‘Yousaf must go’ call as thousands wait for over 12 hours in A&E in Lothian

Humza Yousaf must be sacked for ‘dangerous negligence’, Scottish Labour MSP Sarah Boyack has said, as the party revealed that the number of patients waiting over 12 hours to be seen in Accident and Emergency in Lothian has soared.

Statistics have shown that, in the year from November 2021 to October 2022, a shocking 15,936 people in NHS Lothian spent more than 12 hours in A&E waiting to be seen – despite an SNP government commitment to see 95% of patients within four hours.

This figure has spiralled in recent years, with the number of people waiting more than 12 hours now around 18 times higher than the same period in 2018/19.

With A&E services in disarray and the situation only worsening throughout the winter, Scottish Labour is warning that lives will be lost due to the SNP-created A&E crisis.

Scottish Labour MSP Sarah Boyack said: “The facts are plain for all to see – NHS Lothian’s A&E services have been plunged into a deadly freefall by Humza Yousaf’s dangerous negligence.

“Despite the efforts of hardworking staff, the number of patients spending a shocking 12 hours waiting in A&E has soared this year.

“The SNP’s mismanagement of our NHS is putting lives at risk – we urgently need a real plan to put a stop to this chaos and protect services in Lothian.”

The Scottish Conservatives are also calling for Yousaf’s sacking. A spokesperson said: “With each passing week, Humza Yousaf continues to preside over complete chaos in our A&E departments.

“His tenure as Health Secretary has been nothing short of a disaster and Nicola Sturgeon must sack him immediately.”

Number of A&E patients waiting more than 12 hours:

Year to October 2019* Year to October 2022* Change (%)Change (times higher) 
NHS Ayrshire & Arran15578038416%5
NHS Borders5629255123%52
NHS Dumfries & Galloway43392812%9
NHS Fife4105326225%263
NHS Forth Valley20628991307%14
NHS Grampian2816855918%60
NHS Greater Glasgow & Clyde19759972944%30
NHS Highland206673235%33
NHS Lanarkshire8516267636%7
NHS Lothian910159361651%18
NHS Orkney48100%2
NHS Shetland01
NHS Tayside327800%9
NHS Western Isles00
NHS Scotland3879458951083%12

* 12 month period from November to October

Gender Recognition Reform Bill passed

Improving the legal recognition system for trans people

The Gender Recognition Reform (Scotland) Bill has been passed by the Scottish Parliament.

The legislation improves the system by which transgender people can apply for legal recognition through a Gender Recognition Certificate (GRC).

Trans people aged 16 and older applying for a GRC will be required to make a legally binding declaration that they are already living in their acquired gender and intend to do so permanently.

The Bill includes safeguards against misuse of the system. It will be a criminal offence for applicants to make a false application. A new statutory aggravator and a risk‑based approach in relation to sex offences strengthen these protections.  

Social Justice Secretary Shona Robison said: “This is an historic day for equality in Scotland with the Gender Recognition Reform Bill being approved by parliament and by members of all parties.

“It simplifies and improves the process for a trans person to obtain a gender recognition certificate – which many currently find intrusive, medicalised and bureaucratic.

“The legislation makes no change to the reserved Equality Act 2010 and that principle is enshrined in the Bill. As I have made clear, the Scottish Government continues to support the provision of single-sex services and the rights of women.

“The passing of this bill is a significant step forward in creating a more equal Scotland, where trans people feel valued, included and empowered.”

Background

Factsheet and background to the Gender Recognition Reform (Scotland) Bill

Health crisis in NHS Lothian can no longer be ignored, warns Boyack

More than 90 dentists withdrew from NHS Lothian dental list from 2021 to June 2022, a Freedom of Information request submitted by the Scottish Labour has revealed.

Sarah Boyack warns of a health crisis as waiting times for A&E and NHS dentistry continue to spiral, while delayed discharges have gone up.

Scottish Labour’s FOI request revealed that between 2021 and June 2022, 92 dentists withdrew from NHS Lothian dental list. As at beginning of June this year, out of the 163 general dental practices in Lothian, only 51 confirmed that they are accepting patients, with some accepting children only.

