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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 28 June 2025
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Displaying 2149 contributions

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Meeting of the Parliament (Hybrid)

United Kingdom Internal Market

Meeting date: 2 March 2022

Emma Harper

Will Willie Rennie give way?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 1 March 2022

Emma Harper

Good morning, cabinet secretary. I have a quick question on the 26-month retention period. Our convener rightly mentioned that that is to do with not contacting survivors on an anniversary that is associated with a reported assault. That is part of it, but there was also a consensus on the 26-month period in the feedback from the consultation. Everybody agreed about that, which is why we have got to this point today.

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Emma Harper

Public Health Scotland has a number of documents to support healthcare professionals to deliver alcohol brief interventions. They are also available on NHS Education for Scotland’s Turas e-learning platform. Are we tracking the uptake of those by healthcare professionals—whether they are nurses, doctors or other professionals—especially those who work in primary care and accident and emergency? Are ABIs a good thing that is working?

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Emma Harper

Good morning. Dr Gulhane has covered some of what I was going to ask about, but I am interested in the health inequalities where we have made the best progress, and those where we maybe have not.

Elinor Jayne said that if we affect affordability, that will directly relate to consumption, and if we reduce consumption, that will reduce harm. I am interested in what we should do to continue implementing the best progress and where we need to change tack, especially when it comes to pandemic work.

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Emma Harper

We might not get the answer to my question today. I am aware that there are different models of ADPs. Some have independent chairs who work only three days a month, whereas some have full-time employees, lots of co-ordinators and administration support. I am interested in whether we are looking at examples of best practice in ADPs that have good outcomes, so that such practice can be reflected in other areas.

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Emma Harper

The alcohol industry is a big part of Scotland’s economy. How do we support that business in Scotland while supporting the industry to take responsibility for the issue and helping it to do what it can to support alcohol-harm reduction?

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Emma Harper

I have a quick question on the families and women issue. I know that the Scottish Government has a framework that has been created for families who are affected by drug and alcohol use in Scotland. That is a framework for a whole-family, holistic approach that is inclusive for families. Women might need to be supported because they might have families to support and they might be carers for family members. I would be interested to hear your thoughts on that framework, which has been implemented, and on progress on its delivery.

Meeting of the Parliament (Hybrid)

Eating Disorders Awareness Week 2022

Meeting date: 1 March 2022

Emma Harper

I thank Oliver Mundell for mentioning the cross-party group on mental health which, as he said, we co-convene, as I forgot to mention it.

Meeting of the Parliament (Hybrid)

Eating Disorders Awareness Week 2022

Meeting date: 1 March 2022

Emma Harper

I welcome the opportunity to lead the debate on eating disorders awareness week 2022, which takes place from 28 February to 6 March. I thank colleagues on all sides of the chamber who have supported my motion, allowing the debate to go ahead.

For many years, this debate was brought to the chamber by the former MSP Dennis Robertson, who lost his daughter Caroline to anorexia nervosa in 2011. In speaking about his members’ business debate in February 2012, he said:

“I want people to be aware of the symptoms and get help as soon as they can. I’m trying to ensure GPs and other medics become more aware of the dangers.”

I agree with Dennis, and I know that the Scottish Government has taken action in that regard—I will expand on that in a wee bit.

Dennis Robertson now chairs the Scottish Government’s lived experience panel on eating disorders, and he has undoubtedly played a part in putting the subject on the political agenda. I thank the eating disorders charity Beat for the excellent work that it continues to do to support those who are at risk of, and those who are living with, an eating disorder. That includes supporting families and friends.

It is great to have folk in the gallery again, Presiding Officer—that is a sign that we are emerging from the pandemic. [Applause.] I welcome the staff and the ambassadors from Beat. I invite members to join us for a photograph at the bottom of the stairs to the public gallery after the debate—everybody is welcome.

Around 1.25 million people across the United Kingdom, and one in 50 people in Scotland, currently live with an eating disorder, and the numbers have increased during the Covid-19 pandemic. The pandemic has exacerbated the situation, with a reported increase of 86 per cent in referrals to specialists between 2019 and 2020.

Types of eating disorders include binge eating disorder; bulimia; anorexia; other specified feeding or eating disorder, or OSFED; and avoidant/restrictive food intake disorder, or ARFID. A very dangerous eating disorder is diabulimia, which occurs when people with type 1 diabetes deliberately omit their insulin in order to control their weight. It is extremely dangerous to do that.

