Citizens Panel: Scottish Government must set out its Covid-19 strategy

A panel of the public convened by the Scottish Parliament’s Covid-19 Committee has reported its findings to MSPs.

The 19-member panel, which broadly reflects the demographic make-up of Scotland, met over four Saturdays to consider the question ‘What priorities should shape the Scottish Government’s approach to COVID-19 restrictions and strategy in 2021’, hearing from experts to help inform its findings. 

Key conclusions in its report include: 

* The panel believes the Scottish Government should focus on stopping the spread of virus, ideally by pursuing an ‘elimination’ strategy. 

* The panel believes elimination would provide the fastest way back to ‘normal’, but also recognised that this needs maximum cooperation across UK, as well as accepting travel restrictions;

* If this is not possible, the panel recommends a ‘maximum suppression’ strategy should be adopted, with a reinvigorated Test and Protect to keep case numbers low once they have dropped. The panel concluded that by tackling the direct harm of the virus head on, other harms (economic, societal, other health problems) will also reduce;

* Priority should also be given to supporting a green recovery, young people’s economic opportunities, town centres, and continuing support for businesses; 

* The Scottish Government must therefore define what it is aiming to achieve and tell us what its strategy is moving forward. Key to understanding this is what it deems to be an acceptable level of infection in the population, so that it is clear what restrictions will be effective in 2021.

The panel also considered wider issues associated with the pandemic within its deliberations. It agreed:

* Previous lockdowns happened too slowly – resulting in longer lockdowns and more deaths;

* Communication and explaining strategies is key to public acceptance and understanding. This is most effective when scientists and clinicians can take centre stage;

* Globally, no one is safe until everyone is safe.

Members of the panel will give evidence to MSPs on the Covid-19 Committee about their report today (Thursday 18 February).

In the coming weeks, the report will also inform MSPs’ consideration of the possible extension of the emergency Coronavirus legislation, which is currently due to expire at the end of March.

Covid-19 Committee Convener, Donald Cameron MSP, said: “The Committee is very grateful to the members of the public and experts who gave their time to participate in deliberations. 

“The steps taken to counter this virus are so drastic they would have been unimaginable a year ago. It is therefore vital we gauge the public mood as we enter into the next phase of managing the pandemic.

“The considered priorities of this broadly representative group, who have looked at the issue with fresh eyes, will help inform us as we begin to look at the likely extension of the emergency powers, and work to ensure the efforts of Government are focused in the right place.

 “We are looking forward to hearing more from panel members, and testing their conclusions, at our next meeting.”

The panel was announced and first met on 16 January.

The full report and further information on the panel will be online here.

Radical changes needed to deliver primary care fit for the 21st century, says Holyrood Committee

A radical revision of primary care is essential to ensure the next generation of citizens receive the care they need, according to the Scottish Parliament’s Health and Sport Committee.

In a report published today, the Committee say the traditional 9-5, 5 days a week service must become a thing of the past, replaced with a new model shaped around users’ needs. They urge the health service to fully embrace technology, enabling better data sharing and monitoring, to deliver a 21st century system fit for patients.

The Committee’s report is the culmination of a two-year inquiry into the future of primary care. The innovative inquiry was centred around members of the public with their views shaping the inquiry. The first phase of the inquiry, published in July 2019, revealed the public’s desire and support for a transformation in how services are accessed and delivered.

The inquiry has highlighted the growing costs and demands on the health service due to an ageing population and their more complex health needs, as well as an obesity epidemic and stark health inequalities in Scotland’s most deprived areas.

The Committee’s report questions the Government’s commitment to recruit at least 800 more GPs by 2030. They say the emphasis should instead be placed on committing to appropriate recruitment of professional staff across multi-disciplinary teams (MDTs), including both GPs and other professions, which can deliver the intended benefits to primary care as a whole.

Speaking as the report was published, Committee Convener Lewis Macdonald MSP said: “It is clear that when it comes to primary care the status quo is no longer an option. Existing ways of delivering care are not only financially unsustainable but have failed to keep pace with modern life.

“We need to radically rethink primary care so that we can ensure our citizens receive the best possible care for generations to come.

“We must move away from the automatic provision of prescriptions and towards social prescribing. There must be widespread adoption of a preventative model of delivering care and the health service must fully embrace new technology.

“A fundamental shift is also required in how the public and health professionals view General Practice. Instead of GPs being seen as the provider of all services, a new approach should be adopted where other health professionals, who are often better placed and equipped to help and support people can do so.

