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Chamber

Meeting of the Parliament 17 January 2024

17 Jan 2024 · S6 · Meeting of the Parliament
Item of business
National Health Service Waiting Times

I refer members to my entry in the register of members’ interests, which shows that I hold a bank nurse contract with NHS Greater Glasgow and Clyde.

As someone who proudly continues to work in our NHS, I am under no illusions about the challenges that it currently faces. In the years ahead, those challenges will become more pronounced as a result of demographic changes and the expected increase in disease burden. It is therefore abundantly clear that significant investment in our NHS and, indeed, reform of the delivery of care are of paramount importance.

In the face of Tory austerity, the Tories’ shameful autumn statement and their mishandling of the economy, which has caused inflation to run rampant, the SNP Scottish Government is taking the necessary decisions to ensure that there is continued investment in health and social care services. In the draft budget, the Deputy First Minister announced an increase of more than £550 million to front-line NHS boards, which is a 4.3 per cent uplift that takes the total investment to more than £13.2 billion. Scottish Government funding of the NHS has ensured record high staffing levels. The funding will drive forward work to increase health service capacity, including through a network of national treatment centres, and it will reduce backlogs, delivering year-on-year reductions in waiting lists.

On that point, yes, of course too many people have waited too long for treatment. However, I welcome the fact that we have seen a significant reduction in the longest waits since the targets were announced, last July. That includes a 69 per cent reduction in patients waiting over two years for a new out-patient appointment from the end of June 2022. There has also been a 26 per cent reduction in patients waiting longer than two years for in-patient or day-case treatment since the targets were announced. That is welcome progress, but we know that there is still more to be done.

Scottish Labour never wants to talk about the significant and on-going impact that Covid has on our health service, notably in the area of planned care, as well as other external factors. It should listen to the Welsh Government’s Minister for Health and Social Services, who said only in the past week:

“The pressures on the NHS are unrelenting in every part of the UK.”

Over the past 13 years, the NHS, like other public services, has had to contend with austerity, the impact of a botched Brexit, the pandemic, record levels of inflation and rising demand. It is not difficult to work out why it is so challenged across the whole UK.

It is also worth noting that, while we are sitting in the chamber, junior doctors are striking in Wales, where Labour is in power. The NHS is nothing without its dedicated workforce, and I am proud that, due to the value that the SNP Government places on our health staff, Scotland remains the only country in the UK to have been successful in averting NHS strikes. In doing so, we have avoided the knock-on effect that that would have had on capacity, through postponed operations and on out-patient appointments.

That was looking at Wales, where Labour is in power. Even at Westminster, where it is in opposition, it is clear that Labour does not have the plans or ambition to tackle the challenges that health services across the UK face. Labour’s shadow health secretary has said that a UK Labour Government would

“hold the door wide open”

to private sector involvement in the NHS. He has also stated that he does not think that it is good enough that the NHS uses every winter crisis and every challenge that it faces as an excuse to ask for more money. That is hardly supportive of the hard-working staff for whom we hear faint praise from Opposition members.

Labour’s only plan for our NHS seems to be opening it up to the private sector’s involvement, starving it of much-needed investment, supporting a Brexit that impacts on the recruitment of health and social care staff, and undervaluing NHS staff, which leads to strikes. The Scottish Government remains committed to driving down waiting times, particularly for the people who wait the longest for treatment. We are resolute in doing what we can to support our workforce through ensuring record levels of staff, promoting their wellbeing and protecting and providing proper pay increases. We are absolutely committed to keeping our NHS publicly owned, with no private sector involvement, and free at the point of need.

