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Chamber

Meeting of the Parliament (Hybrid) 19 May 2022

19 May 2022 · S6 · Meeting of the Parliament
Item of business
Long Covid

Finally and belatedly, we debate this devastating condition in Government time. It is shameful that the SNP-Green coalition has made sufferers wait this long.

Long Covid was first recognised more than 18 months ago, as we have heard several times. It affects more than 150,000 Scots and that figure is rising. It has been characterised as possibly the biggest mass disabling event since the first world war, but the Government’s progress on it has been utterly glacial.

Long Covid is insidious, debilitating and widespread. It manifests in any combination of hundreds of symptoms, including air hunger, diarrhoea, muscle spasms, brain fog and chronic fatigue. It ruins livelihoods and it hobbles lives.

Until now, sufferers have been deprived of a voice in the proceedings of the Parliament. Today, they speak through those of us, such as me, Jackie Baillie and Dr Sandesh Gulhane who, from the Opposition benches, have dragged the Government to this point. Today we speak for sufferers such as Anna, who, at just eight years old, has had her education and her childhood ruined by long Covid. When asked by her mum Helen Goss, one of the founders of Long Covid Kids, to describe her condition to the first meeting of the long Covid cross-party group in the Parliament, she did so using just three words: “I hate it”.

Anna is just one of more than 10,000 Scottish children who are battling the condition and who seldom get the attention that they deserve.

I speak today for Stuart, my constituent, who is with us in the public gallery. He is a man of an age with me. He had his whole career before him but now cannot be sure whether he will have the strength to leave the house on any given day. Even now, despite the belated recognition in the remarks of the cabinet secretary, each of those people, and the 150,000 people like them, would be better off moving to England where there are long Covid clinics, care pathways and dedicated research trials.

On this matter, the Government has been woeful. Only after considerable pressure did the cabinet secretary announce £10 million for long Covid in September last year. Until this month, however, not even a penny of that money had been allocated.

Prior to that point, and at every time since, long Covid has only ever been raised in the chamber during Opposition time. In November, I led the first parliamentary debate on the matter. In January, my colleague Beatrice Wishart asked the Government to provide an update on the impact of long Covid, and she was told it would perhaps be discussed as an option at the bureau. In February, I highlighted to the First Minister that fewer than 1 per cent of long Covid sufferers had been referred to the Chest, Heart & Stroke Scotland support service. She told me that there was no need to intervene. In March, Jackie Baillie, Sandesh Gulhane and I pressed the First Minister on why none of the £10 million had been allocated to the long Covid support fund, or had even been spent. She said that the allocation would be made in the following weeks, but weeks and weeks have passed.

The weeks and months have passed and the SNP-Green coalition’s approach to this awful condition is one of manifest disinterest. To add insult to injury, neither party could be bothered to send a representative to the national long Covid hustings ahead of the council elections.

I say to the Government, both SNP and Green, long Covid sufferers see you and they will find you out. The announcement that £3 million will be spent this year is eight months too late. It is wholly unequal to the challenge and it will not touch the sides, but that is what we have come to expect from the Government when the main resource that it has made available to sufferers during these past two years has been the Chest Heart & Stroke Scotland support line.

Make no mistake—that is a valuable service for those long Covid sufferers who reach it. It offers them a safe way of speaking to their advice line nurses and provides wider support through the long Covid patient support group. I want to make it clear that my frustration about the lack of progress is not about the Chest Heart & Stroke Scotland service, but that fewer than 1 per cent of long Covid patients have been referred to it. The First Minister might believe that there is no good reason to intervene, but I can assure her that there absolutely is. There is currently no primary care pathway to the service, which means that when someone with long Covid visits their GP, it is unlikely that they will be referred to the service automatically. They might be lucky enough to have a GP who is aware of the support line and encourages them to call it, but many will not be.

In England, by contrast, people who visit their GP about long Covid can be referred to a post-Covid clinic, where they can be assessed by a doctor, a nurse or a physiotherapist. The Government may say that those clinics do not always get the best feedback, but at least patients in England have the option of using them. That option is not available here. As a result, Scottish sufferers are being left far behind and are not getting the help that they need.

The Scottish Government must recognise the enormity of the public health disaster that the long Covid situation represents. The cabinet secretary must start listening. He must listen to Chest Heart & Stroke Scotland, which has told ministers that an integrated automatic referral system needs to be put in place; he must listen to Long Covid Scotland and the other third sector organisations that are calling for a human rights-based approach to provision; and he must listen to long Covid sufferers such as Stuart and eight-year-old Anna, who are crying out for him to take account of their experience and to act.

When Scotland’s pandemic story is written, the tragedy of that story will undoubtedly be found in our care homes, but the scandal of that tale will be told in the Government’s indifference to Scotland’s long Covid sufferers.

