Tackling Scotland’s health inequalities requires immediate joined-up action, warns Holyrood Committee

A Scottish Parliament inquiry has concluded by calling for urgent, coordinated action across all levels of Government in the UK to tackle health inequalities in Scotland.

A wide-ranging report by the Health, Social Care and Sport Committee calls for urgent action to address health inequalities, and for tackling poverty to be considered a major public health priority at all levels of Government in order to address this.

Read the report

The Committee heard evidence that the Covid-19 pandemic and the rapidly rising cost of living have further exacerbated Scotland’s health inequalities.

The Committee is calling for action across the UK and the Scottish governments, and by local authorities, which it says is essential if these inequalities are to be tackled effectively. This includes further public service reform and strategic action across multiple policy areas.

Among its recommendations, the Committee is calling for action on education, employment and housing to improve health outcomes and better tackle health inequalities. It says safe, secure and affordable housing must be available for all and highlights the significant impact planning policy can have on health outcomes and, if implemented poorly, in widening inequalities.

In compiling its report, the majority of the Committee agreed with the recommendation by the Glasgow Centre of Population Health that, within budget constraints, the UK Government should take action to align benefits and tax credits with inflation and to reinstate the uplift in Universal Credit introduced during the Covid-19 pandemic.

The report also highlights extensive evidence submitted to the inquiry that informal and unpaid caring has a disproportionate impact on health outcomes and that informal carers face significant health inequalities as a result.

To address this issue, the Committee calls on the Scottish Government and Public Health Scotland to provide more targeted support for carers.

Gillian Martin MSP, Convener of the Health, Social Care and Sport Committee, said: “The evidence is clear that health inequalities in Scotland continue to grow, while the pandemic and ongoing cost of living crisis will only exacerbate these inequalities further.

“A number of witnesses contributing to the inquiry argued that, over the past decade, UK Government policies on austerity have also had a negative impact on health inequalities in Scotland.

“We are particularly concerned that the rising cost of living will have a greater negative impact on those groups already experiencing health inequalities, including those living in poverty and those with a disability.

“Government action to date to tackle health inequalities has not been enough in the face of decades-long, major impacts on household incomes. We are calling for urgent action across all levels of government to reduce these stark inequalities which have real life and death consequences.

“There is currently no overarching national strategy for tackling health inequalities in Scotland. Meanwhile, evidence submitted to our inquiry has revealed multiple instances where the design and delivery of public services may be exacerbating inequalities rather than reducing them. We need to deliver further public service reform to ensure this doesn’t continue to happen.

“The reasons why we have failed to make progress in tackling health inequalities are many and varied. Reducing these will require bold and strategic action across all levels of government and by a range of government departments. Tackling health inequalities must be a major public health priority because lives literally depend on it.”

Other key findings in the report include:

  • The Committee express concern that certain vulnerable families report being excluded from free childcare provision, including those who care for disabled children and those who do not have a standard Monday-Friday work pattern.
  • A majority of the Committee is supportive of the concept of a universal basic income and calls on the Scottish Government to work with the relevant UK agencies to consider whether a pilot of the policy could take place in Scotland in order to begin to address health inequalities. A Committee majority would also like to see the implementation of a minimum income guarantee in Scotland.

Tory MSP calls for increased funding for Public Services across Lothian

Lothian MSP, Miles Briggs, has spoken about the need to increase investment in public services across the South East of Scotland to meet growing demand – while at the same time his party is urging the Scottish Government to cut the highest rates of tax in line with England!

During a debate at Holyrood yesterday on Scotland’s Population – Meeting the Needs of our Communities, Economy and Public Services – the Conservative MSP said that “Edinburgh and the South East continues to be a resilient region and the only part of the Scottish economy which has seen continued economic growth.”

Mr Briggs went on to say that this should not “mask the huge pressures which are facing our public services.”

Scottish Government funding for NHS Lothian as well as Edinburgh City Council are at their “lowest level” according to Mr Briggs, while the region is projected to have a growing population, leading to greater demands on services.

Local authorities in Lothian have the fastest growing populations in Scotland. 

Midlothian is predicted to have the fastest growing population in Scotland, 13.8%, East Lothian the second fastest at 7.2%, City of Edinburgh sixth fastest, 6.6% and West Lothian seventh fastest, 5.9%. These local authorities all have much faster predicted population growth than the Scottish average of 3.5%.

