St Andrew’s Day and Scottish Affairs

Debate between Dave Doogan and David Mundell

Thursday 11th December 2025 Commons Chamber

[David Mundell]

The hon. Lady will be pleased to hear that change in Scotland is the theme of my speech, because I agree that we desperately need it.

In relation to SNP promises, we have heard it all before. Year in, year out, SNP boasts about bringing down waiting times ring hollow in the ears of patients whose experience is of being left to languish on those very same lists. It is not just on waiting times that the nationalists have let Scotland’s patients down. Emergency departments—the service people turn to in their most desperate hours—are overwhelmed. A year ago, more than 76,000 people waited over 12 hours in A&E before getting treatment, compared with just 784 in 2011.

[Dave Doogan (Angus and Perthshire Glens) (SNP)]

I am grateful to the right hon. Member for giving way, but I am struggling a little bit to reconcile his rhetoric with the facts. The fact is that waiting lists have been falling in Scotland for five months in a row up until now. He then moved on to emergency healthcare. Scotland’s core A&E functions outperform England’s and Wales’s consistently, year after year. How does he reconcile that dichotomy?

[David Mundell]

As Members across the Chamber know, this is a well-used SNP tactic of constant comparison with other places, rather than focusing on the SNP Government’s delivery compared with their promises. It is clear that there is a huge discrepancy between what has been promised by the Scottish Government and what has been delivered.

[David Mundell]

I do. What the hon. Lady points to is the shuffling of figures that we have just seen, so that the best figures are presented, but those 86,000 people I mentioned who have been on waiting lists for more than a year are erased from the debate. It is all about smoke and mirrors.

Analysis of this astonishing increase in waiting times by the Royal College of Emergency Medicine found that it has likely contributed to more than 1,000 needless deaths, despite the best efforts of frontline staff who have been failed by the SNP’s inaction. And what of the strain on those hard-working NHS workers? Last year, data revealed that NHS frontline staff were forced to cover understaffed shifts on 348,675 occasions. That is hundreds of thousands of times when there were simply not enough staff on hospital wards and in other care settings to meet Scotland’s healthcare needs. A recent report by the Royal College of Nursing Scotland warned that over the year to May 2025,

“at no point has NHS Scotland employed the number of nursing staff needed to deliver safe and effective care.”

The warning signs have been there for years, but the Scottish Government have failed to act on workforce planning, and it is patients and health service workers who are paying the price of that failure.

Of course, the healthcare crisis in Scotland is not restricted to our hospitals. Anyone who represents a rural constituency like mine will be acutely aware of the often severe pressure on GP services, where face-to-face appointments can be difficult to obtain, and that is to say nothing of the near impossible job of getting registered with an NHS dentist. In Dumfries and Galloway, which has one of the worst rates of NHS dental registration, more than 40% of residents are not registered with a dentist. That is not because they do not want to be, but because practices are not taking on new patients, and thousands of existing patients have been deregistered.

[Dave Doogan]

It is especially generous of the right hon. Gentleman to give way again. He touched on general practice. I am not suggesting for one minute that everything is perfect in Scotland, but our constituents enjoy 83 general practitioners per 100,000 population, compared with 67 GPs in Wales and 64 in England. How much worse must it be for constituents in England and Wales?

[David Mundell]

I am afraid we are back to the old record, Madam Deputy Speaker. We have heard it so many times. It does not wear thin; it must be digital now, so that it can be reproduced in just the same words that I have heard for the last 20-odd years. What the hon. Gentleman says does not relate to the experience of my constituents in Dumfries and Galloway when getting a dentist. They hold the Scottish Government accountable for whether or not they have a dentist, and for the promises that the Scottish Government have made in that regard. SNP Ministers say that the situation with dentists is “challenging”, but that is no substitute for the action we need to solve Scotland’s dental deserts, like Dumfries and Galloway.

And what of Scotland’s social care system—the very services meant to protect the vulnerable, the elderly, and those in need? Unions and public service watchdogs have repeatedly condemned persistent delays in discharging patients. Those delays clog up hospitals and deny timely care to people who should be at home or in community care. Staffing is chronically inadequate, care homes are overstretched, home care services are chaotic, and families often wait weeks—sometimes months—to get support for loved ones. Long-standing plans to deliver a national care service collapsed this year, having consumed tens of millions of pounds of taxpayers’ money, but without delivering a single additional hour of social care to those who need it. It is the record of the SNP Government summed up: make bold promises of reform; spend millions of pounds; blame everybody else, but especially Westminster, when it all falls apart.

For years, the SNP has made bold promises—promises of better health care, stronger social care, more GPs, more nurses, reduced waiting lists and an improved social care framework, but the facts speak for themselves. GP and dentist numbers remain too low, and constituents like mine struggle to get appointments. Too many newly qualified young medical professionals leave Scotland, even as vacancies are unfilled. More than £2 billion has been spent on agency and bank nurses, and midwives, over the past five years because of a lack of proper workforce planning. One in nine of Scotland’s population is currently on an NHS waiting list in Scotland, and despite the hard work of NHS staff working in the most challenging of circumstances, public satisfaction with the NHS in Scotland has plummeted to the lowest level since devolution. Once we strip away all the self-congratulatory boasting of Scottish Government Ministers, this is the reality of the NHS in Scotland after two decades of SNP rule: an older person waiting weeks for home care; a mother with a child waiting years for mental-health support; a nurse driven to burnout; a cancer patient left on a waiting list so long that even Scotland’s First Minister says it is “not acceptable”.