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Chamber and committees

Meeting of the Parliament

Meeting date: Wednesday, May 21, 2014


Contents


Scottish Learning Disability Awareness Week 2014

The Deputy Presiding Officer (Elaine Smith)

The final item of business is a members’ business debate on motion S4M-09911, in the name of Jackie Baillie, on Scottish learning disability awareness week 2014. The debate will be concluded without any question being put.

Motion debated,

That the Parliament notes that 19 to 24 May 2014 is Scottish Learning Disability Awareness Week; understands that there are at least 120,000 people who have learning disabilities in Scotland and that, of that number, 26,000 adults and 16,000 children and young people are known to be receiving social care and educational support from local authorities; reflects on what it considers the significant progress made over the last few decades to improve access to education and employment for people who have learning disabilities and for them to live in their own communities as a result of the closure of long-stay institutions; is concerned that people with learning disabilities continue to experience significant health inequalities, have lower access to employment and education than the general population and continue to experience isolation, loneliness and bullying in their communities; acknowledges the role of family carers in supporting their loved one to live an independent life and their need in turn for access to peer support and respite opportunities; welcomes the publication in the summer of 2013 of The keys to life: Improving Quality of Life for People with Learning Disabilities, the Scottish Government’s 10-year strategy to improve the quality of life for people who have learning disabilities; recognises the work of the many organisations across Scotland that are providing innovative support and advocacy to people with learning disabilities and their family carers to overcome these challenges and co-produce support and services that empower people with learning disabilities to live the life that they want to live; congratulates in particular ENABLE Scotland on reaching its 60th anniversary in 2014, and notes calls for the voluntary and statutory sectors to continue to work in partnership with people who have learning disabilities to develop communities, attitudes and support that will enable people with learning disabilities throughout Scotland to access their human rights.

17:55

Jackie Baillie (Dumbarton) (Lab)

It gives me great pleasure to speak to the motion in my name, congratulating Enable Scotland on its 60th anniversary.

Many members may be wondering why I am wearing a tartan scarf when the sun is splitting the skies. Those among them who have kept up will know that this is Enable Scotland’s 60th anniversary tartan. I see members wearing scarves and ties in the chamber today, and I congratulate them on remembering, because not all of us managed to do so.

The 60 threads in the tartan are for each of the 60 years that Enable has been around. As some members may know, the two strands of bright orange that run through the tartan are for every boy and girl who continues to be born every day in Scotland with learning disabilities or to develop them in later life. So, job still not done.

It is also a significant year for other organisations that work with people with learning disabilities. I am pleased to give but a small mention to People First, which is celebrating its 25th anniversary this year.

We have come a long way since 1954, when five families came together to talk about forming an organisation in Scotland to support parents, like themselves, who were raising children with learning disabilities. We are indebted to those families for their vision, which has created Enable Scotland. The organisation now has 44 local branches, employs 1,700 people and has 4,000 members throughout Scotland, many of whom are sitting in the public gallery today.

Enable Scotland celebrates 60 years of campaigning for and with people with learning disabilities so that they can play a part in their communities, have an education, have a job and develop friendships. It is not just about campaigning; it is about doing, too, and providing services for some 2,000 people throughout the country.

I want to reflect briefly on what it must have been like all those years ago, so that we can truly understand the journey that we have been on together and which Enable Scotland has played such a critical role in leading and shaping. Sixty years ago, a parent of a child with a learning disability would have been made to feel ashamed. Learning disability was a real stigma, and some parents hid themselves away, never mind their child. There were very few services and parents were often left to cope on their own.

Children who had a learning disability had no entitlement to go to school. There was no option for someone who had a learning disability to live independently. The only choice was institutional care or remaining in the family home. By 1970, there were 22 long-stay hospitals in Scotland, housing more than 7,000 children and adults with learning disabilities. Employment was certainly not an option for people who had a learning disability.

There is much that we have achieved since then but much more that we have to do. I am proud that it was a Labour Government, in the first session of the Scottish Parliament, that developed “The same as you?”, which enjoyed cross-party support. Those members who were involved at the time will recall that it started life as a document owned in the main by civil servants. There is nothing wrong with that, but when the minister—who I recall was Iain Gray, when he was Deputy Minister for Health and Community Care—threw open the doors and invited in people with learning disabilities and their representative organisations to help to shape the document, the dynamics changed completely.

This was now about a living, breathing document that offered a vision for the future. Yes, it was challenging, and rightly so. It contained 27 recommendations, covering everything that would help to end discrimination and support people to live independent lives and get educational and employment opportunities.

