Tag: Politics

Holyrood Committee calls for urgent action to improve access to and delivery of healthcare services in remote and rural areas

The Health, Social Care and Sport Committee is calling on the Scottish Government to take urgent action to address the specific challenges faced by remote and rural communities in accessing and delivering healthcare services.

The Committee’s inquiry has found that recruitment and retention of staff is one of the key challenges to effective delivery of services in remote and rural areas. The report highlights the availability and affordability of housing, and access to education and training as significant barriers to recruiting and retaining staff.

The Committee is calling on decision-makers to recognise the extent to which a lack of available and affordable housing is acting as an indirect barrier to healthcare provision in remote and rural areas of Scotland, by making it very challenging for healthcare workers to locate themselves within the communities they wish to serve. It calls on relevant NHS Boards, local authorities, professional bodies, trade unions and other key stakeholders to work together to find practical solutions to these problems.

Another barrier highlighted in the report is the lack of locally available training and development opportunities for staff. The Committee is calling on the Scottish Government and the new National Centre for Remote and Rural Health and Care to set out how they will improve the availability and suitability of local training and development opportunities.

Difficulties with accessing healthcare services in remote and rural areas were repeatedly raised during the Committee’s evidence gathering. These include practical challenges for patients attending in-person appointments and the often substantial additional travel and accommodation costs, which the Committee say must be addressed.

The Committee highlights significant variations in policy on reimbursement of patient travel costs, depending where an individual lives and whether or not they are in receipt of benefits. It calls for a fairer and more consistent policy for reimbursement of travel and accommodation costs to be developed.

The importance of technology and digital infrastructure in facilitating access to healthcare in remote and rural areas was also raised repeatedly during the Committee’s evidence gathering.

While recognising that some will continue to prefer face-to-face appointments, the Committee is calling on the Scottish Government to set out the specific actions it is taking, or that may be required at UK Government level, to improve digital access to healthcare services in remote and rural areas.

The Committee commends existing good practice in the provision of remote and rural healthcare services, including that demonstrated by third sector organisations. However, it concludes that more action is needed to ensure this good practice is more consistently and widely shared across different organisations and areas.

Clare Haughey MSP, Convener of the Health, Social Care and Sport Committee, said: “Our inquiry has shone a light on the unique challenges facing remote and rural healthcare services, both for those accessing and those delivering those services.

“The evidence suggests that often healthcare policy is developed as ‘one size fits all’, which fails to address the particular needs of remote and rural communities.

“We want to see a whole system approach which designs services in a way that is more flexible and responsive to local needs – while systematically learning from the good practice that is out there.

“We believe that developing a tailored approach to healthcare service delivery that reflects local challenges and circumstances should be an overarching priority of the new National Centre for Remote and Rural Health and Care.

“We also look forward to the forthcoming publication of the Scottish Government’s Remote and Rural Workforce Recruitment Strategy and how this strategy will address some of the workforce-related issues our report highlights.

“The voices of people who live in remote and rural areas and work or receive care in these settings have been at the centre of our inquiry and we thank them for their vital contribution to this report.”

Other findings in the report include:

  • The evidence gathered by the Committee suggests that the current NRAC funding formula fails to meet the specific needs of remote and rural areas. The Committee reiterates previous calls for this formula to be reformed to take better account of the specific challenges and associated higher costs of healthcare delivery in those areas, which include an ageing population, depopulation, and the greater requirement for small scale service delivery.
  • The Committee says it has heard extensive evidence of the specific challenges associated with implementing the 2018 General Medical Services (GMS) contract in remote and rural GP practices, in particular the practical challenges associated with trying to develop multi-disciplinary teams. The Committee is calling on the Scottish Government to explore the extent to which a revised, more flexible approach to implementation of the contract, specifically in remote and rural settings, might help to improve the sustainability of these services.
  • The Committee highlights evidence of acute pressures on the provision of social, palliative and end of life care services in remote and rural areas and warns that the tendency of an ageing population increasingly living in more remote and rural areas of the country will mean demand for these services will increase significantly in the years ahead.

Housing: Briggs slams ‘out of touch’ Housing Minister

Lothian MSP Miles Briggs has slammed the Housing Minister over his statement to the Scottish Parliament on Tuesday last week saying “Paul McLennan should be ashamed of his out-of-touch statement, which seems to be an embarrassing attempt from the SNP to congratulate themselves on their own failures.”

