SCOTTISH EXECUTIVE
Health and Wellbeing
British Red Cross (Financial Support)
To ask the Scottish Executive what financial support it will provide to the British Red Cross in Scotland in 2008-09. (S3O-1223)
As the outcome of the spending review has been announced, consideration will now be given to new applications for funding during 2008-09 from the British Red Cross and other voluntary organisations.
The cabinet secretary will be aware that, in partnership with the Scottish Ambulance Service, the British Red Cross operates community first responder schemes in Scotland. Under the four schemes, Red Cross volunteers delivered thousands of on-call hours over the past year. What plans does she have to develop such schemes throughout Scotland?
I can confirm that the Government appreciates and greatly values the voluntary sector's contribution in health care and in the other sectors in which it is engaged. We will always seek to work to make it easier for such organisations to make that contribution and to ensure that their role is protected and enhanced.
I call Bill Kidd.
Sorry. I beg your pardon. I have lost my place for my supplementary. Sorry, I was not aware.
We will move on to the next question.
Cetuximab
To ask the Scottish Executive when it intends to make cetuximab freely available across the national health service in Scotland. (S3O-1248)
The Scottish medicines consortium has considered cetuximab for use in the treatment of certain conditions. I expect NHS boards and clinicians to take full account of the SMC's recommendations in the decisions they make. When drugs are recommended, I expect them to be made available in line with that advice.
The minister will be aware that a number of my constituents have been in touch with me about the drug because I have written to her on the general issue and on the case of a particular individual. I understand that, in exceptional circumstances, health boards can review whether specific treatments should be provided. It is also my understanding that patients in Wales can access the drug on the NHS.
I thank Bill Butler for the constructive way in which he asked his question. I am very aware of the case to which he refers—as a result of his correspondence and following representations from Richard Lochhead, who is the individual's constituency MSP. I have enormous sympathy for the position in which the individual finds himself. None of us can fully appreciate what he is going through.
Members will have seen the widespread publicity about our constituent, Michael Gray, and the letters that we have received from many of his friends. It is concerning that, while a trial for cetuximab has been taking place in Aberdeen, it has not yet been possible for Mr Gray to benefit from the drug. Can the cabinet secretary help us in this case—and more widely—by telling us how bowel cancer policy nationally will cope with the development of science and the interventions that will be required, despite what some of those may cost initially?
Tackling cancer generally, and bowel cancer in particular, is a key priority for the Government. We are in the process of rolling out bowel cancer screening across the country. That has the potential to save many lives. It may also lead to more cases being diagnosed earlier, which places an obligation on us to ensure that the necessary treatment and services are available. I assure the chamber that the Government places the highest possible priority on giving the best possible services to cancer sufferers. That is why I have made it such a personal priority to meet the 62-day waiting time target for cancer patients.
As Nicola Sturgeon said, these are difficult issues. I am disappointed that her response was not more encouraging, but I would like to push her further on the issue. In the case to which she and Rob Gibson have referred—and to which Richard Lochhead cannot refer because he is a minister—it appears that NHS Grampian is prepared to fund the use of cetuximab when it is believed that, in his or her particular circumstances, a patient might benefit more from it than is the norm. That is an extraordinarily fine judgment for a consultant to have to make. Until the drug is tried, it is not possible to say definitively that a patient would not benefit more than other, similar, patients would. The only way of getting any equity and justice in that situation is to ensure that the drug is available when the consultant believes that it should be; I gather that that is the case in this instance.
Rightly, the SMC is an independent body. It will consider new evidence as new evidence emerges: it does so all the time. In my answer to Bill Butler, I made it clear that there is a process for dealing with situations in which the SMC has not approved a drug: individual clinicians who believe that individual patients are exceptional cases put that argument to the NHS board in question. I appreciate that that requires clinicians to make fine judgments, but I believe more than anything that those are clinical judgments, not judgments that politicians should try to make.
Question 3 has been withdrawn.
Childhood Obesity
To ask the Scottish Executive what action it is taking to combat childhood obesity. (S3O-1191)
A wide range of actions that contribute to children achieving and maintaining a healthy weight is delivered through implementation of the Scottish diet action plan and physical activity strategy. Those actions are complemented by the on-going implementation of the Schools (Health Promotion and Nutrition) (Scotland) Act 2007.
Given that physical education is recognised as vital in combating childhood obesity, can the minister confirm that the Scottish National Party pledge that every child in Scotland will receive
Physical education will be an important element of the outcomes for health and well-being that are being drafted as part of the work on the curriculum for excellence. As part of the curriculum review, a new model is being developed for managing the curriculum and the commitment on two hours of PE will be considered in the context of that work.
