Duncan McNeil MSP

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Duncan McNeil MSP

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  • Member for: Greenock and Inverclyde
  • Region: West Scotland
  • Party: Scottish Labour

Duncan is a member of the following Committees:

Duncan is a member of the following Cross-Party Groups:

Parliamentary Activities

Member of the Conveners Group

Search for other Speeches made by The Convener

Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener (Duncan McNeil)

Good morning, and welcome to the 27th meeting in 2014 of the Health and Sport Committee. I ask everyone to switch off mobile phones because they can interfere with the sound system. That said, people will notice that committee members and clerks are using tablets instead of hard copies of our papers.

Our first agenda item is a decision on whether to take in private at future meetings consideration of a draft report on the Scottish Government’s draft budget 2015-16. Does the committee agree to do that?

Members indicated agreement.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

Agenda item 2 is subordinate legislation. We have two instruments that are subject to negative procedure before us this morning, the first of which is statutory instrument 2014/1892. There has been no motion lodged to annul the instrument, and the Delegated Powers and Law Reform Committee has made no comments on it. Do members have any comments? No. Does the committee agree to make no recommendations?

Members indicated agreement.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

The second instrument is Scottish statutory instrument 2014/213. There has been no motion lodged to annul the instrument and the Delegated Powers and Law Reform Committee has made no comments on it. Do members have any comments? No. Does the committee agree to make no recommendations?

Members indicated agreement.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

Agenda item 3 is our first draft budget scrutiny evidence session. I welcome our witnesses, who are Dr Andrew Walker from the University of Glasgow, and Professor David Bell from the University of Stirling.

Professor Bell, do you wish to make some points?



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

Thank you.

Dr Walker, we have your written evidence but do you want to make some opening remarks?



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

Thank you both for those introductory remarks.

Richard Simpson has the first question.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

We have had a bit of a debate about the boards, and that scrutiny is still to come. However, when we look at the recent debate that became public following the leaked papers from the people who are running the health service, it is not simply about allocation, is it? They complain bitterly that the introduction of new legislation is placing binding financial resources and obligations on NHS boards. They complain about policy decisions being made that require boards to prioritise additional investment in acute care—we have seen that that is increasing—in conflict with the 2020 vision.

Where are the big messages in the draft budget? Of course, boards, politicians and Governments come in all guises. You make the point in your submission, Dr Walker, about the drugs bill—an issue that we got caught up in—but there has not been any real evaluation of whether that money is well spent. Indeed, there is the provocative point that Professor Bell made about whether we should be investing in childcare and early years or in mental health—there is no real evaluation of that.

The papers come to the conclusion that £400 million to £450 million in additional savings are required to meet some of the challenges that are being faced by boards, which all have an impact. It is not just about budget allocation; it comes with all sorts of catches, clauses and demands, and the process is not very open at all. Indeed, the discussions between the Government and health board managers are taking place in secret.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

The leaked papers were released to us by the Government when we asked for them. In relation to that £400 million figure, pensions costs of £100 million are expected and changing access to drugs is projected to cost £50 million in 2016-17, so the Government has supplied some additional figures.

We have a political consensus, of course, on progress or lack of progress on the 2020 vision, but we do not see that political consensus across the Parliament, the parties and the Government being reflected in the draft budget in relation to the priorities that are needed to push it through. In fact, there is a contradiction in that we are still investing in beds, staff, buildings and hospitals.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

I suppose that the contradiction there is that as things get more technical or highly skilled in the acute sector, which costs more, we push out that other level of care to nurse assistants or into the community and to carers, where the opposite is the case. Driving down costs becomes a driver for pushing care out of the acute sector into the community because it is cheaper, with everything that goes with that—sometimes there is an impact on quality, and sometimes, although not always, there is an impact on the patient experience and on the people who are delivering that care. It accelerates inequalities and the problems associated with wages and so on.



Health and Sport Committee 28 October 2014 : Tuesday, October 28, 2014
The Convener

You had some criticisms around the recording of information and comparing outcomes, performance levels and so on. In focusing on the 2020 vision, does there need to be a review of the whole system to make sure that the information that we collect is useful in describing outcomes, whether things are getting better or worse, how we can improve and the financial planning for that? Should we be doing that just in the health service or should we look at health, social care and wellbeing services together? We are just looking at health here, but we know from our previous work that although health services deal with a lot of the outcomes, the issue is much more complex and relates to people’s life chances and getting them to services earlier or later. Even if we just look at this in a box, do we need to do so in a more simplified way? Do we have too many targets? Do we need to understand performance and financial planning much better than we do now? Is that something that the committee could usefully do?

