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Chamber

Meeting of the Parliament 15 May 2019

15 May 2019 · S5 · Meeting of the Parliament
Item of business
Treatment Time Guarantee

I had hoped that the debate would rise beyond such comments. The fact is that the Government has been given £2 billion in additional health resources. Today’s debate should be a wake-up call for the cabinet secretary and not just an opportunity for her to try to score cheap points. She should know just how desperate things are in the system, and it is happening on her watch.

Almost since the day the Government passed the treatment time guarantee, we have heard excuse after excuse from SNP ministers. That has to end. Patients want and should be receiving timely treatment. Our NHS professionals want and should be able to provide the person-centred care that we all want to see, not constantly juggling patients in a desperate attempt to meet SNP targets.

The cabinet secretary has mentioned and made much of the £850 million waiting times improvement plan, which was published in 2018. Early information on the plan points towards NHS boards accessing funds for new pieces of medical and investigatory equipment but, on the ground and across the boards, there are not the staff in place to utilise that equipment to its full capacity or provide additional clinics. The expected improvement is not being realised.

Perhaps the only area where ministers have achieved progress is in the increased use of private capacity in Scotland. The plan sets out actions to ensure the future delivery of waiting time standards and guarantees for patients across Scotland by the spring of 2021. However, SNP ministers have already publicly accepted that they have failed to deliver on the promises that were made to patients across Scotland; the waiting times improvement plan will reduce the target for the proportion of in-patient or day cases that must be seen within 12 weeks from 90 per cent to 75 per cent by October 2019. It seems that the SNP ministers’ answer to not being able to meet the target is to water it down even further.

I believe that we need a national debate on the wider impact of targets on our health service. Every week, I meet NHS professionals who feel that the target culture that has built up in our NHS is focusing resources on the wrong priorities, at the same time as demoralising our NHS professionals, who are often unable to meet those very targets.

SNP waiting times promises that were made to patients across Scotland have been broken. The minister asked which ones. She read out all the targets that she has broken. Patients feel totally let down by this Government. It would be good if ministers listened to that fact.

Alex Cole-Hamilton often brings selected quotes to the chamber. Albert Einstein said that, if we want different results, we have to try different approaches.

I move amendment S5M-17281.1, to insert at end:

“; notes the health secretary’s comments that there are still too many people waiting too long for the treatment that they need; further notes that the treatment time guarantee is not the only waiting time target being missed, with others including the 18-week referral to treatment standard, the 62-day cancer urgent referrals standard, psychological therapies waiting times and the CAMHS waiting time standard; is concerned that waiting times are too long, and believes that the Scottish Government needs to take action to give the NHS the resources and the leadership that it needs to tackle this crisis.”

15:01  
References in this contribution

Motions, questions or amendments mentioned by their reference code.

In the same item of business

The Deputy Presiding Officer (Linda Fabiani) SNP
The next item of business is a debate on motion S5M-17281, in the name of Alex Cole-Hamilton, on the treatment time guarantee. 14:40
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I want to start by thanking the Cabinet Secretary for Health and Sport for the time that she has given to me on this subject. I know that she agrees with me ...
The Deputy Presiding Officer SNP
Before I call the minister, I want to say that it is disappointing when members are not in the chamber at the beginning of a debate to which they wish to con...
The Cabinet Secretary for Health and Sport (Jeane Freeman) SNP
I welcome this debate on what is an important issue for patients across Scotland. There can surely be no doubt that I have been very clear from the outset t...
Miles Briggs (Lothian) (Con) Con
I thank the Liberal Democrats for using their business time for this important debate. No one can be in any doubt that, since Nicola Sturgeon and the Scotti...
Jeane Freeman SNP
Will the member take an intervention?
Miles Briggs Con
A brief one.
Jeane Freeman SNP
Does the member accept that the 31-day target is being met? In his amendment, the member calls for additional resources for the NHS. Will he explain how we w...
Miles Briggs Con
I had hoped that the debate would rise beyond such comments. The fact is that the Government has been given £2 billion in additional health resources. Today’...
Monica Lennon (Central Scotland) (Lab) Lab
I thank Alex Cole-Hamilton for securing this important debate, for making an excellent speech and for telling us about his constituent, Jane Ross. The treat...
The Minister for Mental Health (Clare Haughey) SNP
Will the member take an intervention?
Monica Lennon Lab
I will, if I have time.
The Deputy Presiding Officer (Christine Grahame) SNP
If you take an intervention, you will not get your time back, so I will leave it to the member to decide.
Monica Lennon Lab
I will take the intervention.
Clare Haughey SNP
I thank Monica Lennon for taking the intervention. I clarify that the guarantee in the Patient Rights (Scotland) Act 2011, which was voted on and decided by ...
Monica Lennon Lab
We will get to the point about what the law actually says, but the main point is that we have just heard that 190,000 patients have been let down. That is a ...
The Deputy Presiding Officer SNP
I am sorry. We are tight on time. That is what happens in these short debates. It is what the Parliamentary Bureau agreed, so members will just have to live ...
Alison Johnstone (Lothian) (Green) Green
I, too, extend my thanks to our NHS staff, who work tirelessly to improve our health—too frequently doing so in an extremely pressured environment. I welcom...
The Deputy Presiding Officer SNP
We move to the open debate. Speeches should be kept tightly to four minutes, please. 15:10
Mike Rumbles (North East Scotland) (LD) LD
In anticipation of the debate, I looked up the definition of the word “guarantee” in several dictionaries. One defined it as “a formal assurance (typically ...
John Mason (Glasgow Shettleston) (SNP) SNP
Will the member give way?
Mike Rumbles LD
I would love to do so, but unfortunately I do not have time. The Scottish Government’s own NHS Scotland resource allocation committee formula still underfun...
The Deputy Presiding Officer SNP
Thank you, Mr Rumbles. A wee correction—I did not give you four minutes; it was the Parliamentary Bureau, and Parliament then voted for the four minutes. I a...
Emma Harper (South Scotland) (SNP) SNP
We are again in the chamber, discussing healthcare in our NHS. At the outset, as always, I put on the record my thanks to our incredibly skilled and competen...
Emma Harper SNP
I am not going to take an intervention. We have four minutes for speeches because that is what the Liberal Democrats chose. Surgical procedures that do not ...
Edward Mountain (Highlands and Islands) (Con) Con
I thank the Liberal Democrats for allowing us to debate the subject this afternoon. In the short time that I have, I want to focus on waiting times in NHS Hi...
Clare Haughey SNP
Will the member take an intervention?
Edward Mountain Con
I will take an intervention from the cabinet secretary, but not from you, I am afraid. Patients feel let down, and clinical staff feel the burden of respons...
Jeane Freeman SNP
Will the member take an intervention?
Edward Mountain Con
I will. I am always delighted to.