Part of the debate – in the Scottish Parliament at on 16 November 2023.
Bob Doris
Scottish National Party
I commend Paul O’Kane for bringing this members’ business debate on the dying in the margins project to Parliament. I thank Marie Curie and the University of Glasgow for their work in capturing the stories, both in the written word and in stunning and poignant images, of the lived experience of those with terminal illnesses and conditions as they approach the end of life. Most of all, I thank those who participated in the study—those who were approaching the end of life and their loved ones—for sharing their stories with great openness and incredible dignity and courage.
I was very lucky, as a few of us were, to meet the loved ones of some of those who participated in the dying in the margins study before First Minister’s Question Time today, and I also saw those poignant photographs of participants during the summer, at an exhibition in Glasgow’s Mitchell library.
As the convener of the Scottish Parliament’s cross-party group on palliative care, and with Marie Curie based in my Constituency, I have a particular interest in the area. However, we must all do what we can to ensure that for those living with a terminal condition and approaching the end of life, in their last few weeks and months, they have as much quality of life as possible and are as comfortable and dignified as possible. We must do all that we can to ensure that people are not dying in the margins.
Inappropriate housing has been mentioned, and it is a clear theme from the dying in the margins project. I know from my constituency case load the challenges with which someone can be presented when they are unable to get swift and suitable adaptations as they approach the end of life. Indeed, I remember a members’ business debate that I held regarding the constructive work that we were trying to do on securing such adaptations for people with motor neurone disease. I think that Maree Todd was the minister at that time.
I again request that consideration be given to establishing a fast-track process for those approaching the end of life. Lack of adaptations can lead to social isolation, compromised safety and dignity and loved ones ending up in hospital or a hospice, as opposed to ending their days at home. I am reminded of Max from the study. Max’s friend, whom I was fortunate to meet earlier, was quoted as saying that he did a runner from the hospice to get back to his dog. That made me smile, because my father tried to escape from a hospice just a week or so before he died. He did not succeed, but he was proud that he had the energy to try. Therefore, Max’s story landed with me on a personal level.
It is also evident from the dying in the margins project that, even when a housing move is secured, it is often during the last few days of life. I saw that from my constituency casework. We saw how loved ones often do not have security of tenancy when they are bereaved, and the impact that that has on them was highlighted strikingly in the study when Joost lost his wife, Stacey. Our Government has a housing bill coming to the Parliament next year, and that might be an opportunity to address some of those issues. I want to work in partnership with the Government to make that happen.
I also note that Mr O’Kane has requested a meeting, and I look forward to attending. The cross-party group on palliative care should have something fundamental to take forward on a cross-party basis.
There were clear financial issues running through the project’s outputs in relation to terminal conditions, and calls were made on the Scottish and UK Governments. I will offer two reasonable requests that were made.
Can we do more in Scotland to support the energy costs of people living with terminal conditions? The additional cost of running medical equipment at home is unfunded by the NHS or local authorities. There are other asks of the Scottish Government in relation to the cost of living. I know that budgets are tight, but can we have a wee look at that again?
There are also asks of the UK Government. If I was diagnosed with a terminal condition while an MSP, my pension would be automatic and I would get a lump sum. People who are diagnosed with terminal conditions in the UK should get their UK pensions early. In my constituency, too many people pay into a pension pot all their life and never draw out a penny because of their life expectancy. That has to change also.
This is not the end of the story for those dying in the margins. Some have now passed, but their legacy will live on. It is up to all of us in the Parliament to ensure that that happens.
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