Chamber
Meeting of the Parliament 23 November 2011
23 Nov 2011 · S4 · Meeting of the Parliament
Item of business
Carers and Young Carers Strategy
Thank you, Presiding Officer. I apologise for breaking the system.
A recurrent problem with Government strategies is the glaring contrast between the words on the page and the reality on the ground. Indeed, the Government concedes in the carers strategy that
“policy developments have not always resulted in real improvements in carer support”.
That is not good enough. Words are empty unless they are translated into action. As Benjamin Franklin said,
“Well done is better than well said.”
I will give an insight into the reality on the ground by sharing with members my recent, sobering glimpse into the life of a carer, whom I shall refer to as X. X is the primary carer for her infant son and her ageing mother. Her son has a range of physical and mental health issues, which are best described as severe and complex and include recurring respiratory infections, frequent viral infections and a communication disorder. The problems first manifested themselves when the child was six months old, shortly after X became the primary carer for her mother, who has vascular dementia, diabetes and pernicious anaemia. X has two other children, who are aged 10 and four, and she works from home on a part-time basis, having been forced to resign a full-time post to care for her mother and son. Her partner is self-employed and works long, unpredictable hours.
For X, it is not simply a matter of being present for her mother and son. The time that she spends with them is physically and emotionally draining. Despite the difference in age, there are strange parallels between the care required by her mother and that required by her son. When she is with her mother, X must tend to the physical, mental and social needs of a person whose mind has long since left her. She must also shop for her mother and ferry her to and from hospital appointments. When she is with her son, she must again contend with a complex range of physical and mental requirements. Her son, like her mother, must be taken to and from hospital appointments, and he also struggles to communicate his mental and physical needs. He cannot be reasoned with or coaxed or cajoled as other children can be. Amid all that, X is left with little time for the rest of her family. She tells me that she tries to ensure that they do things together like a normal family but that neither her son’s nor her mother’s condition and behaviour are normal. For X, normality is a perpetual cycle of pervasive anxiety, stress and exhaustion.
How can we help X and others like her to escape that cycle? A useful and practical innovation would be the introduction of carers cards, which would be presented when the cared-for individual was admitted to hospital. A carers card would contain a brief description of the patient’s condition, thus removing the obligation on carers constantly to reiterate the position, which is an experience that many carers find stressful, depending on the circumstances of admission.
We need to focus on respite services, which would be of great benefit to my constituent and the many carers who face similar challenges in their daily lives. I welcome the minister’s announcement of £2 million for the short breaks fund, but I wonder how it will be managed. As the minister might know, Barnardo’s Scotland, which is heavily involved in the delivery of short breaks in Lanarkshire, thinks that there should be a clearer definition of “short break”. Carers who work with Barnardo’s Scotland regard short breaks as a lifeline that enables families to stay together and think that the service is invaluable in enabling them to cope with family life.
A recurrent problem with Government strategies is the glaring contrast between the words on the page and the reality on the ground. Indeed, the Government concedes in the carers strategy that
“policy developments have not always resulted in real improvements in carer support”.
That is not good enough. Words are empty unless they are translated into action. As Benjamin Franklin said,
“Well done is better than well said.”
I will give an insight into the reality on the ground by sharing with members my recent, sobering glimpse into the life of a carer, whom I shall refer to as X. X is the primary carer for her infant son and her ageing mother. Her son has a range of physical and mental health issues, which are best described as severe and complex and include recurring respiratory infections, frequent viral infections and a communication disorder. The problems first manifested themselves when the child was six months old, shortly after X became the primary carer for her mother, who has vascular dementia, diabetes and pernicious anaemia. X has two other children, who are aged 10 and four, and she works from home on a part-time basis, having been forced to resign a full-time post to care for her mother and son. Her partner is self-employed and works long, unpredictable hours.
For X, it is not simply a matter of being present for her mother and son. The time that she spends with them is physically and emotionally draining. Despite the difference in age, there are strange parallels between the care required by her mother and that required by her son. When she is with her mother, X must tend to the physical, mental and social needs of a person whose mind has long since left her. She must also shop for her mother and ferry her to and from hospital appointments. When she is with her son, she must again contend with a complex range of physical and mental requirements. Her son, like her mother, must be taken to and from hospital appointments, and he also struggles to communicate his mental and physical needs. He cannot be reasoned with or coaxed or cajoled as other children can be. Amid all that, X is left with little time for the rest of her family. She tells me that she tries to ensure that they do things together like a normal family but that neither her son’s nor her mother’s condition and behaviour are normal. For X, normality is a perpetual cycle of pervasive anxiety, stress and exhaustion.
How can we help X and others like her to escape that cycle? A useful and practical innovation would be the introduction of carers cards, which would be presented when the cared-for individual was admitted to hospital. A carers card would contain a brief description of the patient’s condition, thus removing the obligation on carers constantly to reiterate the position, which is an experience that many carers find stressful, depending on the circumstances of admission.
We need to focus on respite services, which would be of great benefit to my constituent and the many carers who face similar challenges in their daily lives. I welcome the minister’s announcement of £2 million for the short breaks fund, but I wonder how it will be managed. As the minister might know, Barnardo’s Scotland, which is heavily involved in the delivery of short breaks in Lanarkshire, thinks that there should be a clearer definition of “short break”. Carers who work with Barnardo’s Scotland regard short breaks as a lifeline that enables families to stay together and think that the service is invaluable in enabling them to cope with family life.
