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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 4 May 2021
  6. Current session: 13 May 2021 to 11 November 2025
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Displaying 1445 contributions

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Meeting of the Parliament

Alternative Pathways to Primary Care

Meeting date: 10 November 2022

Tess White

I did not know that that was in the committee report. Thank you.

Meeting of the Parliament

Alternative Pathways to Primary Care

Meeting date: 10 November 2022

Tess White

The relevance of Westminster. The United Kingdom Government has no bearing on the committee report. Thank you.

Meeting of the Parliament

Alternative Pathways to Primary Care

Meeting date: 10 November 2022

Tess White

I am pleased to close the debate on behalf of the Scottish Conservatives. We all agree on the importance of the work that the committee has done.

The undeniable reality is that our NHS is severely overstretched, and that is especially the case in primary care. Despite the best efforts of GPs and front-line staff in surgeries across Scotland, primary care is struggling to keep pace with demand and increasingly complex patient needs. Stephanie Callaghan quite rightly talked about the value of the personal stories that the committee heard. Evelyn Tweed said that there is no doubt that primary care is under pressure. That is a massive understatement. The deputy chair of the BMA’s Scottish GP committee put it bluntly, as she rightly should. She said:

“This is a particularly terrible time for general practice.”

There is a wider issue, which is that the whole system is overwhelmed, from GP practices to A and E. We are seeing record waiting times month after month, and things are getting worse, not better. The NHS is on its knees.

Earlier, the committee’s convener highlighted workforce and capacity issues, poor signposting, digital exclusion, limited public awareness of the changes and the fact that people feel that they have been fobbed off. There simply is not the necessary capacity in place, yet public messaging from Humza Yousaf and health boards such as NHS Grampian in my region is directing patients away from emergency departments to non-critical care. As the Royal College of General Practitioners says, that approach means that

“pressure is not relieved, only reallocated.”

The question is how we navigate through this crisis so that patients receive the timely, targeted and high-quality care that they need and so that primary healthcare professionals do not experience burnout. It is here that the Health, Social Care and Sport Committee’s work on alternative pathways to primary care makes an important contribution.

As we have heard during today’s debate, the Scottish Conservatives believe that alternative pathways to primary care provide a vital way to alleviate the burden on overstretched GPs and other healthcare professionals. My colleague Craig Hoy warned again of a rise in unexplained pharmacy closures due to the Scottish pharmacy contract—I stress that pharmacies are a key alternative pathway to primary care. In the first five months of this year alone, staff shortages caused pharmacies to close almost 1,800 times.

Meeting of the Parliament

Alternative Pathways to Primary Care

Meeting date: 10 November 2022

Tess White

On a point of order, Presiding Officer.

Meeting of the Parliament

Alternative Pathways to Primary Care

Meeting date: 10 November 2022

Tess White

I am just questioning the relevance.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

Tess White

What you said on co-design—

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

Tess White

One of the questions that remains unanswered comes from Reform Scotland, which feels that there has been inadequate

“explanation about why simply removing local government from social care will lead to an improvement in delivery.”

It also pointed out that

“The loss of local understanding and accountability, especially in more rural areas, were highlighted as risks of the proposals during the consultation”.

Will you comment on that?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

Tess White

I have one question for Alison White. I noticed that you said that co-design should come before the legislation, not after it. My question relates to what you said about your concern that further integration could make adult social care a delayed-discharges service. Could you go into more detail as to how that might happen?

10:00  

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

Tess White

Dr Williams, the NCS risks taking power away from local decision makers. What impact do you expect that to have?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 8 November 2022

Tess White

The convener of the Finance and Public Administration Committee, Kenneth Gibson, said that, with the bill, it seems that the Government is

“using a sledgehammer to crack a nut.”—[Official Report, Finance and Public Administration Committee, 25 October 2022; c 24.]

Will you comment on that, please?