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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 2 September 2025
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Displaying 2150 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

Therefore, a digital care record that is accessible, secure and safe is absolutely what we need to think about in the bill. You are right about choice, traceability and the ability to know who has accessed records. I come from a nursing background and, from that point of view, when we are operating on somebody, we want to know what has happened in the past, including about previous surgeries, and it is really handy to have a record to check for safety reasons.

The third sector does not have access to records. Would you support that access? When we consider who is looking after the person—someone might have self-directed support, for example—is it necessary that the right people have access to the record?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

The Food Train and other services that are equivalent to meals on wheels deliver to folks’ homes, and their staff might pick up on increased memory loss, for example, which might trigger an assessment or more care. Should such services be involved as part of the co-design process? Should they feed into the records even though they may not necessarily have access to them? Again, that is about on-going assessment. Should we think about that as part of the co-design process?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

One of our questions in our briefing paper is directly about minority ethnic carers. We need to make sure that the questions are representative of that issue as well. What additional needs and potential barriers should be considered in relation to carers from minority ethnic communities with respect to access to breaks?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

What is sufficient for one person might not be sufficient for another, so it is all very person centred, to use that phrase. I suppose that a break might be a break with the person whom you are caring for. Does that language need to be in the bill? How do we define that? Can that be worked on? The bill is about sufficiency and language that is not about eligibility. Once we have the overarching framework, we can clarify what “sufficient” is and build on that through an approach that takes the carer’s view on board. Would that be part of the co-production?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

Not really—whoever is the self-directed support expert.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Emma Harper

Dr Gould mentioned how everyone knows everyone’s business in rural areas. I represent the South Scotland region, which is very rural. She is right to say that folk in rural areas know what people are up to—sometimes, they even seem to know before those people know themselves. Other members will probably be very aware of how news about rural healthcare gets round the town or village.

Digital care records are a way of sharing information. Some stories can be repeated while other stories remain buried, if that is a person’s choice. My question is for Dr Gould. What fears do you have about care records? What do you hope to see that would be deliverable and would help to improve care?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Emma Harper

We are talking about how to measure success; I have a question for Nick Price on that. You said that, due to the pandemic, the chief of the IJB has developed a way of working, with the Granite Care Consortium, that has actually been successful—we heard that feedback. What the GCC has been delivering has been called a care board model. Do you recognise that, and should we consider harnessing that model as we take forward the national care service bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Emma Harper

I am interested in the language in the bill around training and the recruitment and retention of the workforce. We are starting to move away from the time-and-task model and are looking at real ways of helping to support retention and recruitment and valuing people by engaging in training. What do you think about the provision in the bill that

“The Scottish Ministers and care boards may ... provide training”

and about how training helps in relation to valuing our staff and maybe retaining them even longer and supporting the continuing recognition of the professionalism of care? A lot of the care that is provided is really complex, so I am interested to hear your thoughts about what is in the bill as far as the language around training goes.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Emma Harper

A lot of this has been covered already, so I will be really brief.

One of the issues that is coming out is to do with how local government wants to be part of delivering care now that we are going to create the national care boards. For example, how do we manage that shift to make sure that we can show local authorities that this is about local delivery, with national guidance? It is not about taking control into ministerial offices; it is about the delivery of care at the local level, with national guidance that underpins what the care quality needs to look like.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Emma Harper

On recruitment and retention, if the Government committed to supporting on-going, continuing professional learning to unburden providers with regard to the financial aspects of having to send people away to do online or face-to-face training, would you welcome that?