The most significant event for me was the end of long-stay institutions such as Lennox Castle, which I knew of because I happened to live nearby. About 1,000 people were moved out of hospitals and into homes. The overwhelming majority of people with learning disabilities now live in their communities with packages of care and support.

Yes, we have come a long way but let me share with members some statistics that show that we absolutely need to stay focused. Nine out of 10 children with a learning disability are bullied. One in four children with a learning disability is hit or punched. Nine out of 10 people with a learning disability are the victims of hate crime. Only one in three people with a learning disability has at least one close friend, and only one in four people with a learning disability has a job or is in training.

I very much welcome the Scottish Government taking “The same as you?” further by producing its own document for the next 10 years—“The keys to life”—which continues the journey that we started with “The same as you?”. It is not surprising that there is still much to do in securing opportunities for training, employment and independent living and in ending discrimination and abuse.

I do not want to sound a discordant note but, as money is ever tighter in the public sector, we need to keep an eye out for service cuts and a return to the past in the guise of service redesign, and we need to keep a clear eye on care charging, which is still a postcode lottery across the country.

Members will know that I consider it a great privilege to be the convener of the cross-party group on learning disability—I have had the role for the past 12 years. I cannot compete with Enable’s 60 years, but members would all shout at me to say that I look too young for that, anyway—[Laughter.] Okay—members laughed at me; thank you.

Members know that I would never waste an opportunity such as this debate to raise issues with the minister. I will raise only three issues. I ask the minister to update Parliament on progress with “The keys to life” and to indicate the priority areas for action. We have invited him to next week’s meeting of the cross-party group on learning disability, but he has not replied yet. I look forward to him saying yes—he likes saying yes—in the context of the debate.

The minister will be aware that I have written to him about the potential misuse of the power under section 13ZA of the Social Work (Scotland) Act 1968 in order to move people who have learning disabilities into residential care settings. We look for an assurance that he will consider that carefully.

Enable Scotland is keen to hear the minister’s views on concessionary travel and the impact of the loss of the lower-rate mobility element of disability living allowance on access to a bus pass through the national concessionary travel scheme for people who have learning disabilities. Will the minister commit to looking at that?

I do not want to risk your wrath, Presiding Officer, so I will conclude by congratulating Enable Scotland on its 60th anniversary. It has campaigned and fought for thousands upon thousands of people with learning disabilities, and I wish it every success for the next 60 years.

18:02

Jim Eadie (Edinburgh Southern) (SNP)

I congratulate Jackie Baillie on securing this debate on Scottish learning disability awareness week. I, too, am wearing the Enable Scotland tartan, in the form of an attractive tie.

I pay tribute to organisations that work with and support people who have a learning disability, such as the Learning Disability Alliance Scotland and Enable Scotland, which has an office in Causewayside in my constituency that I have had the pleasure of visiting on a number of occasions. Both organisations work tirelessly to improve the lives of people with learning disabilities as well as those who care for them.

Because learning disabilities are not always visible, it is all too easy to forget or ignore the issues and challenges that people with a learning disability face daily. As a society, we should make more of an effort to understand what it is like to live with a learning disability. We must also acknowledge the rights of people with learning disabilities to contribute to society and to live an independent and fulfilling life.

As the motion that Jackie Baillie lodged mentions, Enable Scotland celebrates its 60th anniversary this year. I, too, congratulate it on that important milestone. In the aftermath of the second world war, attitudes to human rights and vulnerable members of society started to improve through the establishment of the Universal Declaration of Human Rights in 1948 and the European convention on human rights two years later.

As Jackie Baillie reminded us, in 1954, five Glaswegian families affected by learning disability came together to establish the Scottish Association of Parents of Handicapped Children, which is now known as Enable Scotland. Enable Scotland employs almost 1,700 charity and social care staff and delivers support to 2,400 people across Scotland, as well as helping more than 1,000 people into employment every year. That is a record to be proud of.

A great strength of Enable Scotland is that it not only offers services but encourages people with learning disabilities to take charge of their own lives and situations and be aware of the rights that they have. In 1984, it published the book “Scots Law and the Mentally Handicapped”, which set out the laws relating to learning disability and made it easier for families to understand their rights.

The knowledge of being a valued and equal member of society instils a sense of self-worth that enables us all to face our daily challenges. Why should it be any different for a person with a learning disability?

