First Minister: Equality and rights at the heart of an independent Scotland’s Constitution
An independent Scotland would have a constitution based on the sovereignty of the people and reflect Scotland’s values as a modern, democratic European nation from day one, according to plans outlined by the First Minister Humza Yousaf.
The fourth paper in the ‘Building a New Scotland’ series, sets out how a written constitution developed by the people in Scotland could put rights and equality at its heart, including by protecting the right to strike and giving constitutional recognition to the NHS.
Speaking at the launch of the new prospectus paper, First Minister Humza Yousaf said: “This fourth publication in the ‘Building a New Scotland’ series sets out the Scottish Government’s proposals for how people in Scotland can create a written constitution that puts democracy, rights and equality at the heart of everything we do as an independent country.
“To be a success, our written constitution must be one that the people in Scotland believe in, giving them the direct opportunity to shape and build a better country. It must also have the collective authority of the nation, so that those in power accept that, under the constitution, they are accountable to the people.
“Independence would give Scotland the ability to create a constitution that provides recognition of the NHS in Scotland, giving people the right to access a system of health care, available free at the point of need.
“It would allow Scotland to continue its progressive approach to human rights and equality, without the current restrictions of the devolution settlement and without the threat of the UK Government overruling our decisions or unwinding our advances.
This would ensure that our human rights and equality protections could cover all policy areas, including those currently reserved.
“With independence, we can build a better country on that fundamental right of every person in Scotland to be treated equally, and with a written constitution, Scotland can build a new home for democracy, rights and equality.”
The Scottish Conservatives, the main opposition party at Holyrood, are unsurprisingly less than impressed with the SNP’s priorities.
They say the Scottish government is spending over £1.4 million of taxpayers’ money to fund independence campaigning. The Tories believe this is a waste of public money when our NHS and schools are struggling.
Targeted action to further tackle poverty and inequality in Scotland will be the focus of discussion at a summit convened by the First Minister later this week.
The anti-poverty summit will bring people together from a variety of backgrounds – those with lived experience of poverty, the third sector, academics, campaigners, local government, business, and cross-party representatives of the Scottish Parliament.
Attendees will share expertise, experiences and ideas that can be used in a collective effort to drive progress and reduce inequality across Scotland.
The First Minister said: “Tackling poverty and protecting people from harm is one of the Scottish Government’s three key priorities.
“Working within our limited powers and fixed budget, the Scottish Government has already taken a range of actions that are making a real difference, with almost £3 billion allocated both last year and this year to support policies which are helping to tackle poverty and protect people as far as possible during the cost of living crisis.
“Our five family payments, including the Scottish Child Payment, could be worth more than £10,000 by the time an eligible child turns six. This compares to less than £2,000 for eligible families in England and Wales, with Scottish support providing over £20,000 by the time an eligible child is 16 years old.
“There is also much more to be done to reverse the impact of the UK Government’s policies of austerity and lack of concrete action on the cost of living crisis, which have contributed to rising poverty across the UK.
“While the Government’s actions and ideas to tackle poverty are extremely important, I also want to hear fresh ideas about what else we could be doing together. Nothing should be off the table, and I am ready to lead an honest and frank discussion on Wednesday.
“I firmly believe that all of us across society want Scotland to be the best place to grow up and the best place to live. I am determined to harness that shared ambition so we leave no stone unturned in the drive to create a more equal and more socially just Scotland.”
The summit will take place in Edinburgh on Wednesday 3 May.
The First Minister chaired the first meeting of his new Scottish Cabinet in Bute House yesterday, charging Cabinet Secretaries and Ministers to take a bold approach to delivering for Scotland.
Cabinet had a substantive discussion on the priorities of the government, ahead of the First Minister giving a planned statement to parliament immediately after recess. They had a further conversation around the budget that will underpin those priorities.
Friday’s discussion highlighted the importance of being an open, accessible government through engagement with the public and stakeholders and by reaching out to members of other parties in a genuine spirit of collaboration.
It also stressed the importance of building relationships with counterparts in other devolved administrations and the UK Government.
Cabinet members also reflected on their experiences in their previous ministerial portfolios and how that often brings useful perspective when taking on roles in different areas of government.
