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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 23 June 2025
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Displaying 1165 contributions

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Health, Social Care and Sport Committee

NHS Scotland (Performance and Recovery)

Meeting date: 27 June 2023

Paul Sweeney

[Inaudible.]—your 20 per cent increase. One of the other commitments is for the mental health share of health spend, which is currently around 8.8 per cent, to rise to 10 per cent. We are kind of stuck on 8.8 per cent at present because, effectively, we have just had a restoration of the cut due to the emergency budget review. What is the push ahead to that 10 per cent target? Will we get there? What is your view on how achievable that target is?

Health, Social Care and Sport Committee

NHS Scotland (Performance and Recovery)

Meeting date: 27 June 2023

Paul Sweeney

Are the boards moving quickly enough on those proposals to achieve cost avoidance? If you are going to expend on those capital programmes, will you avoid revenue expenditure? Are you pressing boards on the need to bring proposals forward more quickly?

Health, Social Care and Sport Committee

NHS Scotland (Performance and Recovery)

Meeting date: 27 June 2023

Paul Sweeney

I want to pick up on some of the maintenance backlog issues that we heard about from the chief executives. For example, NHS Greater Glasgow and Clyde cited backlogs at the Inverclyde royal and Royal Alexandra hospitals of £100 million and £80 million respectively. I understand that most boards will allocate their resource based on which outstanding issues for repair pose the highest risk to patient safety. However, is it sustainable for boards to take that more reactive approach to addressing such matters by doing so only once they become a serious patient safety issue instead of their having a much more robust, preventative maintenance programme? What does best practice look like, and how can we help health boards move to a more preventative approach instead of their simply reacting to issues that could cause deaths?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

In the light of the reported difficulties in people accessing dentistry services and increasing numbers of NHS dentists removing themselves from NHS provision, have you noticed a structural change in access to dentistry since the pandemic? Would you consider further expansion of the urgent care pathway to help to meet the increase in the number of dental-related inquiries?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

Thank you.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

I thank Mr Miller for coming today. Information that was obtained by a freedom of information request shows that, in recent years, there has been an extreme increase in the number of dental calls to NHS 24. In 2018-19, there were 25,509 calls but, in 2022-23, there were 67,189 calls. Your submission explains that a new urgent care model that seeks to minimise onward referral is in place

“for all but dental and some pharmacy calls”.

How has NHS 24 adapted to manage that increase in demand with regard to calls about dental complaints?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

Data has shown that the number of mental health related calls to NHS 24 increased from 20,434 in 2019 to 139,008 in 2022, which by my calculation is a 580 per cent increase, which is an extraordinary number. Has that overwhelmed you? It seems an incredible figure that is not necessarily proportionate to the extra resources that you have been able to put into the service. How have you been able to adapt to that significant increase in demand?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

From what you are saying, that certainly sounds like a promising process improvement, and I hope that it will yield significant results. You mentioned that one of the key sticking points is the interface with emergency departments at acute hospitals. Last week, we heard about a pilot that is being trialled in some health boards to ease demand on emergency departments, whereby ambulance crews phone ahead to speak to an emergency medicine consultant, who decides whether it is best for the patient to be presented to the A and E department or to a different facility. Do you have an insight on the system that is being trialled? Could it be scaled up to ease demand on emergency departments on a national scale?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

It seems to be clear that the dental and mental health areas are significant parts of the overall healthcare system that are under serious pressure. How sustainable is it for NHS 24 to be the first point of contact, and how effective can it be to refer on when there is not the capacity in the other services to which you are signposting? Do you feel that that approach is sustainable as part of the overall model?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Paul Sweeney

My final question is about the interface between Police Scotland and NHS 24. We know that there has been an increase in the number of call-outs for the police to attend mental health-related incidents in the community. Do you refer people to the police? Are people contacting NHS 24 instead of the police? Is that a more appropriate presentation? Can you provide any analysis of that?