Chamber
Plenary, 14 Nov 2001
14 Nov 2001 · S1 · Plenary
Item of business
Mental Health Law
Presiding Officer, thank you for chopping off the last page of my speech.
I join the prevailing consensus in the chamber and welcome the Millan report and the Executive's response to it. I cannot bring the kind of experience that Margaret Jamieson brought as a psychiatric nurse when she made her speech, but I have a bit of family history. My mother chaired the local mental health committee in Cupar in Fife for between 15 and 18 years. My father was a general practitioner and a physician in the local psychiatric hospital. According to my father's express wishes, the very house in which I was brought up was sold to the health board in Fife and is now a psychiatric day unit. My best pal's father was the medical superintendent at the local psychiatric hospital, and by some strange coincidence, when I met my future wife at university, her father was a psychiatric nurse at Craig Dunain, as was her sister.
For my part, as a bored school student at the age of 17, I left school early to work in the local psychiatric hospital as a nurse in one of the last locked wards. We had in that ward schizophrenics; people suffering from manic depression, general paralysis of the insane from alcohol abuse, and tertiary syphilis with GPI; an accident victim who was unable to communicate with anyone; and Willie. I will protect his identity by describing him simply as Willie. I will come back to him in a minute.
My experience of that ward underpinned many of my attitudes to social issues subsequently. We had 32 beds. We were working 108 hours each fortnight, and we were paid £6 10/- a week, less stoppages. On one particular occasion, I remember working the double shifts that we worked on Saturday and Sunday—a full weekend—with just two nurses, one of whom was me with the barest of bare experience; the other had 18 months' experience. We were the medical ward in the psychiatric hospital, and that weekend we had three deaths. It was not an unusual occurrence.
The key point that struck me about being in a psychiatric hospital in the 1960s was the social isolation of the people in the ward. During the period of just under a year when I worked there, we had one single visit, from relatives of a patient who was seriously ill and expected to die. It is on that basis that I return to Willie. Willie was what in some ways we could only describe as our trusty. He went for our cigarettes. He helped us to clean the ward. He sometimes made our tea. He did not have a mental illness, nor a personality disorder. He certainly had a learning difficulty, and perhaps a learning disability.
The continued inclusion of learning disability in the proposed legislation causes me the most concern. I recognise the difficulty in taking that term out but, in her consideration of the proposed bill, I urge the minister to consider that issue. It is a social issue at least as much as a psychiatric issue.
Along with Robin Harper, I feel that the role of advocacy is of great importance, particularly in the area of learning disability. As Richard Simpson mentioned in his well-informed and thoughtful contribution, reciprocity is one of the jewels in the crown of the proposed legislation.
In conclusion, let us give the bill any name we like, but let us include the word "care" because that is what the bill is about.
I join the prevailing consensus in the chamber and welcome the Millan report and the Executive's response to it. I cannot bring the kind of experience that Margaret Jamieson brought as a psychiatric nurse when she made her speech, but I have a bit of family history. My mother chaired the local mental health committee in Cupar in Fife for between 15 and 18 years. My father was a general practitioner and a physician in the local psychiatric hospital. According to my father's express wishes, the very house in which I was brought up was sold to the health board in Fife and is now a psychiatric day unit. My best pal's father was the medical superintendent at the local psychiatric hospital, and by some strange coincidence, when I met my future wife at university, her father was a psychiatric nurse at Craig Dunain, as was her sister.
For my part, as a bored school student at the age of 17, I left school early to work in the local psychiatric hospital as a nurse in one of the last locked wards. We had in that ward schizophrenics; people suffering from manic depression, general paralysis of the insane from alcohol abuse, and tertiary syphilis with GPI; an accident victim who was unable to communicate with anyone; and Willie. I will protect his identity by describing him simply as Willie. I will come back to him in a minute.
My experience of that ward underpinned many of my attitudes to social issues subsequently. We had 32 beds. We were working 108 hours each fortnight, and we were paid £6 10/- a week, less stoppages. On one particular occasion, I remember working the double shifts that we worked on Saturday and Sunday—a full weekend—with just two nurses, one of whom was me with the barest of bare experience; the other had 18 months' experience. We were the medical ward in the psychiatric hospital, and that weekend we had three deaths. It was not an unusual occurrence.
The key point that struck me about being in a psychiatric hospital in the 1960s was the social isolation of the people in the ward. During the period of just under a year when I worked there, we had one single visit, from relatives of a patient who was seriously ill and expected to die. It is on that basis that I return to Willie. Willie was what in some ways we could only describe as our trusty. He went for our cigarettes. He helped us to clean the ward. He sometimes made our tea. He did not have a mental illness, nor a personality disorder. He certainly had a learning difficulty, and perhaps a learning disability.
The continued inclusion of learning disability in the proposed legislation causes me the most concern. I recognise the difficulty in taking that term out but, in her consideration of the proposed bill, I urge the minister to consider that issue. It is a social issue at least as much as a psychiatric issue.
