Tag: Health Social Care and Sport Committee

Holyrood report spotlights mental health of expectant and new mothers and expresses concern over access to support services

The mental health of pregnant women, new mothers and their families, including those affected by miscarriage, stillbirth and the death of an infant, has been highlighted by a Scottish Parliament Committee.

The Health, Social Care and Sport Committee’s inquiry into women’s mental health experiences before, during and after the birth of a child (otherwise referred to as the perinatal period) highlights a number of issues faced by new mothers over the support they have received, particularly during the pandemic.

In particular, the inquiry found there was a sharp rise in birth trauma incidences reported since the pandemic began. The Committee calls on the Scottish Government and NHS Boards to redouble their focus on delivering services that directly address birth trauma.

The Committee also looked into the of support for those suffering from miscarriage, stillbirth or death of an infant. During its inquiry, the Committee received evidence of some women affected by baby loss who reported being treated close to women giving birth to healthy babies, causing additional trauma to the women affected.

The report calls for accelerated action to establish specialist baby loss units and, in the meantime, for new national protocols to be set up “that ensure families affected by baby loss are consistently treated with respect and compassion and in a trauma-informed way”.

Alongside a focus on community care, the Committee also examined access to specialist Mother and Baby Units (MBUs), of which there are currently two in Scotland. The Committee emphasises the benefits of providing wider access to MBUs for new mothers with complex needs and they express support for the creation of a new MBU serving the north of Scotland. 

Gillian Martin MSP, Convener of the Health, Social Care and Sport Committee, said: “Up to 20% of women in Scotland experience negative mental health impacts before, during and after giving birth and the aim of our inquiry was to shine a spotlight on this important issue and to see what more should be done to support these women.

“We heard of concerns in certain health board areas with the support structure in place for parents and families impacted by miscarriage, still birth and the death of an infant, and feel more action is needed to give them appropriate support.

“We had discussions with some new parents affected by baby loss who felt they didn’t receive the standard of care they are entitled to expect. That is why we are calling for every effort to be made to accelerate the establishment of specialist baby loss units

“The evidence we received suggests that during the pandemic, there was a sharp rise in incidences of birth trauma. In many instances this was a direct result of COVID-related restrictions, which limited the support women were able to receive from partners and families before, during and after giving birth.

“Our inquiry heard about the benefits of Mother and Baby Units for women who have complex mental health issues in the perinatal period and the Committee would like to see a concerted effort to widen access to these units in conjunction with the community care offer.

“We think there is a strong case to set up a new Mother and Baby Unit serving the north of Scotland but we also need to focus on issues around staffing, resources and general awareness to maximise the positive impact of perinatal mental health services and third sector organisations who support mothers.”

The Convener added:

“The extensive evidence we have gathered during the course of this inquiry has shown the importance of a preventative and community based approach to perinatal mental health. It is clear that only through accessible, joined up care across both the third sector and statutory services, women and families can get the care they need at this critical time.

“We’d like to put on record our thanks to all of the women who spoke with us and shared their stories.”

Other findings in the report include:

• concern that many women and families are currently having to wait longer than 6 weeks to access perinatal mental health support;

• the increased barriers faced by women and families from minority ethnic backgrounds, or for whom English is not their first language, and those from particularly vulnerable or at risk groups, to access perinatal mental health services;

•  the critical role that stigma plays in perinatal mental health and the resulting reluctance for individuals to fully engage with healthcare professionals;

• a call for the Scottish Government to ensure further education institutions deliver perinatal mental health training as core training for all midwifery and nursing students as a priority.

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THREE Holyrood Committees join forces to look at tackling drug deaths and problem drug use

The Scottish Parliament’s Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee are coming together to hold two special sessions looking at the actions taken to reduce drugs deaths and problem drug use in Scotland. 

The sessions, which will question the Scottish and UK Governments, as well as the new Chair of the Scottish Drugs Deaths Taskforce (SDDT), will seek to focus on what progress has been made and actions taken so far, including implementation of SDDT’s recommendations, as well as what more can be done.

The Committees are working together, recognising the issues which lie behind this crisis stem from different policy areas. Each Committee will send representatives to question witnesses and consider the progress made. 

The Committee will question Rt Hon Kit Malthouse MP, UK Minister of State for Crime, Policing and Probation, on the afternoon of Tuesday 1 February. 

On the following day, MSPs will then question the new Chair of the Scottish Drug Deaths Taskforce, David Strang, followed by the Scottish Government’s Minister for Drugs Policy, Angela Constance MSP.

Speaking as the joint sitting of the three committees was announced, Criminal Justice Committee Convener, Audrey Nicoll MSP (above), who will chair the joint sitting, said: “Problem drug use, and tragically, drugs deaths blight too many families and communities in Scotland. 

“We know that the roots of these issues are complex and historical, and that the Taskforce recommendations touch many policy areas. 

