Chamber and committees

Jackie Baillie tells me that she does not wish to. That is possibly because—

The capital budget is a particular challenge because of the degree of erosion of it by two factors. The first is the direct cuts that have been made by the UK Government, which are of the order of 10 per cent over anticipated years. The second factor is the corrosive effect of inflation, which is even worse in capital projects, because construction inflation is invariably significantly higher than routine inflation in the economy. As I have rehearsed with Mr Mason before, some capital project costs in the private sector are now coming in inflated by perhaps 30 to 50 per cent on the original expected costs.

There is a challenge there, which is why we are having to wrestle with the contents of the infrastructure investment plan to ensure that we have a sustainable programme that will meet the expectations of the public in Scotland. We have to try to activate additional sources of finance. The Minister for Housing, Paul McLennan, is trying to identify and work with a range of interested parties to expand the resources that are available specifically for investment in housing.

I thank Mr Ross for his remarks. He is absolutely correct that yesterday represents a vindication for campaigners. Today must also be a vindication for campaigners, and tomorrow must be a vindication for campaigners. He is also absolutely right that, as we look forward, we must ensure that the processes, practices and behaviours that led to what was revealed yesterday form no part of the future delivery of our public services or the way in which we address issues of this magnitude.

Mr Ross correctly highlights the fact that trust has been eroded because of the experiences that are highlighted in the report. That trust must be rebuilt and repaired so that the public can have confidence in the delivery of services.

Mr Ross asked what support and assistance Opposition parties could give to the Government. One thing that would help would be to maintain cross-party agreement on the steps that are necessary to implement the United Kingdom Parliament’s Victims and Prisoners Bill. Obviously, that might well have implications that we have to consider, and I hope that I have given sufficient reassurance to the Parliament that the Scottish Government will engage substantively with the UK Government on that question and will apply all the co-operation that is necessary.

We must ensure that the steps that we now take are taken with urgency to address the issues that are raised here, and I give that commitment on behalf of the Scottish Government.

The approach that the Government will take will be to draw together the expertise that is required across a range of professional disciplines and backgrounds to address the detailed recommendations. However, that process will have embedded in it the contribution of representatives from Haemophilia Scotland and the Scottish Infected Blood Forum, because I want to ensure that the voices of the people who have got us to this point resonate loud and clear in the way in which we take forward our response. Therefore, we will bring together the professional disciplines that are required and, crucially, we will bring together the voices of those who have been affected, so that they can shape the response of our country to the challenges that are laid down by the report.

That is an entirely reasonable point. The support that is required will vary from individual to individual as a consequence of how they have been affected. The Scottish infected blood support scheme has been designed to be that, essentially: a support scheme to make available the assistance that individuals require. That is in addition to the wider health service support that is in place.

I take Tess White’s point about the importance of psychological assistance seriously and I will ensure that that is reflected in the Government’s response.

In response to Ruth Maguire’s question, I assure Parliament of the importance of the voices of those who have been infected and affected, which are central to the Government’s response on the issues. That will cover a range of points. Some of it will affect any changes to clinical approaches. It will also relate to our input on the compensation scheme and affect the issue of culture, which has been so central to explaining why we have ended up in the situation that we have ended up in after such a long period of time. I want to make sure that we listen carefully to the voices of those who have been affected, to ensure that their concerns and their perspective are fully reflected in the Government’s response.

I am confident that I speak for every member in this Parliament when I welcome the publication yesterday of the infected blood inquiry’s final report. I offer my sincerest thanks to the inquiry’s chair, Sir Brian Langstaff, and all the inquiry team for their diligence and their pursuit of truth in producing such a comprehensive final document.

Our focus should now be firmly on all those who have been infected, their families and the organisations that support them: I want to pay tribute to all of them.

Those who have been infected and those have been impacted by the tragedy have worked tirelessly to ensure that its effects and their suffering are not ignored. It is a disgrace that those who have been affected have had to work so hard to secure the outcome that was achieved yesterday. The fact that they had to work so hard and for so long is an utter condemnation of those who have put obstacles in the way of the truth being revealed.

The report’s headline findings make damning reading for Governments, the national health service and others who have been responsible for patient safety across the United Kingdom during this scandal. As Sir Brian Langstaff makes clear in the report, the situation that unfolded across the United Kingdom came about due to

“systemic, collective and individual failures”

and exposed patients to “unacceptable” risks. The failure of authorities to

“deal ethically, appropriately, and quickly ... with the infections when the risk materialised, and with the consequences for thousands of families”

is an accusation that should cause both shame and reflection. The allegations of “deception” and of “hiding the truth” are deeply alarming, as are those that describe patients being kept in the dark about their own health.