Lothian MSP Miles Briggs has previously campaigned for a change to the formula which determines funding for NHS Boards, saying that NHS Lothian has not been receiving their fair share over the last ten years.

Lothian MSP, Miles Briggs, said: “The financial sustainability of delivering public services is becoming more difficult to deliver here in Lothian and it is time for SNP-Green Ministers to recognise this.

“The fact that levels of homelessness and children living in temporary accommodation are at their highest anywhere in Scotland is a direct consequence of not being able to deliver on local housing outcomes.    

“NHS Lothian is seeing an unprecedented demand on services and waiting times for treatments are unacceptably long.”

If only there was a magic money tree …

Meanwhile, the International Monetary Fund has rebuked the UK Tory Government’s reckless ‘growth plan’ …

Fundamental questions about Brexit’s impact on Devolution

There are fundamental questions about how devolution works outside the EU which must be addressed. This warning comes from a new report by Holyrood’s Constitution, Europe, External Affairs and Culture Committee.

In its report, the Committee highlights substantive differences between the views of the UK Government and the Scottish and Welsh Governments regarding future alignment with EU law.

The Committee’s report makes clear that these differences raise fundamental constitutional questions including the extent the UK can accommodate four different regulatory environments within a cohesive internal market, as well as whether the existing institutional mechanisms are sufficient to resolve differences between the four governments within the UK when there are fundamental disagreements regarding alignment with EU law.

The Committee is concerned with how devolution needs to evolve to address these questions.  This includes the operation of the Sewel Convention which the Committee agrees is under strain following Brexit and the extent of UK Ministers’ new delegated powers in devolved areas which the Committee agrees amounts to a significant constitutional change.

The report states there is a need for a much wider public debate about where power lies within the devolution settlement following the UK’s departure from the EU.  This needs to address the extent of regulatory autonomy within the UK internal market.

Committee Convener, Clare Adamson MSP said: ““As a Committee, we have already set out our concerns about the risks for devolved Parliaments as a result of Brexit. But the questions raised in our report make it clear that there are fundamental issues which must be addressed urgently.

“Without wider debate, both in this Parliament and elsewhere, these fundamental questions will go unresolved, and the way devolution works outside of the EU will remain uncertain.”

Deputy Convener, Donald Cameron MSP said: “Our committee is agreed that there is a need for a wide debate on the very serious and complex issues raised in our report.

“However, this debate is not simply one for Governments and Parliaments, but businesses, civic society and the wider public as well in order that we can fully explore the current issues facing not just the Scottish Parliament, but the wider devolution process.”

MSPs seek views on difficult spending decisions ahead for justice sector

The publication of the Scottish Government’s Resource Spending Review Framework in May set out possible spending of £11.6 billion on the justice sector over the next four financial years.

However, independent research by the Scottish Parliament Information Centre (SPICe) has suggested that if current inflationary pressures persist, this settlement would represent a significant reduction in spending across the justice sector.

Speaking as the call for views was launched, Criminal Justice Committee Convener Audrey Nicoll MSP, said: “There is no doubt the Scottish Government and public services will face cost pressures in the upcoming years and the ongoing cost of living crisis is creating a real sense of uncertainty over what is to come.

“However, if the current trend of rapidly increasing inflation continues then those in the justice sector will have some difficult decisions to make in order to balance budgets. 

“We want to hear a range of views as part of our pre-budget scrutiny and are seeking views from those within the sector.

“But we also want to hear the views of ordinary people, any third sector organisations who may be impacted by these potential cuts in justice spending and groups who work to support those within the justice portfolio. This will help us to scrutinise the possible impact of cuts to key services such as the police, fire and rescue, courts and prosecution services and prisons.”

The call for views closes on Friday 21 October 2022.

Holyrood Committee to visit East Lothian’s ancient woodlands

The Scottish Parliament’s Citizen Participation and Public Petitions Committee will visit East Lothian tomorrow (Wednesday, 21st September) to explore the issues raised in a public petition.

The Committee will visit Pressmennan Wood, just south of the village of Stenton, as part of its consideration of a petition seeking the introduction of legislation which would provide Scotland’s remaining fragments of ancient, native and semi-native woodlands and woodland floors with full legal protection following concerns that large areas are being lost or damaged each year.

