—we will see how we get on.
We are looking at public service reform. Initially, we thought that the Government was going to have a very clear path for that; more recently, it has been more the case that each organisation will be looking at reform itself. Do you think that that works, or do we need a stronger steer from the Government about the kind of reform that it is looking for and where we should be going? Are you comfortable that your organisation and similar organisations can drive forward reform yourselves?
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
You have mentioned a couple of times the number of people you have. The Argyll and Bute IJB is not here, but its population is 85,000, so it is an even smaller organisation.
Last week, we heard from the police, and they are obviously an example of a major reform in recent years. They went from eight police authorities, or whatever it was, down to just one. Making anything like that kind of change in the health service could not be done internally, could it? It would have to be driven by central Government.
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
That opens up a discussion on preventative spend, which is a huge area on which the committee has already spent a lot of time. I will restrain myself on that point, though, and hand over to Michael Marra.
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
Yes. The problem is that our borrowing limit is only £300 million. We will raise that with the Deputy First Minister next week.
You mentioned data. How are you finding it now for getting the data that you need at the time when you need it? I know that that was a problem in the past.
09:45Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
Thank you very much, Ms Burden. You have been very frank and open. Maybe it has been beneficial that you have not been in your job for a long time, as you have given us a fresh approach and been prepared to be honest with us. I am very grateful for your input this morning.
Is there anything else that you would like to say that we have not touched on?
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
One of the terms that we politicians hear from the public is “postcode lottery”, which I personally detest and which I think really means local decision making. However, there needs to be a balance, does there not? When someone turns up with a broken leg, they get the same treatment in Ayrshire as they would in the Highlands, Glasgow or anywhere else. On the other hand, you are dealing with a particular situation: you have two islands, the Highlands are completely different from that, and Glasgow and Edinburgh are different, too.
How do we get that balance? The police model has become more centralised. Does health need to have a more centralised model?
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
My final question was going to be aimed more at the health and social care partnership, but I will try it with you anyway. Your area covers three local authority areas. Is that a problem, does it not matter or is it a strength? We know that other health boards, such as NHS Fife, for example, pretty well match the local authority area. Is that an issue for you?
Finance and Public Administration Committee
Meeting date: 6 June 2023
John Mason
Last week, we heard evidence on the information technology side, which was not just about health, that all sorts of public bodies are fishing in the same pool for IT experts. There seems to be a shortage. Has that been your experience?
Finance and Public Administration Committee
Meeting date: 30 May 2023
John Mason
David Page, can you be a national as well as a local organisation?
Finance and Public Administration Committee
Meeting date: 30 May 2023
John Mason
Yes. I certainly agree with that.
I will have to ask people to be brief because we are running out of time.