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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 29 August 2025
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Displaying 1144 contributions

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Net Zero, Energy and Transport Committee

Land Reform (Scotland) Bill: Stage 1

Meeting date: 4 February 2025

Rhoda Grant

If I may, I have a tiny question for Rob Carlow about a public interest test. If an investor invested with you to offset polluting behaviour elsewhere—investing in forestry to make themselves look less polluting—would that be in the public interest? Would that pass a public interest test? Do you collect that information from investors?

Net Zero, Energy and Transport Committee

Land Reform (Scotland) Bill: Stage 1

Meeting date: 4 February 2025

Rhoda Grant

First, I will address a couple of questions to Sandra Holmes. You talked about the community right to buy. How could we make that easier? Are there simple things that we could introduce to the bill that would make it easier for communities to buy?

Rural Affairs and Islands Committee

Deer Working Group Report

Meeting date: 29 January 2025

Rhoda Grant

We have touched on the venison sector during today’s discussion, which is not surprising. People have talked about the costs of deer management and about importing venison, and it seems to me that we are missing a trick. We could use the venison—it is incredibly wasteful not to use it. How can we make sure that the venison is used and gets on to the market in a way that offsets some of the costs without wasting it? It is obscene that a good, healthy source of protein is being left to rot on a hill.

Rural Affairs and Islands Committee

Deer Working Group Report

Meeting date: 29 January 2025

Rhoda Grant

I am an MSP for the Highlands and Islands region.

Rural Affairs and Islands Committee

Deer Working Group Report

Meeting date: 29 January 2025

Rhoda Grant

What do we need to do?

Rural Affairs and Islands Committee

Deer Working Group Report

Meeting date: 29 January 2025

Rhoda Grant

I was not going to sing. [Laughter.]

Meeting of the Parliament

Health and Social Care Workforce

Meeting date: 29 January 2025

Rhoda Grant

This Government continues to design and deliver services with urban areas in mind. The way in which training is delivered does not work for those who live in rural Scotland. It forces them from their communities to access training, which means that we are ignoring a potential workforce, and we know that those who leave to access training very seldom return.

In the Highlands and Islands, we have high levels of consultant vacancies—per 100,000 people, NHS Western Isles has 41 vacancies, NHS Shetland has 37 and NHS Highland has 30—and that mismanagement leads to eye-watering locum costs.

It is difficult to attract staff to rural areas because the training does not equip trainees with the skills that they need for rural practice. Training is based on superspecialism and working in teams that see a conveyor belt of patients, whereas people in rural practice need different skills, such as self-reliance and a breadth of knowledge. Depth of knowledge is valued more highly in pay and status, and breadth of knowledge is not recognised. That is true not only of consultants but in all other health careers. To be frank, I am not sure that that approach works for anyone, because diagnosis can take much longer under the system that we are pursuing.

Superspecialism also leads to centralisation, because a specialist needs a huge cohort of patients with very specific conditions in order to keep their skills honed. Patients need to travel, which comes at a huge personal and financial cost.

Social care is also suffering from staff shortages. Between March 2022 and April 2024, five independent sector care homes closed in Highland. During that period, the public sector acquired a care home that was in administration in order to prevent its closure and a further loss of bed provision. That meant that, at the end of April 2022, in-house and external social care services in Highland were able to provide 14,497 hours of care between them each week. By the end of February 2024, that had reduced to 13,423 hours, which represents a decrease of 1,074 hours in just two years even though demand has actually increased. That is placing pressure on hard-working staff, who are leaving for better-paid jobs that lead to less burn-out.

At the same time, people who experience delayed discharge in NHS Highland are delayed by an average of 88 days. One patient experienced a delay of four years and 147 days. Such cases are heartbreaking for the people who are involved. What hope is there for frailty teams where there is no alternative to hospital?

When it comes to attracting staff, there are complex issues to consider, such as housing, facilities and services. I have spoken to those in the chamber again and again—and, sadly, I will no doubt return to them—but I will not go into them today.

Previous solutions have had very little impact. What has been the impact of the national centre for remote and rural health and care? What are the outcomes? What has it done? I also note that ScotGEM has provided only two GPs since 2016. I feel that those projects are diversions to take attention away from failures and that they do nothing. We know that urban healthcare is in crisis, but rural healthcare is always lagging behind. We need both of them to improve and we need a degree of equality in service provision throughout Scotland.

16:27  

Net Zero, Energy and Transport Committee

Land Reform (Scotland) Bill: Stage 1

Meeting date: 28 January 2025

Rhoda Grant

Could it be done through local authorities that already have those powers?

Net Zero, Energy and Transport Committee

Land Reform (Scotland) Bill: Stage 1

Meeting date: 28 January 2025

Rhoda Grant

Yes.

Net Zero, Energy and Transport Committee

Land Reform (Scotland) Bill: Stage 1

Meeting date: 28 January 2025

Rhoda Grant

But it was complex.