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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 1342 contributions

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Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

One of the reasons for establishing the communities mental health fund, which we announced the other week, is to ensure that those kinds of groups can access funding. There is plenty of detail on the fund, and there will be more such detail that we will share with the committee. To be honest, I want those grass-roots groups to apply for that funding. That is why it is there.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

That is absolutely vital. Let me give you examples of some of the cross-cutting work that we have done in the past couple of weeks. The committee will be well aware that, the other week, I held a joint debate with Angela Constance, the Minister for Drugs Policy, to look at how drugs policy and mental wellbeing work together. In the past couple of weeks, I met the Cabinet Secretary for Justice and Veterans on a number of issues but, at our most recent meeting, we looked primarily at what we need to do to improve mental health and mental wellbeing services for veterans in our community. Again, in the past few weeks, I met Jamie Hepburn in his further education role to see what more we need to do to support university and college students.

Mental wellbeing is a cross-cutting issue. The First Minister has made it clear to all her ministers that we should all work together to break down silos so that we are doing our level best for people. Although I have overall responsibility for mental wellbeing, every minister in the Government recognises that they have a role in ensuring that we do our level best for folk as we move out of the pandemic period.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

Waiting lists are a worry, and we are taking action on that. In my opening remarks, I mentioned the important investment that we are making in child and adolescent mental health services. We can already see the difference that the investment is making in certain parts of the country as new folk are being recruited into post. On Thursday last week, I visited the youth unit in Dundee and I heard from staff about the difference that the investment will make.

On some of the pressures on the folk who work in and with the youth unit, I should say that, at one point during the pandemic, the unit—which covers the north of Scotland—was 19 staff down because of Covid and the pressures around it. Those folks have worked immensely hard during the course of the pandemic and have behaved admirably. They were extremely enthusiastic not only about the current investment in CAMHS, but about our ambition to move towards more preventative measures, including school counsellors and putting mental health link workers into general practices, and about the investments that we are making in communities.

I understand why the focus is on acute services, waiting lists and waiting times, but the best thing that we can do as we move forward is to prevent folk from having to enter acute services by putting in place the right preventative solutions for folks. I am determined to do that.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

I will come to the issue of inequalities in delivery in a moment, but as I have said previously and will continue to say, the main driver of health inequalities in the population, including mental health inequalities, is poverty. We all have to recognise that. Some of the difficulties that people currently face have been exacerbated by some of the decisions that have been taken in recent times, including the cut in universal credit, which has had a major impact on individuals and families across Scotland. I will not go on too much about that, because—I will be honest with you—I could go into a rant that would last all morning.

Let us look at the difference in delivery. I spoke earlier about the standards that we have put in place for CAMHS. I expect those high-quality standards in delivering for people to be met across the country; that is one of the things that we need to do. Ms Webber is right. There is a stark difference in service delivery between Grampian and Lothian. We must transform services and do our level best to follow the example of the north-east.

09:45  

The CAMHS standards are already making a big difference to thought processes, but we need to go further. That is why officials and stakeholders are working up new standards for psychological therapies. We will do something similar in other business areas so that everyone—those who deliver those services and those who receive them—will know what is to be expected.

I cannot emphasise enough that, where services work well—even if they do not work perfectly—the voices of lived experience are at the heart of shaping those services. That is where we need to get to. We should listen much more to service users to find out what works for them and what does not. Although the service in Grampian is not perfect and folk have gripes about things that did not work well for them, folk mostly have a good feeling about that service and feel that they are listened to.

I might be accused of parochiality for bigging up Grampian. Grampian has not done so well with perinatal and infant mental health. I think that a key reason for that is that the voices of lived experience have not been at the heart of those services. The committee will find out more about that during its inquiry. Other areas, such as Lothian, do well on that, whereas Grampian and the north do not do so well.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

I think that I have answered that in what I have said about standards. We have set standards for CAMHS, we will set standards for psychological therapies and then we will move on. That will give folk a framework and a foundation with regard to what is expected of them in service delivery for people in their areas. It will also give service users and patients knowledge of what they can expect.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

With regard to what we have done, the proof of the pudding is in the eating. We know that staff are accessing the mental health and wellbeing hub and the services around it. As the committee knows, we have invested more money in that, but it would be fair to say—this goes back to your earlier point about stigma—that some staff feel stigmatised in using those services. We have to get folk over that hump.

