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Chamber

Meeting of the Parliament 10 June 2015

10 Jun 2015 · S4 · Meeting of the Parliament
Item of business
Health

I have replied that it does not repeat what has been done elsewhere to state the need for parity between physical health and mental health. I am happy to forward the information to Mr Hepburn yet again. I thank him for standing up, but we need to go that one small step further.

It is important that we address the clarion call and state once and for all that mental ill health is no less serious than physical ill health.

Our hard-working staff—the doctors, nurses, allied health professionals, consultants, clinicians, ambulance drivers, GPs, carers and so many more—ensure that Scotland is on its way to thriving health. They and the patients are the fount of knowledge and expertise that we must now listen to, which should drive how we think about achieving the healthcare standards for which we strive.

On the current targets and measures of treatment effectiveness, the joint statement notes that the targets,

“while having initially delivered some ... improvements”

are

“now creating an unsustainable culture ... skewing priorities ... and”

unfortunately

“wasting resources”.

We hear GPs’ concerns about being overwhelmed with so much work that it affects the quality of their time with patients.

Nursing is so understaffed that private agencies are costing us millions. That money could be invested in the human capital that drives the NHS forward. Instead, the Government has been acting in a piecemeal and reactionary way, rather than implementing safeguards from the start. As has been mentioned previously, the Government must now also recognise the value of preventive healthcare. We expect a lot of changes with the integration of healthcare and social care. This is the opportunity to ensure that that major project is given all the right support with all details being addressed and the provision of relevant safeguards, if we are truly to achieve a future proofed NHS.

If we are to put our healthcare system on the right path we must have an honest debate and face the challenges. The Scottish Government must listen to people on the front line about their calls for this debate and for change. We need a new approach to targets, and new ways of delivering care. That is why we call on the Scottish Government to embrace the bold thinking of long-term solutions for the NHS. I look forward to being part of that debate in the future, not just here but with the people who deliver our health care. The BMA was right to point out research highlighting the frustration at

“the lack of opportunity to express ideas and feelings”

and

“to participate in decision making over issues that directly affected their working lives ... at the expense of effective and efficient patient care.”

It is so wrong that people should be driven to feel that way, which is why we need a longer-term strategy for an NHS that is fit for the future.

15:41  

In the same item of business

The Deputy Presiding Officer (Elaine Smith) Lab
The next item of business is a debate on motion S4M-13416, in the name of Jenny Marra, on health. I invite members who wish to contribute to the debate to pr...
Jenny Marra (North East Scotland) (Lab) Lab
I and other Labour members have approached today’s debate in a conciliatory way, hoping to reach a consensus on the way in which we take forward the debate o...
John Mason (Glasgow Shettleston) (SNP) SNP
Will the member give way?
Jenny Marra Lab
I would like to make a little more progress, but I will do so later. Those are significant and considered interventions from experts who do not use such str...
John Mason SNP
Does the member agree that one of the decisions that must be made and in which the public certainly must be involved is whether we put more resource into pre...
Jenny Marra Lab
There is a great consensus in all the reports that we have seen about the shift to preventative spend. We will approach the public debate with a programme of...
The Cabinet Secretary for Health, Wellbeing and Sport (Shona Robison) SNP
I welcome Jenny Marra’s consensual tone. My amendment seeks to build on that tone, and I hope that it will be received in that spirit. Presiding Officer, I ...
Jenny Marra Lab
I thank the cabinet secretary for her considered response, and I welcome the fact that the chief medical officer is visiting Ninewells on Monday. However, do...
Shona Robison SNP
Of course. Indeed, that is why we have set up the whistleblowing helpline. However, that does not mean that the concern that is raised is always correct or t...
The Deputy Presiding Officer Lab
I can give you two minutes back.
Shona Robison SNP
We face a number of challenges to our health and social care system including poor patterns of health, health inequalities, rapidly changing demography, high...
The Deputy Presiding Officer Lab
Will you draw to a close now, please, cabinet secretary?
Shona Robison SNP
Yes. That level of open engagement will seek consensus on a reform plan for health and social care by 2016, with further engagement beyond then on into impl...
Nanette Milne (North East Scotland) (Con) Con
We very much welcome this debate. Like everyone here, Scottish Conservatives greatly value the work and dedication of the staff in NHS Scotland and Scotland’...
The Deputy Presiding Officer Lab
We turn to the open debate. I ask for speeches of six minutes, please. There is not a lot of time in hand. 15:16
Bob Doris (Glasgow) (SNP) SNP
I start by referring to targets in the NHS, which was a theme in the opening speeches. The briefing that the royal colleges prepared for the debate specifica...
The Deputy Presiding Officer Lab
Mr Doris, you really must close.
Bob Doris SNP
That is a hobby horse of mine. I hope that the cabinet secretary has listened to my sales pitch for the care sector. 15:23
Lewis Macdonald (North East Scotland) (Lab) Lab
The challenge of matching NHS resources to demand for healthcare is tough everywhere, and nowhere more so than in NHS Grampian. I know the service well, not ...
John Mason SNP
I take the member’s point about population being important. Does he agree that need and deprivation are also important?
Lewis Macdonald Lab
Absolutely, and that is exactly what the NRAC formula is intended to reflect—population growth, need and deprivation and urban and rural populations. The Gov...
Linda Fabiani (East Kilbride) (SNP) SNP
I welcomed the text of Jenny Marra’s motion when I read it after it was published last night, and I welcome the generally consensual and positive speech that...
Jim Hume (South Scotland) (LD) LD
I welcome this debate on health. At a time when we often take a narrow focus and address only separate elements of the NHS, I believe—as the Royal College of...
The Minister for Sport, Health Improvement and Mental Health (Jamie Hepburn) SNP
Mr Hume has raised the issue of mental health valiantly on many occasions, and more power to his elbow in doing so, but I reiterate the point that parity bet...
Jim Hume LD
I have replied that it does not repeat what has been done elsewhere to state the need for parity between physical health and mental health. I am happy to for...
Dennis Robertson (Aberdeenshire West) (SNP) SNP
Just yesterday, directors of finance from some of our NHS boards gave evidence to the Heath and Sport Committee, and at one point I started to feel very sorr...
Jim Hume LD
Dennis Robertson said that I am not listening, but although the Mental Health (Scotland) Bill states that there should be improvements in mental health, it d...
Dennis Robertson SNP
That proves my point to some extent, because we have interpretation. The issue will be about our coming together to try to make improvements. Our nurses—perh...
Jenny Marra Lab
Dennis Robertson referred to my remarks on the timescale of the public conversation that the RCN has called for. He is saying that we are looking for solutio...
The Deputy Presiding Officer (John Scott) Con
And your point is?