The extent to which Holyrood has become irrelevant Is demonstrated by Nicola Sturgeon’s treatment of it. Instead of making her briefing about the crisis in the NHS in Scotland to our elected representatives, she chose to make it to journalists at a different venue. It begs the question: if our elected representatives are not fit to debate the crisis in the NHS -but apparently are fit to debate the constitutional issue this week – then what is the point of them? As for the NHS in Scotland, its problems were not only predictable years ago but were actually predicted. So says Lailah Peel, deputy chairwoman of the BMA in Scotland, who adds that we now face “a crisis (that is) years in the making”, and it has been developing over the years of SNP rule. In 2012, when Ms Sturgeon was health secretary, she authorised a plan to cut 3,790 jobs in the Scottish NHS, including 1,523 in nursing and midwifery. She bad already, in the same year, announced a reduction in the number of training places for nurses which, she said, would ensure “the right number of nurses and midwives for the future’ That worked out well! As recently as April 2021, campaigning for the Holyrood election, Ms Sturgeon promised a “transformational” increase in Scotland’s health budget – so transformational that the Institute for Fiscal Studies (rtes) warned that it would probably not be enough to cover rising demands on the NHS. The IFS pointed out that Ms Sturgeon’s planned financing of the NHS amounted to a real-terms rise of about 2.1%, whereas the comparable figure planned for NHS England was 3.4%. This clearly indicates that Barnett formula funds for health spending in Scotland are being partially diverted to other SNP priorities. Dr Peel of the BMA further notes that most Januarys begin… with patients on trolleys in corridors’ but “this year… winter-style queues (began) in August”, so why are crisis measures being announced as late as January? Perhaps the NHS simply has to cede precedence to allegedly much more pressing issues, such as Scottish secession and gender recognition reform. The result is that what Ms Sturgeon administered in her briefing was a belated sticking plaster when what is required for the NHS in Scotland is a tourniquet. Jill Stephenson. Corstorphine, Edinburgh.