The number of people who have been impacted by those failures is truly harrowing. More than 30,000 people across the United Kingdom were infected by contaminated blood products and transfusions between 1970 and 1991, with about 3,000 of them being here in Scotland. Those are not just numbers on a page; they represent 3,000 families in Scotland who have faced decades of unnecessary heartbreak and pain—3,000 people who have had their lives, dreams, friendships, families and finances destroyed, as the report makes clear.

The report states that Governments and the health service failed people with bleeding disorders and those who were transfused. The tragic results of those failures were deaths, illness and unimaginable suffering.

The harms that have been done to those who were infected and affected were compounded by repeated failures to acknowledge that they should not have been infected and repeated failures to offer any meaningful apology and redress. Indeed, the fact that it has taken four to five decades to get to this point is a failure that the Prime Minister described yesterday as a matter of “national shame”.

In March 2015, my colleague and former First Minister, Nicola Sturgeon, made a heartfelt apology on behalf of the Scottish Government to everyone who had been infected in, or affected as a result of, the infected NHS blood and blood products scandal in Scotland. The Minister for Public Health and Women’s Health, Jenni Minto, who attended the launch of the inquiry’s report in London, apologised to victims yesterday.

Today, in the light of the final report from the inquiry, on behalf of the Scottish Government and as First Minister of Scotland, I apologise unreservedly to everyone who has been affected in any way by these events. To everyone who has been affected, I say that you have been failed by the organisations and processes that should have been in place to protect and support you, and I am sorry for the hurt, worry and damage that you have suffered.

I acknowledge and welcome the apology that was issued by the Prime Minister yesterday on behalf of the United Kingdom Government. It was, rightly, a fulsome apology, but it was not only that: the Prime Minister’s statement also contained two solemn promises. The first was that comprehensive compensation will be paid to both the infected and the affected, and the second was that a fundamental rebalancing of the system will be required in any consideration of the report’s recommendations. On the first point, the Scottish Government will work collaboratively with the United Kingdom Government to put that into effect. On the second point, the Scottish Government will take the necessary steps, within our own responsibilities, to make that happen.

When I was elected as the member of the United Kingdom Parliament for North Tayside in 1997, one of the first constituents who came to see me was Bill Wright. Bill contracted hepatitis C from contaminated blood products. He has faced, and continues to face, acute health challenges as a result of that treatment. It has had an overwhelming effect on his life and the family who love him. However, despite that intense level of suffering, Bill has, with enormous dignity, campaigned tirelessly on behalf of Haemophilia Scotland to secure justice for those who have been affected. On top of his campaigning, Bill has been a valued member of the Scottish infected blood support scheme’s advisory board and has contributed his expertise and wisdom in a number of other areas to advocate for better care for patients with haemophilia and other bleeding disorders across Scotland.

Without the leadership and unrelenting work from individuals such as him, this report would not have happened, this truth would not have been exposed and this justice would never have been secured. Having walked on this journey with my constituent Bill Wright for the past 27 years, I am humbled that he is now able to hear directly from his local member of Parliament—now this country’s First Minister—a direct and unreserved apology from the Government for the suffering that he has endured.

Countless others deserve recognition for their campaigning and work on the issue, including the Scottish Infected Blood Forum and many individual campaigners. To all those who have worked so hard to make this report happen, and to seek justice for those who have been impacted by this tragedy, I express my heartfelt thanks, my admiration and my appreciation for the tenacity that they have demonstrated in getting to this point.

People who were infected with HIV or hepatitis as a result of NHS treatment have endured unimaginable suffering. I know that the report will not change what has happened, nor will it bring back the loved ones who have been lost or repair the lost moments of life that could have been. I hope, however, that it is a step forward in the journey towards a semblance of justice and that it offers a sense of peace in their lives.

The Scottish Government will carefully consider the inquiry’s report in full, and all the recommendations for Scotland. In doing so, we will be able to build on the work that has already been done with victims since Scotland’s earlier Penrose inquiry into infected blood. We will do so as quickly as we can, because the infected and affected communities have already waited far too long to see action.

The Scottish Government has already accepted the moral case for compensation for infected-blood victims, and we are very much committed to working with the UK Government to ensure that any compensation scheme works as well as possible for those who are infected or affected. Compensation for victims of infected blood is long overdue. For that reason it is welcome that the recent amendments to the UK Government’s Victims and Prisoners Bill will ensure that people in Scotland will have access to the scheme on the same basis as those elsewhere in the UK.