“Our inquiry has been driven by hearing directly from the public about the primary care services they want, need and require and the Committee wants to thank all who took part in our public forums and shared their views.”

The Committee say a focus on prevention needs to be prioritised and mainstreamed, but for this to be a success it goes beyond just the health service.

They identify the importance of local communities in delivering good health outcomes and say there is a clear desire amongst the public for connected communities, with spaces that give people opportunities to become active and socialise, and to connect to the local natural environment.

Widespread adoption of video consulting service ‘Near Me’ during the Covid-19 pandemic has been commended although the Committee has expressed reservations that default use could deepen health inequalities.

The report can be found here.

Time To Be Bold: Care union urges MSPs to support call for £15 an hour social care minimum wage

GMB Scotland is urging all MSPs to support its campaign for a £15 an hour minimum wage for care workers.

In a letter to political party leaders ahead of a Scottish Parliamentary debate on the Independent Review of Adult Social Care this afternoon (Tuesday 16 February), the union calls on MSPs to grasp “a once in a generation opportunity to transform social care” by underpinning reforms with “proper value for the workers who will deliver it.”

The Cabinet Secretary for Health and Sport Jeane Freeman MSP will lead the debate for the Scottish Government and recommend the incoming Scottish parliament should implement the findings of the Independent Review “as quickly as practicable”, with opposition MSPs lining-up to back GMB’s pay increase plan for the sector.

The union’s ‘Fight for Fifteen’ campaign was launched following the publication of its sector report, ‘Show You Care: Voices from the frontline of Scotland’s broken social care sector’, which highlighted the significant challenges facing care workers before and during the first wave of the COVID-19 pandemic.

GMB Scotland’s Women’s Campaign Unit Organiser Rhea Wolfson said: “The recommendations of the independent review are a once in a generation opportunity to transform social care, but only if they are underpinned by proper value for the workers who will deliver them.

“The report is clear that every £1 spent on social care generates £2 for the wider economy, so if government and industry invest properly in this sector and its people, the effects could be transformative not just for workers and service users, but for society too.

“COVID-19 has exposed how poorly our care workers have been valued, a workforce of mainly low-paid and often exploited women who found themselves on the frontline of a crisis without proper safety or support.  

“We owe them a huge debt and if we really want to put care on an equal footing with the NHS as the Cabinet Secretary suggests, then we have to back that up with the investment to match.

“Now is the time to be bold and today Holyrood can rise to the challenge. That’s why we are urging MSPs to stand with our members in care and support their campaign to fight for fifteen.”

Brexit: Holyrood needs to clearly define its scrutiny role, says expert panel

Holyrood needs to define more clearly its scrutiny role in response to Brexit, according to a new report to be discussed by the Finance & Constitution Committee this week.

A panel of fiscal, economic and constitutional experts says devolution is now much more complex, with its recent fiscal powers and post-Brexit changes, that the Scottish Parliament must change its approach to scrutiny after the 2021 election.

The panel recommends that to support this work a short, tightly focused independent review of the committee structure should be established, to report back to Parliament as soon as possible. 

The focus of the review should be on committee remits in the next Parliament and should include consideration of the fiscal and Brexit-related issues raised by the experts, along with the legacy reports of other committees. 

Holyrood’s Finance & Constitution Committee, who commissioned the expert panel’s analysis, will consider the findings this week.

Expert panel member Professor James Mitchell, University of Edinburgh said: “Devolution is now much more complex and challenging to understand with the powers of Scottish Ministers shared with UK Ministers in many significant policy areas. 

“For example, in relation to income tax and in many policy areas previously within the competence of the EU.  This means that the Parliament will need to be much more aware of how UK legislation impacts on devolved areas including the extent to which it constrains the powers of Scottish Ministers.

“At the same time the Parliament will need to continue to scrutinise policy developments at an EU level.  Both in terms of the on-going impact of the UK-EU trade agreement on devolved areas and the extent to which the keeping pace power is used.”

Setting out the expert panel’s recommendations, Charlotte Barbour, Director of Taxation, The Institute of Chartered Accountants of Scotland said: “The Panel’s view is that if there is to be meaningful scrutiny of Brexit-related developments, the Parliament cannot merely continue with the existing approach to its scrutiny function. 

“The future scrutiny burden arising from Brexit is so great that if it is carried out in an ad-hoc manner it is unlikely that it will be done effectively.

