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I am pleased to speak on an issue that concerns the very backbone of our NHS: its workforce. I begin by echoing other members’ points about the value of our NHS workforce. It is the beating heart of the NHS and, without it, services and care would collapse, which is why it is so important that we discuss the matter openly and honestly in the Parliament. I thank all those who work tirelessly in Scotland’s NHS. Scottish Labour recognises the contribution and value of workers and understands the pressure and strain that they face daily.

When I speak to constituents, one of the many things that I hear is how difficult it is to see a local GP, and I hear about how long NHS waiting lists are. Ambulances are stacked up outside accident and emergency, patients are waiting hours for treatment and those who are ready to be discharged are forced to remain in hospital while waiting for appropriate care packages. Everything has stagnated, but let us be clear that people understand that it is not the staff’s fault. In fact, people speak very highly of the staff; the issue is the system, and the responsibility lies with the Government.

At the centre of the Government’s stagnation is our workforce, which is struggling to keep up with demand in a fundamentally broken system. After 18 years in power, the SNP has presided over a workforce crisis in which staff shortages not only risk patient safety but put additional pressure on the existing workforce, which impacts their mental and physical health.

Our healthcare system is crying out for additional staff, but newly trained doctors and nurses, who are highly motivated and ready to serve, are meeting with disappointment when they are being told, after years of training, that there are no jobs, although that is not true. The system is crying out for highly professional, trained staff. If we want safe staffing, the NHS must fill more posts, and the Government knows it. How can it be right that newly qualified nurses are being forced to find jobs outside Scotland, despite completing their training at Scottish universities and hospitals, where they see the pressures day in, day out? There are currently more than 2,600 unfilled whole-time-equivalent nursing and midwifery vacancies. We hear from nurses daily that going through and completing the recruitment process in the NHS is agonising.

Since 2013, the number of registered nurses who are employed in care homes has decreased by 28 per cent. That issue is important because those nurses greatly contribute to keeping hospital admissions down, so we must take the statistics seriously. Delivering and supporting a sustainable nursing workforce across Scotland is crucial to improving overall patient care and experience, yet our nurses report feeling undervalued and overlooked. When it comes to issues such as corridor care, poor planning has left staff feeling ashamed, demoralised and distraught.

Our NHS workforce deserves better, and things cannot continue as they are. The Government is aware that urgent work is needed to attract and retain a sustainable workforce, yet there is no obvious plan. There is a disconnect between what the Government promises to do and what it actually delivers. Delivery is essential.

I am closing—I apologise.

I hope that members will support Labour’s motion, which recognises the on-going workforce crisis and calls on the Government to undertake a wider review of NHS workforce planning, which must be reported on by the end of the year. Our NHS workers and patients deserve better. The status quo of this Government is no longer an option, and Scottish Labour is ready to deliver the whole-scale change that our NHS needs and deserves.

That is very helpful, because I was going to ask how the act works. Perhaps we need to look at the issue and follow up. Thank you.

I will ask about the United Kingdom Internal Market Act 2020. I know that you have commented on it before, but, to help us understand, what do you think the overall impact of the act will be on food standards and consumer protection in Scotland? Have you had any discussion with or made representation to the UK Government, and how has that gone?

When I joined the Parliament, back in 2021, there was genuine enthusiasm, following the Feeley review, about the prospect of a national care service. Only four years later, that enthusiasm has been depleted and we have a much-reduced bill. What was once heralded by the Government as the “biggest public sector reform” of a generation is now a limited number of stage 3 amendments.

The bill does not address the fundamental problems in social care, and the Government seems to be unable to tell us how it will address those issues. That is a great shame. It was our duty to build enthusiasm and support for what could have been such far-reaching legislation. As we have heard, it is a missed opportunity to be transformative, which is due largely to Government inability and lack of vision. Although it is not the legislation that I or many wanted, what is important now is that we make it as robust as possible and take on board the concerns that many of my colleagues, the trade unions and professional organisations have raised throughout the bill process.