As always, a discussion on the immediate issues Cabinet members will be addressing in the coming weeks took place.
First Minister Humza Yousaf said: “I was pleased to welcome new and returning Cabinet members to our first meeting this morning. I was clear to them that I want Cabinet to be a forum for open and honest discussion.
“We all look forward to reaching out to stakeholders, the business community, opposition parties and the wider public in a spirit of genuine collaboration.
“This government has a strong track of taking forward ambitious and radical policies and reforms over the last few years, against a backdrop of austerity, economic uncertainty and of course the COVID-19 pandemic.
“Under my leadership the Ministerial team have been tasked with taking a bold approach to how we govern – not just in addressing the challenges facing the people of Scotland, but also maximising the opportunities of our many strengths.
“Our key priorities will include eradicating poverty and delivering a wellbeing economy underpinned by sustainable public services.
“I will set out more detail to parliament following Easter recess – but in the next couple of weeks, Cabinet members will be busy getting down to work on the immediate issues in their portfolios.”
The British Dental Association has warned the future of NHS dentistry in Scotland is in doubt, and action here must be high on the agenda for the next First Minister.
A devastating new survey of dentists across Scotland reveals:
An exodus is in motion.59% of dentists say they have reduced the amount of NHS work they undertake since lockdown – by an average of over a fifth.This movement is going unseen in official data, which counts heads, not commitment, and gives the same weight to a dentist doing a single NHS check-up a year as an NHS full timer.
Over 4 in 5 (83%) now say they will reduce – or further reduce – their NHS commitment in the year ahead. Over a third (34%) say they will change career or seek early retirement.
Just 1 in 5 (21%) say their practices have returned to pre-COVID capacity. 61% cite recruitment problems as an issue, over two thirds (67%) cite treating patients with higher needs requiring more clinical time.
A sustainable model must be in place come October. 90% cite financial uncertainty as having a high impact on their morale.
Health Secretary Humza Yousaf recently stressed NHS staffing was “at a historically high level”, with ‘record’ numbers of dental staff in hospitals alongside medics and allied health professionals. However, NHS Education for Scotland data indicates an 8% drop in high street NHS dentists delivering care since lockdown, a fall from 3,038 in March 2020 to 2,791 in September 2022.
The BDA stress even this fall understates the full scale of losses in light of this new survey evidence. The Scottish Government has never attempted to make a ‘Whole Time Equivalent’ estimate of the NHS dental workforce. Most dentists combine NHS and private work, and the BDA warn that without these estimates movement to the private sector is going undetected, and workforce planning is effectively impossible.
NHS dental care free at the point of use remains a central Scottish Government policy. BDA Scotland has long warned that any return to the service’s ‘business as usual’ model – low margin and high volume – will put practices under huge financial pressure and will likely lead to closures or movement to the private sector, with many practices left delivering some NHS care at a loss.
The SNP leadership election has seen key deadlines to reform this broken system move. The profession had anticipated the Scottish Government would reveal changes to the payment model on 1 April, that would be rolled out from October.
The BDA stress a sustainable model must be in place come October, when the current bridging payments that uplifted NHS fees finally lapse, exposing many NHS practices to unsustainable costs.
David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee, said:“Behind hollow boasts on record workforce numbers is a service that is hollowing out.
“The majority of dentists have pared down their NHS work, and many more are set to follow. It’s an exodus that’s going untracked by government but is the inevitable result of working to a broken system.
“NHS dentistry’s survival requires rapid action, with meaningful reform and sustainable funding.
“The steps taken in the next First Minister’s First Hundred Days will determine whether this service will have a future.”
Online poll of General Dental Practitioners in Scotland, Fieldwork February 2023, 526 respondents:
What changes in your working life do you anticipate in the next 12 months? % Net Likely n
I will reduce my personal NHS commitment 83% 439
I will change career/seek early retirement 43% 178
Approximately what proportion of your income was NHS based prior to March 2020?