I move amendment S6M-04472.2, to insert at end:

“; recognises the work of Chest Heart and Stroke Scotland in operating the vital long COVID support service; regrets that less than 1% of people with long COVID have been referred to the service, and urges the Scottish Government to take immediate action to expand the pathways to support, including enabling GPs to refer to the long COVID support service automatically.”

References in this contribution

Motions, questions or amendments mentioned by their reference code.

In the same item of business

The Presiding Officer (Alison Johnstone) NPA
The next item of business is a debate on motion SM6-04472, in the name of Humza Yousaf, on long Covid. I invite members who wish to speak to press their requ...
The Cabinet Secretary for Health and Social Care (Humza Yousaf) SNP
I welcome the opportunity to discuss our collective commitment to supporting the health and wellbeing of people in Scotland who are living with the long-term...
Brian Whittle (South Scotland) (Con) Con
I am grateful to the cabinet secretary for taking my intervention. Would he consider assessing certain types of long Covid as a disability, potentially bring...
Humza Yousaf SNP
It is my understanding that, under current legislation, those who are suffering from the effects of long Covid could be termed as having a disability, depend...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I am grateful to the cabinet secretary for giving way, and for taking time, in his remarks, to talk about young people and children who suffer with long Covi...
Humza Yousaf SNP
I ask the member to forgive me—I do not know if I have the figure for children. I will have a look at that, and come back to him; perhaps we will address tha...
Pam Duncan-Glancy (Glasgow) (Lab) Lab
Can the cabinet secretary confirm whether that data collection will include data on inequalities in relation to the way that long Covid has affected differen...
Humza Yousaf SNP
As I said in response to Alex Cole-Hamilton, I think that it absolutely should. I am being up front and frank about this: I do not think that we have the lev...
Jackie Baillie (Dumbarton) (Lab) Lab
Will the cabinet secretary give way?
Humza Yousaf SNP
I will shortly. I have taken a fair number of interventions. That funding responds directly to needs that have been highlighted by boards and their learning...
Jackie Baillie Lab
Could the cabinet secretary confirm for me—because I think that clarity is important—that the £3 million that he talks about as being additional is actually ...
Humza Yousaf SNP
Yes, it is part of that £10 million fund, but what I mean by “additional” is that it is on top of what has already been spent to help to address and alleviat...
The Presiding Officer NPA
I call Sandesh Gulhane to speak to and move amendment S6M-04472.3. 15:09
Sandesh Gulhane (Glasgow) (Con) Con
It is great that this key debate on long Covid has been rescheduled. However, given the growing scale of the problem, it is many months overdue. The cabinet...
Alex Cole-Hamilton LD
Sandesh Gulhane has described his experience in the foothills of the pandemic. Does he recognise that people who had long Covid from the first wave perhaps d...
Sandesh Gulhane Con
I agree absolutely. It is important that if we offer support to sufferers of long Covid, one of the key tenets should be that that should not depend on their...
Humza Yousaf SNP
As Dr Gulhane is a clinician, he will be able to confirm that a person’s receipt of support for the long-term effects of Covid is not reliant on their having...
Sandesh Gulhane Con
Absolutely. As I said, from the conversations that the cabinet secretary and I have had, I think that he agrees with us on that point. Long Covid is hitting...
Jackie Baillie (Dumbarton) (Lab) Lab
As others have said, the debate is long overdue, having been cancelled last month to spare the cabinet secretary’s blushes because not one penny of long Covi...
Humza Yousaf SNP
Is Jackie Baillie seriously suggesting that our hard-working nurses, doctors and AHPs have not been treating people with long Covid? If they have been treati...
Jackie Baillie Lab
That is so disappointing, because, even if nobody else knows this, the cabinet secretary knows that the NHS is stretched to breaking point. It is in crisis. ...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
Finally and belatedly, we debate this devastating condition in Government time. It is shameful that the SNP-Green coalition has made sufferers wait this long...
The Presiding Officer NPA
We move to the open debate. 15:31
Evelyn Tweed (Stirling) (SNP) SNP
I very much welcome the Scottish Government’s recognition of the impact of long Covid and its commitment to help people who are suffering from that debilitat...
Alex Cole-Hamilton LD
I have heard several Government members say that a one-size-fits-all approach will not work, and that is right, but does Evelyn Tweed not recognise that, up ...
Evelyn Tweed SNP
I do not agree, and I will come on to say why. The symptoms can be life changing, as Angela, a constituent of mine, told me. She said: “Last year I was lea...
Brian Whittle (South Scotland) (Con) Con
I am pleased to have the opportunity to speak in the debate. It has taken the Scottish Government too long to recognise, document and respond to long Covid, ...
Humza Yousaf SNP
Does Brian Whittle accept that there is a mountain of evidence that long Covid clinics are inadequate, that they are ineffective and that they simply delay e...
Brian Whittle Con
As I am about to go on to tell the cabinet secretary, what I am highlighting is not a new problem for the Scottish Government. Prior to the pandemic, Scotlan...
The Presiding Officer NPA
Please speak through the chair, Mr Whittle.