Enable Scotland also acknowledged the ability and right of people with learning disabilities to contribute to society by appointing an employment development officer to support them into work in 1987. Furthermore, in 1993, it established the advisory committee of Enable—ACE—which consists of adults who have learning disabilities. Who is more capable or better qualified to advise Enable on what is important to people with learning disabilities than those who live with learning disabilities? I have been privileged to engage with the local Edinburgh advisory committee of Enable, which has helped to educate and inform me about the issues and challenges faced by people with learning disabilities.

The importance for people with learning disabilities of taking control and responsibility is echoed in the Scottish Government’s new learning disability strategy “The keys to life” which was launched last June. It, of course, builds on the previous strategy “The same as you?” which was launched under a previous Administration by the then minister Iain Gray.

One of the aims of the 10-year plan is to encourage people with learning disabilities to be involved in, and take control over, received services. Through self-directed support, people with learning disabilities have had, often for the first time, the opportunity to have greater ownership of their own care, including employing personal assistants, which can transform their quality of life in many cases.

I am glad that, through its new Sainsbury’s local stores in Causewayside and Marchmont and in its larger store at Cameron Toll, Sainsbury’s in my constituency is employing people who previously worked with Remploy. That is a marvellous opportunity for people with learning disabilities to gain valuable work experience and contribute fully to the society and community of which they are members.

Once again, I congratulate Jackie Baillie on securing the debate. I wish the Learning Disability Alliance Scotland, Enable Scotland and their fellow organisations every success in the future. I will continue to work with them in support of people with learning disabilities and their families.

18:07

Dr Richard Simpson (Mid Scotland and Fife) (Lab)

I congratulate Jackie Baillie on securing this members’ business debate about an important subject in which Scotland has made considerable progress over the years, not least because of the work done by Enable, the 60th anniversary of which we celebrate in part with the debate.

As a medical student, I was strongly influenced in my desire to go into psychiatry by the work of Erving Goffman, which was most celebrated by the film “One Flew Over the Cuckoo’s Nest”. At that time, institutionalisation applied not only to those with mental health problems but to those with learning disabilities.

When I went to work in Forth valley in 1970, the Royal Scottish national hospital, which housed some 1,800 patients with learning disability, was in that area. The transformation in the lives of those with learning disability when the move into the community and, ultimately, the closure of the hospital occurred is one of the most impressive changes in our services in the past 50 years.

That change was made possible by good transitional funding. That was unique because, in most other cases in which one tries to close an institution, one has to close it and then use the money to create the community resources, which has been a major problem with mental health institutions.

I remember many examples of people whose lives were improved by that move. One particularly moving example, about which I learned about as a member of the Parliament’s Health Committee, involved a nursing team at Lynebank hospital that had helped a patient achieve continence as part of his journey to independence. That one aspect of his health had taken thousands of hours of support, but its ultimate achievement had so empowered that individual that it transformed his life.

Alongside that major change on institutionalisation, when the Labour Party came to power it introduced a general approach that those with learning disability and indeed other disabilities should be part of mainstream education wherever possible. That has not always been easy, but it was the correct move and is to be supported.

The other thing that occurred was that many community organisations began to engage much more positively with those with learning disability. Artlink Central, which is located in my constituency, celebrated its work in the Parliament recently with a very successful presentation by a group with learning disability.

Local volunteers in the Forth valley retired and senior volunteer programme support groups for those with learning difficulties, such as the walking group, which is important for improved physical health. Many of those with learning disability, like those with mental health problems, do not have particularly good physical health.

My final example is an organisation of which I am proud to be the current patron: Trellis, which is the overarching national body for therapeutic gardening. In includes 160 groups in Scotland, which help many people with learning disability to enjoy horticulture.

As Jackie Baillie said, there are many challenges still ahead, and we are on a journey. I would like to draw the minister’s attention to one challenge, which relates to personal history. I grew up with a much-loved aunt who had Down’s syndrome. Ultimately she had to go into a care home, but she was lucky, because she went into a specialist care home. Today, far too many people with learning disability who, perhaps because of loss of family or increasing frailty have to go into a care home, are not able to go into a specialised care home. They can be in a care home with much older people, which is quite unsuitable. That problem needs to be addressed soon.

I hope that Enable, through its campaigning, will achieve even greater equity and fairness for those who have learning disability and continue the good work that it has done over the past 60 years.

18:12

Mary Scanlon (Highlands and Islands) (Con)

I, too, thank Jackie Baillie for securing this debate on Enable’s 60th year, and I thank Enable for its work in Inverness and across the Highlands. I also make a special mention of Jackie Baillie’s enormous continuing work, energy and commitment to supporting disabled people across Scotland. A week does not pass without a motion about disabled people or something similar. I say well done to Jackie Baillie. Everyone needs a champion, and Jackie Baillie is undoubtedly the champion here.