Mr Briggs highlighted the damage that rent controls have done to the rental sector, as well as the disastrous impact of SNP Ministers slashing £200 million from the housing budget.

Edinburgh, Midlothian, West Lothian and East Lothian have received a total of 6,513 homelessness applications in the last year. The number of live homelessness applications across the four local authorities is 9,971.

The shockingly high number of children living in temporary accommodation, across Lothian local authorities, has risen to 3,700, well over the a third of the total number of children living in temporary accommodation across Scotland, 10,110.

Miles Briggs spoke in Labour party business on Housing last week to again raise the issue of homelessness as well as lack of appropriate housing stock in Scotland.

Lothian MSP, Miles Briggs, said: “Over the last eight years in which I have served as an MSP, I have never seen a more out if touch statement delivered by a Government Minister.

“After 17 years of this SNP Government homelessness across Lothian is dramatically worse than when the SNP came to power.

“The number of children living in temporary accommodation is shockingly high, with local authorities in Lothian having over a third of all children living in temporary accommodation across Scotland.

“SNP Ministers have made blunder after blunder leading to a national housing crisis, which could have been avoided with better leadership.

“We urgently need to see a new Scottish Government, with new ideas to start tackling Scotland’s homelessness crisis.”

Main+tables_Homelessness+in+Scotland+2023-24Download

Support for Boyack’s Wellbeing and Sustainable Development Bill


Over 130 organisations, including NGOs, social justice charities, think tanks and economists, have come together to urge First Minister John Swinney to give the government’s backing to Sarah Boyack MSP’s Member’s Bill.

In a letter organised by WEAll Scotland, they tell Mr Swinney that “this is a key opportunity for the Scottish Parliament to work together to pass world leading legislation that delivers for the people of Scotland”.

Ms Boyack’s Member’s Bill aims to create better outcomes for future generations by placing new definitions of sustainable development and wellbeing into legislation.

It also seeks to establish a Wellbeing and Sustainable Development Commissioner to end short-term thinking in policy decisions.

The bill received cross party support but has not yet been formally endorsed by the SNP.

In the SNP’s 2021 manifesto they committed to bringing forward a Wellbeing and Sustainability Bill, however only put a consultation forward after Ms Boyack published her bill.

In the open letter, signatories highlighted the benefits of this bill and urged Mr Swinney to support Sarah Boyack in bringing it into law

Commenting on the support, Ms Boyack said: “It is great to have such a wide range of support from stakeholders across sectors, for my bill.

“There is clearly a deep recognition of the benefits that this bill can bring Scotland.

“This gives us in Scotland the opportunity to be a real leader in this field.

“I hope the First Minister listens to these stakeholders and supports my bill to ensure that we can finally embed wellbeing into the heart of Scotland’s politics.”

WEAll Director Aileen McCleod added: “In a just and compassionate Scotland, everyone should have the opportunity to live a good and dignified life.

“We know that people are struggling as we face multiple crises for people and planet. It doesn’t have to be this way.

“Right now, the Scottish Government is not utilising the full extent of their devolved powers. The recent Programme for Government was a missed opportunity to deliver lasting change.”

Sarah Davidson, Chief Executive of Carnegie UK also commented: “New wellbeing legislation could help Scotland make headway with the biggest challenges of our time by forcing more long-term thinking.

“The Scottish Parliament should get behind Sarah Boyack’s Bill because the only way we’re going to tackle issues like climate change or child poverty is through thoughtful action, co-ordinated across government and the wider public sector.”

WEAll stakeholder letterDownload

Leaders speak out on anniversary of 7th October attacks

Prime Minister Keir Starmer’s statement on one-year anniversary of the October 7th attacks:

7 October 2023 was the darkest day in Jewish history since the Holocaust. One year on, we stand together to remember the lives so cruelly taken. 

Over a thousand people were brutally murdered. Men, women, children and babies killed, mutilated, and tortured by the terrorists of Hamas. Jewish people murdered whilst protecting their families. 

Young people massacred at a music festival. 

People abducted from their homes.

Agonising reports of rape, torture and brutality beyond comprehension which continued to emerge days and weeks later. 

As a father, a husband, a son, a brother – meeting the families of those who lost their loved ones last week was unimaginable. Their grief and pain are ours, and it is shared in homes across the land. 

A year on, that collective grief has not diminished or waned.

Yet their strength and determination to cherish the memories of those they had lost continues, and our determination to bring those still captive home endures. I stand firm in our commitment to bring the hostages home, and we will not give up until they are returned.

