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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 6 August 2025
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Displaying 622 contributions

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Citizen Participation and Public Petitions Committee

Continued Petitions

Meeting date: 8 September 2021

Rhoda Grant

Thank you for allowing me to speak. The petition obviously follows a petition to your predecessor committee, and some of the new members on the committee might not be aware of the issue.

Basically, there are two treatments for essential tremor. Essential tremor is very disabling, because it makes people shake. It can affect things that we all take for granted, such as drinking and eating in public, and it can even affect the way that someone speaks. The people who suffer from it tend not to mix socially. It is a very difficult illness to deal with and it tends to have a very late diagnosis. Mary Ramsay, who is my constituent and the petitioner, was not diagnosed until her 40s.

Mary Ramsay has had brain surgery to deal with essential tremor. Brain surgery works and is a proven treatment, but the difficulty with it is that people need to go back and have the electrodes moved. People who have brain surgery for essential tremor have a lifetime of procedures ahead of them. Focused ultrasound is non-invasive鈥攖here is no brain surgery involved. It is a one-off treatment, and it is life changing for those who receive it.

In England, focused ultrasound is an approved treatment that NHS England funds. People from Scotland can be referred to NHS England for treatment, which seems totally crazy to me, because we have the machine in Dundee and we could be treating people here and now in Scotland, at a much lower cost.

Citizen Participation and Public Petitions Committee

Continued Petitions

Meeting date: 8 September 2021

Rhoda Grant

The petition is not from people in my constituency, but the committee will have seen that the Caithness health action team made a submission to the committee in support of it. Their concerns are similar to those of others in that people in that area have huge distances to travel to access medical treatment. Some funding is available, but it is not adequate and does not remove the financial disadvantage. There is also a social disadvantage for people with caring responsibilities鈥攆or example, children have to be looked after while they are away鈥攁ll of which creates huge problems for people. That is a consistent problem throughout the Highlands and Islands area that I represent and it has been an issue for me for all the time that I have been a member of the Scottish Parliament.

I understand that the training for medics, nurses and all those involved in healthcare is geared towards teamwork so that people can collaborate when working together to provide healthcare. In remote rural areas, however, we ask people to work very much on their own without any back-up and to depend on their own skills and knowledge, but the training does not equip people to do that.

11:15  

We also see that the NHS values specialisation. If a person specialises in a subject, their grading goes up, and that is true for doctors and nurses. However, at one point, I was speaking to nurses who work in the area that I cover who have a huge range of skills because they need to cope with anything that comes through the door and what is happening there and then, but they are on a basic banding. The breadth of their knowledge was not recognised; only the depth of their knowledge was recognised.

There are therefore huge disincentives for people who are generalists to become involved. One is from a training point of view, and the other is from a financial and career progression point of view. I therefore agree with the petitioners. We need an agency to take up the issue and work with it by looking at training and remuneration to make sure that we have health services in those remote and rural communities. It gets to the point where people are maybe not getting the health interventions that they need as quickly as they can, because it becomes very difficult for them. We do not need an A and E around every corner, but we do need to provide those kinds of services to people, without the same in-depth specialisms that there are elsewhere. People should have the same access to health services, regardless of where they live.