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2026 Scotland and Wales Election Analysis Ep 9: Health and social care in Scotland

Wales Governance Centre’s Ed Poole is joined by FAI Director Mairi Spowage and Deputy Director João Sousa to discuss the findings from our report on health and adult social care in Scotland, and the proposals so far in the parties’ manifestos for the health service and reforming social care.

This work is supported by the Nuffield Foundation. The Nuffield Foundation is an independent charitable trust with a mission to advance social well-being. It funds and undertakes rigorous research, encourages innovation and supports the use of sound evidence to inform social and economic policy, and improve people’s lives. The Nuffield Foundation is the founder and co-funder of the Nuffield Council on Bioethics, the Ada Lovelace Institute and the Nuffield Family Justice Observatory. Find out more at: nuffieldfoundation.org.

The views expressed are those of the authors and not necessarily those of the Foundation.

Timestamps

(0:05) Introductions

(0:42) Health spending over the last Scottish Parliament term

(7:59) The increase in procurement spending

(11:12) Parties’ proposals for health

(19:31) The National Care Service bill

(25:42) Parties’ proposals for adult social care

Click here to access the full transcript.

Authors

Ed Gareth Poole

Ed is Reader in Reader in Politics at Cardiff University and part of the Wales Governance Centre

Picture of Mairi Spowage, director of the Fraser of Allander Institute

Mairi is the Director of the Fraser of Allander Institute. Previously, she was the Deputy Chief Executive of the Scottish Fiscal Commission and the Head of National Accounts at the Scottish Government and has over a decade of experience working in different areas of statistics and analysis.

João is Deputy Director and Senior Knowledge Exchange Fellow at the Fraser of Allander Institute. Previously, he was a Senior Fiscal Analyst at the Office for Budget Responsibility, where he led on analysis of long-term sustainability of the UK's public finances and on the effect of economic developments and fiscal policy on the UK's medium-term outlook.