Jamie Hepburn MSP

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Jamie Hepburn MSP

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  • Member for: Cumbernauld and Kilsyth
  • Region: Central Scotland
  • Party: Scottish National Party

Jamie is a member of the following Committees:

Jamie is a member of the following Cross-Party Groups:

Parliamentary Activities

Search for other Speeches made by Jamie Hepburn

Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

I was about to touch on rejected referrals because, as Dr Simpson knows—or as he should know, as his colleague Patricia Ferguson raised the issue with me in Parliament—referral might be rejected for a number of reasons, such as the person not meeting the criteria for access to CAMHS. However, where a child does not meet the criteria, we expect the service to signpost the child to the most appropriate service. I recognise the importance of the issue and I undertake to look at it further, particularly in relation to regional variation. I will be happy to report back to Parliament on that.

Many other areas were touched on in the debate, although I probably do not have time to touch on them. Jim Hume mentioned the report on the Sandra Grant review. Work is under way to assess that further. Good progress is being made, and we hope to report back soon.

I welcome the debate and look forward to returning to the subject. I hope that members can acknowledge that progress has been made, just as I accept that further progress still has to be made.

16:53  

Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

I literally have that in front of me and I can read it. However, although the 1978 act is not in the same order, it talks about improving

“the physical and mental health of the people of Scotland”.

That is how illness is defined.

On the prescribing issue that Mary Scanlon raised, I make the point that prescribing is, of course, a clinical decision. I refer Ms Scanlon and others to the comments of John Gillies, who is a past chair of the Royal College of General Practitioners, who said:

“As the stigma attached to mental health has declined, more patients raise problems such as depression with their GPs. There is good evidence that GPs assess and treat depression appropriately.”

That includes prescribing of medicines.

Jim Hume also raised the issue of research funding. It is not the case that there has been a reduction in mental health research funding for NHS boards. There are various sources of funding. Of course, funding relies on bids being made.

Malcolm Chisholm referred to a GP who feels under pressure not to refer patients to specialist services. I say clearly that that is not my expectation. If GPs believe that they should refer a person to specialist services, they should do that. I have to say that the figures do not suggest that there is a problem with the number of referrals; there has been a 60 per cent increase in referrals to CAMHS in the past two years.



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

I welcome the fact that we have had the debate. I agree with Mary Scanlon that the tone of the debate has, by and large, been very good. It is more important than it might be for most other debates that in this debate, given the subject matter, we strike the right tone.

Bruce Crawford said that the debate is not about statistics but about people’s quality of life. I very much agree with that perspective. That will always be my starting point. Delivery of person-focused health care will be a priority for this Government.

Bruce Crawford also mentioned the challenges in relation to CAMHS for NHS Forth Valley in his constituency. I know that he had hoped to raise that issue at question time earlier today, but unfortunately time ran out before we reached his question. I hope that he will be reassured that I have contacted NHS Forth Valley and the other six boards in which the CAMHS referral target has not been reached.

Nanette Milne and Rhoda Grant raised the issue of social prescribing, of which I recognise the importance. Work is under way through NHS Health Scotland to promote awareness of and access to social prescribing, and I will be happy to report back to Parliament on that later.

John Mason invited me to come and visit a care home in his constituency. I would be happy to do so. There was an exchange between Jim Hume and John Mason regarding parity between physical and mental health; I will touch briefly on that issue. I am happy to discuss it further, but I need to emphasise a point in response to Mr Hume’s suggestion that there is a fundamental difference between what we have here in Scotland and what exists in England. He mentioned that the National Health Service (Scotland) Act 1978 sets out that we have a duty to promote a

“service designed to secure ... the prevention, diagnosis and treatment of illness”.

However, before that, illness is defined in relation to “physical and mental health”. It is already there. I am not quite sure what the issue is, but I am happy to discuss the matter further with Mr Hume.



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

Will Mary Scanlon give way?



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

I agree. We hold out great hope for the pilot. I presume that the member would agree that we must thoroughly asses the efficacy of the programme before we roll it out further.