Today’s UK Government’s announcement of further details of the compensation scheme is another step towards ensuring that those who are infected and bereaved relatives in Scotland will receive compensation as soon as possible. I welcome the Minister for the Cabinet Office’s confirmation that Sir Robert Francis, who developed a proposed compensation framework for the Cabinet Office back in 2022, will act as interim chair of the new Infected Blood Compensation Authority. I am aware that the victims trust him to do right by them.

I urge the UK Government to implement the Victims and Prisoners Bill as quickly as possible, because I know how important it is that all those who are affected are able to access compensation as soon as possible.

I welcome the confirmation of further interim payments of £210,000 each to infected people and £100,000 to each of the estates of victims who have, sadly, died. The Scottish Government will work with the UK Government and the Scottish infected blood support scheme to ensure that those payments can be made as soon as possible.

The Scottish Government is now working, along with charities that represent the infected and the affected, to consider the report’s recommendations for Scotland and to address its implications. We are steadfastly committed to using the inquiry’s report to ensure that lessons are learned and that such a tragedy can never happen again. That is why I want to reassure all those who have been impacted, and the general public, that lessons have already been learned and that significant and widespread improvements in patient safety have been made.

The Scottish National Blood Transfusion Service now has extremely high standards of blood safety. I continue to encourage anyone who can do so to give blood, because giving blood remains essential for thousands of patients. All donated blood in Scotland is now tested for a range of viruses, including hepatitis and HIV, before it is distributed to hospitals.

There is another important lesson that must be learned. It is a lesson about the culture that we must expect in our public services. That culture must be of the highest standards—a culture of openness and transparency, in which patient safety is paramount. That is the culture that I will insist upon in our public services.

Perhaps the most striking, and indeed disturbing, statement from Sir Brian about the report is this:

“This disaster was not an accident. The infections happened because those in authority—doctors, the blood services and successive governments—did not put patient safety first.”

That is something that must never, ever happen again.

It has taken more than 50 years to get to this point. I will do everything in my power to ensure that we learn the lessons from the report and from the infected blood scandal, and that we take all necessary steps so that no one else has to endure the heartbreak and the suffering that so many families have had to face.

Part of the process that the Government will take will be to ensure that our public bodies engage in an open and transparent manner with the wider public. The scrutiny process that the Cabinet Secretary for Health and Social Care presides over in relation to the conduct and performance of health boards is a meaningful approach to scrutiny. It is about ensuring that existing practice is challenged, performance is challenged and people are held to account.

Dr Gulhane put to me concerns about bullying in NHS Highland. The Government has responded to that and has engaged substantively in that process. There has been active confronting of those questions, and so there should have been.

I give Dr Gulhane the commitment that ministers will lead the public services of Scotland on the basis that we must be open to challenge about performance to ensure that the needs of members of the public are properly and fully met as a consequence of our interventions.

I welcome Gillian Mackay’s remarks. I assure her that the Government will engage with members of the Scottish Parliament to ensure that they are adequately supported and briefed on all the issues that are relevant to accessing the scheme. As I indicated in my response to Mr Sweeney, I feel optimistic about the engagement route with the United Kingdom Government because it is being handled by the Cabinet Office minister John Glen. If there are issues that we need to raise, we will be able to raise them, and I am sure that they will be the subject of satisfactory engagement. I ask all members of Parliament, if issues emerge, to draw them to the attention of ministers and we will do our best to ensure that they are raised with the United Kingdom Government.

Mr Sweeney makes a number of important points.

The compensation scheme is a UK one, so we will engage constructively to ensure that it can be accessed by people in Scotland on exactly the same basis as in the rest of the UK. The point that I made in my earlier response to Douglas Ross is that the amendments that were successfully made to the Victims and Prisoners Bill are helpful in ensuring that we can take forward our involvement in that scheme, in order to benefit individuals in Scotland.

I know from my own ministerial experience that any process that involves John Glen of the Cabinet Office will be one of good engagement. John Glen is a very good interlocutor for the Scottish Government and is a man of great integrity and decency. I look forward to that engagement and I know that ministers will have that opportunity, because that has always been my experience of dealing with John Glen and such things count and help when it comes to intergovernmental relationships.

Lastly, I say to Mr Sweeney that we will remain open to engaging with all the support organisations in Scotland to ensure that there is appropriate assistance in place so that the all the issues that need to be addressed here can be properly addressed, within the support schemes that we have available.