European Charter of Rights for Persons with Autism (PE952)
Agenda item 2 is new petitions, the first of which is petition PE952 by Christine MacVicar. The petition calls on the Scottish Parliament to urge the Scottish Executive to recognise and adopt the European Charter of Rights for Persons with Autism. Before being formally lodged, the petition was hosted on the e-petitions system, where it gathered 502 signatures.
I will start by providing a brief overview to put what we are about to say in context. Briefly, we will explore why we need a charter for autism, as opposed to anything else, and what kind of outcomes we are looking for.
As a parent, I will tell you how I see autistic people's rights being abused today in Scotland. It is all about funding, budgets and rationing.
Good morning. Thank you for giving me the opportunity to speak today.
Thank you for bringing a very serious issue before us. Do members have any questions for the petitioners?
Thank you very much for your petition and the supporting information. I have tried to read and understand all of it, but, as I am sure you will agree, it is—like autism itself—very complex.
Those are two different questions. Investigations are being carried out all over the world; indeed, a recently published book called "Autism, Brain and Environment", which was written in Edinburgh, claims that in 90 per cent of people with autism the limbic system has been damaged through environmental causes. The book does not simply concentrate on research on the behaviour of children and adults with autism; it ties together research that has been carried out on physical symptoms such as immune disregulation, gut pathology and endocrine problems, and concludes that the condition is treatable. Other countries are examining and trying to deal with the issue.
Research in various shapes and guises is being carried out from America to New Zealand. For example, the United States has given substantial research funding to the human genome project. That activity is providing much new information about some of the causes of autism—there might well be many—and the Cochrane Collaboration has brought it all together in the Cochrane Library.
Christine MacVicar mentioned damage to the limbic system and problems with the endocrine and immune systems, and the supporting information refers to other conditions. Am I right in saying that any separate health problems that people with autism have are not being diagnosed and treated properly?
That is correct. Although it has been shown that my son has a gut problem, our requests for a proper investigation have been refused.
The problem is widespread. There is little chance that someone who has been diagnosed with autism will get any other health problem looked at. Indeed, a child died of brain cancer as a result of being diagnosed as autistic.
You have already talked about health care and investigations into the causes of autism. Is appropriate learning available to your children? How would the European charter help the overall situation?
For a start, the charter refers to the right to have an "accurate clinical diagnosis", which, as I understand it, does not mean simply labelling a child autistic. Instead, it means providing an accurate investigative diagnosis of the condition.
Because autism affects each individual differently, the population of people with autism is very diverse. In Scotland, social diversity has been addressed by developing differentiated approaches for people who, for example, speak Urdu, use wheelchairs or have a visual impairment. That is quite right and proper.
At the risk of going over some of the issues that Rosie Kane has raised, I want to tease out the issues a little further. Can you speculate as to why there has been a 600 per cent increase in diagnoses of autism? What does the research point towards?
I again refer you to the book "Autism, Brain and Environment" and to "Evidence of Harm", which was published in the United States and which states categorically—the research continues to roll in—that the increase in the use of thymerasol in vaccines is directly linked to the problem. The amount of heavy metals that we are getting back out of our children is nothing like what was put in with the vaccines—they seem to have a propensity to sop up heavy metals. My son has high levels of lead, mercury, cadmium, antimony and silver. Another child in our group has high levels of tin. All those metals are very neurotoxic. It is an environmental problem, which affects everybody. It also seems to be an issue in Alzheimer's disease and perhaps schizophrenia—it is about the timing of the insult in the brain. If we were to direct some resources towards addressing the issue, we might solve a lot of problems. We must investigate the environment.
It is a complex question. The answers are also complex and in-depth analysis is required. The quick answer might be that there is a range of reasons for the worldwide increase—it is not peculiar to Scotland—in diagnoses of autism. It just so happens that a few weeks ago the Executive published some figures that drew the increase in the figures on autism in Scotland to our attention. That increase is partly, although not entirely, a result of improved radar systems. Schools now pick up people with autism because they have in place better radar systems. Having said that, in some parts of the country, people can wait three years for a diagnosis. There is probably a group of people who are not yet diagnosed and there are probably issues around women and young girls perhaps not being adequately represented in the figures.
The United States—in particular, California—has the best record on the matter. Since it removed thymerasol from vaccines, its autism rates are dropping.
That is very helpful.
It is a European charter, which was adopted by the European Parliament in 1996; it was first promoted in 1992. A range of countries in Europe have adopted it, really as part of the social charter.
Is there a lack of a clear definition of autism?
