The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1200 contributions
Health, Social Care and Sport Committee
Meeting date: 18 April 2023
Paul O'Kane
Priyanaz Chatterji, you can go next, if you can hear us.
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
Given that Healthcare Improvement Scotland has said that there are substantial challenges to the safety and wellbeing of patients and staff in Inverclyde, is it sustainable in the long term to run a repair backlog of more than £100 million?
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
Jane Grant mentioned a number of alternative routes for patients to be seen and the fact that the board is trying to encourage people to go to the MIU. You did not mention the general practitioner out-of-hours service, which is a key part of the issue. Inverclyde has been without out-of-hours GPs since 2020 and no plans from the board appear to be in place to reinstate that service. Instead, the board is directing people 15 miles up the road to the provision at Paisley.
First, do you think that that decision is good value for money with regard to supporting people to be seen in the appropriate place? Secondly, what kind of impact will the fact that people cannot see an out-of-hours GP in their community realistically have on A and E front-door services? Might you be able to give the reasons behind that decision?
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
I want to ask about accident and emergency and particularly about waiting times, which is a question for the territorial boards rather than for the Golden Jubilee hospital. The standard that patients should be dealt with within four hours of arrival has not been met for quite some time and, in 2022, we had the worst figures on record.
Pam Dudek and Jane Grant, can you give us a sense of why that is happening? Is there an issue with staffing and resources in A and E departments, or are there wider issues caused by where people present? Last week, we heard some of your colleagues say that they would rather have people come to A and E than anywhere else, if they choose to present at all. Are inappropriate presentations an issue?
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
Do you recognise that whistleblowing is a last resort for staff?
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
I want to expand on that issue. We are interested in the retention of staff. We have a real challenge with keeping staff in their roles because of anxiety, stress, burnout and associated issues.
Staff in NHS Greater Glasgow and Clyde have at various points described their experience of some hospitals as “hell on earth”. That is a quote from a member of staff. I go back to the point about the single staffing of wards. That was uncovered at the Queen Elizabeth university hospital and at Inverclyde royal hospital, where it has certainly happened on more than one or two occasions. Much of that information had to be found through freedom information requests. To what extent do you believe that it is a significant problem? How is it being dealt with at board level?
10:30Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
Obviously, the national centres are crucial to our recovery and to avoiding people having to languish in a lot of pain. If we do not meet those staffing targets, will that jeopardise the expansion of those services?
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
To go back to the point about culture, would you accept that some staff who have found themselves in such situations have either not reported that via Datix or whistleblowing procedures, or have not spoken out because they do not feel confident or supported to do so? Indeed, they have felt that there might be repercussions if they were to speak out and express their concern about being on a single-staffed ward.
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
Okay. As far as wider staffing issues are concerned, there is a particular issue around the national waiting times centre and the expansion of staff—there is obviously a need to recruit a large number of staff in order to upscale. Gordon, do you think that the timescales and the plan for that are realistic?
Health, Social Care and Sport Committee
Meeting date: 28 March 2023
Paul O'Kane
Would you say that that delayed discharge plan is a key issue?