SCOTTISH EXECUTIVE
Health and Well-being
Prescription Charges
To ask the Scottish Executive whether it plans to abolish prescription charges. (S3O-168)
We remain committed to our manifesto pledge to phase out prescription charges and are currently considering options for delivering that goal.
I thank the minister for her response, and I hope that this will be the first of many pleasant exchanges.
I acknowledge the campaign that the member has carried out on this issue and the work that she has done with groups of people with long-term limiting illnesses. Part of our manifesto commitment was the immediate abolition of charges for people with chronic conditions, and we are currently considering options for how best to take that forward. However, she can be assured that we will be as inclusive as possible. As far as the timescale is concerned, we hope to be in a position to introduce changes around April 2008.
Waiting Times (Hospitals)
To ask the Scottish Executive how it plans to reduce hospital waiting times across Scotland. (S3O-100)
We will work closely with national health service boards to ensure that the NHS provides responsive, efficient services that put patients first and ensure that they are treated as quickly as possible. We will announce our plans for the NHS in Scotland, including new waiting times targets, later this year.
As far as cutting cancer waiting times is concerned, I understand that the Cabinet Secretary for Health and Wellbeing has requested weekly progress reports from health boards. Will she confirm that she will publish those reports as she receives them?
The figures are published quarterly. Last week, I said that I was dissatisfied with progress on meeting cancer waiting times targets. Indeed, the target is 18 months overdue in being met and, across health boards, is 10 per cent short of being fulfilled. That is not good enough, either for cancer patients or for their families. Last week, I said that I would carefully monitor progress on a week-to-week basis. I expect the target to be met by the end of the year; indeed, I am confident that it can be met by then. I also announced additional support for two boards, because past experience shows that where such support has been provided, considerable progress has been made.
Will the cabinet secretary confirm that she will increase the use of independent hospitals and the private sector to reduce waiting times and improve the health of patients in Scotland?
I welcome Mary Scanlon back to the post of Tory health spokesperson. As I said many times when we were in opposition, the SNP's first priority in government will be to expand NHS capacity, because that is in the interests not only of patients but of taxpayers. Clearly, the private sector is being utilised at the moment, but my priority is to ensure that the NHS delivers for patients—and, indeed, delivers shorter waiting times for them.
Waiting Times (Out-patients)
To ask the Scottish Executive what recognition is being given to the performance of national health service staff in meeting and exceeding the targets set for out-patient waiting times, as recorded in the acute activity waiting times and waiting list figures to 31 March 2007, published on 29 May 2007. (S3O-144)
I made it clear last week that the good progress that NHS Scotland is making in reducing waits for patients is due to the dedication and commitment of NHS staff throughout the country.
A prompt thank you from the minister would be particularly welcome when outstanding figures are achieved.
I assure the member that on the day the last waiting times figures were published, I went to the Beatson oncology centre in Glasgow to deliver a prompt thank you directly to NHS staff. I am sorry if he did not hear that, but it was intended not for him but for the staff who work so hard in the NHS. The fact that they heard it is probably the most important matter.
Does the minister agree that one good way of bringing down out-patient waiting times is the ÂŁ100 million investment in the day hospital at Stobhill? I welcome her statement yesterday that she would not interfere with that. I seek reassurance that she will not interfere with the decision to build the new day centre at Stobhill.
I certainly will not interfere, as the member puts it, in the decision to build the ambulatory care and diagnostic unit at Stobhill—it is a good development. I look forward to engaging with people in the communities that Stobhill serves to ensure that they have confidence in the range of services that are provided locally. That is the approach that I want to take, as health secretary, in communities throughout Scotland.
Monklands Hospital (Accident and Emergency Department)
This question seems a little late.
There will be no surprise in this answer. Karen Whitefield will be aware that I made a statement to Parliament on the matter yesterday. I have instructed both NHS Ayrshire and Arran and NHS Lanarkshire to re-examine their original service change plans as they relate to A and E services. The boards are to produce revised proposals that will enable A and E services to continue at Monklands, Wishaw and Hairmyres hospitals in Lanarkshire, and at Ayr and Crosshouse hospitals in Ayrshire.