I say a big thank you to all our constituents—people such as the care home relatives Scotland group and many more—who have truly influenced the bill and worked with us. They have contacted us, and it is our responsibility to ensure that the legislation progresses.

Scottish Labour’s vision was for a bill that really addressed the long-term needs of social care, putting it on a footing with our NHS and creating a system fit for the future, for staff and users. Throughout the stages of the bill, we have sought to ensure that the legislation will address commissioning and fair work, which is essential to ensuring improvement in social care. We brought both of those issues back at stage 3, and we are pleased that our amendments have been successful. We would have wished for much more, but it was clear by stage 3 that the Government had no ability or vision to deliver that. We want to see Anne’s law, carers’ right to breaks, improved commissioning and digital care records in place as quickly as possible, which is why we will, of course, support the bill this evening.

However, there is much work to be done. I have to trust that the bill will achieve what the minister believes it will and that it will fulfil its potential to create change, because the care sector in Scotland can no longer wait for serious reform: it needs action now. We heard from my colleague Jackie Baillie that 10,000 Scots are waiting for care assessments or for care, and Michael Marra reminded us about the Government’s financial incompetence. Our constituents need delivery, because they are the ones who will suffer in the long run.

Scottish Labour will work with the Government to build on any potential and, as I have said, will support the bill this evening, but make no mistake: Scottish Labour in power will deliver a national care service that is worthy of the name, and that is what we look forward to.

I thank the minister and her officials for their work in ensuring that I could bring back at stage 3 my amendments on fair work from stage 2—it is much appreciated.

I will speak to amendments 76 and 77. Amendment 76 would introduce a new duty on Scottish ministers to develop, through consultation, a fair work strategy for the care sector, and to publish it. The strategy would establish what constitutes fair work in the care sector and set out how ministers will monitor and report on the extent to which progress towards fair work is being achieved. Where there is an assessment that improvements need to be made in the arrangements for fair work in the sector, ministers will be able to set out actions to address those issues. That may include, for example, guidance on what constitutes good work practices.

Amendment 76 provides that the fair work strategy should be reviewed every three years, starting from the date that it is first published, which itself would be 18 months after the commencement of the provisions. Establishing a duty to review would ensure that, over time, the strategy and the assessment of what constitutes fair work remain focused on the key issues for the care sector and for its workforce. I also propose that the strategy be developed and kept under review through consultation, taking into account the views of those responsible for the delivery of care and those involved in the delivery and receipt of care services.

Amendment 77 would establish annual reporting by Scottish ministers on fair work in the care sector. Those annual reports would support the monitoring of progress on fair work as set out in the fair work strategy that is proposed in amendment 76. In the reports, ministers would be required to make an assessment of improvements made towards achieving fair work in the care sector during the reporting period. Where improvements are considered to be limited, ministers must set out the reason for that and any actions that they will take to make improvements.

Stephen Kerr’s amendment 66 is very reasonable and I will support it. Of course, I will also support the amendments of my colleague Jackie Baillie, to which she will speak.

I will speak briefly to amendment 42. Jackie Baillie and the minister have worked very hard to include international workers in new section 53A of the Public Bodies (Joint Working) (Scotland) Act 2014. It is important to acknowledge that the treatment of international workers can be less favourable, and we must combat that through ethical commissioning.

I am pleased to hear you talk about resilience across the NHS and social care. The pandemic shone a light on the need to ensure that the parties in that relationship are equal and are considered at all times. Is enough work going on among the Scottish Government, NHS boards and local government for that to happen, were we to see a pandemic in the near future?

That is helpful; thank you.

The UK inquiry’s module 1 report emphasises the importance of surge capacity in the NHS and says that that was not planned for in the simulated exercises. Given that the NHS and social care sectors were found to be unable to “surge up” at the onset of the pandemic, to what extent do you think they could deal with that now, given that we are still catching up after the pandemic? Where are we on that, if we needed it in the future?