HIGHLAND communities must speak out in defence of their local

hospitals and health service provision before it is too late, Labour's

Scottish Health spokeswoman Maria Fyfe said yesterday.

Ms Fyfe was in Inverness at the invitation of the health service union

Unison, which for the past year has campaigned against Highland Health

Board's proposals for introducing the Government's Care in the Community

programme.

The union fears the scheme could lead to the number of long-stay beds

for the elderly in hospitals being cut by 59%.

Unison has organised a rally in Inverness on Saturday to demonstrate

that the people in the Highlands will not accept such health cuts.

Ms Fyfe, however, began yesterday by congratulating Highland Regional

Council on its success in persuading the health board to delay further

cuts until proper consultation has been completed.

''Until Highland Regional Council won that, the health board seemed

determined to implement their draft plan which I gather had been

prepared without even consulting local GPs leading to serious

disagreements over the number of patients actually involved,'' she said.

''Now the health board has agreed to consult and it is my hope that

the board will actually listen to the Highland communities and their

doctors, rather than listening to the Scottish Office and the

Treasury,'' she added.

Ms Fyfe said there was widespread concern throughout Scotland about

the Government's Care in the Community programme.

''I think Highland Health Board in particular was very unwise in

publishing a draft plan calling for an enormous cut in the long-stay

elderly beds, before there had been full discussions with Highland

Regional Council's social work department.

''I think the public should recognise that they must stand up and

speak out, and if they campaign they can win battles against the

Scottish Office and the Treasury, they can win victories for their

communities for their elderly. If they play a full role and make sure

that their views are listened to, they can make changes to this plan,''

she said.