Committee
Citizen Participation and Public Petitions Committee 21 December 2022
21 Dec 2022 · S6 · Citizen Participation and Public Petitions Committee
Item of business
Continued Petition
Mental Health Services (PE1871)
Thank you, convener. I am grateful to have the opportunity to be here in support of Karen McKeown, the petitioner. As everyone knows, Karen’s partner, Luke Henderson, died by suicide in December 2017, so this is a difficult time for her, her children and the wider family. We meet at a time that can be difficult for many of our constituents. Many of us welcomed the opportunity to take part in a debate in Parliament on male suicide. That debate will now have to wait until the new year but the issues are of concern to all of us. I am grateful to the committee because the session with the cabinet secretary and his officials has been great in the sense that he is not trying to put any spin on the matter. I know that he is sincere about the challenges. It was reassuring that, at the beginning, he said that, although there might be a different outlook about the process for getting there, he, the Government and Karen McKeown want the same thing. To be frank, one suicide is one too many. We can examine the numbers and data, which is important—targets have a role to play because we have to monitor progress—but we are all here because we want to save lives. Committee members have asked pertinent questions, including about the wider impact on families and communities. I have been scribbling some notes. We are rightly focused on what happens within the NHS—primary care, access to general practitioners, NHS 24, mental health harms and so on—but there is a wider piece of work to do. Therefore, it is good that the committee has kept the petition open. I have made notes about employers and education because we all have to become more literate about mental health. To be frank, I struggle to signpost constituents to the right place as a regional MSP working across two different health boards and three different local authorities. Pilot schemes are welcome, but it can be difficult to know what the pathway is. All the MSPs sitting in this committee room might have different systems and procedures to which to point people. Karen’s partner Luke had a history of mental illness. She has highlighted the point that she and Luke knew how to ask for help, so they did the right things. They reached out many times and still could not get the help that they needed. I welcome the work that is in the pipeline for next year and do not doubt the good intentions of the cabinet secretary and the Government but we have serious problems with resourcing and workforce, of which the committee is well aware. I want to pay tribute to the workforce because what I am seeing increasingly is a workforce that is struggling, and that is having an impact on their mental health and wellbeing. We have to be honest about that. 12:15 The cabinet secretary is absolutely right and it is good to hear that he can take a wider view because of his background in justice and so on. Karen McKeown and I met the former Minister for Mental Health, Sport and Wellbeing after I raised this tragic case with the First Minister a number of years ago, and we talked about some of the issues that Paul Sweeney has gone into today, such as drug disorders and alcohol. We have not talked about alcohol but it is a big issue. Clare Haughey, who was the minister at the time and had been a mental health professional, told us that the strand of work was for her public health colleague and she was the mental health minister. We must get away from that siloed thinking, and we are seeing some progress on that. The petition is so important because the constructive challenge needs to continue, and I am sure that the cabinet secretary would welcome that. We do not yet have answers about resourcing and how we are going to deliver on the good intentions. That is what Karen McKeown talks about in the petition. Without going into detail about individual constituents and others in different parts of Scotland, I know people who, this week, phoned their general practitioner to try to get an appointment to discuss their mental health and the fact that they are struggling dozens of times, even over a hundred times, in two days. Colleagues have previously raised that issue with the cabinet secretary in the chamber and it is the reality. How do we close the gap between what we want people to think is on offer for them to have hope and know that they are not alone and the reality of the waiting times that some people experience? I have lots of statistics here about people in Lanarkshire, for example, who are waiting for several months, if not years, for psychological therapy. We need to go into granular detail about how we are going to do that. Again, like everyone else, I pay tribute to Karen McKeown. I know that she is listening today because I am looking at my phone and I see that she has been messaging me. This is a difficult time for families with lived experience, but I hope that they know that we, as a Parliament, are taking the issue seriously.
In the same item of business
The Convener
Con
Good morning and welcome back to the final meeting of the Citizen Participation and Public Petitions Committee in 2022. We considered new petitions prior to...
