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Committee

Health and Sport Committee 26 January 2016

26 Jan 2016 · S4 · Health and Sport Committee
Item of business
Health (Tobacco, Nicotine etc and Care) (Scotland) Bill: Stage 2
Scanlon, Mary Con Highlands and Islands Watch on SPTV
I am grateful for the committee’s time in considering my amendments. I also thank the clerks for assisting me with the amendments. Over my years as an MSP, I have met many families who have been left with the guilt that they should have done more to protect their parents when they were in residential care. I spoke to one such lady last night, which is why I am here. She has given me permission—I am sorry; this issue is quite emotive—to use her name and her mother’s name. The woman’s name is Mrs Blan Bremner and her mother was Mrs Doreen MacIntyre, who died some time ago in the Kingsmills care home in Inverness. Rhoda Grant will be familiar with that care home. The family were concerned about their mother’s care and treatment and decided to install a tape recorder in her room. They were shocked when they played back the recording. I have read the transcripts, which is why I find the matter so upsetting. Dr Ian McNamara of the Highland senior citizens network said: “Having listened to the tapes no one could be in any doubt that abuse of an older, vulnerable adult had taken place.” I appreciate that time is limited, convener, so I will be as brief as possible. Police Scotland was given the tape. It confirmed that “staff are behaving in an unprofessional manner and making inappropriate comments”. It also said that “insulting comments made by care staff were highly inappropriate, derogatory, insensitive and fell significantly below the standards any reasonable person would expect for the care of a relative” but did not reach the “threshold set by Case Law to proceed to a criminal investigation.” Had the family installed a closed-circuit television camera, the situation would have been different. I will give an example of how the staff treated Mrs MacIntyre. When the lady asked kindly for a hand to help her, staff gave her a round of applause and they laughed at and ridiculed her. The police stated that there was no evidence of assault by care staff and no evidence to meet the threshold for cruel treatment, which they stated is essentially a serious wilful neglect offence. They also stated that the conduct of the care by staff at the Four Seasons Health Care home required investigation by the relevant agency. The family went to the Care Inspectorate. Its response was that it does not investigate alleged abuse. The family went to social work services, and the social care manager told them: “you have to move on from the issue as legally nothing can be done and it will affect your health.” The family are finding it more difficult to move on than the social work services appreciated. 10:00 The care home response was to send a letter that said that the two members of staff who had been suspended were no longer employed and that “Four Seasons Health Care bears no admission of guilt as a consequence.” I will come back to that when I speak to my next group of amendments. I told the family about the bill because I thought that it would be an opportunity to look at what could be done. I am afraid that the family were not too impressed with the reference to “wilful neglect”, and they pointed out the difference between neglect and abuse. To neglect is to pay little or no attention and to fail to care for or attend to properly, whereas to abuse is to hurt or injure by maltreatment, to assail with insulting or hurtful words or to use insulting or hurtful language and speak insultingly or cruelly. In my view, “abuse” clearly describes the experience at that care home—and it is not the first time that we have heard of such abuse in a care home in Scotland. In my book, many of the problems that arise from poor care standards are not simply neglect—they are abuse. I lodged the amendments to seek clarity on the issue, given that the bill is a unique opportunity to put in place something to help to protect elderly, frail and vulnerable people. I move amendment 18.

