Summary

  • The Health Committee takes evidence from third sector organisations on health and social care in Scotland

  • The Europe Committee takes evidence from youth organisations on Scotland's future relationship with the EU

  • Topical questions focuses on the Queen Elizabeth University Hospital staffing issues and low income impact on the ability to buy food.

  • The Scottish government leads a debate on child tax credit cuts and the 'rape clause'

  • MSPs debate the Air Departure Tax Bill at stage 1

  • Tory MSP Maurice Golden leads this evening's member's debate on WWF Earth Hour 2017

  1. 'I find my job absolutely impossible'published at 10:41 British Summer Time 25 April 2017

    Corinne Curtis

    Corinne Curtis, a service user with Orkney Integration Authority Strategic Planning Group says it has gone from being "tokenistic to tokenistic with a bit more support".

    "I find my job absolutely impossible," she says.

  2. There are 'unequal relationships'published at 10:36 British Summer Time 25 April 2017

    Andrew Strong from the Health and Social Care Alliance Scotland
    Image caption,

    Andrew Strong from the Health and Social Care Alliance Scotland

    Committee convener Neil Findlay asks the witnesses to comment on the level of engagement.

    Margaret McKeith from Partners for Integration with Scottish Care says it varies considerably and it is down to personal relationships.

    Andrew Strong from the Health and Social Care Alliance Scotland (the ALLIANCE) says there is a limited picture is terms of engagement.

    Mr Strong says there are "unequal relationships". 

  3. The second evidence session is underwaypublished at 10:30 British Summer Time 25 April 2017

    The second evidence session is underway: 

    Read witness submissions here., external

  4. Involvement of patients, careers and the third sector evidence sessionpublished at 10:29 British Summer Time 25 April 2017

    Nurse and patientImage source, Thinkstock

    MSPs continue to take evidence on Integration Authorities engagement with stakeholders as health and social care are integrated.

    The committee have agreed, to examine Integration Authorities’ (IAs) approach to engagement with stakeholders and whether or not IAs are doing enough to involve patients, carers, the third sector and other stakeholders over the design and future of health and social care in their local area.

    The Public Bodies (Joint Working) (Scotland) Act 2014 places a duty on Integration Authorities to ensure that stakeholders are fully engaged in the preparation, publication and review of strategic commissioning plans.

    Regulations set out the people who must be consulted in relation to integration schemes, strategic plans and significant decisions in a locality.

  5. Resources are the main issue - Diabetes Scotlandpublished at 10:19 British Summer Time 25 April 2017

    Linda McGlynn from Diabetes Scotland
    Image caption,

    Linda McGlynn from Diabetes Scotland

    Linda McGlynn from Diabetes Scotland there is a role for the Scottish Health Council within the development formula.

    Committee convener Neil Findlay asks if problems are mainly around service improvement or budget.

    Ms McGlynn says resources are the main issue. 

    Sonia Cottom from Pain Association Scotland says "it is about spending the pennies to save the pounds" and "looking at the bigger picture". 

  6. Call for much wider effort in sharing best practicepublished at 10:16 British Summer Time 25 April 2017

    Caire Cairns from the Coalition of Carers in Scotland says there needs to be a much wider effort in sharing best practice in integration joint boards.

    Ms Cairns says there will be an another report in January to give an update on how things are going.

  7. Examples of best practicepublished at 10:14 British Summer Time 25 April 2017

    Heather Petrie from Voluntary Action South Lanarkshire says there are a number of community events coming up in South Lanarkshire.

    Ms Petrie says all of the information is getting passed though the nesletter and blog and the communications have improved.

    Linda McGlynn from DiabetesScotland says "I have not seen many other examples of best practice other than what is going on in South Lanarkshire."

    Linda McGlynn from DiabetesScotland
    Image caption,

    Linda McGlynn from DiabetesScotland

    Caire Cairns from the Coalition of Carers in Scotland says there is best practice across Scotland and there are many examples in different areas.

    "There is definitely an improvement," she says.

  8. Carers out of pocket through attending meetingspublished at 10:10 British Summer Time 25 April 2017

    Caire Cairns from the Coalition of Carers in ScotlandImage source, bbc
    Image caption,

    Caire Cairns from the Coalition of Carers in Scotland

    Linda McGlynn from Diabetes Scotland says with all these processes communication is the key.

