Our third current petition is PE1105, by Marjorie McCance, on the St Margaret of Scotland hospice. Members have a note by the clerk and the submissions.I welcome Gil Paterson, who has taken an active interest in the petition for a considerable time—he is almost an honorary member of the committee. With apologies for the delay, I invite him to make some comments.
Official Report · Committee
Current Petitions
St Margaret of Scotland Hospice (PE1105)
Speakers
Choose an MSP to read only their contributions- David Stewart Lab 4
- Gil Paterson SNP 3
- Sandra White SNP 1
- John Wilson SNP 1
- Jackson Carlaw Con 1
- Angus MacDonald SNP 1
The record
11 contributionsI do not want to appear to sook up to you, but it would be an honour to be a member of the Public Petitions Committee. Over the years, it has done some really good work. It is a credit to the Parliament, so we all benefit from it.I draw the committee’s attention to the letter from Jean Anne Mitchell, who is one of the petitioners. The second last paragraph highlights the crux of the matter. The last time I was here, I brought to the committee’s attention some information that pointed out the disparity between what is paid to hospices throughout Scotland. The paragraph that I mentioned states that a hospice in NHS Greater Glasgow and Clyde’s area that has 10 palliative care beds enjoys more funding than St Margaret’s, which has 30 beds. That is a contradiction of the Government’s recently published chief executive letter—CEL 12 (2012)—which gives guidance on achieving some parity across the sector. I know that the committee has been extremely patient with the petition; I am fully aware of that. However, St Margaret’s needs the committee’s assistance yet again.When I read the papers, I almost feel as if we are going round the houses and we need to be able to drill down into the situation a bit better. The Government says one thing and the health board says another. I would like the committee to write to the health secretary and perhaps pass on the letter from Jean Anne Mitchell. It would be worth getting the health secretary’s input on it.I am not making a threat in any way, but I will certainly write to the health secretary in support of the work that has been carried out by the committee. It is not an either/or situation and I think it would be beneficial if I wrote as the local member and I would be grateful if the committee would keep the petition open and ask for the cabinet secretary’s comments.
Thank you. The committee appreciates all the hard work that you have done at the local level. It is quite obvious that you have carried the torch well for the organisation.My only caveat is that in the previous parliamentary session the committee looked at the petition on 13 occasions and we generally try to stick to the admissibility criterion that a petition should be Scotland-wide. I flag that up to the committee.
The petition certainly has been long-running and each time we write to the health board and others, we get more conflicting information. The original petitioner highlighted the fact that one hospice is getting more funding than another. We have had the short-life working group, which concluded and published the future funding arrangements.Gil Paterson, you said that you will write to the cabinet secretary. Would it be sufficient for the committee also to write to the cabinet secretary, but close the petition while doing so? Would that be helpful to the hospice?
It would be a good idea for the committee to write, but if the committee took its foot off the gas on the petition, that would send out a psychological message. Although the petition has had some longevity, almost half of what has been brought to the committee has been achieved. I am saying almost half because we are not quite there yet, but a lot has been achieved because of the work of this committee. Closing the petition would send a message to those I seek to influence that our foot has been taken off the accelerator.
I am loth to close the petition. I know that the committee is trying to tidy up the historical petitions, but enough issues have been raised by the latest submission, dated 14 September, on behalf of the petitioner about the clarification of the funding methods that NHS Greater Glasgow and Clyde is using in relation to hospices. I suggest that we regard the petition as applying to Scotland more widely, because the petitioner has raised the issue of funding for hospices in NHS Greater Glasgow and Clyde and how that compares with the rest of Scotland. There is a Scotland-wide focus on funding for hospices.In particular, we need to ask the chief executive of NHS Greater Glasgow and Clyde for clarification of the disparity in funding between hospices in that area and why it continues. It is also important that we write to the new Cabinet Secretary for Health and Wellbeing, asking what work he will undertake to address the funding regimes that apply not only in Glasgow, but throughout Scotland, as there is a wider issue. I do not think that the situation that has been highlighted by the St Margaret of Scotland hospice is unique—there are other problems out there.The hospice movement throughout Scotland is spending a lot of time and voluntary work on raising funds to provide essential care for people but it is being hindered by the funding regimes that are being decided at a local level by local health boards. We can ask the new Cabinet Secretary for Health and Wellbeing to put his mark on the issue and try to bring together the hospice movement in Scotland and the health boards to look at the overall funding throughout Scotland. In particular, there is an issue in NHS Greater Glasgow and Clyde that must be addressed. I think that the cabinet secretary should re-engage with the debate to get some resolution as quickly as possible.
I am sure that members know about this, but in case they do not I advise them that the new chief executive of NHS Greater Glasgow and Clyde has issued a letter on the funding arrangements in order to clarify the funding issues.
As a member for West Scotland, where the St Margaret of Scotland hospice is, I have been happy to support Gil Paterson in his efforts in relation to the hospice over a long period. It is fair to say that the suspicion exists in the community that the relationship between the health board and the hospice is disingenuous, to put it politely. I detect within the letter a degree of sophistry in the language, which does not get to the nub of the issue that it is trying to address. I am, therefore, reluctant to close the petition. The chief executive’s letter provides an opportunity to try to get an answer to the question that remains outstanding and nothing would give the health board greater relief than closing the petition. Doing so would leave the issue unresolved and dangling in the air. There is a little more that we could yet do to press the matter to a conclusion.
I agree with the general consensus that seems to be forming. I have sympathy with the petition and can see Gil Paterson’s point that taking our foot off the gas would send out the wrong message. The committee should write to the health secretary and the chief executive of NHS Greater Glasgow and Clyde, seeking further clarification. It would send out the wrong message if we closed the petition now, and the position can be looked at again once we have received a response from the health secretary and the chief executive of NHS Greater Glasgow and Clyde.
Committee members have all argued strongly along a similar line, which is to continue the petition. We will write to the chief executive of the health board and the health secretary. The new chief executive’s letter will be crucial in all this. When it comes back, we will consider the next step and whether we want to close the petition. In the meantime, we will keep it open. I thank Gil Paterson for coming along to give evidence to us today.
I am very grateful to you, convener.
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