Autism is not a single condition. That is the one point on which we agree with the Scottish intercollegiate guidelines network.
The term "autism" covers a range of conditions. People who have classic autism are completely disengaged from the world. They often have no speech, and you might see them rocking back and forwards, flapping their hands. Other people with autism function reasonably well and hold down jobs in the finance or engineering sectors but have no social context whatever, because they cannot process social relations.
Is the fact that there are too many variations of the condition part of the problem?
I would not say so. Autism has a diverse effect on people's lives—that is the core of autism—and it is perfectly possible to develop differentiated responses to a range of impacts and individual needs.
Autism is identified through a psychiatric diagnosis. There is a list of categories, and if three boxes out of 10 can be ticked, the person is diagnosed as having autism. Autism was distinguished from schizophrenia only in 1971.
I do not want to prolong the discussion, but there has been a process of learning about autism. The condition was identified only in 1943 and there is some way to go towards identifying the features that differentiate one end of the spectrum from the other.
Thank you for giving us so much information. I also thank Christine MacVicar for coming to my constituency office a few weeks ago to give me more information. Aspects of autism are astounding. For example, I did not realise that autism was not distinguished from schizophrenia until 1971. Is the fact that autism is treated as a mental health issue part of the problem?
If the conditions arise from the same source, as people suggest, what does it matter? If the condition can be cured by considering that source, the label is immaterial. We need to start considering treatment, which means that we must consider facts and research that produces results and statistics. Instead, there has been half a century of theorising and neglect of children. Some autistic children have gastric and immune-system problems and are in severe pain, but nothing is done because they are autistic.
I asked the question because I was struck by Tom Wightman's submission, in which he described his son's horrifying experience when he was in hospital—
He is still there.
I am trying to differentiate between schizophrenia and autism. According to your evidence, your son has no rights whatever because, although he has been diagnosed with autism, he is being treated under mental health legislation. We have received evidence that people with autism have no rights in relation to the courts and there is no advocacy service for them. If we adopted the European charter, would that give people in your son's position those rights?
Of course it would. At the moment, we cannot go anywhere for help. We know that abuse is being carried out by the medics, who are supposed to be providing a caring service to our son. The treatment is ratified by the hierarchy—even the chief executive—which rides roughshod over us. We have nowhere to go. We cannot even go to the Mental Welfare Commission for Scotland, the Scottish public services ombudsman or the procurator fiscal. My son is under a compulsory treatment order, and that is that.
He is under a compulsory treatment order, but he has been diagnosed as autistic.
Yes, but he is being treated as a mental patient.
That is the point that I was trying to get at.
The key differentiation is in the approach that is taken to dealing with people who medical practitioners, such as psychiatrists, see at their desks. What makes autism different is that it gets in the way of anything else that is happening. If the autism is not dealt with, medics and others—it is not peculiar to the medical profession—go past it to deal with what else they think is happening. If the autism was dealt with in the first place, whatever else was happening would be less of an issue.
Sandra White asked about the legal situation. As John McDonald said, a number of people with autism are fairly able, and my son is one of them. He gave us power of attorney because when he was hospitalised we were concerned about the drugs that he was being given, the lack of monitoring of them and his physical health. After that experience, we talked to him and he said that it would be a good idea for us to have power of attorney. We went to a family lawyer, who knows his situation.
A deaf or blind person who was receiving treatment would have access to legal avenues. If the charter was adopted, people with autism would also have access to legal avenues and advocacy.
The way that things are going just now, it is almost inevitable that if someone is diagnosed with autism, the first thing to happen is that tests will be done to look for what is causing the damage. When the Health Committee discussed petitions on 26 April last year, I sat there with some results on my knee about five members of our group—adults and children. I tried to get called to tell the committee that there is a link between autism and heavy metals, but I could not give evidence.
First, I apologise to the petitioners for not hearing their opening statement. I was spending a frustrating 10 minutes waiting for the train to pull in to Waverley station. I have, of course, followed the subsequent discussion.
As I am the petitioner, perhaps I should answer that. We have many laws and, in some cases, they have made life more difficult for us, for example the Adults with Incapacity (Scotland) Act 2000. More and more parents are being forced into the legal arena and are having to take legal action and to remortgage their house to get money for legal fees. The Scottish Legal Aid Board is now telling parents that the fee that it gets for an initial consultation is not enough for it to cover the complexity of autism cases—they are not like cases involving punch-ups.
