Chamber
Meeting of the Parliament 19 September 2012
19 Sep 2012 · S4 · Meeting of the Parliament
Item of business
Patient Care
We are not here to debate Wales; we are not here to debate the national health service in England; and we are not even here any longer—after six years—to debate the record of the last Labour-Liberal Democrat coalition on health. We are here to debate the record of the Government that has been in office for the past six years with responsibility for health. I came to the debate minded to support the Government’s amendment, if carried, this afternoon. However, in view of the performances that I have heard from the SNP front bench and the intervention from Kevin Stewart that was, frankly, arrogant, smug and belligerent, we will now vote against the motion if it is amended.
I am not here to say that the record of the last Labour Government was wonderful. It is known that we felt that Nicola Sturgeon was an effective cabinet secretary—I still find it surprising that Nye Bevan should be removed from office, with all the challenges that the health service faces. We supported the decisions to reverse the accident and emergency department cuts that were proposed and we believe that the previous health secretary was effective in a crisis. We have paid tribute to much of the work that the previous Government did, but that is not to endorse every action and every statist, Stalinist opposition to innovation in the health service.
When the minister waxes on about the additional funds that he has made available to the health service, it is important to say that the last Labour UK Government and the current Conservative UK Government have made sure that health has been protected at Westminster and that consequentials have come to the Scottish Government that have allowed that health spending to be sustained. It has not been some great virtuous act by the Scottish Government; it has been replicated across the whole UK and has led to the UK ensuring that Scotland has had additional funding.
The Scottish Government turned its back on ways within that budget to manage its finances efficiently. We regretted the decision to reject the findings of the pilot at Stracathro hospital that was led by the last Labour-Liberal Democrat Administration, which allowed the independent sector to release £2 million to reduce waiting times exclusively for the NHS, infection free, by undertaking operations more cheaply than would otherwise have been the case. What was the objection to finding an efficiency of that character within the health service to release funds that could be reinvested in patient care? It was an objection of dogma. We also opposed—we were alone in doing so, but for good reason—moving to free prescriptions. We did so not because we objected ultimately to the principle, but because we knew that every pound that was diverted to that priority had to come from a priority elsewhere in the health service.
I will not stand here and be accused of saying that everything that the SNP Government has done on health has been bad. I do not believe that. I do not believe that Mr Neil, Mr Matheson or Shona Robison—
I am not here to say that the record of the last Labour Government was wonderful. It is known that we felt that Nicola Sturgeon was an effective cabinet secretary—I still find it surprising that Nye Bevan should be removed from office, with all the challenges that the health service faces. We supported the decisions to reverse the accident and emergency department cuts that were proposed and we believe that the previous health secretary was effective in a crisis. We have paid tribute to much of the work that the previous Government did, but that is not to endorse every action and every statist, Stalinist opposition to innovation in the health service.
When the minister waxes on about the additional funds that he has made available to the health service, it is important to say that the last Labour UK Government and the current Conservative UK Government have made sure that health has been protected at Westminster and that consequentials have come to the Scottish Government that have allowed that health spending to be sustained. It has not been some great virtuous act by the Scottish Government; it has been replicated across the whole UK and has led to the UK ensuring that Scotland has had additional funding.
The Scottish Government turned its back on ways within that budget to manage its finances efficiently. We regretted the decision to reject the findings of the pilot at Stracathro hospital that was led by the last Labour-Liberal Democrat Administration, which allowed the independent sector to release £2 million to reduce waiting times exclusively for the NHS, infection free, by undertaking operations more cheaply than would otherwise have been the case. What was the objection to finding an efficiency of that character within the health service to release funds that could be reinvested in patient care? It was an objection of dogma. We also opposed—we were alone in doing so, but for good reason—moving to free prescriptions. We did so not because we objected ultimately to the principle, but because we knew that every pound that was diverted to that priority had to come from a priority elsewhere in the health service.
I will not stand here and be accused of saying that everything that the SNP Government has done on health has been bad. I do not believe that. I do not believe that Mr Neil, Mr Matheson or Shona Robison—
In the same item of business
The Deputy Presiding Officer (John Scott)
Con
The next item of business is a debate on motion S4M-04161, in the name of Jackie Baillie, on patient care.I remind members who wish to speak in the debate to...
Jackie Baillie (Dumbarton) (Lab)
Lab
There are undoubtedly real and pressing challenges in our national health service, which are starting to have a significant impact on patient care and patien...
