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CCPS membership meeting September 2009

This article provides an analysis of the Public Service Reform (Scotland) Bill and the new scrutiny bodies it establishes. It discusses their lack of clarity, high cost, complexity, and failure to involve the public appropriately. The article also presents the recommendations of the Crerar report, which emphasize the unique role of scrutiny, public focus, performance management, and the need for a single national scrutiny body. It further examines the impact of the bill on the care and health sectors and highlights issues raised by the CCPS, including differential enforcement powers and the need for flexibility in service definitions and registration.

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CCPS membership meeting September 2009

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  1. CCPS membership meetingSeptember 2009 The Public Service Reform (Scotland) Bill and the new scrutiny bodies

  2. Crerar report - analysis External scrutiny arrangements • Lack clarity of role and purpose • Cost a lot of money • Are complex – number of bodies, how they interact, different methodologies, different accountabilities • Fail to involve the public appropriately • Over-burden service providers (esp. local authorities)

  3. Crerar report - recommendations • Unique role of scrutiny – “independent assurance” - that services are well managed, safe, public money being used properly, etc • Public focus • Emphasis on performance management and self-assessment • All scrutiny to be part of a coherent system • Single national scrutiny body

  4. Public Services Reform (Scotland) Bill - care • Dissolves Care Commission and SWIA • Creates new scrutiny body: SCSWIS (Social Care and Social Work Improvement Scotland) to carry out the existing functions of • The Care Commission (care services) • SWIA • HMIE (child protection/children’s services)

  5. Public Services Reform (Scotland) Bill- health • Creates new scrutiny body: HIS (Healthcare Improvement Scotland) to carry out the functions of • The Care Commission (independent healthcare services) • NHS QIS (Quality Improvement Scotland)

  6. CCPS evidence on the Bill Support for the new body (SCSWIS) • Potential for ‘whole systems’ scrutiny of care – service delivery and service commissioning inspected by the same body • Common standards/outcomes • User focus provisions

  7. CCPS evidence on the Bill Issues raised: • Differential enforcement powers • Differential powers to investigate complaints • Does not address LA’s own role in scrutiny • Does not address failure of (some) LAs to take account of gradings • Registration fees

  8. CCPS evidence on the Bill Additional issue: • Service definitions – flexibility needed • Service-based or provider-based registration? • Regulation of self-directed support • Transfer to new body • Name of new body

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