Since 8th May 2022 and up until 11th  December, there has been only one week during which the percentage of people seen within Scottish Government’s 4-hour target was above 70 per cent – in the week ending 11th December more than 1,756 people were stuck in A&E for more than four hours – only 63.6 per cent of those attending NHS Lothian’s emergencies were seen within 4 hours. In the same week, 353 people were stuck in A&E for more than 12 hours.

This comes as the recent monthly report on delayed discharge shows rates in NHS Lothian for October 2022 soaring to 1,644 compared to 1,420 in September 2022.

This makes NHS Lothian the second-worst performing health board in Scotland, only topped by NHS Greater Glasgow and Clyde, with 3,848 delayed discharges in October 2022.

October recorded the highest average number of beds occupied per day due to delayed discharges in Scotland since the current guidance came into place in July 2016.

Scottish Labour MSP for Lothian Sarah Boyack said: “Another month, another set of damning statistics from NHS Lothian.

“On top of the cost of living crisis, which is taking its toll on people’s mental and physical health, we see piling pressure on our NHS, worsening patients outcomes and huge waste of public money.

“With the freezing cold, people will get sick and they will require care. That’s why we need support to GPs to allow them to respond to the rising demand and handle cases, whenever possible, at primary care level.

“These are not just figures – it is someone’s dad, friend or life partner; it’s the NHS staff who is overworked and underpaid; it’s the people who left our health service because they simply couldn’t cope.

“With a general election approaching, now is the time focus on what really matters and make a difference for millions of people.”

A Budget for a fair Scotland

Spending plan ‘will protect families and public services’

The 2023-24 Scottish Budget will take a distinctive approach to creating a fairer, more equal Scotland, Deputy First Minister John Swinney said.

He stressed the three Budget priorities of eradicating child poverty, strengthening public services and moving towards a net zero economy were strongly linked and would give more people the opportunity to flourish.

Ahead of delivering the Budget to Parliament today, Mr Swinney visited a scheme in Wester Hailes, delivered by City of Edinburgh Council and part-funded by the Scottish Government, installing insulation for households at risk of fuel poverty.

He said: “I was encouraged to see the vital work being carried out to improve energy efficiency and make homes warmer for families facing significantly higher bills this winter. This scheme highlights how tackling the increased cost of living can assist our drive towards net zero, and is an example of the importance of effective public services.

“Our Budget goals are mutually beneficial and represent a distinctive approach to the economic challenges we face. The Scottish Budget will take further steps to address inequality and eradicate child poverty. It will encourage a just transition to net zero, creating wealth and opportunity across the country. And it will be the catalyst for reforms necessary to ensure our first-class public services remain sustainable in the face of the challenges to come.

“I would like to go even further but the cost of living crisis has also laid bare the fiscal constraints of devolution, as we cannot borrow to support day to day expenditure when times are hard to assist us through these difficult days. It is clear that businesses and households are paying a steep price for the economic mismanagement of the UK Government.

“The cost of living crisis requires decisive action. In setting this Budget, the Scottish Government will use its limited powers to the maximum extent that is responsible, to meet the challenges faced by the people of Scotland.”

 The Scottish Budget 2023-24 will be presented to the Scottish Parliament TODAY (Thursday 15 December).

‘Stark and Deeply Concerning’: MSPs say more funding must be found for the justice sector

The Scottish Government must ensure more funding is provided for the justice sector in this year’s budget otherwise the sector could face severe cuts to services and staff numbers, say the Scottish Parliament’s Criminal Justice Committee.

The Committee’s pre-budget scrutiny was primarily focused on the proposed flat-cash settlement for the justice sector set out in the Scottish Government’s Resource Spending Review framework (RSR).

Independent research by the Scottish Parliament Information Centre (SPICe) suggested that if current inflationary pressures persist, this settlement would represent a significant reduction in spending across the justice sector, with resource spending falling in real terms by £102 million, or 3.6%.

The Committee’s report highlights extensive evidence gathered from across the sector outlining deeply concerning scenarios of depleted services and cuts to staff numbers, should the figures outlined in the RSR come to fruition.