“Instead, a more systematic and carefully planned approach is required, albeit with a need for flexibility in order to react to changing circumstances.  The Panel, therefore, recommends that Parliament in consultation with the Scottish Government needs to clearly define its scrutiny role in response to Brexit.

“To support this work, we propose that a short and tightly focused independent review of the committee structure should be established forthwith and report to the Parliament as soon as practically possible.  

“The focus of the review should be on committee remits in the next Parliament and should include consideration of the issues raised in this report and the legacy reports of other committees.

“The review findings should help to inform the agreement of the committee structure and committee remits for Session 6.”

The expert panel also made recommendations for the committee that will succeed the Finance & Constitution Committee after the May 2021 election:

• The Panel’s view is that there is likely to be an increased demand for parliamentary time to consider tax legislation and therefore the ongoing work of the Devolved Taxes Legislative Working Group should be an early priority in Session 6.

• The Panel agreed the successor committee should explore how COVID-19 has impacted the taxation system and consider options for a restructuring of the taxes which are devolved including a human-rights based approach. The Panel recommends that this inquiry should be a priority for the successor committee.

Finance & Constitution Committee Convener Bruce Crawford MSP said: “The calibre of our expert panel speaks volumes. I welcome this insightful, authoritative analysis.

“There is much for our committee and the rest of the Parliament to consider. I am sure it will be influential on the establishment of committees in the new Parliament.”  

Read the expert panel’s full report here.

The expert panel was asked to consider:

• The devolution of further powers through the Scotland Act 2016, following the recommendations of the Smith Commission.
• The operation of the UK/Scottish Government’s Fiscal Framework including in response to COVID-19.
• The constitutional impact of Brexit on devolution.

The panel members, in alphabetical order, are:

• Charlotte Barbour, Director of Taxation, The Institute of Chartered Accountants of Scotland
• Douglas Fraser, Business & Economy Editor, BBC Scotland
• Professor Michael Keating, Centre on Constitutional Change
• Professor James Mitchell, University of Edinburgh
• Christine O’Neill QC, Chairman, Brodies LLP
• Mairi Spowage, Deputy Director, Fraser of Allander Institute
• Mark Taylor, Audit Director Audit Scotland
• Dr Hannah White, Deputy Director, Institute of Government.

They were joined by Professor Tom Mullen, Professor Kenneth Armstrong and David Phillips who are Advisers to the Finance & Constitution Committee.  Dr Jim Johnston, Clerk to the Committee, chaired the panel and support was provided by parliament officials. 

Find more information about the Finance & Constitution Committee here.

Social Care Reform: Listen to carers, says Holyrood Committee

A Health and Sport Committee report into the future of social care has said those delivering and receiving care must be at the heart of social care reform with the current model described as unsustainable.

The Committee say a national conversation on the future of social care is needed and that the myriad issues facing staff must be addressed in the development of any new system. The Committee’s report says the problems faced by the care sector have been compounded by the COVID-19 pandemic.

The Committee express concern over the lack of value placed on social care and social care staff, in stark contrast to NHS staff. The report emphasises the ongoing difficulty the sector faces in attracting and retaining staff; citing a lack of training and staff development opportunities, alongside low pay as the key reasons for this.

A number of problems with the current care model are highlighted by the Committee including the continued lack of progress on health and social care integration. They also recommend the Scottish Government seek alternative models of commissioning and procurement with the current ones described as ‘counter-intuitive’.

The Committee describe the current model of crisis driven, reactive care as unsustainable and say more must be done to shift the focus to a preventative model, involving local communities in the future planning of health and social care services.


Lewis Macdonald MSP, Convener of the Health and Sport Committee, said: 
“Throughout this inquiry the message we have been given from those receiving care, and from paid and unpaid carers, is that they have not felt listened to and have been undervalued. That’s why it is essential that they are at the centre of much needed reform of the social care system.

“There is no doubt the current model of care is unsustainable, with some of the issues facing the sector exposed by the pandemic. We want to see a nationwide conversation held into the future of social care and we hope that the findings of our report, and the independent review, can help in shaping this future.

“We are grateful to all of those from across the care sector who provided evidence to our inquiry and gave their keen insight into how it is experienced in Scotland.

“I’d like to put on record our thanks to the tireless and passionate workforce, both paid and unpaid, who undoubtedly deserve better.”

USDAW hails protection for Scottish shopworkers as MSPs pass new law

Retail trade union Usdaw has welcomed yesterday’s unanimous vote in the Scottish Parliament for a ground-breaking law to protect shopworkers. This follows a long campaign by the union for new legislation to tackle growing violence, threats and abuse against retail staff.

