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Chamber

Meeting of the Parliament 16 January 2025

16 Jan 2025 · S6 · Meeting of the Parliament
Item of business
Health and Social Care (Rural Scotland)
Ross, Douglas Con Highlands and Islands Watch on SPTV

I congratulate Tim Eagle not just on securing tonight’s debate but on the tour de force speech that he gave on issues affecting his constituents—our constituents—in the Highlands and Islands and other people across rural Scotland.

The issues that I raise tonight will not be a surprise to the cabinet secretary; I have raised them many times in the chamber before, and I will keep coming here and raising them until we see improvements and change.

The first issue is that of the save our surgeries Burghead and Hopeman group. Some of the campaigners were going to come down to the Parliament to watch the debate when it was previously scheduled, and they had hoped to be here today; however, because of illness, they are not. When I met them on Monday, they wanted the cabinet secretary and his ministers to know that they will be watching the debate at home in Moray to hear—they hope—a positive response.

Last month, when I raised the campaigners’ concerns and their proposals for a nurse-led unit in Burghead to replace the GP surgeries in Burghead and Hopeman that they have lost, they hoped to hear positive news, but they did not get it: from Jenni Minto, they got a point-blank refusal.

I asked the campaigners for their words, because I do not want to make this a party-political issue. They said that I could tell members that they were “bitterly disappointed”. They also said that it is “very frustrating”, given the positive meeting—which I attended—that they had had with Jenni Minto in Burghead in the summer. I hope that, following the proposals from the save our surgeries Burghead and Hopeman group, the cabinet secretary and his ministers will reconsider the plan, because, without Scottish Government support, it will go no further.

There is an opportunity to show the local group—campaigners who are dedicated to services in their area—that there is an opportunity to have a nurse-led service in Burghead. I have written to the cabinet secretary to ask that, if ministers continue to say that they will not support the plan, they tell us the funding calculation that they have made on the proposal. Without that, it will seem as though the local group is being fobbed off when there is a real opportunity to provide a local service.

The other issue that I want to raise, which has been on-going since 2018 and which I have mentioned repeatedly in the chamber is the lack of consultant-led maternity services at Dr Gray’s hospital. I spoke to Marj Adams and Kirsty Watson of the keep MUM—maternity unit for Moray—campaign group ahead of the debate. The points—both positive and concerning—that they want to get across are important.

On a positive note, Marj and Kirsty said that they are really encouraged by the system of consultation that is being held locally and by the local staff at Dr Gray’s hospital, who are pushing that forward. Like me, they are positive that elective caesareans could return to Dr Gray’s soon. If we could get a date for that, that would be welcome news in Moray.

Marj and Kirsty are slightly more concerned about the Dr Gray’s strategy planning paper that went to the NHS Grampian board on 12 December. Quite apart from anything else, it was quite a concerning report. What public consultation was there by NHS Grampian in order to hear from people in Moray, Aberdeenshire and Aberdeen city—in particular from those in Moray who rely on Dr Gray’s? Where was the public engagement? There does not seem to have been much. Marj and Kirsty stated that they have heard from several NHS staff that they fear that, at NHS Grampian board level, the commitment to the restoration of the consultant-led maternity unit at Dr Gray’s is weak.

The reason why we need the unit back again is clear from a freedom of information response that I have received about the number of babies born to Moray parents since 2018 who were born outwith the area. Of the more than 5,500 babies born to Moray parents since 2018, just over 1,000 were born at Dr Gray’s; more than 4,200 were born in either Aberdeen or Inverness. They need to be born locally. We need that service back up and running, because, on top of that, almost 550 Moray mums, including my wife, have had to have a blue-light ambulance transfer to give birth. It needs to get a lot better, and I hope that the cabinet secretary will listen to those points and act urgently.