Eating disorders have high mortality rates. Anorexia has the highest mortality rate of any mental illness, and one in six people with binge eating disorder have tried to end their life. People with eating disorders typically develop severe physical health problems, and their overall quality of life has been estimated to be as low as it is for those with symptomatic coronary heart disease or severe depression. Without early intervention, many people become unable to participate in education or employment, but recovery is possible. Access to the right treatment and support is life changing, and early intervention provides the best chance of recovery.

The key symptoms of eating disorders include excessively worrying about weight or body shape; avoiding social situations where food may be involved; frequently visiting the toilet after meals for prolonged periods; and not being up front about the food that you are consuming. It is important for family members, friends and colleagues to be aware of those signs. There is some speculation around what causes eating disorders, but research has shown that there is a link between eating disorders and depression, low confidence and low self-esteem.

One of Beat’s key asks is to ensure that healthcare practitioners are fully aware of eating disorders, and for eating disorder education to be improved across Scotland. I welcome the fact that Beat has had positive engagement with almost all medical schools in Scotland, including those at the universities of Dundee, Glasgow and Aberdeen. Beat continues to engage with the other medical schools; I urge all medical schools to work with it so that our next generation of doctors and healthcare professionals are able to identify eating disorders at an early stage and properly direct people to specialist services.

Another of Beat’s key asks concerns social media, which we know can be a factor that contributes to eating disorders. We need to ensure that people use social media safely, and there are great tips on Beat’s website.

In March 2021, the Scottish Government completed a national eating disorder services review. The “Scottish Eating Disorder Services Review—Summary Recommendations” document includes a total of 15 ambitious recommendations that are focused on ensuring that all those who are affected by eating disorders receive timely and appropriate care and support. The recommendations include better co-ordination of national activity and data collection; national availability of self-help resources, which should be available to everyone in Scotland at any stage of life; and a focus on early diagnosis, with the aim of prevention.

It is welcome that an implementation group has been set up to review timescales for, and the cost of, implementing the recommendations. Three sub-groups—a training group, a standards group and a data group—have been created within that group, although the data group has not yet met. I would be grateful if the Minister for Mental Wellbeing and Social Care could outline when the implementation group is likely to report and when the lived experience panel that is chaired by Dennis Robertson will meet.

This week, I contacted the dietetic team in NHS Dumfries and Galloway. The team has a dietician who works specifically with those who are living with, or are at risk of developing, an eating disorder. I heard from the team that, because of the rurality of Dumfries and Galloway, some people who are at risk of developing an eating disorder may not be picked up as easily, or they may be reluctant to access support because of the travel that is involved in attending appointments. Although the situation has improved with the move to virtual appointments, there is still an issue for people in rural areas who want to access eating disorder support services. That is especially true for face-to-face services, which are required as part of the specialty. Again, I ask the minister to ensure that rural areas are included in the Government’s approach.

I welcome the Scottish Government’s commitment of £120 million for a mental health recovery and renewal fund, with a focus on improving support for mental health in primary care settings and enhanced community support. I also welcome the Scottish Government’s increased investment in Beat.

This Saturday, I will be delivering the keynote address at PosiFest in Edinburgh. PosiFest is a positive psychology festival that aims to support positive health and wellbeing through providing a safe space to explore issues around mental health. There will be performances, music, comedy and a message tree, and everything will be centred on positive approaches to mental health. The event will have a resource hub, with two therapists and information on Beat and eating disorders that can be shared. It will also be live streamed, so people do not have to come to Edinburgh to participate. I congratulate Shalhavit-Simcha Cohen and all the other organisers on putting the event together, and I encourage anyone who is struggling with mental health issues to go along.

In conclusion, I welcome the debate and the work that the Scottish Government has undertaken to improve the outcomes of people who are living with eating disorders in Scotland. I look forward to hearing from my colleagues this evening.

Meeting of the Parliament (Hybrid)

Eating Disorders Awareness Week 2022

Meeting date: 1 March 2022

Emma Harper

The training does not have to be complicated. It does not aim to make people specialists. Does Jackie Dunbar agree that we want the simplest approach to raising awareness of trigger signs that would lead to further referral pathways, for instance?