“Implementing the wide ranging solutions requires a co-ordinated approach by Parliament and Government.

“Addressing this drugs crisis is a priority for our committees. We want to support the individuals and families affected, as well as the agencies who work with them and the Government in taking the right actions to reduce drug deaths and tackle the misuse of drugs. 

“I hope these sessions allow us to see some progress in this area, and perhaps find consensus and focus on what more can be done.”

The Committee is a joint meeting of three Committees and not a new Committee.

It is expected the following MSPs will attend the joint sessions as delegates:

Audrey Nicoll (SNP) (Convener)

Miles Briggs (Con)

Foysol Choudhury (Lab)

Russell Findlay (Con)

Gillian Mackay (GRN)  

Gillian Martin (SNP)

Pauline McNeill (Labour)

Paul O’Kane (Lab)

Sue Webber (Con)

It is expected that the new SJSS Convener will also attend, once this person is appointed. (SNP).

The meeting with Kit Malthouse is expected to take place virtually between 3 – 4:30pm, Tuesday 1 February.

The meeting with the Taskforce and Angela Constance MSP is expected to take place virtually 10am – 12:30pm, Wednesday 2 February. The panel with the taskforce anticipated to last 10 – 11am, and the Minister thereafter.

MSPs launch inquiry into how Scots access healthcare services

An inquiry into the different ways patients access healthcare services in Scotland has been launched by the Health, Social Care and Sport Committee.

Traditionally, when a person seeks healthcare their first point of contact is usually with a general practitioner (a GP or family doctor) but the inquiry is focused on other routes to accessing healthcare that exist in the community, referred to as ‘alternative pathways’.

The aim of the inquiry is to explore how and to what extent these alternative pathways are being used to access primary care, and to identify key issues and opportunities for improvement. 

Alternative pathways to healthcare in the community include:

  • Seeing a different health practitioner, such as a physiotherapist, nurse, pharmacist, speech therapist, or podiatrist who works in the GP practice or in the local community.
  • Being directed to other types of support to improve health and wellbeing – such as walking groups, community groups, advice, or volunteering (referred to as ‘social prescribing’).
  • Using telephone helplines websites to access additional information, advice and online therapies.

The Committee is seeking to find out the current level of awareness amongst health practitioners and patients of alternative pathways to healthcare other than seeing a GP and how this might be improved in the future.

They are keen to find out what capacity other primary healthcare professionals have to take on more patients, the role of social prescribing in alternative pathways and how technology can improve services.

Speaking as the inquiry launched, Gillian Martin MSP, Convener of the Health, Social Care and Sport Committee, said: “The traditional model of primary care where you went to see a GP for any and all health issues is placing ever increasing pressure on GP services.

“This isn’t a sustainable situation for general practices – but it’s also not good for patients struggling to get a GP appointment when there may be alternative and better routes they could go down to get the healthcare they need.

“Through our detailed work on this inquiry, the Committee is keen to explore what opportunities exist to make more and better use of these alternative routes to healthcare.

“We want to find out what role they have to play in creating a modern, flexible, community-based healthcare system which allows patients to access the right professional, at the right time.”

If you are a medical professional or organisation who would like to respond to the inquiry you can do so here: https://yourviews.parliament.scot/health/alternativepathways 

Members of the public can give us their views here: https://yourviews.parliament.scot/health/alternativepathways-survey 

The call for views will close on 22 February 2022.

Holyrood Committee launches inquiry into health and wellbeing of children and young people

An inquiry has been launched into the health and wellbeing of children and young people by a Scottish Parliament Committee.

The Health, Social Care and Sport Committee is seeking to find out the key issues around health and wellbeing for children and young people in Scotland. They will investigate what the challenges and opportunities are for improving their health and wellbeing, and how addressing poverty can lead to improved health and social care outcomes.

The inquiry will focus on 4 key areas:

• Child poverty (including the Scottish Government’s current child poverty delivery plan), inequality and adverse childhood experiences;
• Issues affecting care experienced young people;
• Mental health, access to Child and Adult Mental Health Services (CAMHS) and the importance of early intervention;
• Health and wellbeing in schools

Speaking as the inquiry launched, Gillian Martin MSP, Convener of the Health, Social Care and Sport Committee, said: “There are a whole host of factors which impact the health and wellbeing of our children and young people, and our Committee will consider these in detail.

“The physical and mental toll of the pandemic on children and young people cannot be overstated and we know that prior to this pandemic there was already a high and
increasing demand for youth mental health services in Scotland.

“As we emerge from the pandemic and with the Scottish Government’s current child poverty delivery plan due to run until 2022, our inquiry comes at a pivotal time. We are determined to find out how children and young people can best be supported to live healthy and flourishing lives.”

You can let the Committee know your views here: 

Inquiry into the Health And Wellbeing of Children And Young People – Scottish Parliament – Citizen Space

The call for views will close on 7 December 2021.