The Committee say budgets for capital investment in the emergency services, prisons and courts have invariably been less than requested in recent years and that worryingly, the pressures on public spending and the high rate of inflation, mean budgets for day-to-day running costs are at risk too.

Maintaining current staffing levels in our police and fire services, upgrading the prison estate or investing in efforts to improve the prosecution of sex offences could all be under threat if no further funding is provided.

Criminal Justice Committee Convener, Audrey Nicoll MSP, said: “As a Committee we recognise the huge financial pressure facing government budgets, however the evidence we have taken during this year’s pre-budget scrutiny is stark and deeply concerning.

“We have heard from across the criminal justice sector of potentially severe cuts to services and hefty reductions in police and fire service staff numbers if these funding cuts were to come to fruition,

“Although we welcome the commitment from the Justice Secretary that there will be no cuts to police staff numbers, we want to see this recognised through a suitable budget settlement.

“We understand the difficult decisions facing the Scottish Government in this year’s budget but it is essential that criminal justice services receive appropriate funding and a greater settlement than that proposed in the Resource Spending Review, and that any extra resources do more than simply get swallowed up by increased pay awards.

“Otherwise, there is a substantial risk of services in the justice system being downgraded to unacceptable levels and drastic cuts to staff numbers.”

Read the report

Gender Recognition Reform Bill: Anas Sarwar warned ‘We Won’t Wheesht!’

Scottish women’s groups warn Anas Sarwar that he “cannot hide any longer” and will be held to account on Gender Recognition Reform Bill

Six grassroots organisations in Scotland have written a powerful plea to Anas Sarwar, the leader of Scottish Labour, on Monday (12 December) urging him follow his conscience ahead of the Scottish parliamentary vote on the Gender Recognition Reform Bill on 21 December.

In a strongly-worded letter, the groups – including Women Speak Scotland, Scottish Feminist Network and Women’s Declaration International Scotland – criticised Sarwar and other senior party figures of “not taking seriously the most significant bill on the safety of women and children in Scotland’s devolved history by delegating the issue to a relatively inexperienced MSP who seems to be struggling with or unwilling to hold the Scottish Government to account.”

The letter conveys the women’s frustration and anger as they describe that many of them “are politically homeless having previously been lifelong Labour supporters”, while “others are reevaluating their previously steadfast pro-Indy stance given the significance of the Equality Act (2010)” to the Gender Recognition Reform Bill.

The women issued a stark warning to the Scottish Labour leader in the event that they continue to avoid the serious concerns surrounding the Bill and hope that the current controversies “will blow over”:

“You cannot hide any longer. We women see you, we are angry, and we won’t wheesht. Women’s hard-won rights are not a political game.

“We will not let voters forget that you personally, as party leader, were knowingly and wilfully complicit in ignoring all the warnings, including from women in the Labour Party. All those who vote in favour of the GRR Bill will be held responsible for all its negative outcomes.”

“If you do not take a principled stance as leader of the Labour Party in Scotland, we will hold you accountable for the suffering of women and children in the years to come.”

MSP consults on wellbeing and sustainable development bill proposal

Autumn has arrived the the Scottish Parliament with leaves changing from green to gold and the final bits of gardening being done for the year in the landscaped gardens. 18 October 2022. Pic-Andrew Cowan/Scottish Parliament

A proposal to establish a Commissioner with a remit over wellbeing and sustainable development and to strengthen duties on the public sector has been published in a proposal for a Member’s Bill by Lothian Labour MSP Sarah Boyack, and is now out to public consultation.

Boyack hopes her planned Wellbeing and Sustainable Development Bill proposal will introduce a duty for public bodies to promote these principles and establish a Commissioner for Sustainable and Wellbeing in order to address the devastating consequences of short-termism at both local and global scale.  

The Members Bill proposal comes on the back of calls for a Wellbeing and Sustainable Development (Scotland) Bill during the Scottish Parliament election by a large number of individuals and organisations. The proposal builds on the 14 recommendations for policy makers published by the Scotland’s International Development Alliance in their report Towards a Wellbeing and Sustainable Development (Scotland) Bill  and Carnegie UK’s recent Five steps to put wellbeing at the centre of policymaking in Scotland publication.

