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Chamber

Meeting of the Parliament (Hybrid) 20 January 2021

20 Jan 2021 · S5 · Meeting of the Parliament
Item of business
Health and Care Workforce

On behalf of the Scottish Labour Party, I begin with a tribute to all the healthcare staff on the front line of the pandemic, who are working hard in the most difficult circumstances on behalf of all of us. We could not get through the pandemic without the healthcare workers on the front line and those who are behind the scenes, some of whom put themselves at risk every single day just to keep our national health service going and to keep caring for others. They are not just putting themselves at risk of the virus; they are putting at risk their mental health and wellbeing.

We all know that the second lockdown is not easy for anyone and that many people are struggling with the isolation and pressure that come from juggling many different responsibilities, from home schooling to working from home. We need to get the pandemic under control and eliminate the virus, and we need to give people hope, confidence and assurance that we have a pathway to do so. That is why getting Scotland vaccinated must be our top priority and getting the roll-out of the vaccine right is in everyone’s interests.

Today, we have heard again some horrifying statistics from the First Minister. The numbers of people who are dying every day are far too high. Just one loss of life to the virus is one too many. Our thoughts continue to be with everyone who has lost a loved one.

Getting everyone vaccinated safely and quickly is crucial to our Covid-19 recovery, and that is absolutely where our collective focus should be. That is why we must take very seriously the concerns of clinicians and those on the front line who are sounding the alarm.

I say to the Cabinet Secretary for Health and Sport that we will not make points in the debate to have a go at the Government. Labour members are trying to reflect what is being said to us by people on the front line, their families who are worried at home and people with direct experience. The Government’s amendment says lots of things that we agree with, but it knocks out most of the concerns from the front line that we are trying to reflect in our motion, so we will not be able to support it. However, we will work with the Government to ensure that all of us get it right. When we raise concerns about the front line, we do so with the very best of intentions.

In particular, I commend the British Medical Association Scotland and the doctors it represents, as they have been speaking out about the pressures on the NHS. The current wave of the pandemic and the increased transmissibility of the new variants have placed the NHS and, of course, our social care services under severe pressure. The chair of BMA Scotland, Dr Lewis Morrison, said:

“We’ve used the expression ‘stretched to breaking point’ so often there’s a risk that phrase loses its meaning but that is exactly where we are right now.”

Across the healthcare front line, we know that many others have been raising concerns about the adequacy of current personal protective equipment recommendations and what is available to staff. That is what is reflected in our motion. The BMA has written to both Public Health England and Public Health Scotland asking for enhanced PPE protection. The Royal College of Nursing has also called for enhanced protection against the new variant and a review of the sufficiency of current PPE advice more generally.

I think that we would all agree that the virus got so badly out of control in the first place because our Governments did not always act quickly enough during the first wave of the virus. On many fronts, we were too slow—on lockdown, on testing and on PPE—so let us not repeat any of those mistakes when it comes to the roll-out of the vaccine and the warnings from staff about the need for more protection.

We should be taking a precautionary approach; we need to listen to those on the front line who are asking for better PPE and we should be providing it to them and trusting their judgment. Higher-grade masks should be made available to all patient-facing healthcare staff as a priority, because the level of hospital-acquired Covid infections shows that it is vital to take more action now. The cabinet secretary knows that I pressed her last summer on the worrying numbers of people catching Covid in our hospitals and we know that we are still not getting it right. In many cases, the situation looks as though it is worse than it was in the first wave. Patients who were admitted to hospital for other reasons have subsequently contracted Covid and, in some cases, they have died, which is a tragedy.

This morning, I was contacted by a concerned member of the public, whose mother caught Covid in hospital. She says:

“After keeping my 82 year old mum safe from covid all these months she now has tested positive for the virus within hospital.

She had a massive stroke before Christmas.

I would have thought all frontline staff and patients would be vaccinated as a matter of urgency but that appears not to be the case.

Mum’s ward has been on lockdown so she’s obviously contracted it from a member of staff.

I feel it’s not good enough.

How many other people are contracting this virus within a hospital setting?

You’re supposed to feel safe there but instead it’s proving deadly.

I know there is nothing you can do to help us but I just would like to make you aware that things are not great within the hospital setting.”

Although she says,

“I know there is nothing you can do to help”,

I think that we all have to take that point away, because we do have to help.