Kevin Stewart (Aberdeen Central) (SNP)
SNP
Ms Baillie must recognise that there are more nurses and midwives now than there were in nine out of 10 years when Labour was in government. Is that a fact, ...
Jackie Baillie
Lab
I am afraid that that is nonsense. The Royal College of Nursing says that the number of nurses and midwives has reduced by 2,500. It is at a seven-year low. ...
Margo MacDonald (Lothian) (Ind)
Ind
Will the member give way?
Jackie Baillie
Lab
In a second.Another paramedic described being alone with a child with a head injury and being unable to transport him to hospital because they were waiting f...
Jackie Baillie
Lab
I am terribly sorry, but I cannot give way to Margo MacDonald, as I have very little time.The picture is extremely worrying. The NHS is struggling—there is n...
The Minister for Public Health (Michael Matheson)
SNP
It is often the case that facts do not feature heavily in Labour Party contributions in its health debates. No one should be in any doubt about the Governmen...
Jackie Baillie
Lab
I have made clear on a number of occasions our absolute view that the NHS budget should be protected. I am disappointed that the minister still fails to unde...
Michael Matheson
SNP
Unfortunately, Jackie Baillie’s problem is that her leader overruled her at the time that we are talking about. On “Newsnight Scotland”, Iain Gray said:“We w...
Margo MacDonald
Ind
I would like to get this right. Does the Government allege that it is spending £800 million or so more on the health service than was spent on the health ser...
Michael Matheson
SNP
I can tell Margo MacDonald that, as I said, by 2014-15, we will have a record £11.6 billion going into our NHS, which is the highest amount that the NHS has ...
Jackson Carlaw (West Scotland) (Con)
Con
We are not here to debate Wales; we are not here to debate the national health service in England; and we are not even here any longer—after six years—to deb...
Jamie Hepburn (Cumbernauld and Kilsyth) (SNP)
SNP
Will the member take an intervention?
Jackson Carlaw
Con
I will at the end of my sentence, if I may.I do not believe for a moment that what they have been doing has been designed to undermine the NHS, but it smacks...
Jamie Hepburn
SNP
I am not sure that the end of the sentence was worth waiting for—
Jackson Carlaw
Con
In that case, I will move on without letting Mr Hepburn take the intervention any further.The challenge to the NHS is considerable. We know that a demographi...
The Deputy Presiding Officer
Con
We move to the open debate, with speeches of four minutes, please.16:16
Aileen McLeod (South Scotland) (SNP)
SNP
I congratulate Alex Neil on his new role as Cabinet Secretary for Health and Wellbeing and wish him well in taking on the portfolio. I know that, whatever co...
Jackie Baillie
Lab
Will the member take an intervention?
Aileen McLeod
SNP
If I thought for one second that the Labour Party had anything positive or constructive to say in this debate, I would gladly take an intervention from Jacki...
Duncan McNeil (Greenock and Inverclyde) (Lab)
Lab
We have heard from colleagues who have touched on a number of areas where patient care has fallen below acceptable standards. In my brief speech, I will focu...
Jamie Hepburn (Cumbernauld and Kilsyth) (SNP)
SNP
Earlier this week, the Royal College of Nursing launched a campaign called “This is nursing”, to challenge the negative publicity about patient neglect and p...
Jackie Baillie
Lab
I have been in the chamber time after time when the SNP has essentially hidden behind the NHS staff. It is NHS staff who are coming to me with stories about ...
Jamie Hepburn
SNP
It may be a surprise to Jackie Baillie, but we all have constituents who work in the NHS and we all hear issues of concern, which we rightly take forward. Le...
Margo MacDonald
Ind
Rather than going into the records, because we will never agree on that, could we try to find agreement on why there should be a shortfall on the wards? I sp...
Jamie Hepburn
SNP
I would be delighted, as always, to speak to Ms MacDonald. If she does not mind, though, I will decide on the content of my speech.I heard Jackie Baillie say...
Rhoda Grant (Highlands and Islands) (Lab)
Lab
I will concentrate my remarks on the Scottish Ambulance Service and start by paying tribute to the excellent staff who operate our ambulances and our control...
Dave Thompson (Skye, Lochaber and Badenoch) (SNP)
SNP
Will the member give way?
Rhoda Grant
Lab
I will not take an intervention, because time is very short and I have many points to make.That is not the only issue that puts patients at risk; dropped shi...