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When the parliamentary session began back in 2021, there was a genuine enthusiasm about the prospect of a national care service. Only three years later, the enthusiasm is simply dead in the water. The conclusion of today’s debate can only be that the blame for that must lie solely at the feet of the Scottish Government. I wish that we could have heard a bit of reflection on the Government’s part.

My question is in a similar vein—it is about rural communities and the particular stigma there. We know that it can be more difficult to get specialist healthcare staff, so is work on-going in primary care in rural areas to make sure that our practitioners in those areas have the skills and competencies that they need?

Absolutely. I agree 100 per cent. The fault is square on that Thatcher Government. Poverty, deprivation and depopulation are still felt hard. It is incumbent on us to continue to remember the difficult choices that were made by those who felt that striking was their only option. Fortunately, unions and organisations such as the Coalfields Regeneration Trust continue to keep the issue front and centre.

Even when some Governments prefer to forget their responsibilities to their communities, the Coalfields Regeneration Trust and others bring it to the fore. The report “State of the Coalfields 2024” lays bare the truth, stating that Ayrshire coalfield communities stand out as “particularly deprived” areas.

The coalfield communities did not create those problems. Rather, they fell victim to the social and economic problems that we see across the United Kingdom because of such a right-wing Government. Unemployment, lack of investment and accepted decline by the state are the scars that my communities will suffer for generations to come. There was no contingency planning, no support and no sympathy. Those are the realities that miners faced.

We cannot praise the fight’s endurance without reflecting on the impact and support of women—predominantly the wives, sisters and daughters of the miners. They continued to support the miners, alongside community groups and trade unions, and they allowed the fight to continue for as long as it did. For that, I cherish the stories that have been recounted from women on the picket lines and in the communities.

I believe in those communities not only because of our history of mining and our part in empowering the country but because that history built a resilient people and bold communities, with warmth, talent and tenacity. It is they who deserve the wealth generated from the labour of their parents, grandparents and wider communities.

I close by demanding of the Governments of today: keep that fight for justice alive.

I accept what you say about the outcome that you are looking for. My question is, do you think that, at this point in time, you should be doing some of the things that can be done now quickly? Would that benefit the whole group that you have said you want to get outcomes for?

Thank you.

I have a question about the national social work agency, as stakeholders have approached many of us about it. I will then ask a more general question, if you do not mind.

Is it the intention to move forward with a national social work agency? I think that everyone agrees that we do not need legislation for that, but people are keen to know whether the agency would be just for social work or whether it would include the wider healthcare professional group.

I think that people will find that answer quite helpful, because we get asked about the agency.

I have a more general question, if you do not mind my asking it. I have been listening carefully to the points that you have been making, in your leadership role as the minister for the national care service. When you make your recommendations to the Cabinet, do you emphasise that we should stick to trying to get agreement on the national care service, or do you give advice on three or four things that we know that we can do now and that we should be moving forward with? I am interested to know what balance you give, as the leader in that area, when you speak to your colleagues.

I thank Roz McCall for bringing this significant issue to the attention of the Parliament. This is an important debate, and I am sure that many members will be able to speak about personal experiences, as it is estimated that more than half of Scotland’s adult population have a close personal connection to someone who has had a stroke.

Given the time constraints, I will not make some of the remarks that I was intending to, as many members have given the reasons why urgency is so important. It is critical that public awareness campaigns that focus on identifying stroke symptoms are supported and, of course, adequately resourced. It will be good to hear what the cabinet secretary has to say about that in his closing remarks.

The national FAST stroke awareness campaign, which is led by Chest Heart & Stroke Scotland, offers a chance to increase awareness of the importance of seeking medical help as soon as possible when people experience stroke symptoms. In the event of a stroke, timing is critical. The treatments of thrombolysis and thrombectomy are time sensitive, so awareness of symptoms is important. In my region, 10 patients received such treatment quickly in a local hospital in the NHS Ayrshire and Arran health board area, so I understand that it is important to invest in public awareness campaigns so that people get to hospitals whenever they can.

Public awareness campaigns are imperative not only in promoting health behaviours but in providing greater awareness of symptoms and the link with improved health outcomes. It is imperative that the Government invests in prevention to improve health outcomes across Scotland, especially in our most deprived communities, because people living in those areas are more likely to have experienced a major cardiovascular event, such as a stroke.

A key aspect of prevention is awareness raising, so the Scottish Government must recognise the importance of health awareness campaigns and listen to charities that are calling on the Government to deliver the priorities that are set out in the “Stroke Improvement Plan 2023”.

We have heard about the very important FAST campaign. Although strokes are generally more prevalent among the older population, the number of younger people who are experiencing strokes is increasing, so we need to make such campaigns accessible to that generation.

Roz McCall’s motion mentions the BE FAST campaign, and I absolutely recognise what she has said in promoting the effectiveness of that campaign. It is encouraging to hear about it, and I urge the Scottish Government to explore the campaign’s effectiveness and to consider how we can add it to our prevention and awareness campaigns.

I hope that the main message from the debate is clear: we need action as soon as possible, and we all want this to be a priority. Therefore, I ask the cabinet secretary to respond favourably.

People in South Scotland continue to report to me that, a year after an independent review highlighted multiple systemic problems with NHS audiology services, they are still being left to navigate a bureaucratic maze just to get a proper diagnosis. Will the minister commit to dealing urgently with that bureaucratic maze?

In the statement, the minister acknowledged that

“We all know that the status quo is not an option.”

However, it feels as though Government ministers are the only people who do not understand that. For unpaid carers, it is quite simply an understatement. The labour of unpaid carers in Scotland saves the economy £15.9 billion each year. There are now no meaningful plans in place to guarantee breaks for unpaid carers. What is the Government doing to rectify that now?