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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 December 2025
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Displaying 946 contributions

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Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

Neil Gray has said that long waits for routine operations for people in rural areas are unacceptable. In my area, which is largely rural, there are waits of up to five years for hip and knee replacements and waits of just under two years for cataract operations. Given that you have the data, you will know that those long waits largely affect people with an ageing profile. We are talking about huge waits, so if we are collecting data by age, do you agree that, in relation to the public sector equality duty, as a country, we are failing elderly people in rural areas?

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

My next question—

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

—[Inaudible.]—extremely valuable.

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

That’s fine, convener. I was making a comment before asking a question. The SHRC’s spotlight report on the Highlands and Islands was particularly valuable to the committee. It is a shame that it could not look more widely across other rural areas.

My first question, minister, picks up on Anna Densham’s point about the importance of data. In particular, there is a perception, which the data supports, of an idea of the slow creep of centralisation.

You say that there are multiple areas, so where should you start? You start with the data. The public sector equality duties fall under your remit. Age and the increasing age profile of the population is a huge issue in rural areas. My question to you, minister, and to Anna Densham is whether you collect data on the nine protected characteristics, particularly age.

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

I ask Anna Densham to address the specific question. I understand from your answer, minister, that you do not collect Scotland-wide data on the nine protected characteristics and that you leave that to the individual areas. Is that correct? There is no recording and data collection against the nine protected characteristics, particularly age.

Seriously—it is either yes or no. As a committee, it helps us to know that there is a data gap. When we look at public sector equality duties, we will know that we need to look at age because, as the spotlight report indicates, that is a huge issue in rural areas. The answer is yes and no: yes, it is important, but, no, you do not collect the nine protected characteristics—age being number 1—across Scotland.

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

Good morning, minister. It is good to hear that your meeting with the cabinet secretary for health went well and that you discussed a number of cross-cutting themes. Which cross-cutting themes did you discuss? Is there anything that you would like to share with the committee?

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

On waiting lists, Councillor Geva Blackett has said that, under the Equality Act 2010, it is unlawful to discriminate because of certain characteristics when you are being provided with a public service, such as health or social care. She said that the very first of those protected characteristics is age and the fifth is pregnancy and maternity, yet health and social care is not equitably accessible to those living in remote and rural areas.

Were you able to drill down with the cabinet sectary on those two protected characteristics of age and pregnancy and maternity in relation to the Equality Act 2010, or was your discussion just a wide-ranging one on general treatment waiting times?

10:15  

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

Just in rural areas.

Another issue is the definition of “rural”. Aberdeenshire, which is a largely rural area, is not funded as a rural area. There are huge issues with general practices in Portsoy, Fyvie and Inverurie; those practices are struggling. The British Medical Association has cited huge issues with the 2018 GP contract, which favours GPs in cities and lets down those in rural areas. In relation to the contract, which was not voted on by GPs in rural areas, the BMA has said that the Scottish Government

“has been unable to deliver on their promise to the profession and the public because of waning political support as shown by reduced and withdrawn investment, broken agreements, inadequate workforce planning, and an inability to implement an ambitious contract that relies on primary care service delivery transformation.”

The nub of the problem is that the 2018 contract fails GPs in rural areas, so general practices in those areas are closing or threatening to close. Last week, Maree Todd and I were at an event with the Royal College of General Practitioners, which talked about the huge crisis that we face. However, there is no appetite to revisit the 2018 GP contract. That is a massive issue in rural areas, so have you and Neil Gray discussed it?

11:00  

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

Thank you.

Equalities, Human Rights and Civil Justice Committee [Draft]

Human Rights, Equalities and Access to Services (Rural Areas)

Meeting date: 25 November 2025

Tess White

It does, but you have talked only about the islands, whereas I am referring to the bulk of rural areas, in Aberdeenshire and the Highlands. The programme is not working because general practices in rural areas are struggling as a result of the 2018 contract. I will leave you to follow up that issue with the cabinet secretary—thank you for taking that on.