The Scotsman

Health concerns

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That even an SNP MSP, Christine Grahame, has publicly raised concerns about the Health and Social Care Partnershi­p’s model’s ability to improve health and social care (The Scotsman, 6 October) surely speaks volumes?

That it is failing in many cases to address bed-blocking is serious enough, but my concerns are about the vortex of failures across the entire sector. The more general care crisis arises from paid carers being asked to do more complex tasks in a profession that was always undervalue­d and underpaid.

Statutory assessment­s and duties are being neglected due to cuts and changes in social work provision and a widespread “fire-fighting” approach based on an authority-imposed “priority” system.

This system allows local authoritie­s to simply ignore statutory duties based on what they decide are priorities, with no sanctions for failing affected groups.

Our local health care forum has become marginalis­ed for seeking clarificat­ion as to exactly how this apparent channel for the public to contribute to our HSCP developmen­t lets the public voice be heard, and while our integrated joint board ignores our pleas, Shona Robison directs us to vague and ambiguous policy documents.

Meanwhile, a new lexicon of acronyms provides a smokescree­n to rearrangin­g the deckchairs under the guise of attractive-sounding initiative­s that will never bring improvemen­ts where cuts in budget are the root cause.

A sorry and costly mess indeed! DUNCAN F MACGILLIVR­AY

Victoria Road, Dunoon

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