One year on from these horrific attacks we must unequivocally stand with the Jewish community and unite as a country. We must never look the other way in the face of hate. 

We must also not look the other way as civilians bear the ongoing dire consequences of this conflict in the Middle East. I reiterate my call for immediate ceasefires in Gaza and Lebanon, and for the removal of all restrictions on humanitarian aid into Gaza.

We will not falter in our pursuit of peace and on this day of pain and sorrow, we honour those we lost, and continue in our determination to return those still held hostage, help those who are suffering, and secure a better future for the Middle East.

First Minister John Swinney expresses sympathy as he calls for peace:

First Minister John Swinney expressed his sympathy to the Jewish community as he remembers all those who lost their lives in the Hamas 7 October terror attacks a year ago.

Since the attacks, the Scottish Government has consistently called for the immediate release of all hostages, a ceasefire in Gaza, the urgent provision of humanitarian aid to all who need it, and a two-state solution with sovereign Israeli and Palestinian states.

The First Minister said: “The atrocious attacks carried out by the terrorist organisation, Hamas, on 7 October resulted in the worst single loss of Jewish life since the Holocaust. Jewish communities across the world, including here in Scotland, are deeply traumatised by the attacks.

“As we remember those who died, I express my sympathy to the Jewish community and all those who mourn. 

“I also remember the thousands of innocent people who have been killed in the crisis over the last year. Now more than ever, an immediate ceasefire is needed in Gaza, and the Middle East.

“As communities across Scotland reflect on the 7 October terrorist attacks and the subsequent loss of further innocent life that has followed, I pledge the unwavering support of my government to ensure our communities remain united, that all communities are kept safe and that we live in a Scotland where people of all faiths, and none, can live in peace.”

Sight Loss Charities Demand Eye Hospital Closure Answers

‘Waiting Times Will Soar and Patient Care will Suffer’ 

Sight Scotland and Sight Scotland Veterans are urgently seeking answers from NHS Lothian regarding the temporary closure of the Princess Alexandra Eye Pavilion in Edinburgh due to emergency repair works.

The sight loss charities are questioning the six-month closure timeline and are warning that it will result in longer waiting times and declining patient care, putting the eye health and mental wellbeing of thousands at heightened risk. 

During a recent round table discussion in the Scottish Parliament on Monday 30th September, Craig Spalding, Chief Executive of Sight Scotland, along with NHS Lothian’s Interim Chief Executive Jim Crombie, MSPs Sue Webber, Miles Briggs, and Sarah Boyack, and representatives from Visibility Scotland, RNIB Scotland, Sight Scotland’s Policy Group and the KEEP campaign, discussed the implications of the temporary closure. 

Key concerns raised included: 

  • Resilience and Contingency Plans: Clarity is needed on how NHS Lothian will handle patient reallocations, especially if moving patients to other locations becomes unviable, and what longer-term contingency plans exist if repairs exceed the 6-month timeframe. 
  • Relocation of Services: NHS Lothian must confirm where outpatient, inpatient, day care, and emergency services will be provided during the closure. 
  • Communication and Patient Support: Will NHS Lothian commit to timely, accessible updates and appointment information (e.g., large print, colour contrast, Braille, telephone calls) and ensure consistent patient support services throughout the disruption? 
  • Transport and Accessibility: What transport options will be available for patients, especially those struggling to reach new locations? Will NHS Lothian seek to secure additional funds from the Scottish Government for taxis and ambulances? 
  • Access to Medication: How will patients access medication from the specialist pharmacy, and will community pharmacies be an alternative? 
  • Patient Data: How will patient data records be secured and shared, and what system will ensure quick transfer of essential paperwork to prevent delays in CVI registration?  

Craig Spalding, Chief Executive of Sight Scotland and Sight Scotland Veterans, comments: “We are extremely concerned that the health and wellbeing of eye patients in Edinburgh and the Lothians is being overlooked once again.

“The temporary closure of the eye hospital raises serious questions about patient care, continuity of services, and access to essential treatments.

“This building has been deemed unfit for purpose for over a decade, yet NHS Lothian is set to pour millions into patching up a leaky roof, while the entire facility remains a disaster zone. 

“This is a significant blow to patients in a region where ophthalmology services are already severely strained. With waiting times at an all-time high, they are now expected to worsen, causing further delays to vital treatments and placing the eye health and mental wellbeing of thousands at serious risk.

