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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 15 May 2025
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Displaying 787 contributions

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Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Tess White

My follow-up question is about GP recruitment in rural areas. That seems to be a major issue, and rural healthcare is in crisis. Things are so bad that—we brought this issue up at committee last week—the community of Braemar is trying to headhunt its own GP, because the local practice has struggled to recruit a suitable candidate. Residents had to take action into their own hands and do their own recruitment.

In Aberdeenshire alone, five practices are now managed by the Aberdeen health and social care partnership and that figure is about to increase to six. The wheels are definitely off the bus in the north-east in terms of the provision of healthcare by rural GP practices.

I have two questions on that. First, why has not the Scottish National Party done more to address this crisis in primary care and GPs and to make rural Scotland more attractive to health professionals? Secondly, does the Scottish Government intend to look at the 2018 GP contract in the context of rural practices?

Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Tess White

But, cabinet secretary, do you think that it is acceptable that a local community has to take recruitment into its own hands to find a GP?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

I have three questions, the first of which is for Pamela Milliken. Aberdeenshire health and social care partnership covers remote and rural areas where the future of primary care is in jeopardy. Indeed, as we know, Braemar has faced such huge difficulties in recruiting a GP that, in December, the practice will have to hand back its contract and move to a 2C arrangement. There are already six general practices under such an arrangement in your area and Braemar will make it seven. Given that increase from six to seven, do you expect the number to increase again in the coming year?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

So it is an increase from five to six, then.

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

Sorry, but my question is whether that number will increase.

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

That sounded like a politician’s way of saying that it will not reopen. Thank you.

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

Okay, thank you. My third question is a final one for Pamela Milliken. The Insch war memorial hospital’s minor injury unit—minor injury units are very important, as we know—and in-patient ward closed in 2020 to allow nurses to be redeployed to other healthcare settings, and the hospital never reopened, despite the former First Minister committing to renewing or upgrading that community facility more than two years ago. What are the obstacles to reopening that facility? What is the timeframe for delivering on that commitment?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

My third question is for any member of the panel. It is clear that the incentives to attract GPs to rural and remote areas are not enough to fill GP vacancies. What assessment has the Scottish Government made of the financial incentives that are available, the difficulties for GP recruits in accessing housing, and projects such as “Rediscover the joy of general practice”, in contributing to the sustainability of primary care in remote and rural settings?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

So you do not expect the number to increase, and you hope that it will decrease. I will move on to my second question, because we have been asked by the convener to be quick.

You describe the issues that rural practices face because of bad weather, and the Braemar practice is a good example of that. You talked about high winds, flooding and heavy snow in the winter. When it comes to moving a GP practice to 2C status and the cost model of sourcing and supplying the practice with locums, that can work in-hours, but it cannot work out of hours, so you have rural practices that are cut off and isolated during the winter months. What are the cost implications of that, and what are the considerations of leaving those remote areas without any form of GP support?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Tess White

I have three questions, the first of which is for Caroline Lamb. You said that you always expect a high turnover of staff. As a fellow of the Chartered Institute of Personnel and Development, I know that, with regard to the percentage of voluntary staff turnover, there are what are called red-zone levels, and it looks as if the NHS is in the red zone, with staff turnover being too high.

Last month, it was reported that doctors in NHS Grampian had used whistleblowing procedures to raise very serious concerns about conditions and staffing levels, with one doctor saying that, tragically, that

“There have been avoidable deaths”

as a result of the situation. What action is the Scottish Government taking with NHS Grampian to address staff shortages urgently, especially as winter approaches?