Jackie Baillie is right; the SAY programme is a seminal piece of work. It is outstanding and its impact is tremendous. However, the introduction of elements of ASD into the SAY programme is relatively recent. It was missed out of the original process and it has crept on to the agenda—rightly and properly—during the past three or four years. That is fine; it is very positive. The SAY programme provides a platform from which to move on, but it does not differentiate enough for people with autism because of the range and diversity of the condition. I tried to suggest earlier that the way to deal with diversity is to take differentiated approaches—to pick up on the diversity and to recognise what needs to be done in relation to it. "The same as you?" does not go far enough with that. As part of their planning, local authorities are required to produce a statement relating to ASD and to have a lead officer who is responsible for it. That is great, but it does not differentiate enough to address the issues that have been raised today. It is not fine enough. The charter is more a statement of intent than anything else. If we are to address diversity and build equality of opportunity in Scotland, we need that fineness of differentiation around autism.
I was driving at the fact that simply adopting the charter would not deliver the kind of step change that Christine MacVicar and Tom Wightman want, therefore I must ask a question that this committee has asked before: is it the policy framework that is wrong or is it the implementation and the sensitivity on the ground? There are differences in how local authorities deal with ASD. Two quite different solutions would deliver the outcome that you are looking for.
Europe had all of the legislation and all of the recognition but it still thought it necessary to adopt the charter. It recognised that the people whom we are talking about are a unique set of people whose legal rights were not being addressed by the existing legislation. That is why the specific piece of work was done. The charter seems to be the only one that has been adopted by the European Parliament.
To answer Ms Baillie's question, both the policy framework and the practice are wrong. That is not to criticise what has been done. I emphasise that a lot of positive work is going on within the policy and practice frameworks. However, at the moment, the policies take us only to the starting point. In many places, the policy framework and the practice arrangements are fairly blunt instruments. I do not want to rely on anecdotal evidence, but I know that there are situations across the country in which the fine detail of the needs of a person who is living with autism are not being addressed either by the policy framework or the practical framework. Neither differentiates finely enough. It is like asking a joiner to come and do your plumbing—that is the kind of dissonance that exists around policy and practice in relation to autism. Having said that, there are places around Scotland that are doing a good job. Maybe we should be learning from them and rolling out their practice.
You said that some well-intentioned legislation had ended up making things worse. What legislation is that?
The Education (Additional Support for Learning) (Scotland) Act 2004 is an example of the legislation that we had in mind. Accessing the higher level of support depends on getting input from more than one agency. We had a meeting in Renfrewshire with our education authority and it agreed that that was a matter of concern. The situation is that children in our area—I am sure that it is the same elsewhere—can wait 18 months to get an assessment of needs. That does not guarantee that services will be delivered—the criteria in the 2004 act mean that it is unlikely that people will be able to access the higher level of support, because other resources are not available. For example, people cannot get a speech and language therapist because they are so thin on the ground, and they cannot get social work input because the social work department does not have the diversity of services that they need. In our case, the waiting list for the children with disabilities team was actually closed because they had too many children to deal with. That is really what happens.
The question was about resistance. I suspect that ministers and civil servants are looking for tools to help them to do the job. In my experience, most of them want to do a good job. The evidence on the current push on autism is that people are working quite hard, albeit they are struggling up a hill without enough resources to get over it.
There is huge reluctance to consider the whole question of our children being given a vaccine containing neurotoxic substances, even after it was recommended in 1999 that those substances be removed. It took until 2003 for them to be removed.
Mr McDonald, you may be aware that the Adult Support and Protection (Scotland) Bill was recently introduced into the Scottish Parliament. As it goes through the parliamentary process, will there be an opportunity to incorporate the charter?
The short answer is yes. I have lost track of that bill's progress, but the charter could be tied in with it. However, the charter has a broader focus than just adults, so even if that were done, there would still need to be some sort of link back to children.
You mentioned best practice in other parts of Scotland. Could you give us some examples?
I shall rack my brain. It has just been whispered in my ear that we should not simply blow our own trumpet, so I will not do that. I will take some examples from both children's and adults' services. There are schools in Glasgow with well-developed teaching and learning resources to support those young people who can get by at their local schools. The city council is doing some fantastic work, which it is seeking to extend to support families and to reinforce teaching and learning at school through home-school links. The council is working with us to achieve that. I will blow our trumpet now: we are supporting the council to do that, and it is working really well. Those who are involved are part of a national network of teachers who are developing their intervention skills and knowledge around autism. There is some equally good practice at a school in Perth, which is developing research on how visual processing affects people with autism.