Committee Convener, Jackson Carlaw MSP, Deputy Convener David Torrance MSP, Alexander Stewart MSP and Paul Sweeney MSP will join officials from the Woodland Trust to learn more about the challenges around protecting Scotland’s woodlands.

Owned by the Woodland Trust, Pressmennan Wood has been continuously wooded since the early 15th century but has seen much human intervention throughout its history.

A large part of the woodland is currently classified as Ancient Semi-Natural Woodland, with some large areas of Plantations on Ancient Woodland Sites.

At an earlier meeting, the Committee heard evidence from Mairi McAllan MSP, Minister for Environment and Land Reform, who indicated that the Scottish Government were undertaking work to develop the register of ancient woodlands and were looking at options to improve existing protections and enforcement measures.

Speaking ahead of the visit, the Committee’s Convener, Jackson Carlaw MSP, said: “Protecting Scotland’s native and ancient woodlands is incredibly important to supporting biodiversity and maintaining our natural environment. This petition has helped to shine a light on the challenges we need to address to ensure their long-term future.

“The Committee has heard directly from the petitioners and a range of experts who have expressed their concerns over the lack of these woodlands protection from inappropriate developments and other threats, which has resulted in large areas of ancient woodland being lost for good over recent years.

“The Citizens Participation and Public Petitions Committee’s visit to Pressmennan Wood in East Lothian alongside the Woodland Trust will help us see the issues first hand and look at what next steps the Committee can take to help protect our ancient woodlands”

Ending Institutional Racism in Sport

Foysol Choudhury MSP’s contribution to Ending Institutional Racism in Sport debate at Holyrood following the publication of Plan4Sport report:

Another investigation, another organisation  found to be Institutional Racist and a long list of actions to be taken!

Twenty-three years after the 1999 Macpherson report, racism is still present across society.

Since then, positive moves towards equality have been taken and I applaud the work of campaigns such as Show Racism the Red Card and Kick it Out, which encourage the end of racism within sport.

Institutions that receive Government funding must be held to account and must promote anti-racist equality practices.

Institutions and their boards must not be given awards whilst failing to uphold standards of fairness, equality and accountability for those they serve.

It is unacceptable that Cricket Scotland was winning diversity awards whilst 448 cases of institutional racism were happening.

I commend those who shared their lived experiences of racism within the sport, including former Scotland internationals Majid Haq and Qasim Sheikh.

Doing so has helped to expose the realities that racism does still exist in Scotland and that something needs to be done, now!

I hope that in the future, it will be easier for other victims of racism to share their experience and be supported in doing so. 

The Plan4Sport report, whilst shocking and extremely disappointing, is a wakeup call about the reality of racism in sport and in Scotland today.

I am a cricket lover and have played the game myself. Sport should be an exciting, enjoyable pursuit for children and adults alike and we should not be allowing a culture where people feel that they cannot succeed in, or enjoy, sport because of institutional barriers against their skin colour, religion or cultural background.

I want to see strict laws, monitoring and methods to ensure change.

Racism in Scotland has gone on long enough. Now is the time to deliver change!”

Holyrood Committee to visit Linlithgow climate change projects

The role of local government in helping to reach Scotland’s net zero targets will be the focus for the Scottish Parliament’s Net Zero, Energy and Transport Committee as it visits Linlithgow. 

During the visit on Monday (12 September), Deputy Convener, Fiona Hyslop MSP, Monica Lennon MSP and Mark Ruskell MSP will visit projects which are at the heart of tackling climate change.  – POSTPONED – SEE BELOW –

These will include for example a tour of the Linlithgow Community Development Trust; an introduction to the Linlith-Go-Solar’ solar energy project; and a visit to the proposed site for the newly approved community driven project – West Lothian Cycle Circuit. 

The visit is part of the Committee’s work exploring the role of local government and its partners in achieving the challenging commitment of making Scotland net zero in greenhouse gas emissions by 2045. Now the Committee are seeing this work in action by visiting projects and communities across Scotland. 

Speaking ahead of the visit, the Committee’s Deputy Convener, Fiona Hyslop MSP, said: “So many of the key responsibilities in helping Scotland reach its net zero targets sit with local government. Issues such as travel, housing, recycling and the circular economy have a huge impact on Scotland’s environment. 

“But we know that local government can’t make this huge change alone. That is why we want to see how councils across Scotland are working with their communities and building relationships with business, public agencies and the voluntary sector to embed these changes and make a difference to addressing climate change. 