The proposed Bill seeks to place new definitions of sustainable development and wellbeing into legislation and to bring forward the Scottish equivalent to the Welsh Future Generations Commissioner.

Introducing her consultation, Sarah Boyack said, “The climate emergency demonstrates in real terms the consequences of short-termism. We are now seeing countries that did nothing to aggravate the unfolding environmental catastrophe, bearing the cost for a damage they didn’t cause.

“Future generations in Scotland and across the world will be faced with the results of the actions we take – or not – right here and now. The proposal I am launching today is neither a new nor untested idea. In Wales, the Future Generations Commissioner was established in 2015 and has already made a difference.

“The Scottish Government talks a lot about wellbeing and sustainable development, but it has repeatedly failed to define them, let alone implement them.

“I want to hear from as many people as possible so we can strengthen the legislation currently in place and ensure that Scotland is a country that takes wellbeing and sustainable development seriously both now and for future generation.”

Speaking in support of the proposal; Frances Guy, Chief Executive Officer at Scotland’s International Development Alliance said: “The Alliance is delighted to see the launch of this Members Bill consultation.

“The Bill is an opportunity for Scotland to demonstrate joined-up policymaking, linking global and domestic priorities, alongside human and environmental wellbeing and putting them at the forefront of decision making.  It’s clearer than ever before that our systems are not working for people, or for the planet.

This legislation could trigger a step change in the way decisions are made in Scotland, ensuring sustainable development and wellbeing become the main drivers of policy and practice across public life”.

The Members’ Bill is supported by Carnegie UK, a Dunfermline-based charitable foundation that advocates for putting collective wellbeing at the centre of policymaking.

Sarah Davidson, Chief Executive of Carnegie UK, said: “It is time for Scotland to up the pace on putting wellbeing at the centre of big decisions.

“That means a new commissioner to look after everyone’s interests now and in the future, backed with statutory powers. That means policies and spending-decisions which balance the needs of the economy with other social, environmental, and democratic imperatives. It means longer term thinking, after a decade of crisis management at home and abroad.

“That’s why we’re pleased to see Sarah Boyack’s Members’ Bill and would urge forward-thinking organisations and individuals to get involved in this consultation.”

To see the full proposal and to respond to the consultation please visit https://sarahboyack.com/wellbeing-and-sustainable-development-bill/

Secondary breast cancer highlighted at Scottish Parliament

A charity supporting secondary breast cancer patients took its campaign to be heard to the Scottish Parliament from the 29th November to the 2nd December.

Edinburgh-based Make 2nds Count is highlighting the shocking toll of the disease which claims 1000 lives each month in the UK – an average of 31 deaths every day – and its pioneering Patient Trials Advocate service (PTA).

Make 2nds Count raises awareness of secondary breast cancer, a form of the disease which has spread beyond the breast to other parts of the body. Also known as metastatic, advanced or stage IV breast cancer, it currently affects around 35,000 people in the UK. 

It is incurable but can be treated and the charity has developed the PTA service to introduce patients to clinical trials which can help to improve outcomes and extend life.

The initiative, the first of its kind in the UK, started in Scotland through nurses based in Edinburgh, the Borders, and the Highlands, and has recently been extended across England, Wales, and Northern Ireland.

The Make 2nds Count team is in the parliament building for the next week staging an exhibition highlighting its work and the signs of secondary breast cancer.

Emma Hall, Head of Operations for Make 2nds Count says: “Secondary breast cancer is a little-known form of the disease and we are delighted to have this opportunity to raise awareness of it and our work, particularly the Patient Trials Advocate service.

“We would like to thank the Scottish Parliament for the chance to get our message across to such an influential audience.”

To find out more about Make 2nds Count and the Patient Trials Advocate service visit: 

https://www.make2ndscount.co.uk/funding-research/patient-trials-advocate/ 

Photo Caption: MSPs pictured in the Scottish Parliament buildings on Wednesday 30th November supporting Make 2nds Count and their work campaigning for more research, support and education for the Secondary Breast Cancer community across the UK

MSPs meet workers to discuss future of Royal Mail services

Union officials and postal workers from the Communications Workers Union were at Holyrood this week to give crucial updates to Members of the Scottish Parliament on the ongoing postal dispute.  

