The Scotsman

It’s official: the snp has no vision for saving the NHS

◆ Patients knew our health service was ailing, but the latest prognosis by auditors shows it is in a far worse state than that, says Jackie Baillie

- Jackie Baillie is MSP for Dumbarton, Scottish Labour’s deputy leader and her party’s spokespers­on for health

Scotland’s NHS is directionl­ess, risking patient safety and on the brink of breakdown, and that is official.

This has been Labour’s assessment of the SNP’S management of our health service over many years. But the annual report from the Auditor General, Scotland’s spending watchdog, on the state of our NHS is devastatin­g.

The stark warning in the Audit Scotland 2023 report is that the health service is at breaking point. The Auditor General highlights how rising costs and demand have pushed the NHS to the brink with extreme overcrowdi­ng and long waiting times threatenin­g patient safety. The thousands of patients on waiting lists already knew this and both staff and patients can see how those working in the NHS are completely overstretc­hed.

But the Audit Scotland report goes further. It accuses the Scottish government of failing to deliver a vision for the future of health care and calls for fundamenta­l reform to ensure the service survives.

The new Health Secretary, much like previous SNP health ministers, promises reform. But this report lays bare the SNP government’s catastroph­ic failure to re-mobilise our NHS following the pandemic and to recover. The waiting lists, the overcrowde­d emergency wards and the exhausted staff show how patients are paying the price for this incompeten­ce.

Since 2013 there have been 20 different plans, strategies and reviews but no single national vision for the NHS. The report echoes what we have been demanding for years. It says there needs to be a national strategy for recovery that sets out the direction of travel in the next decade. The need for leadership is clear, but it is absent. Without a proper plan to support primary and social care, the situation in our NHS will only deteriorat­e.

As our A&E department­s overheat and almost one in six Scots languish on waiting lists, the cancellati­on of all infrastruc­ture projects threatens to fan the flames of the NHS crisis.

The crisis is compounded by the financial mismanagem­ent of the

SNP which has left no money to build desperatel­y needed healthcare facilities across Scotland. Through delay and cancellati­on the Scottish government has simply abandoned rural and urban communitie­s, ripping away plans for health facilities and simply leaving these places to their fate and monumental travel times to treatment.

The very existence of our NHS is at risk under the SNP. Over the last 17 years they have failed Scotland’s health service. We need a strategy to develop the NHS, and to keep to Labour’s founding principles that treatment continues to be free at the point of use. To do this we need a government that thinks bigger and is willing to focus on solutions, to address the causes of ill-health and to find ways of reducing demand on the service.

Before that we need to get the NHS back on its feet. Only Scottish Labour has a plan to slash waiting lists by delivering 160,000 more appointmen­ts every year, funded by closing the non-dom tax loophole, empower clinicians, and put modern technology at the heart of our NHS. That’s the change Scotland needs.

 ?? PICTURE: JEFF MOORE/PA WIRE ?? The latest Audit Scotland report lays bare the challenges facing NHS Scotland
PICTURE: JEFF MOORE/PA WIRE The latest Audit Scotland report lays bare the challenges facing NHS Scotland
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