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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 22 April 2025
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Displaying 1119 contributions

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Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Fair enough. I just thought that you might have had a general insight.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Professor Smith, do you have any insights on CAMHS provision in rural settings?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Dr Makin, have you any insights into that? Obviously, your work with geriatric patients will show the consequences of inequalities over a lifetime. Do you see that starkly in rural settings?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Are you aware of any geographic deserts with regard to CAMHS provision in rural settings in Scotland?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

I thank the witnesses for their contributions so far. I want to pick up on the issue of service levels. The child and adolescent mental health services target is for 90 per cent of patients to be seen within 18 weeks of referral, but that target has never been met nationally. Dr MacGilleEathain, do you have any insights into what waiting times in Scotland are like in rural areas vis-à-vis urban areas?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Neither do I, but the concept may be worth exploring further. Thank you for that helpful insight.

We have discussed good practice, but a recurring theme is that pockets of good practice are not necessarily scaled up well across the service. Do you have any insights into the institutional barriers to capturing good practice and trying to scale it up across a wider territory?

Dr Makin, as you have just spoken, one of your colleagues may want to come in initially if they have any thoughts on that; I can always come back to you.

Anyone should feel free to chip in with a thought on it.

As no one else wants to come in, I go back to Dr Makin.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

I thank the witnesses for their contributions so far.

I want to pick up on Dr Makin’s point about the limitations of consultations that use digital devices, because of the lack of fibre broadband or high-bandwidth broadband provision. Dr Makin said that that potentially worsens health inequalities, in that people on low incomes are less likely to be able to afford the premium broadband service that is required.

Is some intervention required, from a healthcare perspective, to make enhanced broadband services temporarily available to those who experience difficulty connecting and who require a more intense face-to-face digital connection? Is there some mechanism that you think might be useful to make available a high-quality satellite broadband service to people who find it challenging, in particular in rural areas?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Okay. The issue of health inequalities has come up a lot during the consultation process, and we know that people from areas of high deprivation have poorer health outcomes but are less likely to accept offers of care and engage with health services. Do the witnesses have a view on how we reach those people and address health inequalities in rural areas specifically?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Paul Sweeney

Professor MacGilleEathain, would you like to come in?

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Paul Sweeney

I thank the witnesses for their comments so far.

I have a particular concern about the decrease in drugs deaths in 2022. I note that the reduction was far greater in males and that there are evidently particular issues in relation to women who use drugs that mean that their rate is not decreasing at the same level. Do you have a view on why that might be the case and what might be done about it?

11:30