MSPs heard from the CWU about the Royal Mail’s plans to cut 10,000 jobs, dismantle pay and conditions and end the universal service obligation.  

Following the talks, Foysol Choudhury MSP said: “I was pleased to meet the CWU reps this week to discuss the future of our local postal services.  

“It is vital that Royal Mail urgently make a fair offer to their loyal workforce to quickly bring an end to this dispute. I have written to Royal Mail on a number of occasions regarding the retention of jobs and better pay and conditions for our valued postal workers. I’ll continue to raise this for all those affected and I stand in solidarity with our postal workers.” 

Craig Anderson Scottish Secretary of the CWU said: “We were very pleased with the response from MSPs who came along to meet us. They expressed their support for our posties and the services they provide to communities right across Scotland.  

“We would encourage all MSPs to join our members on picket lines as we call for fair pay for our posties.” 

Miles Briggs: Homeless emergency across Edinburgh and the Lothians

Lothian MSP Miles Briggs, has called on SNP Ministers to declare a homeless emergency across Edinburgh and the Lothians.

At General Questions in the Scottish Parliament yesterday, Miles Briggs MSP asked Ben Macpherson MSP, Minister for Social Security and Local Government “Will he today now act and declare a homeless emergency here in the capital?”

Figures release on Wednesday showed that the number of estimated homeless deaths across Lothian had increased dramatically over the last three years.

Across Lothian estimated homeless deaths have gone from 26 in 2019, to 41 in 2020 to 63 in 2021. [Figures below]

The number of homeless applications has significantly increased over the last three years with 8,165 applications across East Lothian, Edinburgh, Midlothian and West Lothian in the quarter ending 30th September 2021, compared to 6,334 applications for the quarter ending 30th September 2019. [Figures below]

There has been an unprecedented number of children living in temporary accommodation in East Lothian, Edinburgh, Midlothian and West Lothian. Across Lothian 2,990 children were living in temporary accommodation at 31st March 2022, this compares to 2,140 children living in temporary accommodation at 31st March 2019. [Figures below]

Lothian list MSP Miles Briggs, who is the Conservative candidate for Edinburgh Southern, said: “The number of people who have died while homeless here in the capital has increased by nearly 150 percent over the last four years.

“Shelter Scotland have said the situation pointed towards public services failing people and a broken housing system.

“It is simply not acceptable, and Edinburgh City Council do not have the resources to deliver a solution.”

These figures come from the data section of the publication : Homeless Deaths 2021 | National Records of Scotland (nrscotland.gov.uk)

 
 
Area201920202021 
Identified deathsEstimated deathsEstimated death rate (per million population)Identified deathsEstimated deathsEstimated death rate (per million population)Identified deathsEstimated deathsEstimated death rate (per million population) 
Scotland17321652.221525661.922225060.4
City of Edinburgh172151.3283380.13944105.5
East Lothian000.04560.03342.6
Midlothian3454.91117.41011164.2
West Lothian119.12217.34532.7
Lothian (total)2126 3541 5663  
 
Table 6a: Open homeless applications by local authority
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201920202021Comparing 30 Sept 2020 with 30 Sept 2021
31-Mar30-Jun30-Sep31-Dec31-Mar30-Jun30-Sep31-Dec31-Mar30-Jun30-SepNumber%
Scotland21,575 21,674 22,458 22,074 22,907 25,650 27,036 25,331 24,835 25,370 26,001-1,035-4%
East Lothian704 688 663 658 676 687 728 733 746 768 789618%
Edinburgh3,350 3,607 3,818 3,859 4,112 4,478 4,732 4,860 4,933 5,132 5,1474159%
Midlothian904 846 878 856 849 862 920 870 810 769 738-182-20%
West Lothian1,035 881 975 821 851 1,023 1,152 1,129 1,216 1,374 1,49133929%