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Chamber

Meeting of the Parliament (Hybrid) 22 September 2021

22 Sep 2021 · S6 · Meeting of the Parliament
Item of business
Scottish Ambulance Service

I will consider any good suggestion that comes from anywhere in this chamber, but I have never said that this is “entirely down to the pandemic”. In fact, yesterday, I said very clearly that, of course, there were challenges in our NHS and our Ambulance Service beforehand. However, it would be churlish and inaccurate not to recognise the severe shock of the pandemic on our NHS.

Also, it is not just about Covid patients. Covid patients are now taking up about 1,100 beds, but it is about the cumulative impact, as Dr Beckett explained well on “Good Morning Scotland” today. Patients with chronic conditions who have not been able to be seen in the past 18 months are now presenting with more complex issues and problems.

I will provide some context to the debate. Yesterday, the Scottish Ambulance Service received 2,226 emergency calls, of which 1,580 required a response from an ambulance. Over 19 per cent of those incidents were triaged as being immediately life threatening. Everyone at SAS is performing their duties under unprecedented pressure, and I thank them once again for their continued efforts. I have set out a number of proposals to support and improve staff wellbeing.

As many members will know, the SAS website includes published board papers, and performance statistics are included in those papers. However, I know that there are calls from across the Parliament for more information to be provided. Now seems to be an appropriate time to announce that the Scottish Ambulance Service will begin work on publishing performance data, by health board, on a more accessible part of its website. That information will be available soon, and I will make sure that members are updated on it.

Today’s debate comes on the heels of yesterday’s announcement, and I want to set the record straight in relation to some of the amendments that have been lodged. Not a single penny will be cut from the Scottish Ambulance Service’s budget. In fact, we are increasing its budget by over 16 per cent in this year alone—a £44 million increase on last year.

I will focus on just two of the commitments that I made yesterday, in order to give an update to Parliament. I can now confirm that deployment of Army personnel to support the Scottish Ambulance Service will begin from Sunday, with training commencing from Friday, and it will, in fact, total 114 personnel for ambulance driver support. That increase was agreed yesterday afternoon by the Ministry of Defence, which makes the decision on final numbers to support operational deployment. The deployment will come in three tranches, the first of which will be 27 drivers and seven support staff. There will be further deployments on Monday and Wednesday, and all additional boots will be on the ground by the end of the month. I formally place on record my thanks to our armed forces, who, in typical fashion, have responded to our call with extreme urgency and pace.

Yesterday, I also announced an additional £20 million of funding for the Scottish Ambulance Service. I can confirm that that money will be spent on a number of areas, including supporting the armed forces involvement that I have just set out; supporting increased senior clinical decision making; facilitating additional community support, where appropriate, including from the Red Cross; and facilitating additional student capacity to support services.

All of that will be done when it is clinically safe to do so. This is where I want to address one or two of the points that Ms Baillie has raised. I will take suggestions from wherever in Parliament they come, and I do not dismiss entirely or out of hand the suggestion for a field hospital. However, it will be important, first of all, that options are clinically safe and, secondly, that we have the workforce to staff any such beds. That option has been—

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a debate on motion S6M-01302, in the name of Jackie Baillie, on taking action on the national health service and ambulance crisi...
Jackie Baillie (Dumbarton) (Lab) Lab
I say to people: do not get sick, do not need an ambulance and do not need accident and emergency services in Scottish National Party-run Scotland, because i...
The Cabinet Secretary for Health and Social Care (Humza Yousaf) SNP
Our national health service is under more pressure than it has ever been in its entire 73-year history—there is simply no denying that or getting away from i...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
If the cabinet secretary is so confident that the crisis in our ambulances and our A and E departments is entirely down to the pandemic, will he commit to a ...
Humza Yousaf SNP
I will consider any good suggestion that comes from anywhere in this chamber, but I have never said that this is “entirely down to the pandemic”. In fact, ye...
Jackie Baillie Lab
Will the cabinet secretary give way?
Humza Yousaf SNP
I am happy to.
Jackie Baillie Lab
I am grateful to the cabinet secretary. The Government did, of course, create the NHS Louisa Jordan, so the staffing capacity must have been there for it.
Humza Yousaf SNP
At the beginning of the pandemic, the NHS was not fully remobilised. In fact, we had stopped everything except urgent care and cancer care, so there was a—In...
Douglas Ross (Highlands and Islands) (Con) Con
Will the cabinet secretary give way?
The Presiding Officer NPA
The member is in his last minute.
Humza Yousaf SNP
I will be happy to take an intervention from Douglas Ross in my closing speech. Given that I am in my last minute, I will return to the issue of the wider...
Sandesh Gulhane (Glasgow) (Con) Con
We all know the statistics by now. We have the worst A and E waiting times on record; we are 1,000 acute beds short ahead of winter; the fire brigade, taxi d...
Humza Yousaf SNP
Will the member take an intervention?
The Presiding Officer (Alison Johnstone) NPA
The member is in his last minute.
Sandesh Gulhane Con
Will the cabinet secretary commit to maintaining the four-hour A and E treatment target, regardless of the emergency care setting? Will he provide details on...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I thank the Labour Party for choosing to devote some of its parliamentary time to this issue. The Labour Party is correct to say that the Government has fail...
Carol Mochan (South Scotland) (Lab) Lab
We debate many motions that thank various workers and groups for their efforts. Although such motions have a place in the work that we do here, the weight of...
Fulton MacGregor (Coatbridge and Chryston) (SNP) SNP
I start by reiterating what other members have said: the Scottish Ambulance Service is the heartbeat of our NHS. There is no service like it. Providing emerg...
Paul O’Kane (West Scotland) (Lab) Lab
Will the member take an intervention?
Fulton MacGregor SNP
I will not have time—unless I get the time back, Presiding Officer.
The Presiding Officer NPA
There are about two minutes in hand to the end of the debate. As you are not in your final minute, it is up to you, Mr MacGregor.
Fulton MacGregor SNP
I give way to Mr O’Kane.
Paul O’Kane Lab
The member acknowledges, I think, the scale of the crisis and the issues that existed before the pandemic. He made a point about ice, but would he accept tha...
Fulton MacGregor SNP
I do not accept that characterisation. Local authorities have their own decisions to make and, as Mr O’Kane might be aware, the local authority in North Lana...
The Presiding Officer NPA
Could you please wind up, Mr MacGregor?
Fulton MacGregor SNP
I am sorry, Presiding Officer. I thought that I was going to get two minutes back.
The Presiding Officer NPA
No. Speeches are four minutes this afternoon.
Fulton MacGregor SNP
I am sorry; I picked you up wrongly. In that case, I end by saying that I support the Government’s amendment. 17:04
Meghan Gallacher (Central Scotland) (Con) Con
Yesterday, the First Minister finally admitted that our NHS is in crisis, but only after growing pressure from NHS boards, healthcare professionals, unions a...