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The answer therefore must be to empower communities to make the decisions and have accountability. That is why the accountability lies with the more than 100 community councils and the area committees, rather than at the top.
The SMC deemed that its QALY decision modifiers accounted for end-of-life situations, but we do not really know, because we do not really understand what they do.
We need to invite the public and all the other organisations to provide illustrations, if they have them, of individuals who are performing at the level of the 12-year-old who has been described and who are not being supported adequately in a way that takes into account their family circumstances. They should let the committee know now about such situations, so that we can take that into account.
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However, witnesses raised the issue of blurred lines of accountability, where the accountable authority is not ultimately accountable for decisions around prioritisation and must seek approval from the Scottish and UK governments.Â
A sentencing guideline relating to how courts take account of aggravated factors in hate crimes, including those offences aggravated under the 2009 Act, could be a matter that the Scottish Government could request the council to consider.