“The Parliamentary Committee’s visit to Linlithgow will help us see first-hand the positive work happening in our communities.” 

VISIT POSTPONED

Following the death of Her Majesty The Queen, all parliamentary business has been suspended. This committee visit has therefore been postponed.

Dignity in Dying Scotland: strong public support for Assisted Dying for Terminally Ill Adults legislation

Today, Thursday 8th September, Liam McArthur MSP for Orkney will lodge a final proposal in the Scottish Parliament for his Members Bill ‘Assisted Dying for Terminally Ill Adults (Scotland)’. 

The report analysing the responses to the public consultation on the bill’s proposals will also be published.  The proposals received the highest number of responses to date for a consultation on a Members Bill in the Scottish Parliament with 14,038 valid consultation responses submitted.

The report’s findings show:

•             A clear majority of respondents, 76%, were fully supportive of the proposal, with a further 2% partially supportive.

•             Many respondents have first-hand experiences of witnessing family, friends and patients with a terminal illness who had experienced great pain and suffered what was often described as a “bad death”.

•             Many supportive respondents believe the proposal is an improvement on previous attempts to legislate for assisted dying and are fully satisfied with the proposed criteria – that the right to an assisted death should be available for competent terminally ill adults with a clear and appropriate set of safeguards built in to every step of the process, together with a right for health professionals involved to conscientiously object.

Ally Thomson, Director of Dignity in Dying Scotland said: “The overwhelming majority of people in Scotland support a change in the law and now MSPs have the opportunity to respond to this unprecedented call for change and deliver a safe and compassionate new law.

“That so many people across the country have recounted their personal experience of watching a loved one suffer shows the current blanket ban on assisted dying does not work, instead it creates heartache and injustice for so many families. An injustice that can now be put right.”

“Taken alongside the responses from dying people who wish to have the choice of an assisted death available to them, as well as the evidence from other countries where they would already have this option, it is clear that the case for change is compelling.”

“Liam McArthur MSP today is lodging the Final Proposal for his Members Bill on Assisted Dying for Terminally Ill Adults.  I urge MSPs to sign these proposals so that Scotland can move forward progressively by providing our dying citizens with what they need – excellent care and the choice of an assisted death for those who need it.”

Emotional support after stroke survey

Dear Editor

The Scottish Parliament’s Cross Party Group on Stroke – of which we are secretariat, is exploring the current position of emotional support available to people affected by stroke in Scotland. Our aim is to support stroke improvements in this area. 

A vital part of this is to gather the views of people affected by stroke in Scotland.   

We want to know: what support you received?  Was it the right support for you?  

Please have your say by completing out short online survey.

The survey can be found here:

https://forms.office.com/r/YwK8tfR7k1 

The deadline for responses is Monday 3rd October 2022

If you have any questions, or would like to be more involved, please contact Katie.macgregor@stroke.org.uk or Tel: 01315557242 

Every stroke is different, each person’s recovery is different, so to your experience matters. 

Stroke Association

MSPs investigate support for disabled people’s transition to adulthood

SHARE YOUR VIEWS WITH HOLYROOD COMMITTEE

MSPs are asking for the public to share their views on the support that is currently available for disabled children and young people as they grow into adulthood.

The findings will be considered by the Scottish Parliament’s Education, Children and Young People Committee as part of their scrutiny of a Bill which seeks to introduce more structured support for disabled children and young people in their transition to adulthood.

The Bill has been proposed by Pam Duncan-Glancy MSP, following on from work started by Johann Lamont in the last session of Parliament.

If passed, the Bill would make three main changes to the law:

  • the Scottish Government would need to have a strategy explaining how they are going to improve opportunities for disabled children and young people
  • a Scottish Government minister would be placed in charge of improving opportunities for disabled children and young people moving into adulthood
  • local authorities would need to have plans for each disabled child and young person as they move into adulthood

Sue Webber MSP, Convener of the Education, Children and Young People Committee said: “A young person’s transition to adulthood is a critical stage in their lives and our Committee wants to be sure that the right kind of support is available to help disabled children and young people as they embark on the next chapter of their lives.

“We want to hear the views of disabled children and young people, their parents and their carers on these proposals.

“We’re particularly keen to understand more about the how the support that is currently available is viewed.”

The Committee’s call for views and survey on the Bill opened on 1 September and people can share their views until 27 October 2022.