There is one that my wife and I went to see at Kilbirnie in Ayrshire. The attitude of the staff there is impressive. They want to work with the full range of autism, from the people who bang their heads to those with Asperger's syndrome who are fairly clever but who need a couple of people to work with them to keep them occupied with a diversity of things so that they do not stagnate or cause trouble. They do all that without using medication. The people with autism have their own living area and they have a community. It is a wonderful environment for them, because they are supported and they can live their lives.
I cannot resist this—I am really sorry, but I do have to blow my own trumpet. We have opened a centre in Alloa—New Struan school—which was designed taking into account the experiences of parents and individual citizens who have lived with autism and of people who have worked with people with autism for the past 40 years. We have learned that the environment can have a positive impact on how people with autism live their daily lives. The environment can be constructed, lighted, coloured, shaped and used in particular ways so that, rather than being medicated and locked away, people with autism can take back control of their lives. Some of Scotland's most challenging children—to use a euphemism that other people use—are within that resource and, so far, most of them have done very well. They decide their curriculum and their programme for the week and they make choices about what to do in their local community. They travel to us from different parts of Scotland and they build their own sense of inclusion in a locality in Alloa, because the environment is properly designed to support them, the interventions are properly thought through on an individual, differentiated basis, and the staff are wholly committed to getting things right.
I have not visited that centre, but I think there is a similar one in Cowdenbeath.
There is. It is also one of ours.
The place in Kilbirnie has a boy who has had to travel from Orkney to get what he needs. What does such splitting up of families do to them? Resources are needed throughout the country.
I think that all members have had an opportunity to ask questions. A lot of information has been gathered.
John McDonald said that he did not know what stage the Health Committee is at in considering the Adult Support and Protection (Scotland) Bill. Its consideration of that bill is in its early stages, so evidence could be submitted to it. The Official Report of this morning's discussion could be submitted as part of the evidence, if the committee agrees to do so. I recommend that we send the Official Report to the Health Committee, given that stage 1 of the bill is about to start.
A couple of people have come to my surgery in the past to discuss autism, and have raised housing-related and education-related matters. Thanks to Google, I found people who have done a lot of work on the charter. I suggest that we seek the views of Professor Malcolm Hooper of the University of Sunderland and Pat Matthews, who is the chair of Autism Europe.
If we write to those people, their responses will have to come back to us, which might delay things.
Time is important.
We should consider the time involved if we want to refer the petition to the Health Committee.
The key point is that the Health Committee should have all the evidence. If it receives a submission, the person who submits it will have a good chance of being selected when the committee chooses witnesses to give evidence, especially if they ask to be called.
We could recommend to the Health Committee that it contacts the people whom Rosie Kane mentioned. It would then be for that committee to get information from Professor Malcolm Hooper and Autism Europe. We could send the petition directly to that committee with our recommendation.
May I suggest that Dr Lorene Amet, who runs the autism treatment clinic in Edinburgh, be contacted?
We will mention her to the Health Committee, too. I hope that it will follow that advice.
Rita Jordan, who is one of the world's foremost academics on autism, is just retiring from the University of Birmingham. I think that she would be interested in making comments.
We will add her name to the list. I hope that the Health Committee will seek the information that it requires to consider the issue in the context of the Adult Support and Protection (Scotland) Bill, which it will assess.
I thank the witnesses for coming to the meeting to discuss the petition.
I was told that I could leave some evidence. Is there anywhere that it can be listed?
You can leave it with the clerks.
Speed Restrictions on Inland Water (PE964)
Our next new petition is PE964, by Kevin Lilburn on behalf of Fair Play Loch Lomond, which calls on the Scottish Parliament to urge the Scottish Executive to review the operation of speed restrictions on inland water in Scotland. Kevin Lilburn will make a brief statement to the committee in support of his petition. He is accompanied by Lawrie Lilburn and Johnny North.
Thank you for that introduction. My colleagues and I are humbled to share this meeting with the petitioners who went before us. Ultimately, we are talking about recreation, but I am sure that everybody here would acknowledge that the previous petitioners face some fundamental difficulties. We wish them luck in overcoming those difficulties, whatever the result of their petition.
Thank you for a highly comprehensive introduction. I invite questions from members.
I declare an interest. I have met the petitioners before because Loch Lomond is in my constituency and that of Sylvia Jackson.
We certainly welcome any reduction in the scope of the original proposals. The figure of 8 per cent is slightly misleading because it relates to the total surface area of the loch. The surface area that is affected by the speed restriction will in fact increase by almost 50 per cent, which is a significant increase. We feel strongly that the measure will achieve very little. As people who live and operate on the ground every day, we think that we are fairly well qualified to make that comment.
