Part of the debate – in the Scottish Parliament am 4:41 pm ar 13 Mehefin 2024.
I will come on to that in my speech. I welcomed what the health secretary said last week. I have been calling for that during the whole time that I have been in this Parliament. We need to have a national conversation about where our health service is. The fact that, every single week, as MSPs, we raise problems about our health service requires us to look in the mirror and consider why that is the case.
We should start by looking at Audit Scotland’s reports. It has highlighted workforce challenges, and has said:
“The Scottish Government needs to act quickly to deliver services differently.”
It has called on the Government to act on the workforce crises that our NHS has faced for too long.
Audit Scotland has said that the Scottish Government’s economic strategy “lacks ... political leadership”. There can be nothing more damning than Audit Scotland saying that politicians in the Government are not providing the leadership that we need to grow our economy and deliver our public services.
I want to touch on the recent declaration of a housing emergency by the Scottish Government. That is welcome. Each week, local authorities have declared housing emergencies—last week, it was Scottish Borders Council and, just this week, it was South Lanarkshire Council. However, we need a fundamental look at how we deliver housing in Scotland. I have consistently raised the issue of children living in temporary accommodation. The numbers on that are now through the roof, but ministers have not done things differently. They have put more and more pressure on local authorities at the same time as taking away funding from them. That has delivered the housing crisis, and ministers need to take responsibility for it.
The charitable sector has asked to be part of the solutions and has called on ministers to let it in, but we have not seen that happening, and we are now in a position in which we have another national emergency. We cannot simply allow every part of our public services to be given emergency status.
The cabinet secretary did not mention the need to reform our public services. Over the past 17 years, the SNP Government has neglected that opportunity, and the potential that exists for our public services to be improved has not been realised. Although the Cabinet Secretary for Health and Social Care has launched a national conversation, we do not know which direction of travel ministers want to take.
At general question time earlier today, I raised the issue of children being placed in adult services. Over the past 25 years, we have not reformed our mental health services to deliver the levels of provision that we need. We say that we want parity of esteem between physical health and mental health, but we need to make sure that our mental health services are there to respond.
One area that is of interest, and which I hope that the Cabinet Secretary for Health and Social Care is looking at, is the reform work that is being done in London in relation to the Metropolitan Police. I know from my casework—I am sure that every member knows this—that, when someone is in a mental health crisis or in distress, we send out Police Scotland to deal with that, which is a completely inappropriate response. The police will then take that person to an accident and emergency department, where they will sit with the police for hours and not get an outcome. They will be taken home, and they might have their meds reviewed. We need to see something different happening.
It is important that we reform services in such a way that the third sector can be used to deliver a different outcome. That is why, as a country, we need to look at the right care, right person model that is being delivered by the Met Police. That model delivers a different response and a different outcome.