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Chamber

Meeting of the Parliament 29 January 2025

29 Jan 2025 · S6 · Meeting of the Parliament
Item of business
Health and Social Care Workforce

I will not.

I genuinely worry about what John Swinney will do next.

Instead of taking any responsibility, the SNP hides behind the staff and repels every criticism as, somehow, the Opposition talking down the staff and suggesting that they are incapable. For the record, I note that it is not NHS staff or social care staff that are incapable—it is this SNP Government. I will give the Parliament a few examples. The Scottish Government spends around £60,000 for each student nurse to train at a Scottish university, when we take into account study and bursary costs. That is money well spent for such an important role. However, last year, almost 100 graduate paediatric and adult nurses were told that there were no jobs for them, despite staff shortages. Budget cuts meant vacancy freezes. In fact, last year, the SNP quietly cut 1,500 nursing and midwifery jobs from the establishment records before any budget cuts had even begun. Posts were simply wiped out overnight.

Since then, I have been contacted by paramedic graduates who have experienced the same problem, and by junior doctors who have been told that they will need to undertake their speciality training in Northern Ireland as there is nothing happening in Scotland. I have heard from graduate pharmacists, such as Abbie, who have been told that, due to a lack of funding, there will be no foundational training year for them in Scotland and that they will have to go to England if they want to continue. The Scottish Government is paying to train health and care staff for the benefit of every NHS in the UK except NHS Scotland. If that is not incompetence, I do not know what is.

The current pressures in our hospitals are due in part to this Government’s failure to fix the problems in social care. More than 9,000 Scots are waiting on care assessments or packages. We know that there is a chronic shortage of support because we do not have the staff, but we do not have the staff because they are not treated with the respect that they deserve so they head for the exit door. Is it any wonder that many of them are going to work in retail, where they are often paid more and have less stress? Year after year, Labour has consistently argued for a minimum of £15 an hour with finance ministers Kate Forbes and John Swinney, who are both deaf to the plight of social care staff. What happened to the missing £50 million for fair work to improve terms and conditions for social care staff? It was cancelled by ministers at the 11th hour. That tells us all that we need to know about how much the SNP values social care.

Scotland cannot keep paying the price for the SNP’s financial mismanagement and waste. Its recklessness is a betrayal of the NHS and social care staff who have gone above and beyond to keep services going and patients safe. After nearly 18 years of failure and decline from the SNP, it is time to change the team. Scottish Labour will ensure that our NHS and social care sectors have a 10-year workforce plan that creates enough medical and nursing training places; values nurses, doctors and all NHS staff; and meets the needs of future generations?of patients. We will deliver faster access to GPs and tackle long waits for treatment once and for all by taking full advantage of our untapped potential.

Scottish Labour is and has always been the party that is willing to stand up for workers, protect our NHS and invest in social care. Scotland’s NHS needs a new direction and Scottish Labour is ready to deliver it.

I move,

That the Parliament deeply regrets that there is a continuing crisis in both the NHS and social care; recognises that staff are the backbone of the NHS and that the Scottish Government has failed to effectively workforce plan; understands that the consequences of this failure are that patients are suffering from poorer outcomes, hard-working staff are experiencing moral injury, and NHS graduates are not being employed, and calls on the Scottish Government to urgently bring forward a 10-year health and social care workforce plan that meets the needs of the people of Scotland.

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a debate on motion S6M-16252, in the name of Jackie Baillie, on supporting Scotland’s health and social care workforce. I invite...
Jackie Baillie (Dumbarton) (Lab) Lab
Let me begin on a note of consensus. The staff of NHS Scotland and those who work in social care do an incredible job. They are the backbone of the national ...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
Will Jackie Baillie give way?
Jackie Baillie Lab
I will do so briefly.
Alex Cole-Hamilton LD
Does Jackie Baillie recognise that the problem in Lothian is particularly bad among GP locums?
Jackie Baillie Lab
I do indeed. That is the situation that I was describing. Alex Cole-Hamilton and I are of one mind on this. The BMA says that there are more than 1,000 cons...
Clare Adamson (Motherwell and Wishaw) (SNP) SNP
Will Jackie Baillie give way?
Jackie Baillie Lab
I will not. I genuinely worry about what John Swinney will do next. Instead of taking any responsibility, the SNP hides behind the staff and repels every...
The Deputy Presiding Officer LD
I call Neil Gray to speak to and move amendment S6M-16252.1. 15:08
The Cabinet Secretary for Health and Social Care (Neil Gray) SNP
I welcome this debate, which is very timely in the light of the speech that was given by the First Minister on Monday on protecting and renewing our health a...
Clare Adamson SNP
Will the cabinet secretary take an intervention?
Neil Gray SNP
I will make some progress, first. More recently, the decision that has been made by Jackie Baillie’s colleagues in the UK Government to increase employer na...
Clare Adamson SNP
I should have waited, as the cabinet secretary has almost answered my question. Does the cabinet secretary share my concern that the national insurance rise...
Neil Gray SNP
Yes, I do, and I could list the names of those who signed the letter on that subject that was sent by the First Minister and the president of the Convention ...
Brian Whittle (South Scotland) (Con) Con
The cabinet secretary knows of my interest in technology. The pandemic demonstrated to us the impact that technology can have on healthcare and the speed at ...
Neil Gray SNP
I do not believe that that is the case. Progress is being made through the likes of the accelerated national innovation adoption—ANIA—pathway and, on Monday,...
Tess White (North East Scotland) (Con) Con
Will the cabinet secretary take an intervention?
Neil Gray SNP
I need to make some progress. We will never shy away from the challenges that are facing our NHS and social care services. We will act quickly to deliver mu...
Jackie Baillie Lab
Will the cabinet secretary take an intervention?
Neil Gray SNP
I will make some progress, then come back to Ms Baillie. We have planned for and driven workforce growth through investment in training our workforce of the...
The Deputy Presiding Officer LD
I call Sandesh Gulhane to speak to and move amendment S6M-16252.2. 15:18
Sandesh Gulhane (Glasgow) (Con) Con
I refer members to my entry in the register of members’ interests, which states that I am a practising GP. Today, I speak not only as a politician but as so...
The Deputy Presiding Officer LD
I call Gillian Mackay, who joins us remotely, to speak for around six minutes. 15:25
Gillian Mackay (Central Scotland) (Green) Green
I will start by apologising to the chamber. My Surface has had a moment with Zoom over the past five minutes, so I currently have my phone propped up while I...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I am grateful to the Labour Party and Jackie Baillie for making time in the chamber for this important debate. As I am sure is the case for all members in th...
The Deputy Presiding Officer LD
We move to the open debate. For the avoidance of confusion, I note that Labour Party members have opted for more, but shorter, speeches. 15:38
Carol Mochan (South Scotland) (Lab) Lab
Broken promises, missed targets, poor delivery and lack of ambition—that is the truth of the SNP NHS. Ask any constituent—they all have a story about the ded...
The Minister for Social Care, Mental Wellbeing and Sport (Maree Todd) SNP
I want to correct the record, as it is important that we have a healthy debate and discuss the actual facts. I recognise that people are waiting too long, bu...
The Deputy Presiding Officer LD
Briefly.
Maree Todd SNP
—and I ask the member to correct the record.