I again welcome yesterday's announcement that the decision to downgrade Monklands A and E department has been reversed, but I hope that the minister will provide some assurances about the nature of A and E services that will be provided. I will pursue the matter with NHS Lanarkshire, but if it does not give me those assurances I hope that the minister will support me.
I am sure that Karen Whitefield and I will discuss Monklands hospital and wider health issues in Lanarkshire on many occasions—I look forward to those discussions.
Does the cabinet secretary agree that St John's hospital in Livingston should be a fully functioning acute district general hospital? If so, does she agree to examine any decision or issue that threatens its viability as an acute hospital?
I assure Angela Constance that the Scottish Government is fully committed to the sustainability of St John's hospital as an acute hospital, and we would question closely any proposal to undermine that status.
To overcome, perhaps, some of the imbalance that arose during yesterday's questions on the minister's statement, I call Elaine Smith.
I campaigned against the downgrading of Monklands hospital, primarily on the basis that the decision was based on financial considerations rather than health needs, so I, too, welcome the announcement to retain the A and E unit. However, can the minister advise me whether Monklands will also retain its level 3 status, which will ensure that all of the other services that are required to support A and E, such as intensive care, are retained on site, so that my constituents will be able to access the high-quality health services that they need and deserve? Further, can she confirm that the well-informed and considered views of my constituents, which were ignored by NHS Lanarkshire, will now be listened to?
I thank Elaine Smith and recognise her contribution in relation to yesterday's decision. I assure her that the views of patients in her constituency, which were ignored not only by NHS Lanarkshire but by the former Labour Government, will be listened to by this SNP Government.
I begin by welcoming the minister to her role. I did not do that yesterday, and I apologise for the oversight.
I thank Andy Kerr for his welcoming comments.
Health and Well-being (Coatbridge and Chryston)
To ask the Scottish Executive what plans it has to improve the health and well-being of the people of Coatbridge and Chryston. (S3O-152)
The keep well programme of health checks plans to provide checks for people aged 45 to 64 who are most at risk of preventable ill health. The programme will make every effort to communicate with people who have not yet had a health check and persuade them to get in touch with their general practitioner practice.
I am pleased that the minister intends to continue with the good initiatives of the previous Labour-led Executive. Given the advantages to health and well-being that are conferred on mothers and babies by breastfeeding, does the minister share my concern that breastfeeding rates remain relatively low in constituencies such as Coatbridge and Chryston, despite the evidence on its benefits? What additional support is available to NHS boards and education authorities in areas of multiple deprivation to continue to change attitudes and improve services? When the breastfeeding adviser post is filled—in the autumn, I believe—will that person receive sufficient resources to support the work that is required to improve breastfeeding rates throughout Scotland?
I recognise the member's important contribution to breastfeeding. I share her concern about the fact that breastfeeding rates in some of our most deprived communities are far too low.
Availability Status Codes (Abuse)
To ask the Scottish Executive whether it will list any proven cases of abuse of the system of availability status codes in the last two years. (S3O-132)
The current system of availability status codes is not implemented consistently throughout Scotland and has the potential for unfairness and misuse. That is why I have made it clear that I expect health boards to accelerate abolition of the codes and implement a more transparent and fairer system as quickly as possible. I will continue to press for progress on the issue, as it is important to many patients.
I note that the cabinet secretary has not been able to give any specific examples. Does she agree that her failure to be specific about instances of abuse of availability status codes demonstrates an attempt to detract from the record of the previous Executive on reducing waiting times?
I know that the member is new to the chamber but, with the greatest respect to him, I think that he misunderstands availability status codes—or hidden waiting lists, as I prefer to call them. It is not just a question of whether the system is being abused, although it is being applied inconsistently; the system itself, even if properly applied, is fundamentally unfair. Someone who cannot attend an appointment—even for a very good reason, such as a family funeral—is stripped for ever of their waiting time guarantee and, in many cases, has to wait an exceptionally long time for treatment. They are then discounted completely in determining whether waiting times targets are met. I make absolutely no apology for doing what the previous Administration did not do—delivering a system that is more open and honest and that puts patients first.