% n
100% (exclusively NHS) 4% 23
90-99% (NHS) 43% 227
80-89% (NHS) 23% 122
70-79% (NHS) 13% 69
60-69% (NHS) 4% 22
50-59% (NHS) 4% 22
40-49% (NHS) 2% 11
30-39% (NHS) 1% 3
20-29% (NHS) 2% 12
10-19% (NHS) 1% 4
1-9% (NHS) 2% 9
0% (exclusively private) 0% 2
Approximately what proportion of your income was NHS based now?
% n
100% (exclusively NHS) 2% 8
90-99% (NHS) 25% 134
80-89% (NHS) 19% 98
70-79% (NHS) 14% 71
60-69% (NHS) 9% 48
50-59% (NHS) 11% 60
40-49% (NHS) 6% 32
30-39% (NHS) 4% 20
20-29% (NHS) 4% 20
10-19% (NHS) 3% 16
1-9% (NHS) 3% 16
0% (exclusively private) 1% 3
309 respondents reported a fall in NHS work between March 2020 and February 2023 – with an average drop of 22%.
Please estimate your practice’s current overall capacity compared to pre-COVID levels.
100% (my practice is at full capacity) 21% 111
90-99% 17% 91
80-89% 22% 116
70-79% 19% 102
60-69% 10% 54
50-59% 4% 21
40-49% 0% 2
30-39% 0% 2
20-29% 1% 4
10-19% 0% 2
1-9% 0% 2
0% (my practice is not operating) 0% 0
Don’t know 4% 19
What factors would you say are constraining your practice from operating at pre-COVID capacity (select any that apply)
% n
Recruitment and retention problems for dentists 61% 304
Patient cancellations/Did Not Attends 44% 220
Ongoing Infection Prevention and Control restrictions 18% 93
Staff sickness 43% 213
Higher needs patients requiring more clinical time 67% 336
For each of the statements below please rate the impact each currently has on your morale working as a dentist
Net High impact % n
Inability to provide pre-COVID levels of care 61% 321
UK Chancellor Jeremy Hunt met with finance ministers and central bank governors from world’s major economies at G20 in Bengaluru, India
Chancellor also met with Indian technology business leaders on first overseas trip to deepen UK/India economic ties
Chancellor set out the UK’s growth agenda ahead of Spring Budget next month
Jeremy Hunt has concluded his first international visit as Chancellor to Bengaluru, India, for the first G20 Finance Ministers and Central Bank Governors meeting held under India’s 2023 Presidency.
The Chancellor, alongside Andrew Bailey, the Governor of the Bank of England, attended a meeting of G7 Finance Ministers and Central Bank Governors on Thursday 23 February.
They were joined virtually by Ukrainian Finance Minister Serhiy Marchenko. Their statement sent a strong message of condemnation for Russia’s war of aggression against Ukraine, announced an increase of financial support for the Ukrainian government to a total of US$39 billion in 2023 and committed to continue supporting vulnerable countries hardest hit by the economic impact of the war.
On Friday, the UK announced a fresh wave of internationally co-ordinated sanctions and trade measures, to further restrict Russia’s capability to wage war in Ukraine both now and in the future.
The Chancellor also attended the first G20 Finance Ministers and Central Bank Governors meeting under the Indian Presidency. He condemned Russia’s brutal acts in the strongest terms, emphasising– like many other Ministers present – that securing peace was the most important action for global growth.
He also underscored the need for bilateral official creditors and private sector to urgently help address low and middle-income country debt vulnerabilities in developing countries; the importance of multilateral development banks boosting lending from their existing balance sheets; and called on the G20 to fulfil its pledge to channel $100 billion of IMF Special Drawing Rights in support of developing countries.
The Indian Presidency issued a Chair’s statement at the end of the meeting. It highlighted, among other things, the continued need to fight inflation, and the importance of supply-side policies, especially those that increase labour supply, boost growth and alleviate price pressures.
There was also G20 consensus, including China, on the need for swift resolution of existing debt restructuring cases and to work on the impacts of food and energy insecurity on the global economy.
While in Bengaluru, the Chancellor had productive bilateral meetings with U.S. Treasury Secretary Janet Yellen, Federal Reserve Chairman Jerome Powell, French Minister of Economy and Finance Bruno Le Maire and Kristalina Georgieva, Managing Director of the International Monetary Fund. He also met with Australian Treasurer Jim Chalmers.
