Meeting of the Parliament 06 January 2016
I was a member of the Equal Opportunities Committee when it undertook its inquiry into age and social isolation. I thought at the time that our work could point the way to new models of local service delivery and a new awareness of the true cost to society in health, social and economic terms when people feel isolated and lonely.
Loneliness takes no account of age and is not unique to older persons. It is prevalent among people of all ages in society, with a particular focus on the young and the old. Misconceptions about social isolation are only part of the picture, and we must continue to examine not only the reasons behind its causes but the practical solutions to tackle it where it occurs.
I am proud of the Scottish Parliament and the work that it has undertaken to pay specific attention to age and social isolation, I welcome the comments by Derek Young of Age Scotland, who stated:
“We have not been able to find another inquiry at any other parliamentary institution anywhere in the world that has specifically considered isolation and loneliness.”—[Official Report, Equal Opportunities Committee, 26 March 2015; c 17.]
Although we live in a world that is increasingly interconnected, isolation and loneliness still exist, and it is important that work is undertaken to examine why that is the case and what we as a Parliament can do to address the issue. I thank the numerous charities, local authorities, health boards, health and social care partnerships and individuals who have been working tirelessly on the campaign. It is through their dedication and hard work that we are discussing the issue today in Parliament. I welcome the recommendations in the committee’s report, and I hope that we can collectively agree to work together to ensure that tackling isolation and loneliness is given the attention and political will that is required.
Social isolation is unique to the individual who is experiencing it. It is a complex issue, with many subjective elements. Many people perceive social isolation as pertaining to life in remote communities. Although that is sometimes the case, many people experience social isolation in some of our biggest cities or in the same house as members of their family.
A young person said in evidence to the committee that they often felt isolated in their bedroom when everyone else was in the house, but that experience was unique to them in their situation. Amazing work is undertaken by various organisations throughout the country, but we need a national strategy to integrate the issue with all policy considerations in order to both understand and tackle the concerns across Scotland.
To achieve that aim, we must work with local communities and existing local networks and build from there. We need to understand the individual, and often different, concerns affecting communities where people are experiencing social isolation. From examining that information, we can begin to build a model that will tackle the issues and ensure that those concerns are taken into account at all stages of further policy development.
At this stage, I should highlight the impact that the cuts to council budgets across the country will have on social isolation. The small and often community-based support services that are often funded by councils should be a paramount concern. Many older people rely on those services, and it is often the case that the return on the investment that is required to provide them is more than matched by the reduction in the impact on other services. It is not always easy to conduct that kind of cross-sector cost benefit analysis, but government at all levels must get better at that if we are—in the spirit of the Christie report, to echo the minister’s comments—to deliver services that deliver the maximum outcomes.
Many voluntary organisations are trying their best to continue through this difficult period. I was privileged to have some contact with one of the organisations that gave evidence to the committee last year when I opened an art exhibition staged by the Impact Arts craft cafe. The craft cafe is a creative workshop programme, with support from an artist in residence, for residents of sheltered housing. I met some of those people when I opened the exhibition and found out about the work that Impact Arts undertakes. The craft cafe is a place where they can learn new skills, renew social networks and reconnect with their communities. That is the kind of work that challenges the stigma of loneliness and highlights the importance of social contact for everyone, no matter what age they are.
I agree with the committee’s recommendation that the issues of social isolation and loneliness should be built into the plans and strategies of health and social care partnerships across Scotland. We must understand that health concerns change over time, and isolation is increasingly becoming an established health concern for the people of Scotland. We must tackle it, as we would any other health or social concern that impacts daily on the lives of citizens.
Understanding the root causes of social isolation and loneliness is a difficult process due to the subjectivity of the problem. However, some things come up consistently when we discuss the issue, one of which is access to appropriate and affordable transport. That comes up time and again in both urban and rural settings and for people of all ages.
When I used to work as a policy officer in the accessible transport team in Fife, I spent a lot of time talking to people who used public transport and people who did not, to try to find ways of improving our services. Too often, older people would tell me that they did not have a transport problem, saying, “It’s okay, hen, I never go out.” When I asked them where they would go if they could, I soon got a different answer. They mentioned all the things that people with good access to transport and good mobility take for granted—shopping, social visiting, leisure, health and work.
The lack of access to appropriate transport is one of the factors that contribute to social isolation and it requires co-ordinated partnership effort and action by providers of transport services, local government and the voluntary sector. Such partnership working will underpin any progress that we make on addressing social isolation. It is the connections between services that make the difference, and that is most effectively managed and encouraged at a local level. I look forward to seeing the committee’s report having an influence on this on-going area of work.
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