Along with Robin Harper, I feel that the role of advocacy is of great importance, particularly in the area of learning disability. As Richard Simpson mentioned in his well-informed and thoughtful contribution, reciprocity is one of the jewels in the crown of the proposed legislation.
In conclusion, let us give the bill any name we like, but let us include the word "care" because that is what the bill is about.
In the same item of business
The Presiding Officer (Sir David Steel):
NPA
The next item of business is a debate on motion S1M-2438, in the name of Susan Deacon, on renewing mental health law, together with an amendment to that moti...
The Minister for Health and Community Care (Susan Deacon):
Lab
I am pleased to speak to the motion and proud to lead a debate on such an important issue.This afternoon we are debating the Executive's proposals for renewi...
The Presiding Officer:
NPA
Before I call Nicola Sturgeon to move her amendment, once again I ask those who wish to take part to press their request-to-speak buttons, because I have to ...
Nicola Sturgeon (Glasgow) (SNP):
SNP
I welcome today's debate. I have no doubt that there will be considerable consensus across the chamber about the Scottish Executive's proposals. I agree with...
The Presiding Officer:
NPA
Before I call the representatives of the other two parties, I advise members that the time limit on back-bench speeches will be five minutes.
Mary Scanlon (Highlands and Islands) (Con):
Con
As our business today started with a mention of the patron saint of mothers, on behalf of the Scottish Conservatives, I congratulate the Minister for Health ...
The Presiding Officer:
NPA
I do not think that it is an arrival as yet. Is it an arrival?
Mary Scanlon:
Con
Did you not know, Presiding Officer? I am not implying anything saintly about the minister, but I am delighted about the news of her new arrival.We are delig...
Mrs Margaret Smith (Edinburgh West) (LD):
LD
I congratulate the minister on her impending happy event and pay tribute to the lengths to which she is prepared to go to scrutinise Scotland's maternity ser...
Margaret Jamieson (Kilmarnock and Loudoun) (Lab):
Lab
Many members will be aware that, over many years in my previous employment, I gained much experience of mental health services in Scotland, particularly in t...
Mr Kenneth Gibson (Glasgow) (SNP):
SNP
I am pleased that the minister has now decided to join my campaign to reverse Scotland's declining birth rate. I wish her all the very best over the coming m...
Janis Hughes (Glasgow Rutherglen) (Lab):
Lab
I want first to echo the sentiments that the minister expressed in her speech and to add my support to the motion that is before us.One in four people in Sco...
Lord James Douglas-Hamilton (Lothians) (Con):
Con
I wish the Minister for Health and Community Care continuing good health.We can welcome the Executive's policy statement with commitment and enthusiasm, beca...
Mrs Margaret Ewing (Moray) (SNP):
SNP
I feel as though I am participating in a discussion rather than in a debate; I am pleased about the consensual approach that the Parliament is adopting on th...
Des McNulty (Clydebank and Milngavie) (Lab):
Lab
Like others, particularly Margaret Ewing, I very much welcome today's debate on what is an important subject. The Parliament's second bill on mental health w...
Robin Harper (Lothians) (Green):
Green
I add my congratulations to the minister on her impending good news. My business manager gave birth to a fine bouncing baby last month; I am sure that she wo...
Dr Richard Simpson (Ochil) (Lab):
Lab
I declare that I am still a fellow of the Royal College of Psychiatry and I am a member of SAMH.The Millan report is a patient, thorough and comprehensive re...
The Deputy Presiding Officer (Mr George Reid):
SNP
From now, speeches are down to four minutes.
Stewart Stevenson (Banff and Buchan) (SNP):
SNP
Presiding Officer, thank you for chopping off the last page of my speech.I join the prevailing consensus in the chamber and welcome the Millan report and the...
Mr David Davidson (North-East Scotland) (Con):
Con
Members will be well aware of this week's coverage of my daughter Suzy's current problems with an eating disorder. I therefore intend to talk principally abo...
Brian Adam (North-East Scotland) (SNP):
SNP
I will address two matters, one of which is advocacy, to which others have referred. Individual advocacy has been discussed, and I do not doubt that the mini...
Mr John McAllion (Dundee East) (Lab):
Lab
In the spirit of consensus that is prevailing today, I will begin by welcoming all the speeches that have been made during the debate. In particular, I want ...
George Lyon (Argyll and Bute) (LD):
LD
I, too, congratulate the minister on the announcement of her pregnancy—there has certainly been consensus on that today. There has been consensus throughout ...
Ben Wallace (North-East Scotland) (Con):
Con
The Scottish Conservatives welcome the opportunity to debate the proposals for new legislation on mental health. Mary Scanlon underlined our commitment to th...
Shona Robison (North-East Scotland) (SNP):
SNP
The debate has been productive and worth while. There has been much agreement and we are extremely pleased that the SNP's amendment has been accepted. Long m...
The Deputy Minister for Health and Community Care (Malcolm Chisholm):
Lab
The debate has been excellent and, as Margaret Ewing put it, a shining example of what the Parliament is about.There have been continual references to the wi...