Vote DetailMSP VoteResult

S4M-11332.2 Jenny Marra: Supported Business—As an amendment to motion S4M-11332 in the name of Fergu
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YesDefeated

S4M-11332.1 Gavin Brown: Supported Business—As an amendment to motion S4M-11332 in the name of Fergu
>> Show more
NoDefeated

S4M-11332 Fergus Ewing: Supported Business—That the Parliament recognises the economic and social va
>> Show more
YesCarried

S4M-11304.3 Michael Russell: Addressing the Attainment Gap in Scottish Schools—As an amendment to mo
>> Show more
YesCarried

S4M-11304 Liz Smith: Addressing the Attainment Gap in Scottish Schools—That the Parliament believes
>> Show more
YesCarried

S4M-11123 Joe FitzPatrick on behalf of the Parliamentary Bureau: Business Motion—That the Parliament
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NoCarried

S4M-11114.2 Kenny MacAskill: Policing—As an amendment to motion S4M-11114 in the name of Graeme Pear
>> Show more
NoCarried

S4M-11114 Graeme Pearson: Policing—That the Parliament acknowledges that policing in Scotland contin
>> Show more
NoCarried

S4M-11116.1.1 Patrick Harvie: Scotland’s Future—As an amendment to amendment S4M-11116.1 in the name
>> Show more
NoCarried

S4M-11116.1 Nicola Sturgeon: Scotland’s Future—As an amendment to motion S4M-11116 in the name of Jo
>> Show more
NoCarried

Search for other Motions lodged by Duncan McNeil
EventIdTypeSub TypeMSP NameParty NameConstituencyRegionTitleItemTextFormattedAnswer DateAnswerStatusIdExpectedAnswerDateAnsweredByMspApprovedDateSubmissionDateMeetingDateProductionStatusIdRecordStatusIdStatus DateOnBehalfOfConsideredForMembersBusinessCrossPartySupportRegisteredInterestSupportCountSupportDateIsEventLinkCurrentMinister
Motion S4M-10879: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 25/08/2014 Show Full Motion >>
Motion S4M-08507: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 04/12/2013 Show Full Motion >>
Motion S4M-08059: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 22/10/2013 Show Full Motion >>
Motion S4M-06389: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 29/04/2013 Show Full Motion >>
Motion S4M-05043: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 28/11/2012 Show Full Motion >>
Motion S4M-04512: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 22/10/2012 Show Full Motion >>
Motion S4M-04179: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, On Behalf of Health and Sport Committee, Date Lodged: 18/09/2012 Show Full Motion >>
Motion S4M-04040: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 07/09/2012 Show Full Motion >>
Motion S4M-03844: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 16/08/2012 Show Full Motion >>
Motion S4M-03821: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 10/08/2012 Show Full Motion >>
Search for other Questions asked by Duncan McNeil
EventIdTypeSub TypeMSP NameParty NameConstituencyRegionTitleItemTextFormattedAnswer DateAnswerStatusIdExpectedAnswerDateAnsweredByMspApprovedDateSubmissionDateMeetingDateProductionStatusIdRecordStatusIdStatus DateOnBehalfOfConsideredForMembersBusinessCrossPartySupportRegisteredInterestSupportCountSupportDateIsEventLinkCurrentMinister
Question S4F-02267: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 18/08/2014 Show Full Question >>
Question S4O-03171: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 17/04/2014 Show Full Question >>
Question S4O-03139: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 14/04/2014 Show Full Question >>
Question S4W-20526: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 02/04/2014 Show Full Question >>
Question S4W-20525: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 02/04/2014 Show Full Question >>
Question S4W-20530: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 02/04/2014 Show Full Question >>
Question S4W-20529: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 02/04/2014 Show Full Question >>
Question S4W-20527: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 02/04/2014 Show Full Question >>
Question S4W-20528: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 02/04/2014 Show Full Question >>
Question S4O-02982: Duncan McNeil, Greenock and Inverclyde, Scottish Labour, Date Lodged: 24/02/2014 Show Full Question >>

Further information

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