If we are to believe what the park authority says, the measure is designed to protect sensitive areas, which are those around the islands in the middle of the loch. The whole of the south and the north of the loch will be left free for water sports.
I draw your attention to another submission that you should get today, which is a summary of the ecological impact report on the loch. The report is the national park's own document but, frankly, its recommendations seem to have been largely ignored. Essentially, the byelaw proposals target fast-moving watercraft on the loch irrespective of their size. It is the speed of the craft that is being targeted. The summary of the report states:
That is interesting. I notice that you did not mention jet-skis. Let me just probe that. To judge the matter on the basis of my constituency mailbag, I have never had a complaint about windsurfers, water-skiers or motorised craft of the type that you described, but I have had a significant number of complaints about jet-skis. I suspect that that is less about speed and more about the noise that they create and their ability to get close to people. It has been put to me by people on both sides of the argument that what we need is not a speed restriction but a ban on jet-skis. What is your view on that?
I did mention jet-skis; I used the generic term, "personal watercraft", which covers them.
I missed that.
Good politician.
I agree that the issue comes up time and again. The first thing that I would say is that, if that is the issue, we should have a debate about that and not target all the other activities at the same time. Secondly, I return to the lack of enforcement. I have made a point of keeping an eye on that recently.
Strathclyde police force has bought a jet-ski this year, which is great news and which could change the situation incredibly. The present patrol boat cannot go in shallow water to chase people, but the police will now be able to use the jet-ski to follow craft into shallow water, which should address the problem. However, I return to our position, which is that no one has tested the existing byelaws because no one has policed them. Why change something when we do not know whether it works?
That is interesting.
In the committee's discussion of the previous petition, an issue was raised about a gap between policy and practice. We are in the same situation. The policy exists in the existing byelaws, but the practice is that they are not implemented correctly. Frankly, that happens a lot with legislation. When a problem arises, the first thing that we do is introduce more legislation, rather than consider whether we are enforcing the existing legislation effectively.
I am hoist by my own petard.
Can I have two things? First, I would make an amendment about young people. It is important that, when young people have an opportunity to express their sense of responsibility and leadership, we should not take that away from them when we have no evidence to suggest that that is necessary. My other suggestion is for an amendment to the scope of the speed restrictions. We had internal discussion on the issue and reached a concord with the riparian owners, who have a slightly different perspective on the matter. We have come up with a proposal for more targeted speed restrictions at Luss and Milarrochy bay. At Luss, we propose an increase in the area covered, from 150m to 300m offshore and, at Milarrochy bay, we propose closing off the entire bay, which would create a buffer zone of approximately 750m from the car park area but would be restricted to that bay alone. Fair Play has also suggested that some of the bays that were closed off previously under the byelaws should be derestricted, as we argue that that was unnecessary. However, those are the two changes that we recommend. I have submitted maps on that—the first set shows the additional areas that are proposed and the second set shows our alternative proposals.
I have visited Loch Lomond, which is a beautiful place, but I do not know a great deal about it. Can you say what the driver is for the new byelaws, when the old ones have not been enforced thus far? You hint at an underlying agenda and say that there is no clear statement as to what the problem is or where it exists. Who is driving the new byelaws and why?
That raises several issues. A lot of the impetus for the changes came towards the end of 2004, when the implementation of the Windermere restrictions became apparent and a grave concern arose that vast numbers of boats and other watercraft would move north to Loch Lomond, because it is the next nearest significant waterway. That led to a lot of press interest in the matter and a focus on the national park's performance up to that point. Several lobby groups existed at that time, notably the Friends of Loch Lomond, the Loch Lomond Association and the Loch Lomond Angling Improvement Association. The anglers have their own agenda, which is pretty much to promote their sport. That is fair enough, as that is what the association was set up to do, as the title suggests. With the other two associations, particularly the Friends of Loch Lomond, the management committees are made up mostly of people who are in excess of 60 years old and who have a rather different perspective from the people who are out on the loch day to day. To be frank, they could sit down and write letters to newspapers and generate publicity for the agenda that they were pushing.
I am a townie, but like many Glaswegians, on sunny summer weekends—which we get about twice a year—I have been known to drive my family to the east shore of Loch Lomond for a picnic. I must say that, in recent years, I have found the noise of the jet-skis excessive and intrusive. Are you saying that the issue could be covered within the ambit of the current guidelines—the current byelaws?