Town Centre Regeneration (Dumfries Constituency)
I congratulate the ministerial team.
The central priority of the Government is to support Scotland's economic growth. We have made it clear that one of the ways in which we will do that is by removing or reducing the burden of business rates for small businesses, many of which are located in traditional town centres throughout Scotland. We will announce further measures in due course.
I recognise that the small business rates relief scheme has helped many small businesses—that is one of the reasons why the Labour Party proposed its extension in its election manifesto. Nevertheless, does the minister acknowledge that the extension of the scheme will not tackle the problem of the derelict buildings that blight many town centres, including that of Dumfries? Will the Executive consider proposals to enable local communities and businesses to work together to improve the physical environment of town and village centres?
We will consider any proposals with an open mind. The issue is important not just in Dumfries but throughout the country, as many small towns are struggling to survive in the current economic climate. As the member knows, business improvement district projects have gone ahead in some areas. We will examine those in the future and consider whether they are the best way in which to make progress. Also, the small business scheme that we are introducing will have a positive impact on small towns. The member will be aware of the local regeneration projects that are going on in Dumfries, particularly in relation to the work of Dumfries and Galloway Council.
Dental School (Aberdeen)
To ask the Scottish Executive what plans it has to open Scotland's third dental school in Aberdeen. (S3O-102)
Our manifesto commitment is to open a third dental school by expanding Aberdeen dental institute. We are currently exploring the options to deliver that commitment.
I thank the minister for her response, but she will forgive me for saying that we had a commitment four years ago from the previous Administration that it would conduct a consultation on the opening of a dental school in Aberdeen. I was rather hoping that the minister could give me a date for the implementation of that policy. I hope that we will not have to wait another four years.
Unlike the previous Administration, this Administration will deliver on its manifesto commitments. Officials are working hard on the options at the moment, and I am hopeful that, if all goes well, we will be in a position to move forward to an implementation date of around October 2008.
We move to questions on rural affairs and the environment.
On a point of order, Presiding Officer. I seek the guidance of the chair. I have expressed concern in the past about the Cabinet Secretary for Health and Wellbeing's huge portfolio, which of course encompasses all the communities issues—with the exclusion of the voluntary sector and planning—that were, in the past, covered by a minister and deputy minister. That has been reflected in today's question time, in which only one question was anywhere near that critical area. I attempted to come in on two separate questions but was unable to come in on either.
With respect to the member, the breadth of a ministerial remit is not my affair, although the selection of questions is. I am afraid that I often have difficult decisions to make, and I have made them.
On a further point of order, Presiding Officer. Currently we have questions on health and well-being, and afterwards we have questions on rural affairs. I ask you to consider, in deciding the categories for questions, whether it is possible to separate the health and well-being portfolio into two separate question times to ensure that the critical communities issues are addressed.
The allocation of questions is due to be reviewed in about six months' time, but I am willing to take that suggestion away and consider what you have said.
Rural Affairs and the Environment
Fishing Vessels
To ask the Scottish Executive what the current number is of Scottish fishing vessels of over 10m overall length and what the comparable figure was in 1993. (S3O-126)
On 31 December 2006, there were 706 Scottish fishing vessels of more than 10m in length. The comparable figure for 1993 was 1,333.
If what I hear is true, the minister is considering taking Scottish Fishermen's Federation representatives to the next agriculture and fisheries council in Europe. I wonder why—I am sure that it is not because the minister lacks confidence. I am sure that they will be brilliant negotiators—albeit with a vested interest—but you are the minister, so what are you going to do to arrest or slow down the serious decline in the number of Scottish fishing vessels and fishermen and in our fishing communities?
Before the minister replies, I remind all members to speak through the chair.
The first thing that I have done to arrest the rapid decline in the number of fishing vessels in Scotland is to campaign for a Scottish National Party Government which, thankfully, was elected on 3 May.
