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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)
Hamilton, Rachael Con Ettrick, Roxburgh and Berwickshire Watch on SPTV

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 come to the Borders to thank the hard-working front-line staff and to see what more can be done to improve the terrible outcomes that we are seeing in the Borders, an issue that was covered last night on the “Representing Border” programme on ITV Borders.

Only 58 per cent of patients are seen within the four-hour target. Those figures are the worst on record since 2007 and the third worst in Scotland, and Neil Gray knows that. I put on the record that that is not caused by the influx of flu patients, because those figures are from November and so are not about that.

In the brief time that I have, I will cover the financial situation of health boards across Scotland. We received an email earlier saying that NHS Grampian is going into stage 3 of the intervention framework. In my constituency, the financial situation of NHS Borders is critical, and the cabinet secretary knows that. In just two years, the deficit has doubled to £33.6 million. The board has been at level 3 since 2021, but what support has the SNP Government offered? In my opinion, it has put the board under further strain by asking it not only to balance the books but to make cuts at the same time. Ironically, one of the cuts that has been outlined is a 10 per cent reduction to a workforce that is already struggling to cope with demand.

Wait until you hear these figures. In the past four years, NHS Borders has lost 10,000 working days every year to staff absences related to mental health. I have brought that figure to the chamber before—it is unbelievable. The staff who are carrying the burden

“are running out of goodwill.”

That is a direct quote from the chief executive, Peter Moore. Even when NHS Borders manages to achieve financial balance, it will still have to pay back outstanding brokerage, which may have reached a staggering £100 million by March 2027.

I realise that we are short of time. There is so much more that we need to do, and I would like the cabinet secretary to come to the Borders to meet the hard-working staff.

17:36  

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...