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Chamber

Meeting of the Parliament 12 January 2022

12 Jan 2022 · S6 · Meeting of the Parliament
Item of business
Mental Health and Wellbeing (Primary Care)

We are still in the midst of the pandemic, and this is the most precarious time in the pandemic—we still have Covid cases and there are other winter pressures. Quite frankly, we have a situation in which folk are tired. We are supporting our staff and continuing to help where we can to drive down waiting times and lists—they are unacceptable, and we will do all that we can to get them down.

I have talked about the record transformational investment. I will also talk about the new multidisciplinary model, which will deliver our manifesto commitment to provide 1,000 additional dedicated roles by 2026 to help to grow community mental health resilience and increase the use of social prescribing. The approach has the potential to be truly transformative by fundamentally changing how services are delivered. It provides the opportunity for a truly person-centred service, with more help for people when and where they need it.

The multidisciplinary approach has been developed in partnership and will be central to changing how we deliver services. The newly funded roles could include mental health nurses, psychologists, peer support workers, occupational therapists and link workers. That will increase the range of responses that are available in or around general practitioner settings. It will no longer be the case that an individual can be treated only by their GP or through a referral to secondary services.

To facilitate person-centred care, a range of professionals will be available to deliver a sustainable, timely and compassionate mental health service. We have heard directly from patients how support from different professionals can be life changing. Following input from her occupational therapist, one patient in Ayrshire and Arran said:

“my sleep pattern has improved and I feel like I am a different person”.

The Royal College of Occupational Therapists recognises that such support can prevent conditions from getting worse, especially when physical health and mental ill health intertwine. The approach looks to improve our nation’s health not just now but in the long term, because it puts the needs of individuals first and, over time, it will reduce pressure on our hospitals and acute services.

The service will not operate in isolation. As well as strengthening links with secondary care, those involved will sit in and link to broader community assets, such as addiction services, food banks, benefit support and on-going emotional support. That aspect of the services will be supported by every GP practice having access to a link worker, who will support mental wellbeing through good-quality conversations and through putting individuals at the centre of decision making about their care.

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a debate on motion S6M-02747, in the name of Kevin Stewart, on mental health and wellbeing in primary care services. I invite me...
The Minister for Mental Wellbeing and Social Care (Kevin Stewart) SNP
Happy new year to you, Presiding Officer, and all in the chamber. I welcome the opportunity to open the debate on mental health and wellbeing in primary care...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I am grateful for the minister’s assurances about his Government’s commitment to addressing the crisis in child and adolescent mental health care. However, h...
Kevin Stewart SNP
We are still in the midst of the pandemic, and this is the most precarious time in the pandemic—we still have Covid cases and there are other winter pressure...
Sandesh Gulhane (Glasgow) (Con) Con
Does the minister agree that link workers should be in every practice under the contract that is already in place?
Kevin Stewart SNP
We already have link workers in practices, and this goes much further. As I have said, the multifaceted approach will make a difference not only to GPs in pr...
The Deputy Presiding Officer LD
You need to wind up now, minister.
Kevin Stewart SNP
I am almost there, Presiding Officer. I recognise that this winter is one of the most difficult winters that those in our workforce have faced. Their wellbe...
The Deputy Presiding Officer LD
We are quite tight for time, so I encourage members to stick to their time allocation. 15:11
Craig Hoy (South Scotland) (Con) Con
I wish you, Presiding Officer, and everyone else who is present a happy new year. I welcome this debate on mental health and primary care in Scotland. At it...
Kevin Stewart SNP
During the short time that I have been in this role, I have spent a lot of time talking to folks with lived experience. I do not disagree with Mr Hoy about t...
The Deputy Presiding Officer LD
That is an important point, but it is not a brief intervention.
Craig Hoy Con
I thank the minister for his not-so-brief intervention. I agree with him that, if community link workers can act almost as translators between practitioners ...
The Deputy Presiding Officer LD
You need to conclude now, Mr Hoy.
Craig Hoy Con
—and to tackle the underlying causes of poor mental health. That should not be too much to ask. I move amendment S6M-02747.3, to leave out from “further rec...
Carol Mochan (South Scotland) (Lab) Lab
I am grateful for the opportunity to open the debate on behalf of Scottish Labour. As a party, we have been at the forefront of arguing for a better settleme...
Kevin Stewart SNP
Mental health has been a priority for the Government since it came to power, and there has been significant investment in mental health provision. Since 2007...
Carol Mochan Lab
I will come on to address those issues. There are so many personal stories. We have heard many of them; the experiences of young people, in particular, stan...
John Mason (Glasgow Shettleston) (SNP) SNP
Is the member arguing that the NHS budget should be cut so that more can be given to local government?
Carol Mochan Lab
I am fed up with Government party back benchers using that as an excuse to not properly fund services. The need for proper funding must be recognised. To re...
The Deputy Presiding Officer LD
You need to close now.
Carol Mochan Lab
I will. Although, in this case, the Government also allocated time to congratulate itself.
The Deputy Presiding Officer LD
No—you need to conclude now.
Carol Mochan Lab
It is politics by press release. I hope that the amendment in my name for Scottish Labour will be supported. I move amendment S6M-02747.1, to leave out from...
The Deputy Presiding Officer LD
I call on Alex Cole-Hamilton to speak to and to move amendment S6M-02747.2. 15:27
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I am grateful to the Government for making time for this debate, because Scotland still faces a national mental health crisis. It has been defined as a crisi...
The Deputy Presiding Officer LD
We move to the open debate. James Dornan joins us online. 15:33
James Dornan (Glasgow Cathcart) (SNP) SNP
This is an extremely important debate and I am pleased to have the opportunity to speak in support of the motion in the name of Kevin Stewart. That is why I ...
Sue Webber (Lothian) (Con) Con
Primary care services are often the first point of contact for people who are experiencing mental health problems, but, as we have heard today, improving men...
Paul McLennan (East Lothian) (SNP) SNP
I thank Kevin Stewart and the Scottish Government for bringing forward the debate. In October, my first members’ business debate celebrated world mental heal...