“Since the building was declared unfit for purpose in 2014, outpatient waiting times have quadrupled. Now, less than a third of patients are seen within 12 weeks, compared to 90% ten years ago. Patients cannot afford to wait this long for critical treatments, and it’s only going to get worse. 

“There are so many urgent questions which need answered. What resilience plans are in place if some patient reallocations to alternative sites prove unviable?

“What contingency measures exist if the repairs extend beyond the planned six-month timeframe, will there be increased funding if the £1.8 million allocated for emergency repairs falls short? Where will those needing access to emergency eye care go?

“It is essential NHS Lothian works in partnership with third-sector organisations to support vulnerable patients during this difficult time, as many of them will be severely impacted.” 

“The recent roundtable made it clear that concerns are widespread, and there’s still no comprehensive plan to improve eye care in the capital. We must keep pushing NHS Lothian and the Scottish Government for answers, both for immediate solutions and long-term improvements.

“How many more lives must be disrupted before funding for a new eye hospital is finally secured?” 

For more information, visit sightscotland.org.uk    

Public health levy needed to stop alcohol deaths, says Scottish Greens

A public health levy on alcohol and tobacco retailers is a crucial step to supporting frontline recovery services, says Scottish Green MSP Lorna Slater.  

Ms Slater’s comments come as new Scottish Government stats show that 1,277 people in Scotland died in 2023 from alcohol misuse, with 163 of those deaths in the City of Edinburgh. 

In the Scottish Parliament Lorna Slater pushed Scottish Government Minister Jenni Minto to reconsider the reintroduction of this levy as a surcharge on the non-domestic rates for large retailers selling alcohol and tobacco.  

Currently retailers keep the additional revenue raised from minimum unit pricing. A recent report by the Fraser of Allander Institute for Alcohol Focus Scotland showed that a levy on retailers with a licence to sell alcohol and tobacco, set at 13p per pound, could raise £57 million a year for support services.  

The majority of the funds raised would come from big national supermarket chains, who they say would make up 86% of all revenues.    

The Scottish Government has committed to exploring the potential for the introduction of a levy as a result of budget negotiations with the Scottish Greens.  

Ms Slater said: “Every one of these lost lives is a tragedy, and there will be people missing them and mourning them. We clearly need to change Scotland’s relationship with alcohol.  

“We urgently need to tackle the root causes of alcohol misuse and ensure that we are funding recovery services to support people and communities that need it.  

“Minimum unit pricing has been an important step forward, but the money made from it is staying with the supermarkets rather than being used to support people and families who are on the frontline of the crisis.  

“If retailers are profiting from the sale of products that are damaging public health, like alcohol and tobacco, then they should also pay towards mitigating the health and social costs that they cause.  

“This is something that I hope MSPs from all parties can agree on and work together to deliver. With a budget due later this year, I hope that the Scottish Government will apply a public health levy to ensure that we are supporting frontline recovery services.” 

Campaigners call on Scottish Government to back world-leading legislation

A broad group of campaigners have united to call for wellbeing and sustainable development to be at the heart of policy making in Scotland

Over 130 social and environmental justice NGOs, grassroots community groups, faith groups, service providers, funders, economists, academics, think tanks and business leaders have again joined forces in an open letter to the First Minister.

The group is united in their support of the Wellbeing and Sustainable Development Bill proposed by Sarah Boyack MSP.

The letter, led by the Wellbeing Economy Alliance Scotland (WEAll Scotland), is signed by One Parent Families Scotland, Stop Climate Chaos Scotland, The Poverty Alliance, Scotland’s International Development Alliance, Independent Food Aid Network, Quakers in Scotland and many others.

The group, who previously wrote to the First Minister in June, express their disappointment and concern that the Scottish Government failed to deliver on their long-promised Bill in the Programme for Government.

In the letter campaigners proclaim: “We believe this Bill is a vital step towards building a Wellbeing Economy by ending short term, sticking plaster solutions that fail to tackle today’s challenges at their source.”

WEAll Scotland Director, Aileen McLeod, said: “In a just and compassionate Scotland, everyone should have the opportunity to live a good and dignified life. We know that people are struggling as we face multiple crises for people and planet.

“It doesn’t have to be this way. Right now, the Scottish Government is not utilising the full extent of their devolved powers. The recent Programme for Government was a missed opportunity to deliver lasting change.”