The situation would certainly be alleviated if the current byelaws were rigidly enforced. One of the problems with jet-skis is that they tend to stay close to the beach where they launched, where people's friends are. The nature of the activity is that a lot of people tend to use the same vehicle. They will go out and have 10 minutes' thrash on it, return to the beach and then go out on it again. They tend to perform in front of their friends; unfortunately, that also means that they are performing in front of everyone else who is on the beach trying to have a quiet picnic.
So, I should go to Loch Katrine or Loch Ard in the future.
If ultimate peace and quiet is your goal, you have the option to do that.
You must bear in mind the fact that, to a Glaswegian, peace and quiet is a relative term.
Indeed.
I have been involved on the loch for a very long time. In 1987, when jet-bikes—personal watercraft, but I still call them jet-bikes—first started to appear, I was chairman of the Buchanan community council on the east side of the loch. I went right down the east side of the loch and got agreement from every landowner not to allow jet-bikes to be launched from their land. The only opposition to that was from Stirling Council, which said, "We will not do that and we will not allow you to do it." At that time, Stirling Council was promoting changes at Milarrochy bay and was building toilet and launching facilities there through the regional park. We succeeded in getting every landowner to agree except the local authority, which had its own launching site. We could not get it to budge.
I should clarify that 800 jet-bikes are registered to use Loch Lomond—anyone who wants to use the loch must register their vessel. That does not mean that there are 800 jet-bikes on the loch at a given time. Some jet-bike users might come from Cornwall and come to the loch for a week in the summer.
I appreciate that jet-bikes can be annoying on a quiet Sunday afternoon, when people are having a picnic with their families, as Charlie Gordon did.
There are two reasons, both of which are economic. Boat numbers reached an all-time high at the end of the 1980s, which to some extent reflected the trend for anyone who came into a bit of money—particularly in Glasgow—to buy a boat and go to Loch Lomond. The fashion has moved on, although I cannot say what the current trend is.
Also, much uncertainty has been created by the review of the byelaws. There is evidence that people are deciding not to buy a boat because they do not know what the situation on the loch will be in the long term. The uncertainty will be permanent, given that the byelaws are to be reviewed every three years. People will not invest money in a boat if there is a possibility that the area they can use will be restricted.
One point that you all made in your evidence is that there is sufficient regulation at the present time, if it is enforced. The implication is that the regulations are not being enforced. I think that it was Mr North who mentioned that a new boat has been purchased by the park authority—
It was Strathclyde police.
You said that it is a low-draft boat. Will more effort be put into enforcing the existing regulations? Undoubtedly, that would help the situation.
Quite clearly, the authority is putting more effort into enforcing the regulations, but it is doing so on the back of the consultation process. Basically, everyone who was involved in a discussion with the authority as part of the consultation process banged the table about enforcement. The problem is that we are shutting the gate after the horse has bolted. Concurrent with that, instead of giving an opportunity for the greater enforcement to take effect, greater restrictions are being introduced.
Members have asked a range of questions. I will now draw the debate to a conclusion. I seek recommendations from members on how to take forward the petition.
In light of the foregoing discussion, we should seek the views of the Loch Lomond and the Trossachs National Park Authority, the Friends of Loch Lomond, the Royal Yachting Association, the Lake District National Park Authority—clearly, there has been a lot of dismay at what has happened there—and the Scottish Executive. Perhaps we could make the responses that we receive known to the petitioners and seek their comments.
I have no difficulty with those suggestions, although I question why we are asking for the view of the Lake District National Park Authority. After all, its solution to the problem was that everybody should come up here—a fact that it advertised on its website. That said, it would be interesting to hear its views. Although I am happy with the suggested list, I would like to add the chambers of commerce in the area. There is a business argument element to the petition that was brought out today in questioning. It would be worth testing it out.
A number of issues were raised in the questioning, in particular enforcement, byelaws and so on. Perhaps we could write to the appropriate officers in Strathclyde police on the matter.
I see no reason why we cannot do that.
It would be good if the committee were to contact Strathclyde police and Central police.
The reason for suggesting that we write to the Lake District National Park Authority is that that would help us to find out about the economic impact that its actions have had in respect of Mr North's comments.
I am intrigued that you will seek further consultation with the Friends of Loch Lomond, but that you did not mention the Loch Lomond Association, which is, in fact, the only association that represents the loch users. The Friends of Loch Lomond are primarily land based, although I think that there might be two or three of them who actually own a boat.
We will take on board your recommendation and write to the Loch Lomond Association asking for its comments as well.
I ask you also to speak to the Keep Windermere Alive Association, an action group that can give you all the economic figures associated with what has happened down there.