At a meeting with Indian Finance Minister Nirmala Sitharaman, both sides agreed to make further progress on the UK-India Free Trade Agreement and deepen bilateral economic and financial ties. They agreed to make swift progress on setting up the next UK-India Economic and Financial Dialogue.
The Chancellor took the opportunity whilst in Bengaluru to meet with business leaders, home to India’s fast-growing tech hub. He visited the offices of Indian consultancy and tech multinational Wipro, which employs over 4,000 people in the UK.
Chancellor of the Exchequer Jeremy Hunt said: “Meeting fellow Finance Ministers face to face is an excellent opportunity to make real progress on the key global economic issues of our time.
“I first visited India 38 years ago, and it’s been fascinating to see how much the country has changed in this time – there are positive lessons to be learnt from their successful rapid development.
“It’s been great to hear from Indian technology business leaders here in Bengaluru how they are pushing the country’s economy forward, and I look forward to further collaboration between India and the UK as we continue to trade and create jobs – delivering on the government’s plan to grow the economy”
While speaking at the meetings, the Chancellor set out the UK government’s intention to protect the most vulnerable from cost-of-living pressures, whilst maintaining fiscal sustainability with debt falling and not adding to inflationary pressure.
He added that the upcoming Spring Budget on 15 March will drive economic growth , focusing on skills, business and infrastructure investment and research and innovation, as well as reviewing regulations of the UK’s key growth industries.
Helping families and services through the cost of living crisis
Eradicating child poverty, transforming the economy to deliver net zero and creating sustainable public services will be the key aims of the Scottish Budget 2023-24.
Deputy First Minister John Swinney warned relentless prioritisation was needed to tackle the combined impact of high inflation, the ongoing economic consequences of Brexit and the UK Government’s plans to reduce expenditure in future years, which are projected to reduce the Scottish Government’s funding under the Barnett formula from 2025.
He said the Budget would channel support to where it was most needed while beginning a process of reform to help public services face the future with strength and resilience.
Mr Swinney said: “Families, businesses and our public finances are under sustained economic pressure and the Scottish Government has acted decisively to provide what support it can within its limited resources.
“We have allocated £3 billion in 2022-23 to mitigate the impact of the cost of living crisis, including targeted help such as increasing the game changing Scottish Child Payment to £25 per eligible child per week – a 150% increase within eight months.
“However, given the fiscal constraints of devolution, it is not possible to go as far as we would like and so the Budget will prioritise three areas – eradicating child poverty, transforming the economy to deliver net zero and creating sustainable public services.
“Difficult decisions are required and resources will be targeted where they are most needed and can secure maximum value from every pound spent.
“The economic challenges we face also require a fundamental change in the way we manage public spending. The Bank of England is predicting the longest recession for a century so this Budget will set in motion reforms that will place our finances and public services on a more sustainable and resilient footing for the future.
“This is a time for firm leadership and bold decision making. Steps we take now will help ensure Scotland emerges from the current crisis a stronger, fairer, greener country.”
The Scottish Budget 2023-24 will be presented to the Scottish Parliament on Thursday, 15 December.
COSLA launched its campaign last week in advance of the Scottish Budget on 15 December – an ‘SOS call’ to Save our Services.
It is a rallying call, telling communities everything they need to know about the impact of the Scottish Government’s forthcoming budget on our council services, and our communities in the coming year.
COSLA says the SOS call reflects the extremely precarious financial situation in which Councils in Scotland find themselves, during a particularly challenging period. This is as a consequence of real-term cuts to the core budgets of Scotland’s 32 Councils over recent years.
The call comes ahead of the Deputy First Minister outlining the Scottish Budget on December 15th but reflects the reality of what the government set out in its spending plans last May.
COSLA’s President Councillor Shona Morrison said: “There are many areas in which Local and Scottish Government work together for our communities and I fully appreciate that money is extremely tight – all Governments are having to cope with rising inflation and fuel costs
“However, with little room left to manoeuver, the Scottish Government’s spending plans as they stand will see Council services either significantly reduced, cut or stopped altogether. 70% of Local Government’s budget is spent on staffing, so it is inevitable that current spending plans will lead to job losses. The very serious impact of this scenario is that the critical work council staff do on prevention and early intervention will reduce significantly.