I welcome the minister to his position. As a representative of a fishing constituency, like him, I will support him where he can achieve substantial progress on behalf of the fishing interests that I want to represent properly in the Parliament.
The SNP Government intends to have a cordial and constructive relationship with the United Kingdom Government to help us to secure the best deal for Scotland's fishing communities in UK and European negotiations. We certainly hope to build on that relationship. I was delighted to receive the invitation from the UK minister to visit him in London yesterday as a precursor to next week's agriculture and fisheries council. That invitation was rarely extended to my predecessor, so we are clearly building on that successful relationship.
Land Management
The minister will appreciate that my question was lodged before his announcement last week.
The funding that is available to implement the new programme is set out in a summary document, "Scotland Rural Development Programme 2007-13", which was provided to the Scottish Parliament information centre to coincide with the parliamentary debate on the new Scotland rural development programme on 31 May 2007. The summary document includes details of the voluntary modulation rates to be applied and is available in the reference centre. The programme will include several land management measures related to the water environment. The uptake of those measures will help to achieve the objectives of the water framework directive.
I welcome the minister's endorsement of the programme that was proposed by his predecessor, Ross Finnie. What specific provision has the minister made to ensure that the Scottish Executive's commitments on water quality under the water framework directive and on climate change can be met?
I persuaded the Scottish Cabinet to make funding available for the programme, which members should welcome. On the modulation rates proposed by Ross Finnie, the situation that the Scottish Government has inherited is clear: we had a central Government funding figure and the European funding figure and, in order to fund the ÂŁ1.6 billion programme that was proposed by the previous Administration and adopted by the new Administration, filling the gap would have required a trebling of the modulation rates that were announced by the SNP Government. Therefore, I do not accept the point that the member is making. Our modulation rates are far less detrimental to Scotland's farming communities.
The minister will be aware that in recent years many farmers and land managers were unable to access agri-environment schemes, which is precisely why Labour, in its manifesto, committed to setting a voluntary modulation rate of 15 per cent. Will the minister give us an assurance that there will be enough funding to meet the demand for agri-environment schemes over the next seven years? Does he know exactly where the extra ÂŁ70 million is coming from? If it is from the Scottish Executive environment and rural affairs department budget, what funding will be cut in order to keep voluntary modulation down? Can we have an answer this time please?
The funding for the programme that was adopted last week amounts to ÂŁ1.6 billion, which is exactly the same as the figure that was proposed by the previous Administration. What is different is where the funding is sourced. Therefore, the amount of resources being made available for the agri-environment element of that programme is exactly the same as what has been made available from our programme. The member seems to be criticising her own proposals once again. The ÂŁ1.6 billion is a record investment for rural Scotland. The funding for agri-environment schemes will be much greater than in the previous rural development programme. I hope that members throughout the chamber welcome that.
The minister will know that he is implementing the programme that Ross Finnie put forward. Ross Finnie held voluntary modulation at 5 per cent. The minister is nearly doubling voluntary modulation to 9 per cent, which will hit our farmers' incomes by 20 per cent. Does the minister accept that situation? Will he introduce any other measures to help our rural community in that regard?
If the member considers the comments from the agriculture sector since the programme was announced, he will note that it has been warmly welcomed by all sectors in rural Scotland, including our farmers. Our farmers have warmly welcomed this package, which they recognise is a record package that will provide a huge boost to our rural communities and agriculture sector.
Given the rates of voluntary modulation that were established last week, will voluntary modulation decrease proportionally if the European Union establishes increased rates of compulsory modulation?
That is a good question. At the moment, there is no flexibility over the voluntary modulation rates that are set for the next seven years, other than an article in the rural development regulation that allows member states to reduce the voluntary element by any subsequent increase in the compulsory modulation element imposed by the EU. The answer to the question is that Parliament will indeed have that power.
