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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 5 May 2021
  6. Current session: 12 May 2021 to 12 May 2025
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Displaying 2004 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

It is interesting to talk about the release and sharing of information and the whole minutiae of regulations that allow freedom of information requests and monitoring and evaluation to be out there and shared to allow us to compare how one board is doing versus another.

We talk a lot about self-directed support, which works really well in some places but does not work well in others, so we need to be able to monitor that. Do you think that there should be something more detailed about data monitoring and evaluation of the system, such as on unmet need, in the bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

Should Anne’s law be extended to other facilities, such as hospitals? I understand that infection control and prevention guidance is important in specific areas, especially if there are outbreaks in other places. Have you considered whether we should extend Anne’s law to hospitals?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

It is for either Beth Lawton or Ken Macdonald.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

We have talked a lot about personal data, but now we have a couple of questions on the monitoring and evaluation of the national care service.

I am interested in whether the bill as introduced has suitable information on the monitoring and evaluation of care as it is delivered. Should anything be added, or will the framework legislation allow the service to be monitored and evaluated in the way that we intend?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

Good morning, everybody. Our papers contain information about the establishment of a new national social work agency. I would be interested to hear the panel’s thoughts on the proposed creation of a centralised quality improvement body in the form of a national social work agency. Do you welcome that, or would you prefer an alternative approach to be taken? If so, what would that be? Let us go to Suzanne McGuinness first.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

We have talked about advocacy and complaints. Is the bill adequate to be able to deal with that kind of support if there are any issues and we need to look at who is responsible and who is accountable? One of the issues that came up during the lockdown was to do with legal liability insurance. That was a real challenge, because care homes, rather than protecting one resident, were protecting all residents. Does that need further consideration?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

I think that Daren Fitzhenry might want to come in but, before he does so, I will pick up on the fact that things are happening right now. For example, Badger Notes for maternity services enables women who are pregnant to have real-time access to the information in their pregnancy care record. The clinical portal is another part of what is being developed to enable access to care records that the patients do not necessarily get to see but the clinicians do. There is work in progress, which can be built on. I am interested in how we can use that as a way to measure how we implement a future safe and secure data care system.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

Page 3 of the policy memorandum says that the creation of a national social work agency is part of the plan, but that is not in the bill. It seems pretty significant to create a national social work agency—if that is what is proposed—so does that need to be in the bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

I have just a quick thought. Yesterday in Dumfries, one of the people round the table said that we should move away from talking about person-centred care and talk about relationship-centred care, which is based on trust between, for example, a person and their carer at home or in a care home. What are your thoughts on the language that we use? Of course, we want a person-centred approach, because the situation is very dependent on what data is shared and who is allowed access to data, such as the combination for a key safe, as Ken Meechan was talking about. Can I have brief thoughts on person-centred versus relationship-centred care?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Emma Harper

The primary legislation will state what we want to achieve and, from there, we will work back towards what the secondary legislation will need to include. Part of that is about co-design with people who matter and those who know how a co-design process can be taken forward. The co-design part relates to Ken Macdonald’s comments and the working back part relates to Beth Lawton’s comments.