    Ms McGlynn says if there is improvement in communication then people will feel they have a seat at the table.

    Caire Cairns from the Coalition of Carers in Scotland says a lot of carers attend a lot of meetings around the integrated authorities.

    Ms Cairns says for carers who are also employed they and up being out of pocket and this needs to be addressed. 

  9. 'Money should go directly to the third sector'published at 10:06 British Summer Time 25 April 2017

    Heather Petrie from Voluntary Action South Lanarkshire
    Image caption,

    Heather Petrie from Voluntary Action South Lanarkshire

    Heather Petrie from Voluntary Action South Lanarkshire says the "money should go directly to the third sector" so that they have more influence on where that money is spent.

  10. Postpublished at 10:04 British Summer Time 25 April 2017

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  11. 'The process needs to be sorted out so that carers feel they are equal partners'published at 10:03 British Summer Time 25 April 2017

    Caire Cairns from the Coalition of Carers in Scotland
    Image caption,

    Caire Cairns from the Coalition of Carers in Scotland

    Caire Cairns from the Coalition of Carers in Scotland says "the process needs to be sorted out so that carers feel they are equal partners" around the table.

  12. Background: Scotland's social care services 'unsustainable'published at 09:59 British Summer Time 25 April 2017

    Media caption,

    Scotland's social care services 'unsustainable'

    The current system of social care in Scotland is "unsustainable", according to a financial watchdog report last September.

    The Accounts Commission said an additional £667m, external would be needed by 2020 to maintain current levels of service, and called for a "frank and wide-ranging" debate on the issue.

    It said an ageing population, budget cuts and legislative changes were putting pressure on the system.

    Scotland's 32 councils currently spend about £3.1bn on social care.

    That money was used to provide support to more than 300,000 people in 2014/15 - about 70% of whom were aged over 65.

    Read more here.

  13. 'Resources are needed locally'published at 09:54 British Summer Time 25 April 2017

    Linda McGlynn from DiabetesScotland
    Image caption,

    Linda McGlynn from DiabetesScotland

    Linda McGlynn from Diabetes Scotland says we have to look at what is happening locally and put resources in.

    Ms McGlynn says "resources are needed locally." 

    She says the NHS have an engagement system to involve the public.

  14. 'It is about opening up channels'published at 09:51 British Summer Time 25 April 2017

    Heather Petrie from Voluntary Action South Lanarkshire says there is now a new social care leader within the council.

    Ms Petrie says that person publishes a blog with key advice.

    "It is about opening up channels," she says. 

  15. Scotland's social carepublished at 09:49 British Summer Time 25 April 2017

    Scotland's social careImage source, Thinkstock
  16. Background: Laws streamline care in Scotlandpublished at 09:42 British Summer Time 25 April 2017

    In April in 2015 we reported that the way care is organised is radically changing across the whole of Scotland.

    Large parts of health board and council budgets are being merged in a bid to cut bed-blocking and aid the transition to nursing home care or home care.

    People with long-term conditions, disabilities and the elderly are expected to see the greatest benefit.

    The Public Bodies (Joint Working) (Scotland) Act, external has been described as the most substantial reform to the NHS in a generation.

    CareImage source, bbc

    It forces councils and the NHS to work together to provide more streamlined services.

    The two organisations have to decide which one of them is going to take the lead in decision-making, or delegate those decisions to a separate body.  

    There is some evidence that co-ordinating care can have a significant effect on the quality of life of frail older people and people with long-term conditions.

    It is also associated with lower costs.

    The Scottish government hopes it will ease the pressure on hospitals by speeding up the journey of patients.

  17. The problems have now been resolved...published at 09:41 British Summer Time 25 April 2017

    The problems have been resolved and we're back.

    We apologise for the loss of the live feed.

  18. Health Committee begins shortlypublished at 09:29 British Summer Time 25 April 2017

    The Health Committee, external will shortly begin taking evidence on the involvement of patients, carers and the third sector in the creation and design of an integrated  health and social care service.

    Health professionalsImage source, bbc

    First up though MSPs will consider the following petitions: 

    • PE1628, external: Consultation on service delivery for the elderly or vulnerable
    • PE1605, external: Whistleblowing in the NHS - a safer way to report mismanagement and bullying