Chamber and committees

I am sorry, but I dinnae have time. These wee four-minute speeches do not allow us to get on the record everything that we want to say, but I am happy to speak to any member after the debate if they seek a more detailed response.

The bill will increase transparency and standardise delivery of care to eradicate the current postcode lottery care system. Importantly, it will take the focus of social care away from today’s for-profit industry and will lead to a system that focuses on human rights and high-quality care.

Contrary to what the Tory motion states, the bill does not centralise social care. It is a framework bill, which means that other regulations will come after it—affirmative regulations that we will, again, be able to scrutinise. That means that it allows—

Paul O’Kane rose—

I think that Carol Mochan is asking the Government to take information forward. We have just begun scrutiny. Will we not have a stage 1 debate, in which we will be able to debate the bill in the chamber again?

Will the member take an intervention?

I am sorry; I want to proceed, because I have particular points to make.

For example, regarding how the approach will work better, Dumfries and Galloway and the Scottish Borders are large, rural areas that require a bespoke approach to the challenges of distance and rurality. The bill allows for that, but ensures standards of care. Dumfries and Galloway and the Scottish Borders are separate areas with bespoke requirements, but certain standards will be matched nationally, which has to be welcomed, as it will ensure high standards of care.

I would have thought that the Opposition could get behind improving care standards and ensuring equity of care, but instead they simply continue to moan.

I turn to self-directed support, which I have worked on since my re-election. SDS allows people to receive money from their respective local authority, to be spent where people feel is most appropriate for them. That might be help with the management of a health condition or disability, help with buying technology, help with getting out and about, or even support for attending work or college. Over the summer, the minister came to Dumfries where we heard directly the lived experience of people who were receiving self-directed support.

That is all part of how we move forward—by engaging with and listening to people and through co-production with them in order that we have the best bill to take forward.

I realise that I am out of time, Deputy Presiding Officer. Thank you.

Yes. What I wanted to ask about has mostly been covered already, but I will just say to Eddie that, every time you come to committee and give us information, no matter what your role is at that point or what hat you have got on, your knowledge and everything just demonstrates what an asset you are, and I want to say thank you.

Obviously, Dumfries and Galloway has issues as a rural area. I love the idea of electric cars—I am pursuing that already with Dumfries and Galloway Council. I think that that is absolutely the way we need to go, especially with petrol being so expensive.

I am thinking about the other aspects around social care, such as delayed discharge, and you have been able to tackle that in your area, too. I am also thinking about recruitment and retention. It is not just about encouraging young folk to go to school and college; it is also about the fact that social care is delivered mostly by women, the average age of those carers is about 50, and most of them have other caring roles and responsibilities. The papers from the previous panel of witnesses raised the issue that people who are providing care might also be caring for their parents or their kids. There are challenges with regard to recruitment and retention, so what are your thoughts about the fact that some local authorities pay a lot less than others do? Fair approaches to recruitment, retention and remuneration are, therefore, part of what we need to consider—including with Paul Kelly, I suppose.

The bill talks about the charter being reviewed every five years. Is that enough time, or should the period be longer? Indeed, should it be shorter?

I mean before the bill was published. Did COSLA engage with the Government before the bill was published?

Okay.

I am keen to pursue the matter of centralisation. To me, it is about creating standards. We just had a care home close in Dumfries and Galloway, and during the pandemic NHS teams had to go into a couple of care homes because there were issues related to infection control. It is about knowledge, skills and taking a standardised approach; for example, staff not wearing personal protective equipment unless they are engaging in patient care. For me, a standardised approach is about fair wages and the level of skills for a certain band in the local authority. No matter where a person is in Scotland, there should be a standardised approach for development of knowledge and skills. Is not that part of what would be centralised, with local delivery then being based on the standards that are set across the whole of Scotland?

Good morning, everybody. On the back of the human rights questions and aspects, chapter 3 of the bill, which I have in front of me, talks about the creation of a national care service charter. I am interested to hear your thoughts about what the charter should contain. For example, should we link it to the principles in chapter 1, which talk about promoting dignity and advancing equality and non-discrimination? That question goes first to Isla Davie, because she is looking right at me.

I am trying to get my head around what Dr Gulhane said about the roll-out of vaccines being a “disaster” in rural areas, because of the central approach. That was not my experience; I was a vaccinator in Dumfries and Galloway and the roll-out was fabulous.

With regard to the issue that everybody has raised about centralised versus local accountability, although ministers will have accountability, the delivery of care should happen locally, because different aspects affect rural, urban and island communities. Is that not what this bill needs to deliver?