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

The member raises the fair point that there are vacancies in CAMHS. I recommend that he include that as part of the challenge. I discussed the matter with each of the health boards last week, and he will accept that the health boards are trying to fill those vacancies.



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

Again, I am determined that we meet that target.

Ensuring the prompt treatment of people who are experiencing mental health problems is a key priority for improving Scotland’s mental health. I am glad that we have this third opportunity in 2015 to debate mental health and I look forward to keeping a strong focus on the area and to responding to points that are raised in the debate.

I move amendment S4M-12492.2, to leave out from “notes the recent” to end and insert:

“further notes the progress made in improving access to child and adolescent mental health services, with a 57% increase in the number of children and young people starting treatment, but is concerned that the waiting times standards are still to be achieved consistently across Scotland; welcomes the reduction in stigma and the increase in young people who now feel more confident about seeking help for self-harm; commits to supporting further efforts to meet the targets for referral to child and adult mental health services and psychological therapies; believes that every suicide represents a tragedy; notes the 11 commitments in the Suicide Prevention Strategy 2013-16 to continue the downward trend, which has seen a 19% reduction in suicides in Scotland over 10 years; recognises that there must be, and that legislation already reflects, no distinction of importance between physical and mental health; expects the Scottish Government to ensure transparent reporting of progress in meeting the challenges of improving people’s mental health, including on the Mental Health Strategy for Scotland 2012-15, and expresses its support for Scotland’s dedicated and committed NHS staff and those in the third sector working in this critical area.”

16:13  

Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

The mental health of our children and young people has been a focus of our efforts to improve Scotland’s mental health. We have increased the specialist child and adolescent mental health services workforce by almost 24 per cent since 2009, and the latest data shows that more people are being seen within 18 weeks, with an average waiting time of seven weeks. That is an improvement, but it is still not good enough. Last week, I was in contact with those health boards that did not meet the target in the latest figures, and I have been assured that we will continue to see progress.



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

Of course. I expected that Mr Hume would raise that point, and I am aware that that is what section 1 of the Health and Social Care Act 2012 says. Presiding Officer, let me read out for you and members in the chamber what section 1 of the National Health Service (Scotland) Act 1978 says:

“It shall continue to be the duty of the Secretary of State”—

it is now the duty of Scottish ministers—

“to promote in Scotland a comprehensive and integrated health service designed to secure—

(a) improvement in the physical and mental health of the people of Scotland, and,

(b) the prevention, diagnosis and treatment of illness”.

I say to Mr Hume that that covers both physical and mental illness. I am more than happy to discuss the matter with him, and if he believes or perceives that some form of legislative vehicle would be apposite, I am happy to consider the matter. However, it is fundamentally important that we recognise that there is already parity in legislation between mental and physical health.

I hope that the fact that my portfolio also includes sport and health improvement signals an understanding of how supporting the mind supports the body and how supporting the body supports the mind. I fundamentally believe that improved access to physical activity can make an important difference to a person’s sense of mental wellbeing, and I am determined to bring the influence of sport to bear on improving Scotland’s mental health.

However, I am also clear that we must improve access to mental health services, because some of us will experience mental health problems just as some of us will become physically unwell. That is why we have developed access targets for psychological therapies and child and adolescent mental health services.

We should recognise that Scotland was the first nation in the UK to introduce a target to ensure faster access to psychological therapies for all ages. The target for boards is for patients to start treatment for psychological therapies within 18 weeks of referral. That is a challenging target and we should recognise the work that boards have been undertaking to try to meet it. The latest data shows that the average adjusted waiting time for psychological therapies is eight weeks and that 81.4 per cent of people were seen within 18 weeks.

Some boards are doing better than others. We are offering boards support to tackle waiting lists, and progress has been made. I recognise, though, that that progress is not significant enough. I expect all boards to meet the target, and that is why we have embedded it in NHS Scotland’s local delivery plan guidance for 2015-16.

I turn to CAMHS.



Meeting of the Parliament 04 March 2015 : Wednesday, March 04, 2015
Jamie Hepburn

I am sure that Mr Hume will want to acknowledge that duty.