In the same item of business

The Convener Lab
Agenda item 4 is day 2 of stage 2 of the Health (Tobacco, Nicotine etc and Care) (Scotland) Bill. I welcome the Minister for Public Health, Maureen Watt; Dan...
Mary Scanlon (Highlands and Islands) (Con) Con
Thank you.
The Convener Lab
Members should note that part of the way through the debate I will pause proceedings to enable a change of Government officials. I shall introduce the other ...
The Convener Lab
Amendment 3, in the name of the minister, is grouped with amendment 4.
The Minister for Public Health (Maureen Watt) SNP
Amendments 3 and 4 relate to outcomes of incidents that trigger the duty of candour procedure. On amendment 3—which addresses an issue that was raised by No...
The Convener Lab
Amendment 11, in the name of Rhoda Grant, is grouped with amendment 12.
Rhoda Grant (Highlands and Islands) (Lab) Lab
The bill outlines the use of the duty of candour in quite extreme circumstances, and I think that the previous amendments were helpful in highlighting just h...
Maureen Watt SNP
Amendments 11 and 12 would require that “unintended or unexpected incidents” that “did not or could not have resulted in” harm or injury be reported to a p...
Rhoda Grant Lab
I do not understand what the minister is trying to say. She stipulated the circumstances in which the duty of candour would apply as death or real harm. Thos...
The Convener Lab
Amendment 17, in the name of Malcolm Chisholm, is in a group on its own.
Malcolm Chisholm (Edinburgh Northern and Leith) (Lab) Lab
I am a strong supporter of the duty of candour, but various concerns about it have been expressed by clinicians. The particular concern that amendment 17 pic...
Nanette Milne (North East Scotland) (Con) Con
I support Malcolm Chisholm’s amendment 17. I was particularly struck by the evidence that we received about the procedure in England. Having grown up through...
Maureen Watt SNP
Amendment 17 in Malcolm Chisholm’s name would require that “the responsible person must ask the ... person” who has been affected by an unintended or unexp...
Malcolm Chisholm Lab
I thank the minister for that explanation. I am to an extent unsure whether she really is objecting to the substance of amendment 17. She says that she will ...
The Convener Lab
Amendment 6, in the name of the minister, is grouped with amendments 7, 8, 5, 9 and 10.
Maureen Watt SNP
The amendments make changes to the interpretation section for part 2. Amendment 6 aims to assist with the interpretation of “provide” by adding a definition ...
The Convener Lab
Amendment 18, in the name of Mary Scanlon, is grouped with amendments 21 to 23 and 25.
Mary Scanlon Con
I am grateful for the committee’s time in considering my amendments. I also thank the clerks for assisting me with the amendments. Over my years as an MSP, ...
Dennis Robertson (Aberdeenshire West) (SNP) SNP
I thank Mary Scanlon for lodging her amendments. There are standards of professional conduct for people who are registered to provide care and, if they fail ...
Rhoda Grant Lab
Nobody who listened to Mary Scanlon could help but be horrified by the experience that she described. Sadly, it is all too common in some care homes—we have ...
Richard Lyle SNP
I would be concerned if what Mary Scanlon described happened in any care home. However, there are many care staff in many care homes who deliver an excellent...
Nanette Milne Con
I hear what Richard Lyle says; we would all agree that there is excellent care in many cases. Nonetheless, there are cases such as the one that Mary Scanlon ...
Maureen Watt SNP
The care worker and care provider offences in part 3 are committed when there is ill treatment or wilful neglect of individuals who are in receipt of care. A...
Mary Scanlon Con
I appreciate Dennis Robertson’s point. The care workers would be registered with the Scottish Social Services Council. Until a few weeks ago, one of them was...
The Convener Lab
Amendment 19, in the name of Mary Scanlon, is grouped with amendments 20, 24 and 26.
Mary Scanlon Con
My comments on the amendments follow on from the good point that Dennis Robertson made about professional conduct. I have described the poor experience of ca...
Maureen Watt SNP
Amendments 19 and 24, in the name of Mary Scanlon, would remove the option for ill treatment and wilful neglect offences to be tried under the summary proced...
Mary Scanlon Con
I would obviously be concerned if fewer cases were getting to court as a result of my amendments, because that is certainly not my intention. However, I have...
The Convener Lab
I thank the officials for their attendance and suspend the meeting to enable new officials to join the minister. 10:16 Meeting suspended. 10:19 On resuming—
The Convener Lab
I welcome the officials from the Scottish Government bill team who are now accompanying the minister—Angela Bonomy, sensory impairment national delivery supp...