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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
Gray, Neil SNP Airdrie and Shotts Watch on SPTV

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 future, with an increase in funded undergraduate places for health and social care professions. Our workforce planning will continue to evolve to account for the shift that is required in the shape and size of the workforce. Part of that will be consideration of the skills mix that is needed to deliver the service improvements and reforms that have been mentioned. We will set out more detail as part of our medium-term approach to health and social care renewal, which we are committed to publishing before the summer recess.

Some required changes are already taking place, including in pharmacy education, in which, from 2026, all graduates will be independent-prescriber trained at the point of registration. That, coupled with our planned expansion of the pharmacy first service, presents a new opportunity for patients to benefit from that expertise and for GPs to be freed up to focus on the care that only they can provide.

Our budget will also enable the number of domestic intakes to university dental courses to increase by 7 per cent, which will ensure that we build a strong workforce pipeline in the medium and longer terms.

Since 2021, we have increased the number of medical undergraduate places by 300, while also offering alternative routes to medicine as a career and doing more to support a pipeline of doctors for our remote and island communities.

Retaining and recruiting GPs is vital, and we remain committed to increasing their number. There are currently over 5,000 GPs in Scotland, the number of which we have increased by 307 since 2017. There are just over 1,200 GPs in training in Scotland, which is extremely encouraging. We have published a GP recruitment and retention plan, which includes new actions that will support the attraction and retention of GPs, including work on expanding fellowships and flexible retention schemes.

In the coming weeks, we are due to publish the nursing and midwifery task force report, which is also focused on recruitment and retention.

Finally, through continuation of work on the national care service, we will continue to support improvement and innovation across the system via the establishment of an advisory board, which will have a clear focus on national and local workforce planning, high-quality learning, and development and leadership support for social care staff.

Growth in the workforce alone cannot be the solution to the challenges ahead: we must also take account of emerging opportunities in order to enhance workforce productivity and wellbeing, including reducing workload through use of new technology and artificial intelligence, and enhancing the quality of care for patients across the country by using staff expertise in different ways.

That is why, last year, we published “Improving Wellbeing and Working Cultures”, which sets out our ambition to enhance working cultures across the system, and why we continue to support national wellbeing, leadership and equalities interventions. That approach, and the support that is offered, have been and will continue to be shaped by the voices and lived experiences of our staff.

The joint social services task force has also taken forward important work to present a range of opportunities to improve the experiences of our valued social care, social work and allied health professional staff.

Those are great examples of the practical steps that we are taking to support the workforce of today and tomorrow.

The immediate steps that I have outlined are critically important as we seek to improve the experience of staff who work daily in our hospitals and communities. They form part of a comprehensive package that will allow us to deal more effectively with the immediate challenges that the system faces and, at the same time, support staff to respond to future demands.

In closing, I reiterate my heartfelt thanks to health and social care staff across the system for all that they do. Although I am the first to recognise that the system is not without its challenges, their efforts continue to make a real difference to the lives of people across Scotland every day, and this Government will continue to do everything that it can do to support them.

I move amendment S6M-16252.1, to leave out from “there is a continuing crisis” to end and insert:

“current high wait times mean that too many are waiting too long for treatment; thanks hardworking NHS and social care staff who provide extraordinary care across the country; recognises that there are crises facing too many parts of the NHS; notes investment of over £11 billion in the NHS workforce and an estimated £950 million to ensure that adult social care workers, including those in the third and private sectors, are paid at least the real Living Wage; recognises that the biggest threat to the health and social care workforce comes from the UK Government’s decision to increase employer national insurance contributions, and demands that the UK Labour administration reimburse the Scottish Government in full; supports the calls for the publication of a medium-term approach to health and social care reform, including workforce planning, before the Parliament’s 2025 summer recess, and believes that the aim of the medium-term reforms must be to ensure that everyone can access the treatment and care that they require, in the right place, at the right time.”

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-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.