I am delighted that children from Rogerfield primary school are in the gallery to hear us discuss childhood obesity.
We are working on the best model to deliver that manifesto commitment. There is resource in the budget to take it forward. We are developing models of care, which will include health checks and increased health care capacity in schools. A range of health professionals will be involved, including nurses, because we acknowledge that other health professionals have an important part to play in delivering the model. In rolling out increased health care capacity in schools, we will initially focus attention on schools in the most deprived communities. I hope that Margaret Curran will agree with that approach.
Scottish Diabetes Framework Action Plan
To ask the Scottish Executive what progress it is making in implementing the Scottish diabetes framework action plan 2006-09. (S3O-1283)
All national health service boards are working towards achieving the action points set out in the Scottish diabetes framework action plan. Diabetes managed clinical network managers provide the Scottish diabetes group with regular updates on delivery and we are encouraged by the progress that has been made to date.
The cabinet secretary will be well aware that diabetes is the main cause of blindness in people of working age and is responsible for half the non-traumatic lower limb amputations. Does she share my view that we need a Scotland-wide high-risk screening programme for people who are more than 45, people who are overweight and people who have a family history of diabetes? In that way, we can tackle a condition that maims, kills and blinds.
I recognise the scale of the issue. I had a presentation from a general practice in Lothian earlier this week, which revealed the staggering statistic that some 8 per cent of people who are in our acute hospitals at any one time have diabetes. They might not be in hospital because of the diabetes, but their diabetes tends to prolong their stay in hospital. That is just one example of the scale of the issue.
Diabetes is underdiagnosed: many people with diabetes do not have a family history of the condition and might not fall into the categories the minister mentioned. What is being done to ensure that such people get early diagnoses and treatment as soon as possible—particularly on the basis of primary care—to ensure that what David Stewart mentioned is alleviated?
That is an important question, as diagnosing diabetes as early as possible is critical. I mentioned some of the important things in my answer to the previous question, but there are other initiatives in our national health service that contribute to early diagnosis, such as the keep well pilots, which focus on the people in the age group 45 to 64 in our most deprived communities who are considered to be at the highest risk of heart disease.
Warm Deal
To ask the Scottish Executive how many people have benefited from the warm deal since its introduction in 1999. (S3O-1285)
Up to the end of October, more than 255,000 households had benefited from insulation measures under the warm deal programme.
I am sure that the minister saw the report in the Sunday Mail last weekend that highlighted the fact that almost 11,000 pensioners will have to wait until next year to get a new central heating system installed under the warm deal. I heard him discussing the matter on the radio earlier in the week, so I am sure he agrees that that should not be tolerated. When he promised to review the scheme, what did he mean? When will the review be complete, so that those pensioners can look forward to a warm home before—and not after—the onset of winter? Perhaps the minister could change the regulations to allow for the replacement of a boiler only, instead of a whole system, in cases where that is appropriate, so that things might be speeded up.
The current situation, in which just under 11,000 people are on the waiting list, is of concern to all members. The programme is exceptionally popular because it is so effective. One of the problems—and the reason I am reviewing it—is that there are concerns about its implementation, the effectiveness of implementation, and the time it takes to get systems installed.
I am afraid that I must now move on to questions on rural affairs and the environment. I will allow a moment for ministers to change places.
Rural Affairs and the Environment
Foot-and-mouth Disease (Interim Payments)
To ask the Scottish Executive whether it intends to make interim payments to farmers and crofters to alleviate the impact of the foot-and-mouth disease outbreak. (S3O-1213)
Given that European Commission regulations do not permit single farm payments to be made in full before 1 December, the Scottish Government has been working towards paying as many eligible claims as possible from the first possible banking day, which will be 3 December. That approach will ensure that the greatest possible number of producers both within and outwith less favoured areas will be paid in full at the earliest opportunity. I am advised that that will mean paying at least £300 million in single farm payments in December.
I am sure that bringing forward the payment date for schemes such as the LFA scheme and the beef calf scheme would help to address the serious cash flow problems in the industry, as would action by the minister to ensure that all crofters and farmers receive their single farm payments on time next month. Will the minister do everything he can to ensure that single farm payments will not be delayed as they have been in years past?
I have every reason to believe that there will be no delay whatsoever. As I said, £300 million of a total payment of £406 million will be paid from 3 December onwards, which is—I believe—earlier than in previous years. My officials in the Scottish Government are pulling out all the stops to get the payments out to farmers and crofters the length and breadth of Scotland as soon as possible, especially given the difficult situation that the industry faces at present, to which the member alluded.