The Protection of Workers (Retail and Age-restricted Goods and Services) (Scotland) Bill was successfully steered through the Scottish Parliament by Daniel Johnson MSP (Labour, Edinburgh Southern).

Stewart Forrest, Usdaw’s Scottish Divisional Officer, said: “We are grateful for the support of MSPs and congratulate Daniel Johnson MSP on securing ground-breaking legislation to protect shopworkers from violence, threats and abuse. We hope the UK Government will now follow suit to protect shopworkers in the rest of the UK.

“Retail staff have been on the frontline throughout the coronavirus crisis, helping to keep our communities fed, despite the risks of contracting the virus. Yesterday the final results of our 2020 survey showed that 9 in 10 shopworkers had been abused last year. This new law firmly backs up Usdaw’s clear message that abuse is not part of the job.

“We are now looking to work with the Scottish Government, police and retailers to promote the new law. We want criminals to understand that assaulting and abusing shopworkers is unacceptable and will land them with a stiffer sentence. Our hope is that this new legislation will result in retail staff getting the respect they deserve.”

Paddy Lillis, Usdaw General Secretary, said: “The Scottish Parliament is leading the way on protection of shopworkers by passing this Bill. It is a great result for our members in Scotland, who will now have the protection of the law that they deserve. We are grateful to Daniel Johnson for steering this important legislation through the Parliament.

“We have been deeply disappointed with the UK Government’s response to our campaign, offering little more than sympathy and their objecting to protection of shopworkers legislation. So we are looking for MPs to support key workers across the retail sector and help turn around the UK Government’s opposition.”

Citizens’ Panel convened to discuss Scotland’s Covid strategy

A citizens’ panel met online for the first time on Saturday to discuss how Scotland is and should continue to respond to the Covid-19 pandemic. The panel will meet for the next four weekends before reporting its conclusions to the Scottish Parliament’s Covid-19 Committee.

Participants in the 20-member panel, who have been chosen to broadly reflect the demographics of Scotland, and includes residents from all eight Parliamentary regions, will be asked to respond to the question ‘What priorities should shape the Scottish Government’s approach to COVID-19 restrictions and strategy in 2021?’.

To help in forming a response to this question, a range of experts will give presentations on issues including public health, medical and behavioural science, epidemiology and virology, and the social, legal and economic aspects of the pandemic.

It is expected that the panel’s findings will help the Committee scrutinise the Scottish Government’s strategic approach to the pandemic, including what priorities should inform any future restrictions in 2021.

The Committee will also reflect on the panel’s findings to inform its recommendations for how Covid scrutiny should continue after the election. 

Speaking ahead of the first meeting, the Covid-19 Committee Convener, Donald Cameron MSP, said: “In spite of the hope provided by vaccines, we find ourselves at a worrying juncture in this pandemic. Unfortunately, there is a going to be a need for restrictions for months to come, and the way we respond in 2021 is likely to shape our economy and society for many years to come.

“Therefore, it is critical that we have public support for Government plans to respond to Covid-19, and that we ensure areas important to the public are prioritised. While the Covid-19 Committee is able to provide robust scrutiny and recommendations, it will be immensely helpful to this work to have the informed opinion of a representative group of citizens.

“We are very grateful to the panel members and experts assisting them for giving up their time, and look forward to receiving the final report next month.”

The Citizens’ Panel will meet online on Saturdays 16, 23, 30 January and 6 February. A report will be produced thereafter.

Police appeal: stay away from Monday’s demo

Police are urging members of the public to stay at home and not attend a planned demonstration at the Scottish Parliament.

Information has been received that an event is scheduled to take place on Monday (11 January). However, under the current Level 4 restrictions, such gatherings are not permitted and anyone wishing to demonstrate is urged to find alternative ways to protest, such as online, to help prevent the spread of coronavirus.

Superintendent David Robertson from Edinburgh Police Division said: “We understand people want to make their voices heard, but they must do so lawfully and peacefully.

“The Scottish Government regulations are clear that no marches or parades are allowed due to the restrictions in place.

“Static demonstrations can take place if Scottish Government guidance is followed in local authority areas under Level 0-3 restrictions.

“They are prohibited in areas under Level 4 restrictions and we will continue to police these using the 4Es approach of engaging with those taking part and explaining the restrictions in place.

“Our response will be measured and appropriate and we will use enforcement as a last resort where required.”