The letter, sent to the First Minister John Swinney today, sets out how a Wellbeing and Sustainable Development Bill would create a step change in policy making: “It would create a clear and shared narrative of progress for Scotland; establish wellbeing and sustainable development as the drivers of policy and practice; help tackle the nature and climate crises; and contribute to global justice.”

Sarah Davidson, Chief Executive at Carnegie UK, said: “New wellbeing legislation could help Scotland make headway with the biggest challenges of our time by forcing more long-term thinking.

“The Scottish Parliament should get behind Sarah Boyack’s Bill because the only way we’re going to tackle issues like climate change or child poverty is through thoughtful action, co-ordinated across government and the wider public sector.”

Tejesh Mistry, Chief Executive of Voluntary Health Scotland, said: “This Bill should provide a vital pathway for addressing the increasing poverty and inequality in Scotland at a time when a forward-thinking Wellbeing Economy driven vision is key to providing hope for people and services that are suffering.”

David Kelly, Head of Scotland for Community Transport Association, said: “Too many of Scotland’s cities, towns and villages have been designed with car dependency built in.

“Bigger roads, more drive-thrus and new neighbourhoods without buses, cycle lanes or even pavements have only driven up congestion, emissions and ill-health. We need a clear and rigorous definition of sustainable development in law to prevent bad planning decisions, build more accessible places and end transport poverty.

“We hope that the Scottish Parliament can unite behind Sarah Boyack’s Members Bill to help develop a sustainable transport system which works for everyone.”

Aileen McLeod continues: “Now is the time for action, it is essential that the First Minister gives his full support to Sarah Boyack’s Wellbeing and Sustainable Development Bill.

“There is already cross party support and our letter demonstrates the breadth and depth of support across Scotland. This is a key opportunity for the Scottish Parliament to work together to pass world leading legislation that delivers for the people of Scotland.”

The letter reads:

WEAll Scotland WSD Bill follow up letter (2)Download

Starmer’s Labour all about greed and power, says resigning Labour MP

CANTERBURY MP Rosie Duffield has resigned from the Labour Party, criticising Labour leader Sir Keir Starmer – now labelled Free Gear Keir – for accepting thousands of pounds worth of personal items while at the same time removing Winter Fuel Payments from thousands of struggling pensioners.

Ms Duffield will now sit as an Independent MP.

Her scathingly critical letter is below:

Councils Withdraw Support for National Care Service Proposals

Council Leaders have withdrawn support for the Scottish Government’s revised National Care Service Bill.

The Bill is currently being considered by the Scottish Parliament.

Though continuing to back key areas of reform, including enhanced support for unpaid carers, care home visitation rights and efforts to improve the experience of the social work and social care workforce, Council Leaders have expressed concern that the amended Bill currently does not reflect a model which Local Government can support.

The decision of Local Government Leaders today comes as several organisations
have expressed doubt on the legislative approach adopted by Scottish Government, including those working across the care sector. Experts have also questioned the evidence for including, within the National Care Service, services which support children and young people.

Commenting, COSLA’s Health & Social Care Spokesperson, Councillor Paul Kelly said: “Local Government cannot support the amended National Care Service Bill brought forward by Scottish Government.

“Local Government has been committed to working in partnership with the Scottish Government to develop proposals to deliver a National Care Service, but unfortunately the revised legislation does not effectively represent that partnership.

“Local Government is committed to continuing our engagement with key areas of reform which can deliver improved outcomes for people, unpaid carers and our workforce. We cannot, however, offer our support for the legislation brought forward at this stage”

“It is important that the views of people accessing, working in and planning front-line support services are listened to, both with regards to the NCS legislation and also the improvements needed to overcome the sustained financial and workforce pressures being experienced across Scotland.”

The National Care Service Bill was introduced to the Scottish Parliament on June 20th 2022, and allows for the transfer of a range of social care, social work and community health functions from local authorities to a new centralised body under the direction of Scottish Ministers.

On July 12 2023, Local Government and Scottish Government announced a shared accountability partnership for delivering the National Care Service in an alternative way, with enhanced national strategic direction through the creation of a national NCS Board, but with a continued role for local decision-making and Local Government.

Parliament’s Health Social Care and Sport Committee has sought views on the revised National Care Service Bill. Responses include those from UNISON, Children and Young People’s Commissioner Scotland,  Social Work Scotland, The Promise Scotland. COSLA’s Health and Social Care Spokesperson wrote to Parliament’s Health, Social Care and Sport Committee on 17th September 2024, accompanying COSLA’s full evidence submission on the draft, revised NCS Bill.