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Chamber

Meeting of the Parliament 03 June 2026 [Draft]

03 Jun 2026 · S7 · Meeting of the Parliament
Item of business
National Health Service
McKee, Cara Green West Scotland Watch on SPTV

Thank you, Deputy Presiding Officer, and congratulations on being elected to your post.

As this is my first speech, I will start by thanking the people of West Scotland for electing me. I pledge to serve the people in this role, and I recognise the great privilege that I now have to speak in this chamber. I have come here from working in a village library, and it was the daily stories of people’s struggles in life that made me feel that I needed to do something to be the change that I wanted to see, so here I am.

In the motion for debate, it is acknowledged that the NHS cannot be improved without improving the state of social care. I am sure that, as well as NHS staff, Parliament would like to recognise and commend the social care staff across Scotland’s local authorities and the third sector.

Long ago in the 1990s, in Yorkshire, where I grew up, I worked as a care assistant. That was before minimum wage legislation came in, which happened in the same year as this Parliament was established. The pay was terrible, but back then I could stay at my mum’s. The hours worked well for me, and it was a very rewarding job. One day, I was chatting to the manager of the home that I worked in about the proposals that some politicians were making for a minimum wage. He said that he would love to pay a minimum wage, but he could not afford it. The minimum wage was introduced because paying staff a decent wage is not a luxury—it is basic respect. It enables staff to stay. We cannot all live at our mum’s.

Thirty years later, care workers’ pay is still too low. A lot more of our care workers now go to people’s homes, which enables people to stay in a familiar environment. That is great, but it takes time and requires more expertise than I needed to have as a care assistant in the 90s.

We must ensure that enough time is factored in for workers to travel between homes as well as care for people when they get there. That time is scarce due to understaffing as a result of the UK having to leave the European Union and because the work is badly paid. A lack of staff is making that work more stressful. Many care workers have told me that they cannot provide the care that folk deserve.

We must recognise how things are. It is not good enough just to say that we value those workers. We too often hear folk say that they do not do work that involves caring for others—work that is mainly done by women—for the money. I am afraid that being caring does not pay the bills.

There are people such as my old boss who say that they cannot afford fair pay for care workers, but we need to recognise that care workers do an extremely demanding job delivering excellent care, often in difficult circumstances. We need to ensure that those care workers are paid at least £15 per hour and that they have collective bargaining, secure contracts and better terms and conditions, and we need to ensure that nurses in social care get paid the same as nurses in the NHS.

All that is not just because it is the right way to treat people but because proper pay and respect for care workers will encourage new workers into the care sector, save the public purse money and improve our NHS by enabling people to move out of hospital beds.

Demand on social care services is only going to increase as our population ages. It is necessary that we work with local authorities, the NHS and the third sector to learn from other models of social care such as the Buurtzorg model, developed in the Netherlands, which gives more control and management to care staff and could potentially let us reduce costs without reducing the quality of care.

In order to give us the space to make necessary changes and free up hospital beds, the Scottish Government must provide an immediate funding boost to meet the most pressing needs, and that should include a boost to care workers’ pay. Most importantly, we have to recognise that good social care saves us money.

