Chamber and committees

I want to pick up on what Paul O’Kane said earlier about yesterday’s report, by charities including the British Heart Foundation, on non-communicable disease priorities. Prevention of ill health is something that we could be focusing on. In the previous session, we received evidence about £90 million having been spent on complications due to type 2 diabetes. Preventing such complications in the first place, perhaps through social prescribing, would be a way of keeping people out of hospital.

We could also look at pulmonary rehabilitation. Will you continue to support wider implementation of pulmonary rehab, and what work will be done to consider social prescribing as a way to reduce ill-health in the first place?

I have a quick question, which could be dealt with as part of the response to Evelyn Tweed’s question that you send us.

The cervical cancer self-screening research that is being done at the moment is interesting. I got involved in that because NHS Dumfries and Galloway was taking forward the self-sampling procedure in order to capture the 6,000 women who had defaulted on their cervical smear test. I would be interested in an update on how the research is progressing. Are we likely to see a roll-out of self-screening for cervical cancer, which is particularly focused on human papillomavirus infection, in Scotland?

I am not sure how many European or other countries have vaccine certificates, corona passes or green passes, or whatever we want to call them. How many European Union countries have introduced vaccine certificates or their equivalent?

As others have mentioned their interests, I should say that I am still a registered nurse. I want to ensure that that is on the record.

I guess that the instruments breached section 28(2) of the Interpretation and Legislative Reform (Scotland) Act 2010 because of Covid. Is that right?

I have a question on what the cabinet secretary said about cancer pathways and the modernising patient pathways approach. The diagnostic centre in Dumfries and Galloway is one of the first such centres and I believe that it is doing really well in fast-tracking people who do not have concrete symptoms of cancer. That is something that has been introduced that is working quite well, I understand.

I am interested in whether the modernising patient pathways programme is looking at cancer pathways in general. As an example, I note that people in Stranraer and Wigtownshire go to Edinburgh for their radiotherapy, which involves longer journey and travel times than if they were going to the Beatson west of Scotland cancer centre, which they basically drive past. Is the programme looking at shorter journeys and travel times and a different overall approach to the cancer pathway programme?

From the outset, I want to join the First Minister in recognising the impact that the pandemic has had on every part of our society, in particular the physical and mental health of our fellow citizens. My condolences go to everyone who has lost a loved one to Covid-19 and, equally, my thanks go to all the health and social care staff in the community and in hospitals who work every day to keep us safe, healthy and well. I remind the chamber that I am still currently a registered nurse.

The programme for government will work to protect families, businesses and communities across Scotland and is focused on the recovery from the pandemic. Since being elected in May, the Scottish Government has already taken positive steps to support our NHS and health and social care workforce. The Government has published an NHS recovery plan setting out how it will achieve a 10 per cent increase in activity in key services. I am a member of the Health and Sport Committee, and today we heard from the Cabinet Secretary for Health and Social Care, Humza Yousaf, about the plans that are in place to address many of the health needs that have been identified, including issues around non-communicable diseases, which were highlighted in the report that the British Heart Foundation published yesterday.

A 4 per cent average pay increase this year for NHS agenda for change staff has already been implemented and was seen in pay packets in June, and the Government is already on course to increase direct investment in mental health services by 25 per cent over the course of the session, which is particularly welcome given the impact that the pandemic and its restrictions have had on health and wellbeing. The Government has also begun the consultation on legislation to establish a national care service, and I look forward to closely engaging in its progress.

The first three rapid diagnostic test centres for cancer have already opened. One is in Dumfries and Galloway, in the new Dumfries and Galloway royal infirmary. That is good news and good progress. However, I want to raise an issue around cancer pathway arrangements across Dumfries and Galloway. Currently, people with cancer across the area are required to travel to Edinburgh—a 266-mile round trip from Wigtownshire—for types of cancer treatment such as radiotherapy instead of going to Glasgow, which is closer. That is because Dumfries and Galloway is part of the South East Scotland Cancer Network and not the West of Scotland Cancer Network. NHS Dumfries and Galloway says that patients are offered a choice of place to attend but constituents tell me that they are not. Additionally, unlike in other rural parts of Scotland, such as the Highlands and Islands and Ayrshire and Arran, patients in Dumfries and Galloway do not automatically receive reimbursement for travel over 30 miles. The reimbursement that can be accessed is means tested. I, along with Dr Gordon Baird, Dr Angela Armstrong and Galloway community hospital action group, have been calling for changes to the situation around place of treatment and travel costs. I will be grateful for action on those points as we progress this ambitious programme for government.

The programme for government also commits the Scottish Government to building on our already world-leading environmental policies in the face of the global climate emergency. I welcome that, in doing so, the Government has committed to protecting outdoor green spaces and promoting and enhancing biodiversity.

What I would say is that I am keen to progress the work that is being taken forward to use whatever digital technology we can to enhance everybody’s access to the internet. We know that that is important as we are planning our recovery from this pandemic.

The programme for government outlines a specific commitment to establish a new national park in Scotland. I want to highlight the work of the Galloway National Park Association, which is lobbying for it to be located in Galloway, particularly through its new “It’s got to be Galloway” campaign, which I support.

The programme for government also makes a commitment to implementing the strategic transport projects review 2, which will improve road, rail and other infrastructure across Scotland.

In response to Oliver Mundell’s intervention on Mark Ruskell about roads, I note that, on ITV’s “Representing Border” last week, Patrick Harvie said that he does not oppose improvements on roads on the grounds of safety and efficiency, specifically mentioning the A75 and the A77. Therefore, I certainly cannae wait—[Interruption.] I do not have time to take an intervention. I certainly cannae wait to hear what investment will be announced when STPR2 is announced later this autumn.

The programme for government is full of progressive commitments, including the doubling of the carers allowance, establishing the neurodiversity commissioner, improvement in tenants’ rights and protecting health. I look forward to the programme for government being implemented.

The Conservatives continually say that the Scottish Government is prioritising independence over recovery from the pandemic. However, I would argue that independence will aid our recovery. It will give the Scottish Parliament full control over our finances, criminal justice, reform of drugs policy, employment law and equalities, to name just some areas. Without full control over those areas, the Scottish Parliament is restricted in what it can do. Independence is required to deliver that fair, progressive and equal Scotland, and I want to be part of that.

A consultation closes today on the proposal in England and Wales to increase the qualifying age for free prescriptions from 60 to the state pension age of 66. Age UK has branded the move as a “kick in the teeth” for older people. The proposal highlights the difference between the progressive Scottish National Party Government in Scotland and the cruel politics of Westminster. Will the First Minister confirm that no one in Scotland will be left struggling or unable to afford medicines that they need to stay as healthy as possible, and that prescriptions will remain free for all?

On a point of order, Presiding Officer. Rachael Hamilton has stated that I want a hard border, which is absolutely not true. I refute that, and I am grateful for the opportunity to state it in the chamber.