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Chamber

Meeting of the Parliament 11 June 2025

11 Jun 2025 · S6 · Meeting of the Parliament
Item of business
Medical and Nursing Workforce

I am pleased to speak on an issue that concerns the very backbone of our NHS: its workforce. I begin by echoing other members’ points about the value of our NHS workforce. It is the beating heart of the NHS and, without it, services and care would collapse, which is why it is so important that we discuss the matter openly and honestly in the Parliament. I thank all those who work tirelessly in Scotland’s NHS. Scottish Labour recognises the contribution and value of workers and understands the pressure and strain that they face daily.

When I speak to constituents, one of the many things that I hear is how difficult it is to see a local GP, and I hear about how long NHS waiting lists are. Ambulances are stacked up outside accident and emergency, patients are waiting hours for treatment and those who are ready to be discharged are forced to remain in hospital while waiting for appropriate care packages. Everything has stagnated, but let us be clear that people understand that it is not the staff’s fault. In fact, people speak very highly of the staff; the issue is the system, and the responsibility lies with the Government.

At the centre of the Government’s stagnation is our workforce, which is struggling to keep up with demand in a fundamentally broken system. After 18 years in power, the SNP has presided over a workforce crisis in which staff shortages not only risk patient safety but put additional pressure on the existing workforce, which impacts their mental and physical health.

Our healthcare system is crying out for additional staff, but newly trained doctors and nurses, who are highly motivated and ready to serve, are meeting with disappointment when they are being told, after years of training, that there are no jobs, although that is not true. The system is crying out for highly professional, trained staff. If we want safe staffing, the NHS must fill more posts, and the Government knows it. How can it be right that newly qualified nurses are being forced to find jobs outside Scotland, despite completing their training at Scottish universities and hospitals, where they see the pressures day in, day out? There are currently more than 2,600 unfilled whole-time-equivalent nursing and midwifery vacancies. We hear from nurses daily that going through and completing the recruitment process in the NHS is agonising.

Since 2013, the number of registered nurses who are employed in care homes has decreased by 28 per cent. That issue is important because those nurses greatly contribute to keeping hospital admissions down, so we must take the statistics seriously. Delivering and supporting a sustainable nursing workforce across Scotland is crucial to improving overall patient care and experience, yet our nurses report feeling undervalued and overlooked. When it comes to issues such as corridor care, poor planning has left staff feeling ashamed, demoralised and distraught.

Our NHS workforce deserves better, and things cannot continue as they are. The Government is aware that urgent work is needed to attract and retain a sustainable workforce, yet there is no obvious plan. There is a disconnect between what the Government promises to do and what it actually delivers. Delivery is essential.

In the same item of business

The Deputy Presiding Officer (Annabelle Ewing) SNP
The next item of business is a debate on motion S6M-17869, in the name of Jackie Baillie, on addressing Scotland’s medical and nursing workforce crisis. I in...
Jackie Baillie (Dumbarton) (Lab) Lab
Our national health service is on its knees. There are thousands of vacancies for doctors and nurses, and yet we are turning them away as posts lie unfilled ...
The Cabinet Secretary for Health and Social Care (Neil Gray) SNP
Will the member take an intervention?
Jackie Baillie Lab
No—I think that you should listen. It costs £300,000 to train a single doctor to the point at which they can land a specialty training place, and we are als...
The Deputy Presiding Officer SNP
I call the cabinet secretary, Neil Gray, to speak to and move amendment S6M-17869.2. 15:00
The Cabinet Secretary for Health and Social Care (Neil Gray) SNP
In this chamber, I have always been candid about the challenges that our NHS faces, and today will be no different. Once again, I put on record my deep appr...
Sandesh Gulhane (Glasgow) (Con) Con
How many newly qualified paediatric nurses have found vacancies that enable them to take up a job?
Neil Gray SNP
I am aware that a limited number, on a geographical basis, have found that a struggle, but, as I have just said, a wide range of vacancies are available for ...
Brian Whittle (South Scotland) (Con) Con
Will the cabinet secretary give way?
Neil Gray SNP
Would I be able to get the time back, Presiding Officer?
The Deputy Presiding Officer SNP
There is very limited time.
Neil Gray SNP
I give way briefly.
Brian Whittle Con
I appreciate the cabinet secretary giving way, because I have a genuine question. When my daughter qualified as a midwife, there were 10 times as many applic...
Neil Gray SNP
I recognise that there are areas in our health service that are particularly attractive, such as paramedicine, midwifery and paediatric nursing. We want to e...
The Deputy Presiding Officer SNP
Cabinet secretary, I have been generous with your time, but you need to conclude.
Neil Gray SNP
A vast amount of work is under way, both from a workforce perspective and from a reform and renewal perspective. The population health framework and the heal...
Sandesh Gulhane (Glasgow) (Con) Con
I declare an interest as a practising NHS general practitioner and a former chair of the BMA GP trainees committee. In my experience in my GP surgery, I see...
Lorna Slater (Lothian) (Green) Green
Everyone in Scotland, including everyone in the chamber, recognises the challenges that our NHS is facing. Of course, we are fortunate to still have a fully ...
Pam Duncan-Glancy (Glasgow) (Lab) Lab
Will the member acknowledge that hundreds of her constituents are going private because they cannot get appointments on the NHS in Scotland?
Lorna Slater Green
I do not disagree that there is a crisis in NHS Scotland. I will come to that, but the member will also acknowledge that many of the problems that we face in...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
I am pleased to speak in the debate, although I am tired of saying that there is an NHS workforce crisis, as we do so repeatedly. It is a crisis, and that fa...
Neil Gray SNP
Will Alex Cole-Hamilton take an intervention?
Alex Cole-Hamilton LD
I am afraid that I must make progress. The NHS does not need more pilot schemes. It needs action and genuine change. It needs conversations—difficult conver...
The Deputy Presiding Officer (Liam McArthur) LD
We move to the open debate. 15:20
Carol Mochan (South Scotland) (Lab) Lab
I am pleased to speak on an issue that concerns the very backbone of our NHS: its workforce. I begin by echoing other members’ points about the value of our ...
Neil Gray SNP
Will the member give way?
The Deputy Presiding Officer LD
The member is concluding her speech.
Carol Mochan Lab
I am closing—I apologise. I hope that members will support Labour’s motion, which recognises the on-going workforce crisis and calls on the Government to un...
Christine Grahame (Midlothian South, Tweeddale and Lauderdale) (SNP) SNP
First, I do not accept that the NHS in Scotland is in crisis. It avoided being in crisis even at the height of the Covid pandemic, which was due, in the main...
Monica Lennon (Central Scotland) (Lab) Lab
In securing the debate, Scottish Labour is confronting the crisis that is gripping the NHS in Scotland. That crisis is not simply measured in statistics; it ...