In talking to folk in health and social care, I have always said that we must continue to signpost those services; indeed, at times, we must cajole folk to use them. Once they use them, those services can make a real difference. In some cases—although, obviously, not in every case—that can happen in a fairly short time. The other week, I talked to somebody who had used the services, and they felt that, even in the initial calls, the burden had been lifted, to use their words.

Folk are under a lot of pressure, and I want those services to be used. It is absolutely vital that all of us—whether in the Parliament or out there on the front line in health and social care in the NHS, in health and social care partnerships or in third sector organisations—highlight that those services exist and that folk should access them if that is needed.

All of that shows that we still have a lot of work to do in destigmatising.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

I dinna ken if I can give a brief answer to that, as Emma Harper has covered a lot of ground. As the committee is aware, the cabinet secretary announced ÂŁ300 million of funding specifically to support winter pressures. There was equity between health and social care on that front. That includes ÂŁ62 million for enhancing care-at-home capacity, ÂŁ40 million for interim care, ÂŁ20 million for enhancing multidisciplinary teams and up to ÂŁ48 million for the pay increase that I mentioned earlier.

The investment in the plan itself being published does not mean that the work stops there. The cabinet secretary and I have been in discussion with a number of health boards, health and social care partnerships and local authorities over the past number of weeks to hear from them what the pressures and challenges are and to see what other help we can provide. That will continue as we move forward.

Without doubt, this is the most precarious time in the pandemic. In some areas, there is a difficulty with staffing, often because of Covid outbreaks and often because of other illnesses. Frankly, many folk on the front line are shattered. They are tired. We must take cognisance of all that in how we get all of this right.

In some of the meetings that have taken place with health boards, health and social care partnerships and local authorities, we have been considering together—and I emphasise together—what else can be done to take pressures off. That includes how everybody works in partnership and in tandem in reducing delayed discharges. What can we do through the multidisciplinary team approach to plug gaps? If there are Covid outbreaks or other things that are keeping staff off, how can we plug those gaps? Some good thinking and some good action is taking place in some places, which we are advising other places to consider and do if necessary. That will be on-going—Ms Bell has probably been on more calls than anyone else—and will continue on a daily basis.

Health, Social Care and Sport Committee

Session 6 Priorities

Meeting date: 16 November 2021

Kevin Stewart

It has had a huge impact. From talking to folks, it is clear that the difference that Covid has made to some people’s lives is quite horrendous. We have all faced the stress of the pandemic period, but for some people, such as those who have lost income or have been bereaved during the pandemic, it has been much worse than for others. For some people, the lifeline things that they were able to do previously, which kept them in fairly good fettle, went by the wayside as a result of the lockdowns.

We should not underplay the impact that the pandemic has had on people across the country. We can see from the survey work that has been undertaken across the piece that almost everyone has been affected by what has gone on.

Citizen Participation and Public Petitions Committee

Continued Petitions

Meeting date: 6 October 2021

Kevin Stewart

I gave you some numbers earlier on, convener, but I will repeat them for you. However, I do not have at my fingertips the figures that Mr Torrance asked for with regard to the number of people diagnosed each year or any statistics showing regional variation. Ms Campbell, who is the fount of all knowledge, might well have them, and if not, she will without a doubt find them. As I said earlier, there are approximately 44,133 autistic people in Scotland—I did say “approximately”, but it is quite a specific number.

On the question of regional variation, I will pass over to Ms Campbell.

Citizen Participation and Public Petitions Committee

Continued Petitions

Meeting date: 6 October 2021

Kevin Stewart

I will not pre-empt the consultation on the national care service. We have posed a number of questions in the consultation document with regard to what should be in the service, and we will look at the views that we get back. I know that some folk think that some of the questions and proposals are a little bit controversial. No matter what, the national care service will be extremely important as we move forward, because it will set high-quality standards across the board. That is what people want from services, whether they be in or out of the national care service, and that high-quality standard is what we require across the board, including in autism and neurodevelopmental services.

Service users in the autism community and in others are often very frustrated about accountability, and we must ensure that they know who is accountable for the delivery of services. We cannot afford to have a continuation of the postcode lottery in which people who live in one place get a very high-quality service while those in the authority next door have much less of an entitlement. We need high-quality standards, no matter whether services are in or out of the national care service.