I know that all the members of the Scottish Parliament have inboxes that are bursting with similar stories, so let us agree today that we are going to do something about this, because the reality is that, when we do not act quickly enough to roll out the vaccine and PPE, people are let down. It is not just the BMA and the RCN that are calling for enhanced PPE; it is also being called for by the GMB, Unison and Unite the union—I refer members to my entry in the register of members’ interests in that regard. We need a safer system of work for all.

In the same item of business

The Deputy Presiding Officer (Christine Grahame) SNP
The next item of business is a debate on motion S5M-23894, in the name of Monica Lennon, on protecting Scotland’s health and care workforce. 15:16
Monica Lennon (Central Scotland) (Lab) Lab
On behalf of the Scottish Labour Party, I begin with a tribute to all the healthcare staff on the front line of the pandemic, who are working hard in the mos...
John Mason (Glasgow Shettleston) (SNP) SNP
I take the member’s point that we want staff to be vaccinated first, but she argues that they should get a second dose before older people; how does she hand...
Monica Lennon Lab
With respect to John Mason, I say that it is not Labour members who have been putting older people further down the queue during the pandemic; what has happe...
The Cabinet Secretary for Health and Sport (Jeane Freeman) SNP
On PPE, I am sure that the member will recall the agreement that I reached with the relevant unions and with the Convention of Scottish Local Authorities tha...
Monica Lennon Lab
I welcome that intervention. I think that the people who are managing staff then revert back to Government guidance, and the Government guidance is out of da...
The Deputy Presiding Officer SNP
I did not want to interrupt you, but there are a few minutes in hand for interventions, so you should perhaps bear that in mind if you are summing up. I cal...
The Minister for Public Health, Sport and Wellbeing (Mairi Gougeon) SNP
Getting Scotland vaccinated against Covid-19 is indeed the country’s national priority, and it is a fundamental part of Scotland’s strategic framework for de...
Jamie Greene (West Scotland) (Con) Con
I thank the minister for what is a very helpful update. I am not seeking to apportion blame, but if there are GPs who are expecting supplies and those suppl...
Mairi Gougeon SNP
The First Minister talked a lot about that in response to the questions that she received at First Minister’s question time earlier today. There have been is...
Monica Lennon Lab
Will the minister take an intervention?
The Deputy Presiding Officer SNP
The minister is in her final minute, but you may intervene if you are prepared to be very quick, as you are leading the debate. I will leave it up to you and...
Mairi Gougeon SNP
I am happy to take the intervention.
Monica Lennon Lab
I am grateful. It was remiss of me not to welcome Mairi Gougeon to her new post. I did not realise that she was going to open the debate. I welcome her. The...
Mairi Gougeon SNP
I will be happy to get back to the member on that issue in more detail. Of course, the best way to ensure that our health service is protected and to limit ...
The Deputy Presiding Officer SNP
I am afraid that you cannot.
Mairi Gougeon SNP
It is just a final, brief point, Presiding Officer.
The Deputy Presiding Officer SNP
Please make it in a sentence.
Mairi Gougeon SNP
The vaccination programme is the largest logistical operation that Scotland has seen in peacetime, and it is functioning well. We have already vaccinated a h...
The Deputy Presiding Officer SNP
I cannot remember whether you moved your amendment, minister.
Mairi Gougeon SNP
I move amendment S5M-23894.3, to leave out from “notes the concern” to end and insert: “believes that the deployment of the vaccine must be guided by the ex...
The Deputy Presiding Officer SNP
I am sorry to give you such a hard time at your debut in your post, minister. I call Maurice Golden to speak to and move amendment S5M-23894.1.
Maurice Golden (West Scotland) (Con) Con
I believe that Donald Cameron is supposed to open for the Conservatives, but I am happy to do so and to move the amendment in his name.
The Deputy Presiding Officer SNP
Should it be Donald Cameron? I do not see him anywhere around.
Maurice Golden Con
He is joining virtually.
The Deputy Presiding Officer SNP
I stand to be corrected, but my little script says that Maurice Golden is opening and Donald Cameron is closing. I think that we had better leave it like tha...
Maurice Golden Con
Let us see. I will get on to Miles Briggs. 15:40
Maurice Golden (West Scotland) (Con) Con
The pandemic has challenged us all in ways that we could never have imagined. NHS staff have been on the front line since day 1, putting themselves at risk e...
Jeane Freeman SNP
Will the member take an intervention?
Maurice Golden Con
Yes, I am happy to do so.