17:23  

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a members’ business debate on motion S6M-14408, in the name of Tim Eagle, on improving access to health and social care in rural...
Tim Eagle (Highlands and Islands) (Con) Con
I remind members that my wife is a general practitioner partner in a practice in Buckie and that I previously served for five years as a councillor in Moray....
The Deputy First Minister and Cabinet Secretary for Economy and Gaelic (Kate Forbes) SNP
In the spirit of commending workers in rural areas, I note that one advantage of smaller teams is that they are able to adapt, innovate and trial things more...
Tim Eagle Con
I agree. I do not have time to go into this in my speech, but I would argue that some of the centralisation in relation to community treatment and care nurse...
The Deputy Presiding Officer LD
Before we move to the open debate, I advise members that we are heavily oversubscribed for this debate. It is inevitable that we will have to extend it by ha...
Fergus Ewing (Inverness and Nairn) (SNP) SNP
I thank Tim Eagle for, as he said, giving us all the opportunity to raise important matters. I wish to focus, as I have intimated to the cabinet secretary, o...
The Cabinet Secretary for Health and Social Care (Neil Gray) SNP
Will the member take an intervention?
Fergus Ewing SNP
Yes.
The Deputy Presiding Officer LD
Be very brief, cabinet secretary.
Neil Gray SNP
I have met Fergus Ewing and those GPs’ colleagues, whose advice I am very grateful for. I hope that he will accept that I have also provided clear guidance a...
The Deputy Presiding Officer LD
You need to conclude.
Fergus Ewing SNP
I appreciate that the cabinet secretary’s intentions are entirely honourable and good. I entirely accept that. However, as a former minister, I gently say to...
The Deputy Presiding Officer LD
We need to move on. I call Finlay Carson. You have up to four minutes. 17:15
Finlay Carson (Galloway and West Dumfries) (Con) Con
I congratulate Tim Eagle on bringing this crucial topic to the chamber. Living in rural Scotland remains a massive challenge and it is certainly not getting...
The Deputy Presiding Officer LD
You need to conclude.
Finlay Carson Con
In nobody’s mind is 90 miles “close to home”.
The Deputy Presiding Officer LD
You need to conclude.
Finlay Carson Con
Once again, I urge the cabinet secretary to consider an urgent review of the matter.
The Deputy Presiding Officer LD
Neither of the last two speeches has been within four minutes. We will need to do better, otherwise members who want to speak in the debate will be deprived ...
Douglas Ross (Highlands and Islands) (Con) Con
I congratulate Tim Eagle not just on securing tonight’s debate but on the tour de force speech that he gave on issues affecting his constituents—our constitu...
Rhoda Grant (Highlands and Islands) (Lab) Lab
I, too, thank Tim Eagle for securing the debate. Access to health and social care in the Highlands and Islands is poor, which is borne out by the Scottish H...
Neil Gray SNP
On Rhoda Grant’s point about social care, the progress that we are seeking to make in relation to a national care service is about enshrining a human rights-...
Rhoda Grant Lab
I agree that a human rights-based approach to budgeting must be taken at all levels to meet people’s human rights. That was clear from the Scottish Human Rig...
Jamie Halcro Johnston (Highlands and Islands) (Con) Con
As other members have done, I thank Tim Eagle for bringing the debate to the chamber. The number of speakers and the pressure that is being brought to bear h...
Neil Gray SNP
I hope that the member will recognise that, along with the constituency member, Kate Forbes, I met residents and family members at Moss Park and that interve...
Jamie Halcro Johnston Con
Saved for how long? That is the problem. What will the loss of care provision mean for the Belford hospital, which is itself in need of replacement? I joine...
Rachael Hamilton (Ettrick, Roxburgh and Berwickshire) (Con) Con
I am grateful to my colleague Tim Eagle for bringing forward this debate on rural healthcare. At 5 past 4 this afternoon, just over an hour ago, I received ...
Neil Gray SNP
Will the member write to me with the details of that case? We are investing in making sure that we can get through the waiting lists and are using the nation...
Rachael Hamilton Con
I am very grateful to Neil Gray for that response and will certainly write to him. I have also written to him in the past couple of days to invite him to com...
Beatrice Wishart (Shetland Islands) (LD) LD
I thank Tim Eagle for raising this important topic in the chamber. In addition to the list of facilities that need replacement that is included in the motion...