Committee
Finance Committee 09 March 2016
09 Mar 2016 · S4 · Finance Committee
Item of business
Prevention
Colin Mair
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We often use different languages in quite similar ways. The language around co-production, for example, is often about saying, “Do it this way because the ways that we have done it in the past have excluded people.” The language of prevention intimately links with the language of community empowerment and co-production. I will give a simple example. I was at a meeting recently in which a group of quite articulate community representatives complained to a council that changes to the allocation of personal care at home were leading to older people being lonely and isolated. I thought that it was a really weird proposition that the answer to the issue of loneliness among older people in the community would be a salaried state personal care worker. Where is the community in that? We have to do some of the capacity-building stuff that says, “Public services will never be able to stop loneliness, so you as communities need to be active in noticing where older people are isolated and integrate them with activities.” To go back to Alan Staff’s point, the third sector has an absolutely critical role there, as it is much more able at mobilising communities than the public sector has historically proven to be. A lot of the language that we use is linked to outcomes—how we prevent negative outcomes and how we ensure positive outcomes. I think that the answer is that, if preventative intervention is working, the outcomes will shift. If they do not shift, the preventative intervention is not working. We call too much “prevention” just because of the type of thing that it is and without asking whether it actually produced the result. If it has not produced the result, it has not been preventative; it has been another thing.
In the same item of business
The Convener
SNP
Our second item of business is to take evidence, in a round-table format, on prevention. We have been monitoring progress throughout the current session on t...
Rachel Cackett (Royal College of Nursing Scotland)
Thank you for the opportunity to open the discussion. I emphasise that it is our opinion that there is an awful lot of good practice around prevention. That ...
The Convener
SNP
Thank you very much.
John Mason (Glasgow Shettleston) (SNP)
SNP
I enjoyed the paper from the RCN, as usual. You say that you feel that very little has changed in the past five years. I would be interested to know whether ...
Rachel Cackett
If only life were that simple. In the comment that you mention, we were referring specifically to some of the issues that we raised with the committee when w...
John Mason
SNP
Thank you.
The Convener
SNP
Thank you. Colin, to be followed by Justina.
Justina Murray (South West Scotland Community Justice Authority)
I think that everyone sitting round this table today will largely reflect what Rachel Cackett has been saying in terms of—oh, sorry; did you say Colin, follo...
The Convener
SNP
The discussion is free-flowing.
Justina Murray
I give you the floor, Mr Mair.
Colin Mair (Improvement Service)
I think that Justina Murray was going to be much more interesting than I will be. However, I want to pick up on two of Rachel Cackett’s points. I focused bri...
Justina Murray
I will come in now. A lot of people around the table will reflect what Rachel Cackett and Colin Mair said about all the themes across different policy area...
Alan Staff (Apex Scotland)
In the third sector, there is a strong feeling that there can be no decisive shift in policy unless there is also a shift in the way that funds are allocated...
Professor Nick Watson (What Works Scotland)
I would like to open by endorsing what all the previous speakers have said. We see a lot of evidence of prevention from small-scale projects such as operatio...
Elaine Wilson (Lloyds TSB Foundation for Scotland)
I want to talk about the third sector. Lots of really small organisations are doing significant pieces of work that are fundamental to prevention. That is wh...
Aileen Bryson (Royal Pharmaceutical Society)
I echo and reiterate everything that has been said so far on the themes of using the resources that we already have and being much smarter about how we do th...
John Mason
SNP
I have two follow-up questions on two of the contributions so far, the first of which is for Alan Staff. I am a fan of the third sector, but I will be devil’...
The Convener
SNP
I will let Colin Mair come straight back on that specific question.
Colin Mair
To me, prevention is about how we prevent negative outcomes from happening to people and how we promote positive outcomes. The Community Empowerment (Scotlan...
John Mason
SNP
So prevention is the same as outcome.
Colin Mair
We often use different languages in quite similar ways. The language around co-production, for example, is often about saying, “Do it this way because the wa...
The Convener
SNP
I see that Alan Staff wants in. I will let you in, Alan, but there are a few people ahead of you, I am afraid.
Andrew Strong (Health and Social Care Alliance Scotland)
I agree with what Colin Mair has just said. Our submission to the committee highlighted a number of examples of preventative work in the third sector. For ex...
John Sturrock QC (Core Solutions)
I do not have the subject and sector-specific knowledge that many colleagues round the table have so my remarks are probably more general. I am struck by the...
The Convener
SNP
As we all have. Laughter.
John Sturrock
It is writ large in this world. Love prevails. As a mediator, I am interested in what I think is a global trend, which is a move from unhelpful competition ...
The Convener
SNP
That brings us swiftly on to the challenges that lie ahead. I hope that folk will look to ensure that there is a shift towards prevention in addressing the c...
Mark McDonald (Aberdeen Donside) (SNP)
SNP
It is handy that we have moved on, convener, as my questions are tailored around the second theme more than the first.
The Convener
SNP
I hoped that they might be.
Mark McDonald
SNP
I am always happy to help. My first question is about how we tackle the silo mentality that still exists. I am not necessarily talking about a silo mentalit...