For more information on the latest coronavirus guidelines please visit the Scottish Government website at http://ow.ly/QT2O50D43KL

Making Children’s Rights the Law

A new Bill which would allow children to take public bodies to court for breaches of their rights by incorporating the United Nations Convention on the Rights of the Child (UNCRC) into Scots law should be extended to include private sector and voluntary organisations who deliver public services, according to MSPs.

The Scottish Parliament’s Equalities and Human Rights Committee said it supports the general principles of the proposed legislation, but called for the definition of public authorities to be widened to ensure organisations such as private schools and private housing, residential care and childcare providers are not excluded from the legal obligations in the UNCRC.

The United Nations Convention on the Rights of the Child (Incorporation) (Scotland) Bill legally obliges public authorities – including Scottish Ministers – to respect children and young people’s rights, placing them under a duty not to act incompatibly with the UN Convention.

In its stage 1 report, the Committee recommended that the Scottish Government consults the main stakeholders to investigate how the definition of a so-called “hybrid public authority” could be tightened to avoid similar issues arising as those experienced with the Human Rights Act 1998, where courts have defined the term narrowly and exempted private or voluntary bodies which carry out public functions.

Under the Bill, children and representatives acting on their behalf will be able to challenge public authorities in court for infringing their rights, and the new legislation will allow the courts to strike down legislation that is incompatible with any UNCRC requirements.

However, submissions to the Committee raised concerns about the accessibility of the existing courts and tribunals service to children, and the report called on Scotland’s top judge to reflect on this evidence and to provide an update on progress being made towards developing a “child-friendly” court system in preparation for the new legislation.

MSPs also urged the Scottish Government to amend the Bill so that courts and tribunals “must”, rather than “may”, take into account the whole of the text of the UNCRC and the first two optional protocols when determining a case, and to require courts and tribunals to ask for the child’s views on what would constitute an “effective remedy” in their case.

The Committee’s report further recommended that the Scottish Government amends the commencement provision at stage 2 to ensure the Bill comes into effect six months after Royal Assent.

The Bill also imposes a requirement on Scottish Ministers to make a Children’s Rights Scheme to set out how they will comply with the duties in the UN Convention, but MSPs want the scheme strengthened to include measures to support children with protected characteristics and vulnerable groups, access to advocacy, legal aid, human rights education and a child-friendly complaints mechanism.

Committee Convener, Ruth Maguire MSP, said: “This is a landmark piece of legislation which has the potential to put children’s rights at the heart of public authority decision-making.

However, we believe – as the evidence to the Committee has shown – that there are areas where the Bill can be improved.

“The Committee’s report calls on the Scottish Government to explore how the definition of a public authority can be amended at stage 2 to include those private sector organisations which provide public services, in accordance with the spirit and intention of the Bill.

“We also make recommendations aimed at improving access to justice for children and young people and ensuring judicial remedies for infringements of children’s rights are effective in practice.

“It is vital that children have their rights protected, respected and fulfilled as a matter of urgency, which is why we have urged the Scottish Government to amend the commencement provision to ensure this legislation come into effect six months after the Bill receives Royal Assent.”

A “child-friendly” version of the report, which has been published alongside the stage 1 report, can be accessed via the Committee’s Bill webpage.

St. Peter’s P4 Elsie wins Miles Briggs Christmas card competition

Lothian MSP Miles Briggs has selected the winner of his annual Christmas card competition, which he has been running since his election to the Scottish Parliament in 2016.

This year’s Christmas Card theme was NHS Scotland, to honour frontline workers who have worked incredibly hard throughout the Covid-19 pandemic.

The competition was open to all primary schools in Edinburgh and the Lothians, and Elsie Adams age 8, from P4 at St Peter’s Primary School in Morningside, was chosen as the winner.

Elsie won £50 Amazon voucher (sponsored by Morrison Construction), afternoon tea at the Caledonian (sponsored by Waldorf Astoria) and a family day out at Conifox Adventure Park (sponsored by Conifox).

Miles was unable to present Elsie with her prize in person due to Covid-19 restrictions.

Lothian MSP, Miles Briggs, said: “There were some very creative Christmas cards this year and pupils in Edinburgh and the Lothian’s once again showed their artistic talent.

“The competition was very close with hundreds of Christmas card entries from primary schools across the region, with inventive designs from hand sanitiser to the distinctive NHS rainbow.

“What was clear from the entries was that primary school pupils are aware of the tremendous effort that NHS staff have made throughout this year.

“Congratulations to the winner Elsie, whose bright card and fun design stood out as the winner of my 2020 Christmas card competition.”