Given the United Kingdom Government's refusal to take responsibility in the aftermath of the foot-and-mouth crisis, what action is the cabinet secretary taking to ensure that Scottish farmers and crofters have access to the compensation that they deserve?
It remains the Scottish Government's position that the UK Government has a moral responsibility to compensate Scotland's farmers and crofters and the industry for losses that have resulted from events that are outwith their control. That continues to be the subject of negotiation between the Scottish Government and the UK Government. As members from throughout the chamber are well aware, we are facing a lot of resistance from the UK Government on the issue, which has incurred the anger of Scotland's rural communities and will, no doubt, continue to do so. However, we also continue to work closely with NFU Scotland and other organisations in Scotland on the matter.
I raise the plight of Scotland's pig farmers in relation to foot-and-mouth disease. As the minister knows, the pig sector has faced extreme difficulties since the foot-and-mouth outbreak, and those difficulties are combined with high grain costs because of other events that are taking place worldwide. Pig farmers are losing substantial sums and are in a parlous state. What does the minister plan to do to support the sector?
I am sure that the Presiding Officer will be aware that I do not want to pre-empt the oral question that will be asked in a few minutes, but I say to Peter Peacock that we are well aware of the difficult challenges that the pig industry in Scotland faces. He alluded to the fact that the difficulties are not simply due to fallout from the foot-and-mouth crisis—the industry was facing financial problems because of high cereal prices before the foot-and-mouth crisis. We are engaging with pig industry leaders in Scotland. I met them a couple of weeks ago and my officials continue to have regular meetings so that we can work up a plan of action to help the sector, if that is possible.
Flooding and Coastal Erosion (Forth Estuary)
To ask the Scottish Executive when it last had discussions on flooding and coastal erosion issues in the Forth estuary with the Forth Estuary Forum, the Scottish Environment Protection Agency and relevant local authorities. (S3O-1252)
Officials have had regular discussions with Falkirk Council concerning the Bo'ness flood prevention scheme, and I regularly meet authorities and SEPA. No discussions have taken place with the Forth Estuary Forum regarding flooding and coastal erosion, but I am sure that the member would join me in welcoming the fact that in the next three years the funds that will be available for dealing with flooding—£126 million—will be up 34 per cent. That is good news for Scotland's communities that are threatened by flooding.
It would be even better news if there were discussions with local authorities in the Forth estuary area. There are critical concerns regarding flooding and coastal erosion. Why did the minister refuse to meet me and others to discuss those issues, despite our having written to him? How will he take forward the issues regarding planning officials and the Executive reporter giving planning permission for lands around the Forth estuary—lands for which planning permission should not have been given because of the risk of flooding and coastal erosion?
It is not always possible fully to understand what Helen Eadie is talking about in this regard. I have never refused to meet her, and I would be happy to do so. She may have been trying to meet ministers over a planning issue, but there are—of course—restrictions on that, given that planning applications may be called in.
Sustainable Development (Carbon Emissions)
To ask the Scottish Executive what practical sustainable development measures are being taken in 2007 and 2008 to achieve a 3 per cent per annum reduction in carbon emissions to fulfil the Scottish National Party commitment to reduce Scotland's carbon footprint. (S3O-1274)
We are committed to consulting on proposals for a Scottish climate change bill, including our ambitious commitment to reduce emissions by 80 per cent by 2050.
The minister will recall that, in the SNP manifesto, there was a commitment to annual targets for climate change reductions—I think that was the first broken promise from the SNP. The SNP said that the reason for breaking the promise is that it is not possible to take annual measurements, but it said that it would set periodic targets. The budget document for 2007 to 2011 contains not a single numerical target: there is no short-term target for climate change. When are ministers going to stop talking big and doing little?
So, budget proposals have to contain numeric targets on CO2 reduction, do they? The member should exercise a little patience and wait for the adumbrated consultation on the climate change bill, which will start around the turn of the year.
Will the minister advise local authorities to support voluntary sector best practice in recycling and reuse when they are considering their budgets? The voluntary sector's service level agreements can often show larger organisations, such as councils, innovative ways of reducing CO2 emissions.
Rob Gibson will welcome, as I and many others outside Parliament do, the concordat between the Government and local authorities. It is a vital part of re-empowering local authorities to take appropriate local action. We will, of course, work with local authorities on the issues that the member has raised.
It will, of course, be for the whole Parliament to decide the nature of the targets in legislation when the climate change bill comes before us. Whether those targets are ambitious or unambitious, and whether they are annual or five-year targets, they will not be reached unless—as the original question implies—the right measures are put in place.
Patrick Harvie will be aware of the First Minister's comments on the increase in capacity and speed of rail links to London, which will be a fundamental part of ensuring that while we have good communications across these islands, we can reduce our dependency on aviation.