Last September Parliament debated “The Keys to Life”, the purpose of which is to improve the lives of people who have learning disabilities. It was an excellent debate, and I think tonight’s debate will be similar. The Government’s motion that day sums up where we are and what has been said so far:

“Scotland can be proud of some of the changes in the quality of life for people with learning disabilities but accepts that there is still much to do.”

We are all there. It is quite right that there has been progress, especially on independent living, but issues remain regarding not just health inequalities but education, and there are lingering social stigmas.

One positive development is that since the first 10-year strategy—“The same as you?”—was published there has been a move away from institutional care. I have to say, as the Opposition health spokesman from 1999 onwards, I often criticised the Labour Party for its various glossy brochures, as Michael Matheson and Nicola Sturgeon did, but the one document that no one ever criticised was “The same as you?”, with its 29 recommendations. I have been on the record about that many times, and I have gone back to that document many times to see whether the Lib-Lab Scottish Executive was delivering and to see whether the present Government has been delivering.

There has also been a drive towards individuals gaining greater control over their lives and—as Jackie Baillie said—receiving supported care that is more appropriate to their individual needs. I am hopeful that, in the coming years, self-directed support will help to push that agenda even further and give people with learning disabilities more choice in shaping their care.

Jim Eadie made a good point about human rights. Fundamentally, the issue of learning disability concerns all rights, including some of the softer rights such as the right to be heard, the right to be included and the right to have the same opportunities as everyone else. There are currently about 16,000 children and young people with learning disabilities, and we owe it not just to that generation, but to their parents and to the legions of tireless campaigners, to get our approach right.

On that note, on behalf of all members in the chamber, I thank all the people in the gallery who have come along tonight from Inverness and beyond. We like your being here to share the debate.

There are two areas in which more can be done. One is additional support needs. My colleague Liz Smith recently held a seminar in which she was told that we are not doing enough to prepare and support young people through the transitions from primary to secondary school and from secondary school to adult life. That was not the first time I have heard that, so it is something that we should focus on for the future.

The second area is further education. Of the 25,000 modern apprenticeships in Scotland, 0.2 per cent went to people with learning disabilities. That is not good enough, and we can do much better. I note the words of Peter Scott, the chairman of the Scottish Consortium for Learning Disabilities, who said that although the trend

“towards more independent living is welcome”,

there is

“an underlying concern that whether in relation to education, employment or day services, opportunities for people may be diminishing.”

We can be justifiably proud of our record, but we still have much more to do.

18:17

Iain Gray (East Lothian) (Lab)

I am sometimes asked what I am proudest of from my time in politics. I always say, “The same as you?”. That is not because it was the first policy document that I was involved in producing, but because it did something that most people considered to be impossible at that time. As Jackie Baillie outlined, it articulated the authentic voice of people with learning disabilities and expressed their hopes, dreams and aspirations. Mary Scanlon is right: for once, a Government document turned aspirations into real policies and actions.

At the time, 15 years ago, I had some idea just how far those aspirations were from the reality of the situation. Some of my family members, friends and—probably not to my credit—not one but two wives had worked and trained in Gogarburn long-stay hospital, so I knew what the reality of life was for many people with learning disabilities. So it was that, in another proud ministerial moment—the last ministerial engagement that I undertook as Deputy Minister for Health and Community Care—I formally, finally and permanently closed down Gogarburn hospital.

To this day, my wife and I sometimes meet people whom she knew when she worked there and they were patients living in wards. They have, for years, been living their own lives, and living freely. I know, too, that my own cousin, who is profoundly disabled, has lived a life that is, although not easy, far fuller than we could ever have imagined when he and I were children together.

Members should be in no doubt that this has been a real liberation struggle, and a victory not only for justice and equality, but for freedom. It has been a struggle nonetheless, and that liberation would never have happened without the parents, activists and organisations who fought for it alongside their sons, daughters and friends. Not least among those organisations are Enable Scotland, which celebrates its 60th birthday this year, and Elcap, in my constituency of East Lothian, which celebrates its 25th birthday this year.

As Jackie Baillie made clear, the struggle will not be over as long as people with learning disabilities still face systematic unemployment, inappropriate placements in care homes and bullying on our streets. The truth is that no revolution is complete until we have changed ourselves and our attitudes, and that has still to happen.

