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Chamber

Meeting of the Parliament 23 November 2022

23 Nov 2022 · S6 · Meeting of the Parliament
Item of business
Primary Care

When I have met chief executives and the chairs of health boards, not one of them has ever floated the idea of charging patients. If they did that, I would, to be frank, tell them that that is not up for discussion under this Government.

I say to Jackie Baillie and Scottish Labour, who have brought to the chamber this serious debate on a serious issue—which was not given any serious consideration by Jackie Baillie in a speech that was, to be frank, ludicrous—that we should start by thanking all our primary care teams: not just our general practitioners, those who work in reception and our multidisciplinary staff, but primary care staff across the piece. I thank every one of them.

On Jackie Baillie’s concerns about the founding principles of the NHS and thanking our healthcare workforce, I give a categorical assurance that our Scottish NHS will never be sold off into private hands under this Administration.

The Government holds true to the founding principles of the NHS and Nye Bevan’s vision of patient care that is free at the point of need. We should be judged on our track record on that, which is, of course, one of abolishing prescription charges, removing dental charges for young people and continuing to fund free eye tests. Let us have it recorded that this Government will keep the NHS in Scotland publicly owned, publicly operated and free at the point of use.

Jackie Baillie decries the Government having to reprofile health spending to combat sky-high inflation due to Conservative mismanagement of the economy or to afford record high pay deals. There is one place that I would love to be able to save money: in the £250 million that Scottish people are still paying for Labour’s disastrous private finance initiative and public-private partnership projects to build hospitals in Scotland. Jackie Baillie was only ever trusted in government for the briefest of periods, but she should take the opportunity to apologise to every person in Scotland that they are still paying the price for Labour’s privatisation of our NHS.

Our general practice and primary care services have been impacted by Brexit, the pandemic and the cost of living crisis, but we will continue to invest in our multidisciplinary teams. Jackie Baillie seemed to talk them down, but 3,220 multidisciplinary staff and professionals have been recruited since 2018. Therefore, when people walk into their general practice, not only are they likely to be able to see general practitioners who do a phenomenal job, but they may well be able to see physiotherapists, advanced nurse practitioners and a multitude of multidisciplinary staff across the piece. Those individuals are there not only to give the best possible service to the public that they see, but to ensure that the incredible workload in general practices is spread more evenly.

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a debate on motion S6M-06899, in the name of Jackie Baillie, on protecting primary care. I invite members who wish to participat...
Jackie Baillie (Dumbarton) (Lab) Lab
For most people across Scotland, the first point of call when it comes to their health is their general practitioner. GPs are very much at the front line of ...
Gillian Martin (Aberdeenshire East) (SNP) SNP
Will the member take an intervention?
Jackie Baillie Lab
I will not. The member should listen to this. Inside or outside the UK, the SNP would contemplate a two-tier NHS where those who can afford to pay would get...
Gillian Martin SNP
Will the member take an intervention?
Jackie Baillie Lab
The minutes of the discussion are also interesting as they confirm something that we already know—that the cabinet secretary does not listen. He does not lis...
Audrey Nicoll (Aberdeen South and North Kincardine) (SNP) SNP
Will the member take an intervention?
Jackie Baillie Lab
As for the £1 billion black hole in the NHS budget, we should look no further than Nicola Sturgeon. When she was the health minister, she failed to pass on f...
The Cabinet Secretary for Health and Social Care (Humza Yousaf) SNP
Does it not show insecurity in her own argument that Jackie Baillie was not able to take a single intervention? This is meant to be a debate, but Jackie Bail...
Daniel Johnson (Edinburgh Southern) (Lab) Lab
Will the cabinet secretary give way?
Humza Yousaf SNP
At 14 seconds into my speech, I am happy to give way to Daniel Johnson.
Daniel Johnson Lab
If the cabinet secretary is so keen on interventions, will he answer this question? Did he know about the meeting and agree to it or did it happen without hi...
Humza Yousaf SNP
It was a meeting of five people with one chief executive present. Believe it or not, with the more than 160,000 healthcare workers that we have, I do not kno...
The Deputy Presiding Officer LD
Mr Johnson.
Humza Yousaf SNP
When I have met chief executives and the chairs of health boards, not one of them has ever floated the idea of charging patients. If they did that, I would, ...
Mercedes Villalba (North East Scotland) (Lab) Lab
I have previously raised with the cabinet secretary my constituents’ concerns about the declining quality of patient care at some general practices in Aberde...
Humza Yousaf SNP
I will give that update. Mercedes Villalba is absolutely right. She has raised the issue with me on several occasions. It is, of course, an issue for the loc...
The Deputy Presiding Officer LD
There is a little time in hand, so I can give members a bit of time back for taking interventions. I would far prefer that to people shouting from a sedentar...
Sandesh Gulhane (Glasgow) (Con) Con
Jackie Baillie’s debate today is timely, because this week we learned about damning minutes of meetings of senior management of Scotland’s health boards, whi...
Humza Yousaf SNP
It is better than England.
Sandesh Gulhane Con
—and the worst delayed discharge record, with an average of 1,832 beds occupied each day due to delayed discharge. I heard the cabinet secretary say “better ...
Gillian Martin (Aberdeenshire East) (SNP) SNP
Sandesh Gulhane said that “we live in Scotland.” Yes, we live in Scotland, but the Tories are presiding over the English NHS. Is it not right that we critici...
The Deputy Presiding Officer LD
Through the chair, please, Ms Martin.
Sandesh Gulhane Con
The first thing to say is that you should be representing your constituents—
The Deputy Presiding Officer LD
Through the chair, Dr Gulhane.
Sandesh Gulhane Con
The member should be representing her constituents here. The second thing to say is that we cannot trust SNP statistics, as we have found when it comes to e...
Humza Yousaf SNP
Will Sandesh Gulhane take an intervention?
Sandesh Gulhane Con
Yes, if I can get the time back.
Humza Yousaf SNP
I wonder whether Sandesh Gulhane will recognise and apologise for his party’s economic mismanagement, which has meant that my health budget is worth £650 mil...
The Deputy Presiding Officer LD
I can give you up to five minutes, Dr Gulhane.