Animal Rendering (Capacity)
To ask the Scottish Executive whether Scotland has the required capacity for rendering animals. (S3O-1271)
The vast majority of animal waste generated by our livestock industry is ultimately processed by the two main rendering facilities in Scotland, which are located in Dumfries and in Newarthill near Motherwell.
I thank the minister for his response—especially in relation to the rendering plant at the Omoa works, which is run by William Forrest and Son (Paisley) Ltd in Newarthill in my constituency. Will the minister join me in welcoming the decision of Scottish Environment Protection Agency to refuse the plant's pollution prevention and control permit application and to withdraw its current air pollution control permit application? The decision was based on the historical failure of the company to operate its plant properly. The company has blighted communities in my area and in my colleague Karen Whitefield's area for almost four decades. During that period, the company has tried to blackmail local communities by arguing that if the company did not exist it would have to be invented because of the shortage of capacity to render in Scotland. Will the minister assure us that he will not give in to that blackmail? Will he support SEPA in its efforts to get the company to clean up its act or clear out of our communities?
As the member quite rightly suggests, the issues are largely for the Scottish Environment Protection Agency, especially in its role as the enforcement agency for the relevant regulations.
Biodiversity
To ask the Scottish Executive what action it will take to fulfil its commitment to safeguarding Scotland's biodiversity, as stated by the Minister for Environment on 9 October 2007. (S3O-1205)
The Scottish Government is carrying forward a wide range of measures that support implementation of the Scottish biodiversity strategy across the public and private sectors. Those include enhancing public understanding and participation, as well as providing support to Scottish Natural Heritage and other public sector partners. The Scottish biodiversity indicators, which I launched in October 2007, demonstrate the success of the work carried out and what still needs to be done. We will also be providing financial support to land managers through the Scottish rural development programme to encourage land management practices that benefit species and habitats.
I welcome that answer. Will the minister provide assurances that the importance to Scotland's biodiversity of the special protection areas, ancient woodland sites, and Ramsar wetland and waterfowl sites in Queensferry in my constituency, and elsewhere around the Firth of Forth, will be given full consideration by the Scottish Government in any decisions relating to development in that area, particularly the construction of the new Forth crossing?
I am happy to give that assurance. There is always a balance to be struck, but increasingly the balance has to take into account the absolute need to protect not just individual species or habitats but the entire rich, diverse and precious ecosystem in which we live.
Environmental Organisations (Meetings)
To ask the Scottish Executive what meetings it has had with environmental organisations since May 2007 and what issues were discussed. (S3O-1197)
The Scottish Government meets environmental organisations regularly as part of its day-to-day business. Indeed, later this afternoon I shall be meeting RSPB Scotland, among others. Most recently, on 7 November 2007, Richard Lochhead and I had a very full meeting with Scottish Environment LINK, in which we had an extremely constructive discussion about how we can work together to deliver the Scottish Government's five strategic objectives.
Does the Government accept that the composition of Scotland's waste is not ideally conducive to large-scale household segregation, particularly given Scotland's traditional housing mix? Is he also aware that technologies exist that prevent the need for large-scale source segregation, while ensuring that local authorities are able to meet their environmental obligations? In the light of that, does the Government intend to encourage deployment of mechanical biological treatment to ensure that Scotland meets its international landfill directive recycling and recovery targets for 2010, 2013 and 2020? Leicester City Council, through a partnership with a private industry partner, has deployed simple ball-mill technology to ensure that it meets its environmental target obligations and provides the people of Leicester with a cost-effective long-term waste disposal system.
Those are interesting and full questions—and perhaps they have answers. We should recognise the success of household waste recycling, which has reached nearly 30 per cent. That is a considerable increase from a time when we thought it was not possible to make such good progress. There are a number of innovations in that field. As an MSP for the South of Scotland, I was fortunate last week to see the new eco-deco plant at Dumfries in operation. It is technologically most impressive and environmentally very advanced. We have to meet our targets, and the work that we are doing with local authorities and the responsibilities that are being laid on them in outcome agreements will be part of that.
Pig Industry
To ask the Scottish Executive what measures it will take to support the pig industry. (S3O-1189)
We are working with representatives of the pig sector to identify appropriate support measures. An options paper is being developed and we expect to take decisions soon.
I know that the cabinet secretary is acutely aware of the current crisis facing the pig industry in Scotland. Given the low uptake of the sheep disposal scheme that was put in place following the foot-and-mouth outbreak, will he look into the possibility of funds being transferred from that scheme to allow for a one-off payment to help support the hard-pressed Scottish pig industry?
I reiterated many of the Government's concerns in an answer that I gave earlier.