COSLA’s Vice President Councillor Steven Heddle said: “In May, the ‘flat cash’ plans looked difficult for us. Today, with prices increasing across the board, including energy costs, and inflation sitting at almost 10% and at risk of rising still further, Local Government is now on extremely dangerous ground.
“Make no mistake, what we will now face is Councils struggling to deliver even the basic, essential services that communities rely on. To put this into perspective, the estimated £1bn gap for councils in 23/24 is the equivalent of the entire budget for early learning and childcare across Scotland or 17,500 teachers. A funding gap of this magnitude will have an impact on all our communities, with the most vulnerable who rely on these services suffering the worst consequences.”
COSLA’s Resources Spokesperson Councillor Katie Hagmann concluded: “We are at a crisis point like never before – the impact for communities is serious and needs to be reconsidered.
“The financial impacts for other parts of the public sector are also serious. When councils can’t focus spend on prevention, for example on preventing ill-health, services like the NHS will end up spending significantly more money when issues become more serious.
“Directors of Finance across Scotland’s Councils are sufficiently concerned about the financial sustainability of councils that they have written to the Deputy First Minister outlining their concerns.
“This really is an SOS call from Scotland’s Councils –people in communities across Scotland will be pulled into further poverty and uncertainty without adequate funding for the vital services that support them”.
Local health and care services are asking for the public’s views on the future of care in Lothian.
The Lothian Health & Care System (LHCS), which is made up of NHS Lothian and the four local health and social care partnerships, is urging people to help shape healthcare in their region.
The pandemic has forced a major re-think across all services and systems, including healthcare. The NHS as a whole is facing sustained pressures and the LHCS wants people to have their say around the future of services over the next five years.
Together, the LHCS works to plan, commission, and deliver health and care services locally to a population of nearly one million which is projected to grow by 8% in the next decade.
Colin Briggs, Director of Strategic Planning, NHS Lothian, said: “We’re all aware that health and social care services are under significant and sustained pressure at the moment. That is why the LHCS is setting out its strategic direction for the next five years.
“Our Lothian Strategic Development Framework (LSDF) describes what we’re trying to achieve, now and in the future, the challenges we face and the direction we want to take over the next five years. It also lays out what we think the people of the Lothians can expect from us over that time, some of which will be hard for all of us”
“However, we can’t do this in isolation. Health and care belong to us all and we really want people to tell us their thoughts and ideas, their priorities, and their expectations, and also for us to be able to work together to find the best way forward.”
Through a combination of consultations, question and answer sessions and online feedback, NHS Lothian and partners are asking for the public’s feedback on the LSDF.
More than 400,000 postcards have been landing on doormats of households across Edinburgh, West Lothian, East Lothian and Midlothian giving details of how people can get involved and share their views. This builds on a successful initial engagement period during April, May, and June.
Mr Briggs added: “We’ve tried to be as accessible as possible in how we enable people from across our communities to give us their views.
“We want our patients, their families, our staff and the population we serve to be as involved as possible, both now and going forward.
“We are also being candid with our communities by saying that our performance and outcomes are not what we would want them to be. We need a new direction of travel in a post-pandemic world.
“The priorities currently outlined in the LSDF include moving care closer to home, supporting self-care, learning lessons from the pandemic, working closer with partners, improving our facilities, better utilising technology and reducing waiting lists.
“If you think we’re going in the right direction, or if you think we’re not, we’d really like to hear from you. Please get involved and tell us what you think the future of health and care should look like.”
The Scottish Ambulance Service is actively engaged with NHS Boards, Health & Social Care Partnerships, GP practices and other key stakeholders to support the effective delivery of high-quality care.
As a result, we believe we have enormous potential to play a significantly enhanced role in the future of health and social care provision, by working collaboratively with the public and stakeholders around how we plan and provide safe, effective and person-centred health and care for the people of Scotland.
In 2019, we actively consulted with staff and the public to get input into the development of our 2030 Strategy. However, soon afterwards, we had to pause the development of the strategy to allow us to focus on our response to the COVID-19 pandemic.
