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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 27 November 2024
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Displaying 2685 contributions

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Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

Thanks. I will make one final point.

Minister, you have spoken about the 36,000 people in relation to unmet need. You have also talked about the many excellent people who work in the sector and about the need to improve quality, pay, conditions and so on. How many additional people will be needed to deliver the service on the ground? If we are improving the care that people receive and the quality of that care, that takes time and people. There are chronic recruitment challenges. Jamie Halcro Johnston has mentioned the islands. I have two islands in my constituency, with more than 6,000 people living on them. Trying to get care staff there is a nightmare. Even if hourly wages could be increased to £15, £16 or £17 an hour, we would really struggle to get people, as the demand is high. We have a demographic challenge.

We are looking at a financial memorandum with 2 per cent inflation and a 3 per cent real-terms increase, but some of that 3 per cent real-terms increase will be absorbed by the increasing number of people receiving care. How many additional staff will we need, and where will we get them from? What kind of recruitment and training programmes will be introduced in order to find those people?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

We will have a final question from Michael Marra after which we will wind up this evidence session.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

I did not think for a minute that it was. I think that Mr Flannigan made that quite clear on Tuesday. It has obviously been picked up incorrectly.

Let us start where we finished last time. On Tuesday, I asked Donna Bell about the fact that the bill is much less complex than the one that we started off with, in that we will not need to transfer assets and staff or to think about the Transfer of Undertakings (Protection of Employment) Regulations or about having 31 or 32 potential care boards, et cetera. The variance in the costs is much reduced. Previously, the variance between the minimum and the maximum cost was up to 150 per cent. It is now about 45 per cent, so the parameters have reduced.

However, the delay in the legislation’s being implemented has almost doubled. Instead of waiting a couple of years for implementation, the process will now take in the order of four years. I recognise that Donna Bell said that you were looking at things pessimistically, but you have emphasised how important it is that the bill works for the people who will benefit from it. Surely that is an inordinate delay.

I did not feel that the responses that I got on Tuesday were great. Basically, the officials said that it will potentially still be quite a complex process and that, if the Government could do the work more quickly, it would be happy to do so. If it is a resource issue, is it not best to say, “The reality is that we don’t have the resources to implement what we want to do in the time period that we envisaged”? Is that, in fact, the case?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

What about carers’ breaks? What is the position there, in comparison to where it would have been under the previous iteration of the bill?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

In your opening statement, you talked about the economy of greater wellbeing. Earlier this week, Donna Bell said:

“The Scottish Government remains committed to responding to the need for reform, with significant changes being needed at local level to realise the intended quality and consistency that will be required. By providing timely support when it is needed, we can reduce overall service costs in the long term and empower people to maintain their physical and mental health, which will, in turn, create a healthier overall economy.”—[Official Report, Finance and Public Administration Committee, 23 January 2024; c 3.]

You have reiterated that. Do you have any examples of what that would mean financially? It is a bold statement and it sounds logical, but in the financial memorandum we see only the implementation costs and not the economic benefits or, indeed, anything on the implications and how it will reduce costs in other parts of the Scottish budget, such as in the NHS.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

It is in cash terms. In real terms, what will that mean, using, if possible, the gross domestic product deflator, given that that is what we will have to work with?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

Social Work Scotland says in its letter:

“Through correspondence with Scottish Government officials we have also received some helpful supplementary information. However, overall the information provided still lacks the transparency and sufficient detail needed to provide legitimate challenge from parliamentarians, stakeholders, other interested parties, users of services or the public.”

There are still concerns about the cost of the bill.

Social Work Scotland goes on to quote your letter of 11 December and raises one or two other issues, for example

“the numbers, costs and roles of the civil servants”.

Colleagues might go into that in greater depth. Have you had sight of that letter from Social Work Scotland?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

Do you have any general comments about the letter?

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

I will move on, because there are plenty of other things to talk about, in the meantime.

There has been a huge reduction in the costs over 10 years, but if the legislation will not be implemented for three or four years, we will automatically see a reduction in costs. If we look year by year from implementation, what is the differential? The legislation will be implemented three years later than was expected, so no one would expect the costs, annualised from 2025 to 2028, to be the same, if it is three years late. We are not really comparing like with like, if you know what I mean, because we are not actually comparing what would be delivered in those years under the previous timetable and what is now being considered, because of the three-year slippage.

Finance and Public Administration Committee

National Care Service (Scotland) Bill: Financial Memorandum

Meeting date: 25 January 2024

Kenneth Gibson

I am saying that the implementation delay of three years impacts on the full delivery of the bill and that the costs will hit further on than we are seeing now. In the new financial memorandum, there are only seven years of costs instead of 10 years, so it is hard to compare a given year. Under the new financial memorandum, the costs for 2027-28 look totally different than they did under the old one, simply because a lot less will be happening then as a result of the three-year delay.