The Cabinet Secretary for Health and Social Care (Humza Yousaf)
SNP
I will make a brief statement, if I may, convener.
The Convener
Con
Please do.
Humza Yousaf
SNP
I will not take up too much time in my opening remarks. I am keen to hear from members and to allow as much time as possible to take questions. However, fir...
The Convener
Con
Thank you very much, cabinet secretary, and thank you for your sympathy for, and the comments that you have expressed to, the petitioner. The petition was di...
Humza Yousaf
SNP
I will perhaps hand that question over to clinical colleagues and others. We have certainly had that discussion. It is very difficult to say and, given that ...
Dr Alastair Cook (Scottish Government)
We have an academic group that supports the work of the national suicide prevention leadership group. Initially, there was a little bit of surprise from the ...
Humza Yousaf
SNP
One of the other theories—Alastair Cook is right to describe them as theories at this stage—was that in the early days of the pandemic and throughout the rea...
The Convener
Con
Certainly, the initial questioning in Parliament included issues such as domestic abuse and suicide. People were concerned that the prolonged lockdown might ...
Paul Sweeney
Lab
I note the comments that have been made so far about trying to understand the reasoning and the causal factors behind the figures. Nonetheless, “Scotland’s S...
Humza Yousaf
SNP
You are right to suggest that we need to wait for the figures, and I do not disagree with your assumptions around the issue. We will always set ambitious tar...
Paul Sweeney
Lab
I accept that not everything to preserve life in all circumstances is within the gift of the Government. That is obvious, but the Government can, nonetheless...
Humza Yousaf
SNP
That is a really good question. There are a few areas to mention. As you will see from the most recent strategy, which was, as I said, co-designed with COSLA...
Hugh McAloon (Scottish Government)
The thinking on targets in that area has moved on since the previous strategy: you will see that there is not a specific target. There are a few reasons for ...
Dr Cook
One of the areas in which we are making real progress is the response to suicidal ideas and people coming in when they are in crisis. The work on that is hea...
Paul Sweeney
Lab
It is quite promising if there are signs that the crisis element can be practically addressed in a holistic way. From experience of dealing with veterans, fo...
Hugh McAloon
Some of that aligns with the general direction of our mental health policy. There will always be people who experience mental illness; they deserve a high-qu...
Paul Sweeney
Lab
Convener, may I ask a brief supplementary question?
The Convener
Con
You may, Mr Sweeney.
Paul Sweeney
Lab
How do the strategies interact with the national mission on drugs? From personal experience, I have discovered that a suicide completion might not be intenti...
Humza Yousaf
SNP
Absolutely. Angela Constance and I meet and talk regularly about this. I should have said from the outset that I am grateful to Paul Sweeney for speaking ab...
David Torrance
SNP
Good morning, cabinet secretary. In evidence to the committee, the petitioner stressed that measuring and evaluating the performance of plans and strategies ...
Humza Yousaf
SNP
I will address the general issue and come back to the specific question. It has been my view since I came into post that, although we have a suite of qualit...
Hugh McAloon
I do not have a specific date, but we can come back to you with more specific information. As we develop and roll out the delivery plan alongside the strateg...
David Torrance
SNP
The final report of the Scottish Mental Health Law Review was published in September 2022 and made more than 200 recommendations. Can the cabinet secretary p...
Hugh McAloon
As you are aware, it is a wide-ranging, extensive and very detailed report that runs to about 1,000 pages. We are starting work with a range of stakeholders ...
Alexander Stewart
Con
I will touch on the issue of access. The Scottish Government set the standard of 90 per cent of individuals being referred within 18 weeks. That is not being...
Humza Yousaf
SNP
Obviously, we have publicly said that we are attempting to reach that target by March 2023, which will be challenging—it is an ambitious target, to go back t...
Alexander Stewart
Con
You have touched on population issues. We know that NHS boards with larger populations have mental health assessment units that are available 24/7. That is r...
Humza Yousaf
SNP
Alexander Stewart understands that urban areas and large population centres have their own challenges. Urban areas often have areas of higher deprivation in ...