New Parks (Support for Volunteering)
To ask the Scottish Executive what support is available to volunteer groups working for the development of new parks in existing green spaces. (S3O-120)
The provision and maintenance of parks are primarily the responsibility of local authorities, and rightly so. It is for local authorities, their community planning partners and any other owners or providers of green spaces to decide whether new parks should be created in their areas, whether volunteers should be invited to participate in the process and, if so, what financial or other support they should receive.
I welcome the minister back to the Parliament and congratulate him on his new post.
Ask a question, please.
How might the Scottish Executive be able to support the community in taking Cumbernauld house, which is an Adam building, back into public ownership?
I thank Cathie Craigie for her good wishes.
On a slightly more detailed point, how will the new Government support volunteer groups and communities in their efforts to stop asset stripping by local authorities and other organisations at sites that were previously set aside for the development of new parks? The example that Cathie Craigie cited—Cumbernauld community park—is a good one in that regard. In 1993, Cumbernauld and Kilsyth District Council set aside land for the park, but since North Lanarkshire Council took over, no progress has been made. Indeed, much of the land has been sold off.
Please be brief, Mr Hepburn.
What assistance can the minister give the Friends of Cumbernauld Community Park and other organisations throughout Scotland to protect their parks and prevent them from being sold off bit by bit?
Green spaces of all types are extremely important, both for the well-being of every member of society and indeed for the well-being of the Government, because green spaces contribute both to the greening of Scotland and to a healthier Scotland. We will do everything we can to encourage such work throughout the country.
Domestic Carbon Emissions
To ask the Scottish Executive whether it intends to introduce measures to reduce the carbon footprint of domestic households. (S3O-156)
People in Scotland rate climate change, energy and recycling as their top three environmental priorities. A growing number of households recycle paper, glass, plastic or cans and many take action to reduce their energy use. The Scottish Government offers information to households in Scotland at a national level and provides funding for practical support and advice through organisations such as the Energy Saving Trust. Our aim is for households to adopt ever more sustainable ways of living and to reduce their carbon footprint.
May I draw the minister's attention to the experience of an acquaintance of mine, who has attempted to purchase a domestic wind turbine and eventually gain planning permission? He has had 22 telephone calls and numerous letters, but one and a half years later he is no nearer success.
Dr McKee makes an important point. Indeed, the Government made a manifesto commitment to develop much simpler and more accessible planning regulations on the matter. I am pleased to say that we are now actively considering changes to planning controls so that more microgeneration equipment can be installed in existing buildings without the need to obtain planning permission. Research has been undertaken on the scope for doing so, and public consultation will be undertaken this year on the need to change existing legislative provisions.
In the spirit of the new politics, which seems to be the catchphrase of the week, will the minister consider establishing an eco-bonus scheme to help Scottish households, communities and small businesses to install modern energy-saving and energy-creating technology, such as hydroelectric, wind turbines, solar water and space heating, heat pumps and wood-fuel heating, as the Scottish Conservatives proposed in our recent manifesto?
I am always happy to endorse the consensus approach and new politics—I have lived with them for a long time. In that spirit, I will be delighted to look constructively at a Tory proposal. We are setting up mechanisms so to do, and we will certainly consider from throughout the chamber all positive ideas that can make a difference and ensure that every individual in every household reduces their carbon footprint.
I welcome the minister's answer to the previous questions. I look forward to seeing the detail of any proposals that he introduces.
I am more than delighted that the spirit of the new politics is sweeping like a wave across the chamber and has reached Ms Boyack. I am delighted to welcome that contribution. We will look favourably on those ideas.
We now warmly move to Murdo Fraser.
Private Water Supplies
To ask the Scottish Executive whether it has any plans to review the regulations that introduced new tests for private water supplies in Scotland. (S3O-90)
The Private Water Supplies (Scotland) Regulations 2006 implement the additional measures necessary to comply with the revised drinking water directive. As Mr Fraser knows, the regulations came into force on 3 July 2006.
I thank the minister for his response which, if warm, was not terribly supportive.
I should have declared an interest, as I have a private water supply. Therefore, I am as sensitive as anybody in the chamber to the issue of ensuring that there is no overregulation or overburdensome regulation.
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