I see no reason why we cannot add that organisation to the list. Are members happy for us to write to all those organisations and to try, with a sense of urgency, to get responses and to seek the petitioners' comments on them?
I thank the petitioners for bringing their petition to us.
Unpaid Care (PE954)
Our next petition is PE954, by Claire Cairns, on behalf of the national carer organisations group. The petition calls on the Scottish Parliament to urge the Scottish Executive to fully implement the 22 recommendations of care 21's report, "The future of unpaid care in Scotland."
Thank you for the opportunity to speak to the committee. I will take a couple of minutes to highlight the key issues, before passing over to Wendy Brooks, who is a parent carer and who will outline what it means for her to care for her son.
I am a parent carer. My son is five years old and has a speech and language and communication difficulty that results in poor social skills. He has poor co-ordination as well. He does not have any definite diagnosis, which makes it difficult to access certain services for him. There was no support or access to services until he was in the educational loop.
I make it clear that I am sympathetic towards the petition. Last month, a group that covers my constituency of Glasgow Cathcart—the Glasgow south east carers network—was in the Parliament with a similar petition of more than 2,000 signatures, which we presented to the Minister for Health and Community Care, Andy Kerr. Since then, the Glasgow south east carers network has changed its name, because it is now affiliated to the Princess Royal Trust for Carers.
When the deputy minister announced the implementation of the recommendations, he set out a 10-year agenda and the Executive prioritised four areas: carers' health, training for carers, supporting young carers and respite. The implementation of recommendations in the other areas will depend on the spending review, but work to begin to focus on those four priority areas will also be highly dependent on the spending review.
Usually we would pass the petition to various interested parties for comment and it would come back to us, but you said in your opening statement that you would like us to refer the petition to the Health Committee and the committee that is concerned with children's services. I presume that you want those committees to start to get to grips with the issues of early action that you just mentioned.
In a sense, the petition has been overtaken by events. When the petition was first lodged, the Executive had not responded to the recommendations in the care 21 report. As Ruth said in her opening remarks, the Executive deserves a lot of credit because it has broadly accepted the recommendations. It has identified four areas as priorities, and we concur with that, but there is no promise of resources.
So the debate has moved on to another stage.
Our aim is to keep the issue and the four priorities on the political agenda. The spending review cake will only be so big—I do not know whether the Executive knows how big it will be—and there will be hundreds of competing priorities. Our aim is to ensure that the issues get the prioritisation that they deserve when it comes to talking pounds and pennies.
I can see the sense in that, now that you have said that the debate has moved on to another stage.
From the research and care 21 consultation, we found that respite was one of the biggest areas of concern for a large number of carers. However, one of the outcomes for the task force will be that there is a need to resource the infrastructure of respite provision on the ground to ensure that there is flexibility in delivery across Scotland and choice for carers and service users. Ultimately, provision will depend on resources being invested in that one area.
I sympathise. Many people come to my surgeries to talk about unpaid care. As you said, there are thousands of carers out there. You mentioned training in aspects of care such as lifting; I do not think that it would be too difficult to provide that training. For many women who have had to cut short their careers to care for elderly parents, the fact that they cannot get certain medicines delivered, for example, does not help; they have to go and pick them up. Delivering medicines would not cost an awful lot of money.
The development of a national programme of training for carers would cover a range of areas that are important to the daily lives of carers. Some resources would be required to ensure that such training was of a high quality, as I am sure that the Executive would want it to be. Perhaps that training could be funded in the next grant process.
In my experience, it is the daily grind of caring that wears people down. Have you done any costings for the provision of more respite or more training? Do you have any figures for the Executive on the costs involved or are you aware of any figures?
One of our colleagues, Jack Ryan, who is chief executive of Crossroads (Scotland), will represent the carers organisations on the group that Sandra White mentioned. I am sure that he will feed figures into the Executive, but we do not have them here.
I am interested in your experience of the direct payments scheme. The Health Committee, of which I am a member, has reached the end of a fairly major inquiry on care for the elderly. An academic paper that we received said that, across Scotland, there was a massive underspend with regard to people claiming direct payments. In the past year, the regulations have changed and it is now possible for family members of those who need to be cared for to be paid as carers. Edinburgh was highlighted as one of the biggest spending areas, followed by Fife, which is another area in which the greatest use was made of the direct payments scheme. However, a major lack of take-up was highlighted in the west of Scotland. What is your experience of the direct payments scheme? It comes back to enabling those who are cared for to pay for the sort of care that we are discussing today.
