PATIENTS in Scotland are not getting “the right care in the right place at the right time”, the First Minister has said.
John Swinney laid out a plan to improve Scotland’s ailing health service in a speech in Edinburgh on Monday, where he said waiting times for treatment were a “canary in the coal mine”.
Scotland has struggled with high waiting times in recent years, exacerbated by the pandemic, including in A&E, outpatient procedures and other hospital treatment – where hundreds of thousands are languishing on waiting lists.
Swinney told an audience at the National Robotarium there were “crises” facing parts of the NHS, but refused to say later when asked by journalists if the whole service itself was in crisis.
The First Minister announced plans to provide 150,000 more appointments and procedures, as well as a £10.5 million increase in funding for GPs as well as a pledge to give more funding to primary care in the future, and pledging the creation of “frailty teams” to be at every A&E in the country to help those who could “bypass” emergency departments and free up capacity.
In his speech, the First Minister said: “The first and most important thing on many people’s minds is how long it can take to access services: delays in access with waiting times too long, and delays in discharge because appropriate at-home or in-community care is not available.
“The two, of course, are fundamentally connected. Last year, I referred to delayed discharge as the canary in the coal mine of our National Health Service – I think of waiting times in much the same way.
“Both of these delays tell us that the flow of people through the health system is not happening as it should.
“Put more simply – people are not getting the right care in the right place at the right time.
“That is not acceptable to me, it is not acceptable to my Government.”
He added: “It is the very definition of a vicious circle and it has to come to an end.”
The proposals he laid out on Monday, the First Minister said, were “tangible improvements that we can and will deliver”.
As part of the plans to reduce waiting lists, Mr Swinney suggested turning some facilities: including Stracathro Hospital in Brechin; Gartnavel Hospital in Glasgow; and the Queen Margaret Hospital in Dunfermline; into “centres of excellence” in certain procedures such as cataracts or orthopaedics, providing transport support to patients to access the facilities, if necessary.
With the waiting list for procedures or tests sitting at more than 600,000 as of September 30, the First Minister told reporters after the speech he believed the backlog could be eliminated.
“It will be cleared,” he said.
“We will get the health service into a state of sustainability.”
In its budget announced in December, the Scottish Government pledged to reduce waiting times to less than 12 months for every Scot by 2026.
An app will also be created for the NHS in Scotland under the plans, which he described as the “digital front door” to the health service.
“Over time, it will become an ever more central, ever more important access and managing point for care in Scotland,” he said.
The service will be trialled in NHS Lanarkshire first before a full rollout.
The First Minister, who again called for MSPs to back his Government’s budget despite it being all but assured to pass due to the abstention of Scottish Labour, told NHS staff that while they will be the ones delivering NHS reforms, “it must also work for you” as he cautioned that “more laps of the track” will be required.
But trade union Unison said that the speech promised nothing staff haven’t heard before, with their Scotland co-lead for health Matt McLaughlin saying: "After almost 20 years John Swinney has delivered the same old promises.”
“The First Minister’s renewal framework, launched today, doesn't begin to tackle the social care crisis, and staff will be angry after he said they ‘need to do more laps of the track’.”
“NHS staff are working flat out, and they want to know what the government will do now to tackle short staffing, over capacity and workforce stress – so they can get on delivering for patients.”
Meanwhile, the plan was welcomed by the Royal College of General Practitioners (RCGP).
RCGP Scotland Chair, Dr Chris Provan said: "I welcome today's speech by the First Minister and the direction he has set for long term, systematic progress for a sustainable NHS.
"The First Minister said that he has been persuaded by the case for a greater proportion of new NHS funding to go to primary and community care. RCGP Scotland has long argued for the level of investment in general practice to properly reflect and value the contribution it makes to patients and the wider NHS. I think GPs across Scotland will be encouraged by the First Minister’s words today."
