Chamber and committees

I have a quick supplementary question about terms and conditions and about staffing. Nurses at bands 5 and 6 in Scotland are paid 6 per cent more than their counterparts in England, so we have seen nurses fae Carlisle relocate to Dumfries and Galloway. However, we have seen the opposite with the social care workforce—people who have trained in Dumfries and Galloway have then moved to England.

I am interested to know whether improving terms and conditions for social care staff is an aim in the development of the national care service, so that we can have equivalence in terms and conditions and retain our social care staff in Scotland. Right now it seems that staff are leaving Scotland to go to England because they can get improved salaries and terms and conditions.

I will be very brief. The Scottish graduate entry medicine programme is unique to Scotland and I am interested in hearing feedback about that. In addition, the Rural GP Association of Scotland has concerns about recruitment, retention and workload. How is the Government working with that association?

I should probably remind everybody that I am a former NHS Dumfries and Galloway employee and am still a registered nurse. I should have said that at the start.

Healthcare is so wide ranging that there is loads that we could cover today. I am interested in community pharmacy, which is valuable, and pharmacy first is amazing. The feedback that I have had from community pharmacies is that they sometimes feel undervalued in their work. I am interested to know whether data has been gathered on pathways for referral to pharmacy first and whether pathways are appropriate.

Community pharmacies can be great at things such as checking inhaler technique or checking that people who have chronic obstructive pulmonary disease or asthma have the right inhaler, which helps to keep them out of hospital. That is a matter of people having the right inhaler and the right technique for them.

Community pharmacies should be valued, but do we track whether appropriate referrals are made?

Sometimes, people might not be aware of it, so they might go to the emergency department instead of phoning 111, because they just assume they will not be able to communicate. If we make people more aware of the fact that there is this interpreting ability with 111, that is a good thing.

Good morning. Thanks for coming today. You mentioned the IVR—the interactive voice response. People whose first or preferred language isnae English can phone up. Do you monitor how many calls are made by people whose first language isnae English or Scots? I am reading here that there is the ability to interpret Polish, Arabic, Mandarin, Spanish, Romanian, Süryani and Ukrainian. Do you monitor how many calls are made by people whose first language isnae English?

We have talked a lot about distress brief interventions, breathing space and the mental health hub, and we know that a lot of work has been done to reduce stigma around mental health so that people feel that it is okay to reach out. How has Covid impacted the work to direct people to breathing space, DBIs and the mental health hub?

Can I ask a final question, convener?

I am thinking about liaison with not just the police but the fire service. I am sure that that is part of on-going work. I am also interested in the work that is done to engage with people who use drugs and alcohol harmfully, and to reduce the stigma. Are tackling or addressing stigma and the language that we use part of the continuing professional development that is provided for Scottish Ambulance Service staff?

I will wait and bring the issue up later, because I think that it will be worth a letter. It concerns maternity services and delivering babies in ambulances in rural areas, for instance. I can pick that up later.