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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 5 November 2024
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Displaying 954 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

I have a quick supplementary question.

Cara Stevenson said that something needs to be done now. My understanding is that the Scottish Government published a winter preparedness plan on 24 October, which is a joint publication by the Cabinet Secretary for NHS Recovery, Health and Social Care and Councillor Paul Kelly, who is COSLA’s health spokesperson. The plan has eight priorities for care and how we support people over the winter.

The development of the bill is for the future, and the winter preparedness plan is action that is being taken right now. Do the eight priorities cover ensuring care at home as much as possible, consistent messaging to the public and supporting staff? There is a focus on recruitment, retention and wellbeing of staff as part of those priorities. I am interested in the priorities that will be delivered over this winter. If we reflect on what works, those priorities could go into the future regulations for the national care service bill. Should we also consider that? The winter preparedness plan is being delivered right now, and its priorities could be reflected on for the future.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

Thank you.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

Most of what I was gonnae ask about has already been covered. We have kind of covered this, too, but I want to ask about the current status of social care as far as esteem and career pathways go, and in relation to making sure that the public knows the contribution that our care workers make across Scotland. Over the summer, I heard from workers in Stewartry Care about the level of skill and experience involved in what they provide to people in their homes and in care homes. I am interested in what your current members think or perceive about their roles in social care. Does more work need to be done to demonstrate to everybody the value of social care?

I see that Cara’s microphone is on—and I see Lilian Macer nodding, too.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

I have a quick question about self-directed support. It is 10 years since the Social Care (Self-directed Support) (Scotland) Act 2013 was passed, and the committee has heard questions about how self-directed support is working or not working. Donald Macaskill has said that 70 per cent of care involves third sector organisations. I am interested in the difference that the bill can make in addressing immediate challenges in social care, such as improving self-directed support, which is all about people taking control and making choices for themselves.

I am not sure who wants to answer that first.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

Good morning. My question is kind of on the back of Sandesh Gulhane’s question. Will establishing a national care service increase the visibility of social care and give it equal weighting and equal standing? In previous scrutiny of the bill, I was keen to look at standardised education, career pathways, increasing social care’s visibility and establishing a process for recognising social care as a professional career pathway, because we see the work that social care providers do when they go into people’s homes, for instance.

I declare an interest, as I am still a registered nurse with the Nursing and Midwifery Council. I am interested in whether you agree that, if the national care service is nationally managed, it will improve the visibility of our care workers.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

You have given some good examples, such as PEG tube feeding and caring for people who have stomas, and I was also thinking of the support provided to people for, say, reablement and recovery from stroke. That sort of support involves mobility, moving and handling, all of which requires lots of skill.

Are we confident that at the moment we have a multidisciplinary approach to assessing people’s needs so that care can be delivered effectively? Could we reflect in the bill that need for the right assessment to deliver the right care to the right person?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

So, is the winter preparedness plan not deliverable?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

Evaluation of the plan is essential in order to reflect on what works and what we should take forward in the bill.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

Just a final—

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 31 October 2023

Emma Harper

Okay. Thanks very much.