Neil Gray: “Our plan is delivering”

Pledge on waiting times exceeded

The pledge to carry out 64,000 surgeries and procedures with additional funding by the end of March 2025 has been exceeded, new figures released to the Scottish Parliament have revealed.

More than 75,500 NHS surgeries and procedures were delivered between April 2024 the end of January 2025, around 11,500 more than pledged.

Funded through £30 million investment, the targeted activity has resulted in significant reductions in inpatient/daycase waiting lists across a number of health board areas and specialities. Between April 2024 and September 2024 there has been:

  • a 44% decrease in Imaging waits at NHS Fife
  • a 22% decrease in Urology waits at NHS Forth Valley.
  • a 19% decrease in Ear, Nose and Throat waits at NHS Highland
  • an almost 15% decrease in Ophthalmology waits at NHS Lanarkshire
  • an almost 10% decrease in General Surgery waits at NHS Lothian.

The targeted funding has also helped reduce the total national waiting list size between April 2024 and September 2024 for imaging by 7.5% and for scopes by 7.3%.

In April 2024 the Scottish Government funded NHS boards to deliver 64,000 procedures (40,000 diagnostic procedures, 12,000 surgeries and 12,000 new outpatient appointments) by March 2025. By January 2025, 56,500 diagnostic procedures, almost 9,200 surgeries, and over 9,800 outpatient appointments took place.

The Scottish Government will continue to monitor the impact of the funding until the end of March 2025 with boards reporting they expect to see further progress.

Latest published data also shows a rise in planned care activity between April 2024 and September 2024 compared to the same period in 2023 – with an 8.3% increase in inpatient/daycase procedures and a 2.5% increase for new outpatient appointments.

Health Secretary Neil Gray said: “I am pleased to see health boards are now reporting the tangible impacts of our investment to clear the longest waits. Our plan is delivering and we are seeing progress across a number of speciality areas. I thank staff for their outstanding effort in carrying out this additional activity which is having a positive impact on people’s lives.

“This is a good start, however, we know many people are still waiting too long. We are determined do more and our 2025-26 Budget, with cross-party support now agreed, will provide a record £21.7 billion for health – including £200 million to help clear waiting list backlogs, improve capacity and reduce delayed discharge.

“This record funding will help us ensure no one waits more than 12 months for a new outpatient appointment or inpatient/daycase treatment by March 2026. We will also deliver over 150,000 extra appointments and procedures in the coming year which will ensure people receive the care they need as quickly as possible.”

Trust in politicians at an all-time low

Change of public mood creates challenge for the next government

The results of the latest British Social Attitudes (BSA) survey, published yesterday by the National Centre for Social Research (NatCen), reveal that there have been significant changes in the public mood since the last election in 2019.

As a result, the next government, whatever its partisan colour, will find itself with many policy and political challenges ahead.

Much of the change in the public mood has been occasioned by the fallout from the pandemic and the Russian-Ukraine war, including the impact on inequality, the health service, Brexit, and immigration.

At the same time, the experience of the last few years has served to undermine confidence in the country’s system of government.

Inequality, cost of living, and housing

Debates about inequality during the pandemic have seemingly created a public that is now more concerned about the level of poverty. At the same time, more people say they are ‘struggling’ on their current income.

  • 73% now believe there is ‘a great deal’ of poverty in Britain, up from 68% in 2019.
  • 70% say that their income has failed to keep up with prices over the last twelve months.
  • 26% say they are ‘struggling’ on their current income, compared with 17% in 2020.
  • However, the experience of living at home more during lockdown may explain why fewer people now support more houses being built in their neighbourhood, despite the difficulty that many currently have in finding affordable accommodation.
  • 41% support more houses being built in their local area, down from 57% in 2018.

The NHS and tax and spend

The post-pandemic growth in NHS waiting times have resulted in record levels of dissatisfaction with the health service. The same is true of social care, which also came under great pressure during the pandemic.