I welcome the fact that the Scottish Government has taken up the baton with “The keys to life” report. I say to Enable and its sister organisations, “Well done,” but I also say, “You know, and we know, that the struggle continues.”

18:20

Christine Grahame (Midlothian South, Tweeddale and Lauderdale) (SNP)

I congratulate Jackie Baillie and all the other contributors to the debate not just for what they have said, but for the tone of the debate. I always think that members’ business debates show the Parliament at its best. We have had quite a raucous day, but we can come together on the issues that really matter and, I hope, do them proud.

I will refer to two pieces of legislation that we have put through the Parliament and which have assisted people while ensuring that they keep their individual rights. One is the Adults with Incapacity (Scotland) Act 2000, which made it plain that people with learning disabilities, among others, have rights and that, when they need assistance, they will get it, but they still have rights and their views can still be expressed properly. We enshrined that in law. Some colleagues who are in the chamber have been members for as long as I have, but I say to Jackie Baillie that we are wearing well—the drinks are on her tonight.

The second piece of legislation is the Victims and Witnesses (Scotland) Act 2014, which has been put through while I have been convening the Justice Committee. That is important, because the issues were not recognised in the court process. Everybody gets bewildered by the process, but people with learning disabilities who are witnesses in a criminal case or even a civil case require support. That support has now been built into legislation, so that everybody can have their say and their chance in court.

I just wanted to enter the debate briefly because, among all the policies, members had not mentioned the legislation. Sometimes we do too much of that, but those are two good pieces of legislation that I hope have enhanced the rights of people with learning disabilities. I congratulate Enable and Jackie Baillie, who is doing a grand job. I do not always agree with her, but I agree with her tonight.

18:22

Hanzala Malik (Glasgow) (Lab)

I welcome Scottish learning disability awareness week and thank Jackie Baillie for the opportunity to discuss the issue in Parliament. I congratulate Enable Scotland on its 60th anniversary, and I thank all the volunteers and helpers who have supported the organisation throughout its history.

People with learning disabilities have a significant and lifelong condition that starts before adulthood and affects their development. Although those people are just like you and me and should be treated as such, they are more likely to die young and have mental health problems and to be exposed to poverty, poor housing, lack of experience and employment, social isolation, bullying and discrimination—that is a mouthful, but it is true. They have lifelong experience of a lack of choice and opportunities and of significant barriers to accessing services.

That is why it is essential to demonstrate that people with learning disabilities are valued and respected as equal members of society. Generally, more information is now available, but issues remain about how people access it. Families are unaware of the support to which they are entitled and where they can go to get information. As a consequence, they do not get all the help that they really need. Scottish learning disability awareness week is a great way to combat the issue of awareness.

I especially want to mention Thomas Fortune work centre in Glasgow, which has recently secured five-year funding from the Glasgow learning disability partnership, with the likelihood of an extension. Only 5 per cent of people with learning disabilities in Glasgow are in paid employment; the centre, which specialises in providing a route to employment and meeting the social support needs of people with learning disabilities, is one of the very few projects in Scotland that provide a bridge between social care and open employment. I should also mention the Glasgow Disability Alliance, which is led by disabled people and has a membership of more than 1,500.

People with learning difficulties in minority communities face double discrimination in accessing public services. The advice that I would offer in that respect is that local shops, faith and community leaders and centres and organisations such as Enable Scotland can be used to pass on information. Moreover, in order to promote full and equal access to public services, we must meet the language requirements of the minority ethnic individuals who need to use them.

Like my friend Jim Eadie, I commit my support to the organisations who carry out this marvellous work 24/7.

18:26

The Minister for Public Health (Michael Matheson)

Like others, I congratulate Jackie Baillie on securing time for this debate and acknowledge the tremendous work that she has done in this area. I know that she has a long-standing interest in raising learning disability issues.

I also put on record my thanks to Enable Scotland for its tremendous work over many years. I recall that, when I was a young student looking at different third sector organisations, it was one of the first organisations that was held up as being effective in delivering rights and pushing forward a rights agenda. Indeed, I remember visiting its offices, which at that time were in Elmbank Street in Glasgow, in order to get information. The work that it has undertaken over the past 60 years is a tremendous credit to it, and I look forward to attending tonight’s reception. At this point, I should also offer my thanks for the lovely tartan tie that all male members have been presented with.

