Committee
Health Committee, 06 Mar 2007
06 Mar 2007 · S2 · Health Committee
Item of business
Free Personal Care
My question is mainly on the workforce. I do not think that a council can run a service or implement a policy if it does not have the staff. You have highlighted the way in which social workers, care staff and so on go about delivering the service. Angus Council has said that one in six of its 600 care staff are about to retire, as they are aged 59 or over. Do you think that the local authorities are looking towards the recruitment and retention of staff? That is one concern that you have highlighted.Another concern is the inability of staff to take time off for training if there are not enough social workers to replace them and do the assessment work. I think that Glasgow City Council pays its social workers more than other authorities. I wonder whether there is any indication, from what you have found out, that how much staff are paid makes a difference to whether people want to stay in what is a very stressful job.
In the same item of business
The Deputy Convener (Janis Hughes):
Lab
I welcome to this afternoon's meeting of the Health Committee Paolo Vestri and the people in the public gallery. We have received apologies from Roseanna Cun...
Paolo Vestri (Hexagon Research and Consulting):
I thank the committee for giving me the opportunity to present a summary of the report's findings. I hope that members appreciate that, given that the report...
The Deputy Convener:
Lab
Thank you. The committee welcomes the fact that you concur with our report. We stated that"the policy of free personal care … has been a success".I note that...
Paolo Vestri:
It is a bit of both. The situation varies among authorities. The reason given also varies when you speak to different people. Obviously, if authorities have ...
The Deputy Convener:
Lab
That is reassuring.
Shona Robison (Dundee East) (SNP):
SNP
From my calculations, the research shows that although 27 of the 32 local authorities operate some kind of waiting system, whether for assessment or for serv...
Paolo Vestri:
On your second point, we did not get into dialogue with local authorities about that possibility. Dialogue is on-going between individual local authorities, ...
Shona Robison:
SNP
How well are the local authorities communicating with people who are waiting and their families about the reasons for the wait and the progress that has been...
Paolo Vestri:
We did not go into the detail of individual cases, as that would have been difficult, so it is difficult to comment on individual cases. However, in general,...
Dr Jean Turner (Strathkelvin and Bearsden) (Ind):
Ind
My question is mainly on the workforce. I do not think that a council can run a service or implement a policy if it does not have the staff. You have highlig...
Paolo Vestri:
I will address your last point first. We did not look in detail at pay and conditions because they vary, to an extent, although pay varies less. Local author...
Dr Turner:
Ind
Especially in the area that you have been talking about, the implications of upskilling the workforce are very important. If domestic care staff are to be up...
Mrs Nanette Milne (North East Scotland) (Con):
Con
Mr Vestri, could you elaborate on the quality of the care that is provided? Both users and carers have concerns about the way in which services are provided ...
Paolo Vestri:
Those are key points. When we looked at the quality of the care that is provided, we found that the vast majority of people who receive care services are com...
Mrs Milne:
Con
Continuity of care is another issue that I know about through personal experience in my family. If a carer does not come to work, perhaps because they are on...
Paolo Vestri:
That is true. Continuity of care depends largely on the local authority's capacity. Local authorities do not have spare staff who wait around to fill in when...
Shona Robison:
SNP
On pages 58 and 59 of the report, you comment on the lack of robust data, on which the baseline study commented as well. Have you seen the work that Jim and ...
Paolo Vestri:
We did not examine in detail the data on funding—either local authorities' income or the expenditure on free personal care and free nursing care—so I cannot ...
The Deputy Convener:
Lab
Thank you for coming along today. You are welcome to take a seat in the public gallery and listen to the evidence that we take from the Deputy Minister for H...
Meeting suspended.
On resuming—
The Deputy Convener:
Lab
I welcome the minister and his officials, Adam Rennie and Paul Gray, to the committee for the second part of today's scrutiny of the Executive's "Evaluation ...
The Deputy Minister for Health and Community Care (Lewis Macdonald):
Lab
I am grateful for the opportunity to talk to the committee about the report and our response to it. For a major new policy such as free personal care, evalua...
The Deputy Convener:
Lab
As we have stated, the committee welcomes the fact that the report accepts that free personal care has been a successful policy and that the majority of peop...
Lewis Macdonald:
Lab
The statutory position is clear. There is a requirement or an obligation on local authorities to perform such assessments and we expect them to do it. As wit...
Paul Gray (Scottish Executive Health Department):
One way in which we propose to take up the report's recommendation on assessments is through our work with local authorities and other partners on developing...
Lewis Macdonald:
Lab
The committee may see from our responses that we want whatever requirements we put on councils, whatever requirements they make of themselves and whatever th...
The Deputy Convener:
Lab
Free personal care is a national policy, so is it not reasonable to give councils national guidelines on such assessments?
Lewis Macdonald:
Lab
Yes. How assessments are performed and services are delivered is already the subject of guidance from the Executive. That is as it should be. However, that f...
Mr Duncan McNeil (Greenock and Inverclyde) (Lab):
Lab
The committee has expressed concern about food preparation and medicines; that is confirmed by chapter 7 of the report, which is entitled "Potential Barriers...