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Chamber

Meeting of the Parliament 10 November 2022

10 Nov 2022 · S6 · Meeting of the Parliament
Item of business
Alternative Pathways to Primary Care

I thank Gillian Martin and her committee colleagues for producing the report for debate and I thank the clerks for their help.

In the time that I have today, I want to focus on the role of social prescribing. I have met the Minister for Public Health, Women’s Health and Sport, Maree Todd, about the issue on a number of occasions, as well as hosting a parliamentary reception with the Scottish Social Prescribing Network, which was attended by many organisations from the sector. I thank the minister for the meeting.

As part of the inquiry, the committee was interested in understanding the levels of awareness of social prescribing among patients and health practitioners, and the extent to which effective use is currently being made of social prescribing. Social prescribing is described as a

“means of enabling ... health ... professionals to refer people to a range of local, non-clinical services.”

In its national clinical strategy for Scotland in 2016, the Scottish Government noted that multiple long-term health conditions can result in complex needs, many of which would be best addressed by social rather than medical interventions. To deliver the vision that

“people are able to live more years in good health, and that we reduce the inequalities in healthy life expectancy”

the Scottish Government argues that

“our efforts need to shift towards even greater prevention and early intervention and to local, community-based support across Scotland.”

In 2019, the Health and Sport Committee published its inquiry report, “Social Prescribing: physical activity is an investment, not a cost”. The report explored opportunities and challenges for social prescribing in Scotland. It concluded that social prescribing has clear benefits for the Scottish population and health services. Social prescribing and primary prevention approaches can help to prevent long-term conditions and dependence on pharmaceutical prescriptions. They also have the potential to ease the pressure on existing health and social care services, as well as to reduce waiting times, unplanned admissions to hospital and delayed discharges. The report also noted that there are costs involved, but said that they should be considered to be an investment.

So, what is the potential for social prescribing? Many of the witnesses contributing to this inquiry—

In the same item of business

The Deputy Presiding Officer (Annabelle Ewing) SNP
The next item of business is a debate on motion S6M-06702, in the name of Gillian Martin, on behalf of the Health, Social Care and Sport Committee, on its in...
Gillian Martin (Aberdeenshire East) (SNP) SNP
As the convener of the Health, Social Care and Sport Committee, I am pleased to open the debate on the committee’s inquiry into alternative pathways to prima...
The Deputy Presiding Officer SNP
I remind members who wish to speak in the debate to check that they have pressed their request-to-speak button. 15:06
The Minister for Public Health, Women’s Health and Sport (Maree Todd) SNP
As the public health minister, I welcome the opportunity to open this debate on alternative pathways to primary care. I commend the committee for its timely ...
Martin Whitfield (South Scotland) (Lab) Lab
Are we are aware of how many full-time-equivalent GPs currently deliver primary care in the NHS? Are we aware of how many full-time-equivalent community link...
Maree Todd SNP
I can get that data for the member. I am sure that the cabinet secretary will include it in his summing up. I know that we have increased the number of GPs w...
Sandesh Gulhane (Glasgow) (Con) Con
Primary care is the backbone of the NHS, and it is at breaking point. With increasing demands and limited capacity, it is in a perpetual extreme winter. The ...
Emma Harper (South Scotland) (SNP) SNP
Some of what the member is saying is interesting, and some of it is in the report. However, it seems as if what he is proposing is not what the report was ab...
Sandesh Gulhane Con
I am referring to the professionals whom I am in contact with every day. This debate is about alternative pathways; it is not purely about the report that wa...
Carol Mochan (South Scotland) (Lab) Lab
I take this opportunity to thank all my colleagues on the Health, Social Care and Sport Committee for the work that they put into the report. I am pleased to...
The Cabinet Secretary for Health and Social Care (Humza Yousaf) SNP
I thank Carol Mochan for taking an intervention during what I think is a really helpful speech. If we have to mitigate £650 million of inflationary pressure ...
Carol Mochan Lab
The cabinet secretary will know that I absolutely agree that one of the biggest challenges that we face in Scotland is the current climate of austerity from ...
Willie Rennie (North East Fife) (LD) LD
I will come to the pretty impressive committee report, but we simply cannot ignore the context. I have never seen primary care in the state that it is in now...
Gillian Martin SNP
Will the member take an intervention?
Willie Rennie LD
I will not just now. The reasons include refusing for years to recruit enough GPs, cutting the number of nurse training places, failing to eradicate delayed...
Gillian Martin SNP
Will the member give way?
Willie Rennie LD
The member should listen to this list. It is important. The reasons include undervaluing of social care year after year after year, and delaying the mental ...
Maree Todd SNP
I wonder, as I listen to Willie Rennie’s litany of failures by the SNP Government, whether he has reflected, at all, on his party’s role in bringing in auste...
Willie Rennie LD
We must pray that, at some point, the SNP Government will accept responsibility for its own powers and its decisions over the past 15 years, including what w...
Gillian Martin SNP
Will the member give way?
Willie Rennie LD
I am sorry, I do not have time.
Gillian Martin SNP
As the convener of the committee—
Willie Rennie LD
No. I am sorry: I am not taking an intervention. From my discussions with the police and GPs, I think that there is very little evidence that the action on ...
Gillian Martin SNP
On a point of order, Presiding Officer. Speaking as the convener of the committee that produced the report, I say that it is very frustrating when members c...
The Deputy Presiding Officer SNP
I thank Ms Martin for her point of order. The debate is focused on the “Alternative pathways to primary care” report, but it is quite a wide subject area and...
Willie Rennie LD
I understand why SNP members do not want to talk about this stuff, because their failure over the past 15 years has been lamentable. It has been a disgrace a...
Paul McLennan (East Lothian) (SNP) SNP
I thank Gillian Martin and her committee colleagues for producing the report for debate and I thank the clerks for their help. In the time that I have toda...
Craig Hoy (South Scotland) (Con) Con
Will the member take an intervention?
Paul McLennan SNP
Yes.
Craig Hoy Con
Inaudible.