Dying in the Margins Project

Part of the debate – in the Scottish Parliament at on 16 November 2023.

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Photo of Collette Stevenson Collette Stevenson Scottish National Party

I am grateful to Paul O’Kane for bringing this debate to the chamber and I pay tribute to Marie Curie, the University of Glasgow and everyone who took part in their dying in the margins project. The research, and the associated photography exhibition “The Cost of Dying”, movingly highlight the experience of living in poverty with a terminal illness.

There is a strong link between premature death and poverty, and I could say much about the consequences of United Kingdom Government austerity on public health and about the role of the economy in preventing excess mortality. However, for those with a terminal illness, we must focus on the here and now and ensure that they have the support that they need to get the best possible quality of life.

Organisations across the country, including Marie Curie, offer vital support to people with a terminal diagnosis and to their loved ones. One key issue is the need to tackle the double burden of income loss and the increased expenditure caused by a terminal illness. Marie Curie found that two thirds of people with a terminal illness rely on benefits, so it is vital that we ensure sufficient support for people who are in that situation, and for their carers. I would encourage people to contact their local money advice service or MSP to ensure that they are getting everything that they are entitled to, including through Social Security Scotland, which has a fast-track application process for people with a terminal illness, with the aim being to start payments within seven working days.

Research shows that most people would rather die at home. However, for many people with a terminal illness, that is not an easy choice. As the dying in the margins work notes, part of the issue—especially nowadays—is to do with the cost of energy. This week, the Scottish Government’s energy Minister, Gillian Martin, wrote to the UK Government on the need for a new social tariff mechanism, to be funded from energy windfall taxes, which would support the people who need it most.

Too many people are struggling to meet sky-high energy Bills. Those bills are pushing more people into Fuel Poverty, and the UK Government must do more. For someone with an illness or disability, there are additional challenges. As Marie Curie points out, people with a terminal illness often start to spend more time at home; they also feel colder because of their symptoms, which means that they have a greater need to heat their home. In fact, research shows that, on average, a person’s energy bill will almost double following a diagnosis of motor neurone disease.

Therefore, I hope that the UK Government will listen to the calls for a social tariff to help the people who most need help with energy bills, and that that will be announced soon.

I commend all the people who took part in the dying in the margins research. I was certainly moved by the exhibition that was held in Glasgow, which is on display in Parliament this week. Sadly, most of those people are no longer with us, but I hope that their actions will help us to ensure that we deliver the best possible support for people to prevent more of our citizens from dying in the margins.

fuel poverty

A household is said to be in fuel poverty when its members cannot afford to keep adequately warm at reasonable cost, given their income.

bills

A proposal for new legislation that is debated by Parliament.

minister

Ministers make up the Government and almost all are members of the House of Lords or the House of Commons. There are three main types of Minister. Departmental Ministers are in charge of Government Departments. The Government is divided into different Departments which have responsibilities for different areas. For example the Treasury is in charge of Government spending. Departmental Ministers in the Cabinet are generally called 'Secretary of State' but some have special titles such as Chancellor of the Exchequer. Ministers of State and Junior Ministers assist the ministers in charge of the department. They normally have responsibility for a particular area within the department and are sometimes given a title that reflects this - for example Minister of Transport.