  • The proportion dissatisfied with the NHS is, at 52%, slightly more than double what it was in 2019 (25%).
  • As many as 57% are dissatisfied with the provision of social care, up 20 points on 2019 (37%).
  • Even though taxation is now at a record high, at present, at least, many people still seem to regard the state of the NHS as a more pressing problem than the level of taxes.
  • 46% say that, if forced to choose, the government should increase taxes and spend more on ‘health, education and social benefits’.
  • This is down somewhat on the 53% who expressed that view in 2019, but is still well above the 31% figure recorded in 2010 at the end of the last period of Labour government.

Brexit and immigration

Record levels of immigration since the pandemic have reversed a previous trend towards more liberal attitudes towards immigration. Together with doubts about the economic benefits of Brexit, they have also resulted in a change of attitudes to the EU.

  • In 2019, 47% said that migrants who come to Britain are good for the economy. This edged up further to 50% in 2021 but, in the most recent reading, this has fallen back to 39%.
  • 45% said in 2019 that migrants enrich Britain’s cultural life, while 48% did so in 2021. Now the figure is 38%.
  • In 2019, 51% thought that the economy would be worse off as a result of leaving the EU. Now 71% believe the economy is worse off as a result of Brexit.
  • Faced with a range of options for Britain’s relationship with the EU, in 2016, 41% said that Britain should be outside the EU, as did 36% in 2019. Now the figure stands at 24%.
  • Supporters and opponents of Brexit continue to have different political preferences. 45% of supporters think of themselves as a Conservative, while 49% of opponents identify as a Labour supporter.

Trust and confidence in government

Between them, these policy concerns, together with the political instability of the last couple of years, have undermined levels of trust and confidence in how Britain is governed, a change that has occasioned increased support for constitutional reform.

  • As many as 45% ‘almost never trust governments of any particular party to place the needs of the nation above the interests of their own political party’, up from 34% in 2019 and a record high.
  • After falling from 79% in 2019 to 61% the following year, once again 79% believe the present system of governing Britain is in need of ‘quite a lot’ or ‘a great deal’ of improvement.
  • A record high of 53% now say we should change the Commons voting system ‘to allow smaller parties to get a fairer share of MPs’. 60% of Labour supporters take this view, whereas 73% of Conservative supporters believe we should keep the current system ‘to produce effective government’.
  • A record low of 45% believe that England should be governed as now from Westminster rather than have regional assemblies (26%) or an English Parliament (23%).

Gillian Prior, Interim Chief Executive at the National Centre for Social Research (NatCen), says: “The last four years of parliament have left their imprint on public opinion.

“From the NHS to immigration, from inequality to tax and spend, people’s attitudes have been affected by the experience of a pandemic, a cost of living crisis, and political turmoil.

“The period has left them asking themselves just how well they are being governed. Irrespective of its partisan colour, the next government will have much to do if it is to meet people’s concerns about the many difficulties they feel the country has been facing.

Briggs: NHS Lothian A&E Waiting Times showing no sign of improving

Date ↓% within 4 hours
19 March 202360
20 March 202261.5
21 March 202184.1
22 March 202094.6
24 March 201986.6

Scottish Conservative and Unionist MSP for Lothian Miles Briggs said: “The figures are an embarrassment for Humza Yousaf and are indicative of the extent to which he failed in his role as Heath Secretary.

“It is completely unacceptable that in the space of 3 years the percentage seen withing 4 hours dropped almost 35% from 94.6% to 60% in Lothian.

“Despite being well into the swing of Spring, the figures for Lothian are now worse than at the peak winter times.

“In taking his eye off the ball and doing his best to appease the independence hardliners during the leadership contest, Lothian and Scotland’s figures have deteriorated further.

While as Health Secretary he was clearly unable to find a solution to the mess he created, one of his first priorities as the new First Minister must be to get on top of the situation and find someone who can clear up the disaster that he presided over.”