I am aware of the Health Committee's review of the direct payments scheme. Direct payments emerged as an issue in the care 21 research. A number of carers found that the scheme was difficult to access and difficult to use because of the limitations on choice. The issue is not one of the four priority areas that the Executive will work on initially, but it is included in the 10-year scope of the care 21 recommendations.
One of the people who gave evidence to the Health Committee—she was caring for her child—said that the direct payments scheme had enabled her to make a massive improvement on the prescribed care package that she had previously been given by the local authority. The scheme had enabled her to have tailor-made care arrangements and that had made a big difference for her as a carer.
The care 21 research found that the situation was patchy. It was a bit like the postcode lottery—the position depended on the local authority area. Some people were quite happy, but many people were unhappy. Many people did not know about the scheme. If I remember rightly, an initial bugbear was that family members were excluded, but that has been changed.
Perhaps we could achieve that in partnership with your organisation. If the scheme exists and the money is available from the Government but people are not taking it up, that is an issue for all of us who are involved—not just the Government, but all the voluntary agencies and others, such as MSPs.
Staff in the trust's centres throughout the country know about the scheme and tell carers about it.
If direct payments were made more accessible, that would be of great benefit to many carers, because it would increase choice. However, direct payments would not be a solution for many other carers, because of the restrictions in the system. Direct payments would help some but would not greatly change the day-to-day lives of many people.
This is one of those petitions that make us say, "Gaunae just get on with it." The petition causes me much concern. Carers cannot and will not down tools for a day.
Ruth mentioned that the figure in Scotland is about £5 billion a year.
That is an incredible input.
Carers in Scotland form the single largest health care workforce—there are more carers than there are NHS staff. Carers provide a significant amount of care that is free of charge but costs them personally.
That just occurred to me and struck me about what you do. The petition is so sensible that I am speechless, which is unusual for me.
I thank the petitioners for their information. One of the clearest pieces of information was that the debate has moved on, which is pretty significant. We usually write to seek views on a petition from organisations such as the Princess Royal Trust for Carers, from the Scottish Executive and from a host of people, but in this case we need to ask the Health Committee to consider the petition. That is where the debate is. I recommend that we refer the petition to that committee and ask it to ensure that care 21 is assessed in the way in which it normally examines such initiatives.
Could the petition also be referred to the committee that covers children and young people? We know that at least 16,500 young people in Scotland are carers.
I think that you are referring to the Education Committee. In the past, committees have operated on the basis of sending a reporter from one committee to another committee. We should refer the petition to the Health Committee, because that will maintain the focus on it, but we might want to suggest that that committee should consider inviting a reporter from the Education Committee, to make the link that you seek.
Are the petitioners thinking of the cross-party group on children and young people?
There is no difficulty in sending the petition to that group for information, but what the group does with it is a matter for the group. The Health Committee is the most appropriate committee to approach to encourage the Parliament to examine the issue, so we will send the petition to it. We hope that the petitioners will be involved in the dialogue with that committee. Thank you for presenting your petition.
Swimming Pools (Investment) (PE966)
The last of our new petitions is PE966, by Robert A Lambert, on behalf of Glenrothes community action group. The petition calls on the Scottish Parliament to consider and debate the lack of investment in swimming pools in Scotland; the action that is being taken to address the sportscotland "Ticking Time Bomb" report, which was published in 2000; and how the goal to increase and maintain the proportion of physically active people in Scotland is being achieved. We are joined by Tricia Marwick, who wants to contribute.
The petition relates to a specific problem in Glenrothes, where, at one point, Fife Council threatened to close the facility. The petitioners have, quite rightly, asked the Parliament to consider not the specific situation in Glenrothes but the need for an overall strategy in Scotland. They have pointed out the "Ticking Time Bomb" report and the fact that sportscotland was supposed to have produced an audit of local facilities by last year, but that has still not happened.
Writing to the Executive and sportscotland would be the right thing to do, but do members have any other suggestions?
We must write to the Scottish Executive and Fife Council, which is going to consult in spring or summer of this year, but, given its past record, it could be later than that. I would like us to hear the views of the Scottish Amateur Swimming Association and sportscotland.
Sandra White named the organisations that I think that we should write to. The problem is nationwide. I had a preliminary teacher's badge; I used to teach swimming in Glasgow. Every pool that I taught in is no longer there—I am not taking the blame for that. The problem is huge and I would like to hear the views of the Scottish Amateur Swimming Association.
Do members agree that we should write to those organisations, then seek the petitioner's views on their responses?
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