16:31  

In the same item of business

The Presiding Officer (Alison Johnstone) NPA
The next item of business is a debate on motion S6M-11874, in the name of Jackie Baillie, on ending long waits in the national health service. 16:01
Jackie Baillie (Dumbarton) (Lab) Lab
Scotland saw in the new year with accident and emergency departments in utter disarray as thousands of people—the sick and the injured—experienced long and d...
The Cabinet Secretary for NHS Recovery, Health and Social Care (Michael Matheson) SNP
As a Government, we remain focused on ensuring that our health service continues to recover from the long-term effects of the pandemic. Scotland is not uniqu...
Jackie Baillie Lab
Will the cabinet secretary take an intervention?
Michael Matheson SNP
I will if the member allows me to make progress first. The number of waits of more than 78 weeks reduced by 30.1 per cent as of September last year, and 34 ...
Jackie Baillie Lab
Is it not the case that you promised to end those waits, not simply reduce them, and that, by your own measure, you have failed?
The Presiding Officer NPA
Please always speak through the chair.
Michael Matheson SNP
As I have set out, the reality is that we are making substantial progress, but, clearly, more needs to be done and we are determined to do that. I know that...
Paul Sweeney (Glasgow) (Lab) Lab
Will the cabinet secretary give way?
Michael Matheson SNP
I need to make progress, given the limited time, I am afraid. For example, since 2021, we have invested £8.6 million in programmes through the Centre for Su...
Sandesh Gulhane (Glasgow) (Con) Con
I draw members’ attention to my entry in the register of members’ interests as a practising NHS general practitioner. There we have it: everything is fine h...
Rachael Hamilton (Ettrick, Roxburgh and Berwickshire) (Con) Con
In the Borders, people are having to wait 39 weeks for their first appointment for CAMHS treatment. The Government should apologise for the appalling lack of...
Sandesh Gulhane Con
I could not agree more. Our kids are suffering and our SNP Government is not looking after them. Let us look at the NHS estate. The SNP’s manifesto pledged...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I am very grateful to Jackie Baillie for bringing the motion to Parliament. Before I begin my remarks, I congratulate her on her investiture as a dame at the...
The Presiding Officer (Alison Johnstone) NPA
We move to the open debate. 16:22
Carol Mochan (South Scotland) (Lab) Lab
This issue is perhaps the one that I hear most about from constituents across South Scotland, and that is why it is essential that it is given fair hearing h...
Clare Haughey (Rutherglen) (SNP) SNP
I refer members to my entry in the register of members’ interests, which shows that I hold a bank nurse contract with NHS Greater Glasgow and Clyde. As some...
Colin Smyth (South Scotland) (Lab) Lab
Once again, it was the pandemic that did it. That is the sole reason that we have heard from the Cabinet Secretary for Health and Social Care for the crisis ...
Annie Wells (Glasgow) (Con) Con
We all admire the dedication and hard work of NHS staff. Whatever help we need, they go to incredible lengths to keep us healthy, and we owe them our thanks ...
Clare Haughey SNP
Will the member give way?
Annie Wells Con
I do not have time. I have a lot to say and I am in my final minute. The consequences of those systemic problems are that our excellent NHS staff cannot del...
Ivan McKee (Glasgow Provan) (SNP) SNP
It is a pleasure to speak in this very short debate on Scotland’s health service. It is important to recognise at the outset the challenges that we face and ...
Jamie Greene (West Scotland) (Con) Con
I congratulate Dame Jackie Baillie on the honours that she received today. I am disappointed that she did not wear the hat to the chamber. When Opposition p...
Bob Doris (Glasgow Maryhill and Springburn) (SNP) SNP
With regard to this afternoon’s debate on the NHS in Scotland, it is worth observing that the substantive motion before us from the Labour Party offers not a...
The Presiding Officer NPA
We move to winding-up speeches. 16:53
Tess White (North East Scotland) (Con) Con
The complacency of the SNP Government as the NHS spirals is staggering. As we have heard in the debate, from waiting times to workforce planning the NHS is i...
The Presiding Officer NPA
Always speak through the chair, please.
Tess White Con
The SNP says that the NHS has record staffing levels, but the SNP does not like to hear the truth. The reality is that the NHS has massive vacancies and high...
Clare Haughey SNP
Will the member give way?
The Presiding Officer NPA
The member must conclude.