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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 4 April 2025
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Displaying 1148 contributions

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Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 12 December 2023

Emma Harper

Thanks, convener and good morning to you all.

I will pick up on innovation, but also link it to advocacy for communities—the staff as well as the people who are receiving the care. Is there a role for the new national centre to advocate for the people in the communities? One of the submissions was from Dr Gordon Baird on behalf of Caithness Health Action team, the “Save our services” campaign on the Isle of Skye, and Galloway community hospital action group. Dr Baird wrote that he was

“hoping to work with the new centre to provide information and understanding of national and regional issues and prevent ineffective repetition through feedback on the effectiveness of local solutions.”

Throughout his submission, I am thinking that the word “advocacy” is a part of that. Would you support that being part of the work of the national centre?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 12 December 2023

Emma Harper

I have just a quick question. Outside of current issues, does the Scottish Ambulance Service have enough capacity to deal with remote and rural areas? We are talking not just about emergency transfers, but patient transfer to appointments, too. How would you respond to that? Is there enough capacity?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 12 December 2023

Emma Harper

I forgot to remind the panel that I was a clinical educator in a remote and rural area delivering what you are talking about—ECG, blood draw and things like that. It was part of my job. I forgot to remind colleagues and the panel about that. Thanks.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Emma Harper

I was going to ask about the numbers of OTs who are employed by local authorities and by the NHS, but we can get that information later.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Emma Harper

Thanks, convener. Good morning to you all. I have a brief supplementary for Neil Carnegie. You talked about pockets of good practice. I know that we have heard from the CEO of NHS Borders, Ralph Roberts, about prehab and also reablement. Is that part of good practice? Can you give us an example of what OTs can contribute on the ground that makes a difference?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Emma Harper

I am interested in continuing professional development. I think that one of the witnesses has already alluded to the importance of it. The committee has taken evidence on the clinical skills managed educational network, and we have heard about the mobile skills unit that goes out to rural areas to provide simulation training and so on. I am interested in your thoughts on the requirements to value education. I say that as a former clinical educator, and I am still a registered nurse. My job was to work with allied health professionals and nurses in teaching clinical skills across NHS Dumfries and Galloway. What needs to be valued when it comes to continuing professional development?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Emma Harper

Okay, thanks.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Emma Harper

I will pick up on what Sharon Wiener-Ogilvie said about travelling a great distance to engage in education, whether it is paramedic training or other skills learning. I am aware of a reduction in relation to spirometry. That can be delivered by nurses, GPs and physios, but the quality and outcomes framework reduced the spirometry payments for general practices, so it is now not conducted there. That means that, in remote and rural settings, there will be a reduced ability to assess whether someone needs a chronic obstructive pulmonary disease or asthma diagnosis. That is just one issue that has come up. What is NES’s role in supporting education and continuing professional development?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Emma Harper

You mentioned Turas digital training. I am familiar with that and know that it is valuable for some things, but face-to-face training is also valuable.

You made the point that integration means that work is patchy. You said that OTs are employed by local authorities. That probably needs to be investigated, so that the silo approach doesnae happen.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Emma Harper

Does the new national centre for remote and rural health and care need to have an advocacy role to address some of the challenges that people might have with their healthcare, no matter whether we are talking about adult, child or maternity services? I am interested in how we advocate for patients when they feed in to the system to ensure that the system reacts.