In the same item of business
The Presiding Officer (Tricia Marwick)
NPA
The next item of business is a debate on motion S4M-01399, in the name of Michael Matheson, on implementation of the carers and young carers strategy.14:33
The Minister for Public Health (Michael Matheson)
SNP
I open the debate by acknowledging the huge commitment and support that is provided by Scotland’s estimated 650,000 carers and up to 100,000 young carers. Un...
Dr Richard Simpson (Mid Scotland and Fife) (Lab)
Lab
I certainly do not doubt the minister’s intention, but how is the Government going to monitor the situation to ensure that that happens? It is what happens o...
Michael Matheson
SNP
We have 32 local delivery change plans in place. They must be signed off by the health board, the local authority and the third sector. When a bid is made fo...
The Presiding Officer
NPA
I call Richard Simpson to speak to and move amendment S4M-1399.3. Dr Simpson, you have 10 minutes. 14:48
Dr Richard Simpson (Mid Scotland and Fife) (Lab)
Lab
I welcome this opportunity to open and close this important debate. My colleague Claire Baker will talk in more detail about child and student carers, as wel...
Mark McDonald (North East Scotland) (SNP)
SNP
With regard to the financial impact, does Dr Simpson share my regret that the carers allowance remains such a pitiful sum, and excludes many carers—particula...
Dr Simpson
Lab
I agree with Mark McDonald on that, and I add that the Welfare Reform Bill will not help matters, because some carers will lose their allowance as people wil...
The Presiding Officer
NPA
The member needs to wind up.
Dr Simpson
Lab
We acknowledge the Government’s motion.I move amendment S4M-01399.3, to leave out from “agrees” to end and insert:“further acknowledges promises in successiv...
Nanette Milne (North East Scotland) (Con)
Con
In recognising the enormous contribution that carers and young carers make to society and to the Scottish economy through the considerable sums of money that...
Alison McInnes (North East Scotland) (LD)
LD
If we asked for a show of hands from members who are either carers or who know of someone close to them who is a carer, we would have an almost 100 per cent ...
James Dornan (Glasgow Cathcart) (SNP)
SNP
The minister made it clear in his speech just how much the Scottish Government recognises the debt that Scotland owes to its carers and the huge role that th...
Claire Baker (Mid Scotland and Fife) (Lab)
Lab
I welcome the opportunity to take part in this debate on carers. My family chose to be carers—they made a positive decision to take on the responsibility of ...
Bill Kidd (Glasgow Anniesland) (SNP)
SNP
First, I declare an interest as co-convener of the current cross-party group on carers, having been a deputy convener of the group in session 3 of the Parlia...
Mark McDonald (North East Scotland) (SNP)
SNP
I very much welcome the strategy and the strong statement of intent that it contains. It is clear from what the minister has said, and indeed from the increa...
Siobhan McMahon (Central Scotland) (Lab)
Lab
When I read the Government’s carers strategy, one passage immediately stood out:“Carers are ... fundamental to strong families and partnerships and to resili...
The Deputy Presiding Officer (John Scott)
Con
I suspend the meeting until the sound gets sorted out.15:35 Meeting suspended. 15:44 On resuming—
The Deputy Presiding Officer
Con
If members are sitting comfortably, we will begin again. I invite Siobhan McMahon to resume at an appropriate place in her speech; we will be generous with t...
Siobhan McMahon
Lab
Thank you, Presiding Officer. I apologise for breaking the system.A recurrent problem with Government strategies is the glaring contrast between the words on...
Linda Fabiani (East Kilbride) (SNP)
SNP
I am aware of X and I am glad that Siobhan McMahon has raised her case. Does the member agree that sometimes the intention to help people does not work out? ...
Siobhan McMahon
Lab
I could not agree more. Those problems will develop as we go forward in life, as challenges face us.Local authorities must view the provision of short breaks...
The Deputy Presiding Officer
Con
I am sorry about the interruption. I call Fiona McLeod, who will have a very tight six minutes. Others may have to reduce their speeches.15:50
Fiona McLeod (Strathkelvin and Bearsden) (SNP)
SNP
Last Friday, I was at the Carers Link East Dunbartonshire annual general meeting. In the past year, Carers Link East Dunbartonshire has identified and suppor...
Nigel Don (Angus North and Mearns) (SNP)
SNP
I would like to look at the issue in the context of the fact that my wife and I are now both carers for an extremely elderly relative. I acknowledge that our...
Margaret McCulloch (Central Scotland) (Lab)
Lab
I welcome this opportunity to speak in the debate on the Government’s strategy for carers, especially as carers’ rights day will take place on Friday 2 Decem...
The Deputy Presiding Officer (Elaine Smith)
Lab
The member must conclude, please.
Margaret McCulloch
Lab
—but they are all to be praised for the service that they give and the sacrifices that they make.
The Deputy Presiding Officer
Lab
I call George Adam, who has a maximum of six minutes.16:08
George Adam (Paisley) (SNP)
SNP
Thank you, Presiding Officer—I will try to be as succinct as possible in order to let other colleagues in. I see that members are laughing, but I promise tha...