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Chamber

Meeting of the Parliament 29 February 2024

29 Feb 2024 · S6 · Meeting of the Parliament
Item of business
National Care Service (Scotland) Bill: Stage 1
Smith, Liz Con Mid Scotland and Fife Watch on SPTV

When a major committee of this Parliament concludes that it is concerned that the Scottish Government has, so far, been unable to articulate and communicate a model of how some proposed new legislation would operate, that is hardly a ringing endorsement. It is worse still for something that is supposed to be one of the most important pieces of legislation that the Parliament has seen.

Both the minister, Maree Todd, and First Ministers Nicola Sturgeon and Humza Yousaf argued that the National Care Service (Scotland) Bill was to be a flagship piece of legislation. Indeed, in their words, it was to be

“the most ambitious reform of public services since the creation of the NHS”.

That is quite a pledge. I do not doubt the Scottish Government’s ambition, but, in the usual way with legislation, particularly given the flagship nature of this bill, we should have had the right to expect a well thought-out, wholly coherent and well costed bill. We should also have had the right to expect a fully watertight scrutiny process that would give committees and parliamentarians the maximum opportunity to engage in detailed scrutiny, but that has not been the case. It is not the case with the structure of the bill and it is not the case with the costings, which I will come to in a minute.

The first iteration of the bill faced considerable criticism from no fewer than four parliamentary committees: the Health, Social Care and Sport Committee, the Local Government, Housing and Planning Committee, the Public Audit Committee and the Finance and Public Administration Committee. There was no clarity whatsoever about the related costs, which is why, as Kenny Gibson rightly said, the Finance and Public Administration Committee would not accept the first financial memorandum. It was also why the Delegated Powers and Law Reform Committee raised concerns. Just as importantly, the bill faced widespread criticism from local authorities and health service stakeholders. In short, the bill was in deep trouble last summer, including in the view of some SNP MSPs.

Given those circumstances, Maree Todd was well told that there must be a major rethink. What did we get? We got three changes to the bill, two of them very major. There would no longer be any transfer of local authority staff and assets, and there would be no new care boards for each of the 32 local authorities. To accompany those changes, there was a second attempt at a financial memorandum, which was marginally better than the first but still did not satisfy the Finance and Public Administration Committee, as its members have made clear.

There are also issues regarding parliamentary scrutiny. The Scottish Government has made substantial changes to the accountability and governance provisions in the bill, but it has not provided detail in the legislation of what those changes will look like. The finance committee has particular concerns about the lack of detail on the new national care board. The minister tells us that the bill is only a framework bill and says that she will share the detail of governance and accountability provisions should the general principles of the bill be agreed to, but that is unusual territory and is not something that we feel makes for good legislation.

Framework bills have suddenly become quite fashionable here. If I was being charitable, I would say that that is because of the principle of co-design, which allows ministers and stakeholders to work together to design bills. I will come back to that idea. If I was being less charitable, I would say that the Scottish Government is finding it impossible, for whatever reason, to produce the detail that Parliament needs.

If, as someone who has been here for a long time, I may be allowed to say so, having too many framework bills on the statute book presents a scrutiny problem. That might be an important issue to consider when the Presiding Officer looks at parliamentary reform, because, as Jackie Baillie rightly pointed out, we cannot have bad legislation.

The finance committee remains very sceptical about the co-design process—not in principle, because there are many good things about co-design, but because of the lack of estimates to allow measuring of the economic benefits as set against projected costs. It is also sceptical about how to measure the co-design costs at all, given that that process is still on-going. We feel that the co-design process should have been completed before the revised bill was brought to Parliament.

We know that having a framework bill has been roundly criticised by stakeholders and Parliament committees because of the lack of detail about what would appear in primary legislation and what might appear in secondary legislation. That is not good enough and it is why, during the first iteration of the bill, committees put their scrutiny concerns on record, with the DPLR Committee making what I thought was a revealing comment when it said that the Scottish Government’s approach is

“unacceptable and risks setting a dangerous precedent, undermining the role of the parliament.”

I will say that again. It risks

“undermining the role of the parliament.”

I have said before that I can remember occasions when there were issues with financial memoranda. The Children and Young People (Scotland) Act 2014 and college regionalisation are two examples, but they were not so out of kilter with the ambitions of the bill that was presented, so lacking in detail and so risky to taxpayers.

The Scottish Government, yet again, is guilty of negligence when it comes to the provision of baseline evidence to support the policy basis of a bill. One wonders how on earth ministers ended up in this situation.