In the same item of business

The Deputy Presiding Officer (Clare Adamson) SNP
Good afternoon. Our first item of business is a debate on motion S7M-00228, in the name of Angela Constance, on investing, protecting and renewing Scotland’s...
The Cabinet Secretary for Health and Care (Angela Constance) SNP
I very much welcome the opportunity today to give my first speech in my new role as Cabinet Secretary for Health and Care. I commit to the Parliament that I ...
Andrew Baxter (Skye, Lochaber and Badenoch) (LD) LD
The cabinet secretary has spoken about working collaboratively and moving care closer to home. How does she intend to implement the recommendations of the Ri...
Angela Constance SNP
I very much appreciate Mr Baxter’s intervention. I have been advised that significant progress has been made, but I will want to test that, and I would welco...
Finlay Carson (Galloway and West Dumfries) (Con) Con
I join other members in thanking NHS staff, including maternity services across rural communities, particularly in Galloway, where they are under pressure. I...
Angela Constance SNP
I very much appreciate Finlay Carson’s contribution, and I assure him that what he touches on is an important issue for every minister—for me, Maree Todd and...
Graham Simpson (Central Scotland and Lothians West) (Reform) Reform
The cabinet secretary may not have the answer to this question yet, because she is new to the job, but when can we expect to see an NHS app with functionalit...
Angela Constance SNP
I will come to that very issue in a moment—there is some important progress for us to update the Parliament on. I hope that it will reassure Mr Simpson in re...
The Deputy Presiding Officer (Clare Adamson) SNP
I call Helen McDade to make their first speech.14:21
Helen McDade (Mid Scotland and Fife) (Reform) Reform
Thank you, Deputy Presiding Officer. I congratulate you on your new role, and I thank the cabinet secretary for her speech and congratulate her on her new ro...
The Deputy Presiding Officer (Clare Adamson) SNP
I call Jackie Baillie.14:32
Jackie Baillie (Dumbarton) (Lab) Lab
Thank you, Presiding Officer. Interruption. Oh! Did I make that noise with the microphone?I will start the debate on a consensual note. I very much welcome A...
Angela Constance SNP
Does Ms Baillie agree that reform is necessary and not optional? Does she also agree that it is right to implement innovation? People who have busy working l...
Jackie Baillie Lab
I absolutely agree that we need innovation and to be able to move forward, and that it is not a case of putting one thing against another. However, we have n...
The Cabinet Secretary for Justice (Neil Gray) SNP
Made a request to intervene.
Jackie Baillie Lab
Neil Gray is the past health secretary—he can sit down.
Neil Gray SNP
She knows what I am going to say.
Jackie Baillie Lab
Perhaps he should listen.A recent survey by the Royal College of Nursing found that seven in 10 nurses felt that staffing levels on their last shift were bel...
Maggie Chapman (North East Scotland) (Green) Green
I welcome the cabinet secretary and her ministers to their new roles.I begin by recognising the extraordinary dedication of our health and social care worker...
Miles Briggs (Edinburgh and Lothians East) (Con) Con
I welcome the cabinet secretary to her new role in government, and I look forward to working with her in that role. The cabinet secretary and I, as Lothian M...
The Deputy Presiding Officer (Clare Adamson) SNP
We come to the last of the opening speeches. I call David Green to make their first speech.14:56
David Green (Caithness, Sutherland and Ross) (LD) LD
Thank you, Deputy Presiding Officer. I congratulate you on your election, and all other members on theirs.Like many new MSPs, I will begin by putting on reco...
The Deputy Presiding Officer (Katy Clark) Lab
We move to the open debate. I call David Linden, who is making his first speech in the Parliament.15:02
David Linden (Glasgow Baillieston and Shettleston) (SNP) SNP
I pay tribute to the previous speaker, Mr Green, and associate myself with his words that referenced the spirit in which Jim Wallace both legislated and serv...
David Smith (West Scotland) (Reform) Reform
My speech today will be limited to social care due to the scale of what we are talking about. I start by thanking all the NHS staff, local authority staff an...
Jackie Baillie Lab
I would not be opposed to the legislation that David Smith has suggested, but there would be a quicker way: the Government could give staff sufficient resour...
David Smith Reform
I would, and I will come to that point.Thirty minutes is generally considered by a lot of campaigners to be a reasonable amount of time for a visit, and the ...
Heather Anderson (Dundee City West) (SNP) SNP
I welcome the opportunity to contribute to this debate on protecting and renewing our NHS. I congratulate Angela Constance on her appointment as the Cabinet ...
Paul McLennan (East Lothian Coast and Lammermuirs) (SNP) SNP
Scotland’s NHS is one of our greatest achievements. In East Lothian, the service looks after our families every single day. Whether through the outstanding c...
The Deputy Presiding Officer (Katy Clark) Lab
I call Joe Long to make a first speech.15:30