Scottish learning disability awareness week gives us an opportunity to raise issues and raise awareness of learning disabilities. It also gives us a chance to highlight the issues that people with a learning disability often experience and the challenges that need to be addressed. As Jackie Baillie pointed out, we can take pride in the progress that has been made over several decades; for example, I note that, post-2000 and building on what had been happening since the 1990s, the same as you? strategy played an extremely important part in ensuring a significant shift in the balance of care from institutional to long-stay care.

That approach led to the historic closure of more than 1,000 long-stay beds across Scotland, beds that many individuals called home. Coming back to Richard Simpson’s comments, I should say that, in my professional career, I helped to put individuals from the Royal Scottish national hospital into community placements, and I also note that, as a student, I regularly visited Gogarburn hospital.

With regard to the new learning disability strategy, all members will recognise that the danger with strategies is that we can put too much into them and not achieve what we were seeking to get out of the process. I was very clear that I wanted the human rights of people with learning disabilities to be at the very heart of “The keys to life”. I believe that everyone with a learning disability should have the same rights and freedoms as everyone else in our society, which means that all our statutory agencies must take responsibility for ensuring that people with a learning disability get the right information about their rights in the right way and that they can exercise those rights for themselves. All our public bodies in Scotland need to ensure that those aspirations in “The keys to life” translate into positive outcomes for individuals with a learning disability.

I recognise that how care has been delivered for individuals with learning disabilities has changed over the past few decades. The use of self-directed support allows individuals much greater control over and choice in how their support is provided and how they receive it.

Being truly accepted in any society means being treated equally and fairly in other ways. As a Government, we believe that there are no excuses for any form of hate crime. That is why we are working with our colleagues in the criminal justice service to influence change and provide support for people with learning disabilities when they find themselves in that situation.

If a person’s health needs are not addressed in their society, it will be difficult for them to feel included in that society. The Government has made it clear that we see the need to address the stark health inequalities that people with learning disabilities face as a national priority. That is why there is so much emphasis on that issue in the new strategy. I want all people with a learning disability to be able to lead a healthier life generally. For that to happen, we need to ensure that their health needs are appropriately met and they are given the right support.

Jackie Baillie asked a number of questions about “The keys to life” and the action that has been taken. We are taking forward work with our public health directors, our national health service boards and the learning disabilities observatory to develop a process to capture data so that people with a learning disability are much more visible in our healthcare system. We do not currently have that information. That will help us to drive forward improvements in our individual health boards to improve outcomes for people with learning disabilities and bridge the gap in health. I cannot overstate the importance of capturing that data in helping to drive forward the agenda.

We are also working with a number of organisations in health and wellbeing. Part of that work is to provide support to carers of individuals with a learning disability. As part of the keys to life strategy, we have invested an additional £250,000 in the past year in a short breaks scheme for children and adults with learning disabilities and their carers. We are also working with Enable on emergency and future planning so that carers have plans in place to support them and the people with learning disabilities for whom they care.

Members have referred to the fact that many young people with learning disabilities have additional support needs. It is important that we provide people with learning disabilities with the right support when they are in our education system so that they can take the best advantage from their education and, we hope, go on to future employment. In order to address some of the gaps in that particular pathway, the keys to life strategy is taking forward specific work with local authorities, further education services, Skills Development Scotland and the transition forum to look at how we can ensure that the getting it right for every child process and framework can better prepare young people with learning disabilities for leaving school.

Getting people into employment has to be a priority for us and getting into employment must equally be a priority for people with a learning disability. I note the point that Mary Scanlon made about the modern apprenticeship scheme. We know that people with a learning disability want to be able to work in paid employment, and we need to ensure that we unpick some of the barriers that limit the ability to access employment.

A frustration that I often had when I was still in practice was that the number of hours of work that a young person who had moved from a long-stay institution into a community environment could undertake was limited by therapeutic earnings restrictions. If they worked too many hours, their benefits were cut. That was a crazy way of trying to incentivise individuals who could be in employment to get into it. We therefore need to ensure that the system is much more joined up to help to achieve that. Some of the work that we are taking forward with the Scottish Consortium for Learning Disability in work with our colleges and Skills Development Scotland will help to make some of that happen. Our implementation group for the strategy is also doing work in that regard.

I believe that the implementation of the keys to life strategy will go a long way towards improving the lives of people with a learning disability and their carers. Members can be assured of my commitment to doing everything that I can to make sure that that is driven forward and delivered. I believe that the progress that has been made over the past 10 years can be built on and that we can give our people with a learning disability greater freedom and opportunity within our communities in Scotland. I am determined to do that and I believe that we have a strategy in place that can ensure that that happens in the years to come.

Meeting closed at 18:35.