15:50  

In the same item of business

The Deputy Presiding Officer (Annabelle Ewing) SNP
The next item of business is a debate on motion S6M-12331, in the name of Maree Todd, on the National Care Service (Scotland) Bill at stage 1. I note that w...
The Minister for Social Care, Mental Wellbeing and Sport (Maree Todd) SNP
I thank everyone who has contributed to the consultation on the national care service, our co-design sessions, the annual forums and the many meetings that m...
Pam Duncan-Glancy (Glasgow) (Lab) Lab
As a disabled person and a user of social care, and as someone who gets a lot of representations on the subject in my inbox, as many of us do, I have to say ...
Maree Todd SNP
I agree that people have waited a great deal of time for this change, but let me assure the member and the public that change is coming. Over the past 10 yea...
Kevin Stewart (Aberdeen Central) (SNP) SNP
Will the minister take an intervention on that point?
The Deputy Presiding Officer SNP
The minister is about to conclude.
Maree Todd SNP
The experts are the people who use community health and social care, as well as unpaid carers and the staff who provide the care. I repeat that the status q...
The Deputy Presiding Officer SNP
I call Clare Haughey to speak on behalf of the Health, Social Care and Sport Committee. 15:03
Clare Haughey (Rutherglen) (SNP) SNP
I refer members to my entry in the register of members’ interests, which shows that I hold a bank staff nurse contract with NHS Greater Glasgow and Clyde. I...
Monica Lennon (Central Scotland) (Lab) Lab
I am glad that Clare Haughey mentioned Anne’s law, and I welcome the report’s recommendations. I note that the committee agreed that Anne’s law should be ful...
Clare Haughey SNP
The committee considered the bill in its entirety, including all the different sections, one of which concerns Anne’s law. The consensus agreement with the ...
The Deputy Presiding Officer SNP
I call Kenneth Gibson to speak on behalf of the Finance and Public Administration Committee. 15:12
Kenneth Gibson (Cunninghame North) (SNP) SNP
Thank you, Presiding Officer. I apologise for missing the first minute of the minister’s opening speech. I also convey my thanks to the Finance and Public A...
Sandesh Gulhane (Glasgow) (Con) Con
I refer members to my entry in the register of members’ interests, as I am a practising NHS general practitioner. I am also a member of the Parliament’s Heal...
Jackie Baillie (Dumbarton) (Lab) Lab
Social care is in crisis right now. Care packages for some of our most vulnerable people are being cut, almost 10,000 people are stuck waiting to receive ass...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
Here we are again, debating another iteration of what was, in essence, a line in the SNP’s manifesto in 2021. The election was three years ago, and we are he...
The Deputy Presiding Officer SNP
Mr Cole-Hamilton, you must conclude.
Alex Cole-Hamilton LD
That is what we should be focusing on today and not this ill-fated bureaucratic waste of time. 15:37
Emma Harper (South Scotland) (SNP) SNP
As a member of the Health, Social Care and Sport Committee who has been present during the entirety of the committee’s scrutiny of the bill and preparation o...
Gillian Mackay (Central Scotland) (Green) Green
Does Emma Harper agree that, as part of that, we must also look at self-directed support and how that is delivered across the country? When we look at the na...
Emma Harper SNP
I will come on to self-directed support, but it is part of the complex landscape that needs to be reformed, so that we can make changes and help to support t...
Liz Smith (Mid Scotland and Fife) (Con) Con
When a major committee of this Parliament concludes that it is concerned that the Scottish Government has, so far, been unable to articulate and communicate ...
Ivan McKee (Glasgow Provan) (SNP) SNP
I think that everyone agrees on the critical importance of social care. It is a requirement for more and more people in society, and that will continue, due ...
Jackie Baillie Lab
I understand that the member has been asking for the target operating model for some time. Does he think that it is acceptable that it appeared only yesterda...
Ivan McKee SNP
As Jackie Baillie identifies, the committee has been asking for that information for a while, and I am glad that it came out before the debate. To be fair, t...
Carol Mochan (South Scotland) (Lab) Lab
I thank the clerks and members for their participation in the process. The establishment of a national care service gives the Parliament the chance to be bol...
Kevin Stewart (Aberdeen Central) (SNP) SNP
The National Care Service (Scotland) Bill offers us the opportunity to build care services that truly reflect our shared values of dignity, fairness and resp...
Jeremy Balfour (Lothian) (Con) Con
What one difference will the bill make to somebody who is in receipt of social care today or tomorrow? What one difference will it make to their life?
Kevin Stewart SNP
It will make a difference through having a care service that is not only fit for today but right for tomorrow. I know that the minister is working with great...
Gillian Mackay (Central Scotland) (Green) Green
As a member of the Health, Social Care and Sport Committee, I echo my colleagues’ thanks to the clerks and those who gave evidence to the committee. There i...