Now, taking account of the new post-pandemic landscape, we must consider how we develop our strategy to respond to Scotland’s Health & Social Care priorities to help address the root cause of the challenges we face on a day-to-day basis.
Environmental campaigners say the upcoming council elections are going to be significant in tackling the climate crisis, and are calling on all parties to make policies on transport and waste management a priority.
The councillors elected across Scotland in May will be in their position for five years in what is a vital decade for action to avert climate breakdown.
The UN climate conference in Glasgow was a key moment for international action, but the powers held by Councils makes them pivotal when it comes to tackling Scotland’s emissions and building on the legacy of COP26.
Transport is the primary source of carbon emissions in Scotland, making up around a third of the total. While progress has been made in other areas, this has barely changed in the last three decades.
Councils have the power to set up publicly-owned bus companies which could make a significant difference here. They also receive funding, which will be increasing in the coming years as part of the SNP and Greens agreement, for cycling and walking, which some councils currently make use of more than others.
Scotland is now burning almost as much of its household waste as it is sending to landfill, while household recycling rates have fallen by 2.9% to 42.0% between 2019 and 2020. This means Scotland now has the poorest recycling rates in the UK. Councils are in charge of designing and providing waste collection systems for households and therefore have a key role to play in reducing the carbon impact of household waste.
Mary Church, head of campaigns at Friends of the Earth Scotland, said: “These elections are being contested against the backdrop of a climate and nature emergency. Many of the powers to drive action on the climate crisis sit with local councils, which is why this vote matters so much.
“Councillors must put people and the planet at the heart of all of the decisions they make. This means making it easier and more affordable to take public transport by running services in the interests of passengers rather than shareholders, helping people to reduce and recycle their waste, and planning for the vital phase out of incineration.
“Over the coming weeks, people can get in touch with candidates to hear what they have to say on these climate-critical issues and build pressure for ambition and urgency at the local level during the next five years.”
Friends of the Earth Scotland has set out a programme of priorities for climate action they want parties to champion, which can be downloaded below:
Support for social care is to be intensified as a national priority alongside the NHS and emergency services, as staffing pressures and increased demand reflect the extent and nature of the spread and effect of Omicron.
As a result of staffing availability due to Covid, the Scottish Government and COSLA, working with local partners across the public services in Scotland, have agreed a joint approach to maximise social care support to ensure people receive the care they need, dignity and human rights are upheld, and to avoid further pressure falling on the NHS.
Some local public services report that pressure is very significant with some health and social care partnerships being asked to prioritise capacity and identify staff who can be deployed to sustain and maintain support for some of the most vulnerable people in society. This may mean some other services are temporarily paused or reduced to redeploy capacity and expertise.
Deputy First Minister John Swinney said: “In order to protect life preserving services, and protect the vulnerable, local authorities and public services will prioritise what they deliver in the weeks ahead as a result of staffing availability due to Covid.
“That may mean some services being closed for a period or operating on reduced hours or service levels. This will free up resources to make sure we can deliver core, essential services. As soon as demands and resources allow, any affected services will resume normal operation.
“People across public services and critical national infrastructure are working hard to keep essential services going. In a lot of cases they are already being asked to be flexible to cover for absent colleagues.
“I am grateful to everyone who is helping us through this difficult period. The Third Sector has a huge amount to offer while the private sector and employers can contribute, either by releasing staff who can help in this effort, or by supporting carers leave for family and friends who might need it.
“Local public services are delivering national priorities and programmes such as testing and vaccination programmes, delivering business grants, self-isolation grants and support, and much more.
“They have played a key role throughout the pandemic in supporting vulnerable people and key workers. That partnership between local and national government is, and will remain, essential.”
COSLA President Alison Evison said: “Once again, no matter the ask, councils along with other public services will rise to the challenge in terms of providing an appropriate local response. As the sphere of government closest to our communities across Scotland, once more Local Government will play our part in the Covid response.
“Where pressures on staffing levels are identified, help and support for those most vulnerable as well as the life and limb services in our communities will be prioritised. As it has been throughout the pandemic, Health and Social Care and keeping people safe will be front and centre of local prioritisation.”
Scottish Government and Cosla Joint statement on social care support
