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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

The cabinet secretary should listen to his own questions. He is spending £1.5 billion on setting up a bureaucratic national care service. There we go—I have found his money.

We hear that senior management are concerned about a disconnect between political decision makers and clinicians. They speak of siloed conversations behind the Government’s closed doors, without the chief medical officer and chief nursing officer. The language is stark: senior management appear to have little confidence and little trust in this health secretary and think that his input and suggestions are

“divorced from reality of life and purpose of service.”

Members should let that sink in.

Primary care is the backbone of our health service and the NHS is at breaking point. There are increasing, unsustainable demands, there is limited capacity, and GPs are experiencing burnout and demoralisation. More and more doctors are at the end of their tether and are choosing to leave the profession.

Last year, the Scottish Government pledged a £30 million sustainability support package, but we instead saw a cut of £5 million to this year’s budget. Instead of grandstanding and talking about money that it does not have, or using money on its pet projects, the Scottish Government should fund the NHS properly.

Let me reiterate: every additional day that the cabinet secretary remains in office makes him and the SNP-Green Government that he serves even further divorced from reality. The SNP cannot be trusted on health. NHS staff and patients do not trust this cabinet secretary, and it seems that neither do senior NHS managers—he should do the right thing and step down.

I refer members to my entry in the register of members’ interests, as I am a practising NHS doctor.

I move amendment S6M-06899.1, to insert at end:

“, and finds it extremely concerning that there are siloed conversations within the Scottish Government occurring without the Chief Medical Officer or Chief Nursing Officer, and that there is a lack of clinical input into political decision-making, leading to Scottish Government announcements being divorced from the reality of life and purpose of the service.”

15:25  
References in this contribution

Motions, questions or amendments mentioned by their reference code.

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
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The Deputy Presiding Officer LD
Mr Johnson.
Humza Yousaf SNP
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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
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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.