Vote DetailMSP VoteResult

S4M-12521.2 Jackie Baillie: Protecting Public Services and Boosting Scotland’s Economy—As an amendme
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NoDefeated

S4M-12521.1 Gavin Brown: Protecting Public Services and Boosting Scotland’s Economy—As an amendment
>> Show more
NoDefeated

S4M-12521.3 Willie Rennie: Protecting Public Services and Boosting Scotland’s Economy—As an amendmen
>> Show more
NoDefeated

S4M-12521 John Swinney: Protecting Public Services and Boosting Scotland’s Economy—That the Parliame
>> Show more
YesCarried

S4M-12495 Joe FitzPatrick on behalf of the Parliamentary Bureau: Business Motion—That the Parliament
>> Show more
YesCarried

S4M-12491.2 John Swinney: Privacy and the State—As an amendment to motion S4M-12491 in the name of W
>> Show more
YesCarried

S4M-12491.1 Richard Simpson: Privacy and the State—As an amendment to motion S4M-12491 in the name o
>> Show more
NoDefeated

S4M-12491 Willie Rennie: Privacy and the State—That the Parliament notes the Scottish Government’s c
>> Show more
YesCarried

S4M-12492.2 Jamie Hepburn: Mental Health—As an amendment to motion S4M-12492 in the name of Jim Hume
>> Show more
YesCarried

S4M-12492 Jim Hume: Mental Health—That the Parliament notes that one in four people will experience
>> Show more
YesCarried

Search for other Motions lodged by Jamie Hepburn
EventIdTypeSub TypeMSP NameParty NameConstituencyRegionTitleItemTextFormattedAnswer DateAnswerStatusIdExpectedAnswerDateAnsweredByMspApprovedDateSubmissionDateMeetingDateProductionStatusIdRecordStatusIdStatus DateOnBehalfOfConsideredForMembersBusinessCrossPartySupportRegisteredInterestSupportCountSupportDateIsEventLinkCurrentMinister
Motion S4M-12492.2: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 03/03/2015 Show Full Motion >>
Motion S4M-11975: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, On Behalf of Scottish Parliamentary Corporate Body, Date Lodged: 05/01/2015 Show Full Motion >>
Motion S4M-10681: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 29/07/2014 Show Full Motion >>
Motion S4M-10537: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 03/07/2014 Show Full Motion >>
Motion S4M-10387: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 18/06/2014 Show Full Motion >>
Motion S4M-10280: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 10/06/2014 Show Full Motion >>
Motion S4M-09496: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 26/03/2014 Show Full Motion >>
Motion S4M-09452: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 24/03/2014 Show Full Motion >>
Motion S4M-09421: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 20/03/2014 Show Full Motion >>
Motion S4M-09337: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 13/03/2014 Show Full Motion >>
This Member currently holds a ministerial post. First Minister and Ministers cannot ask the Government questions which is why no recent questions are displaying here. Please use the full search to find details of previous questions by this Member.
EventIdTypeSub TypeMSP NameParty NameConstituencyRegionTitleItemTextFormattedAnswer DateAnswerStatusIdExpectedAnswerDateAnsweredByMspApprovedDateSubmissionDateMeetingDateProductionStatusIdRecordStatusIdStatus DateOnBehalfOfConsideredForMembersBusinessCrossPartySupportRegisteredInterestSupportCountSupportDateIsEventLinkCurrentMinister
Question S4F-02370: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 03/11/2014 Show Full Question >>
Question S4T-00803: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 06/10/2014 Show Full Question >>
Question S4O-03593: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 30/09/2014 Show Full Question >>
Question S4O-03563: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 22/09/2014 Show Full Question >>
Question S4O-03531: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 17/09/2014 Show Full Question >>
Question S4W-22406: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 19/08/2014 Show Full Question >>
Question S4O-03481: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 11/08/2014 Show Full Question >>
Question S4O-03454: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 06/08/2014 Show Full Question >>
Question S4O-03407: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 16/06/2014 Show Full Question >>
Question S4W-21733: Jamie Hepburn, Cumbernauld and Kilsyth, Scottish National Party, Date Lodged: 12/06/2014 Show Full Question >>

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