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Chamber

Meeting of the Parliament 07 June 2016

07 Jun 2016 · S5 · Meeting of the Parliament
Item of business
Taking Scotland Forward: Health

Not to be outdone by my colleague, Brian Whittle, I also think that it seems appropriate in a debate about delivering a healthier Scotland to pay tribute to Muhammad Ali. He was a man who understood the power of sport and how it can change a nation. He enriched not only America but the world. He said:

“Impossible is just a big word thrown around by small men who find it easier to live in the world they’ve been given, than to explore the power they have to change it.”

Each and every one of us, including our family and friends, has at some point in our lives used the NHS’s fantastic services. Parliament should recognise the tremendous work done by those working in the health sector. More important, this Parliament should ensure that the resources needed for first-class health system are delivered.

Scotland faces huge challenges: an ageing population with multiple long-term health problems, a growing diabetes problem and a general practice that simply cannot meet demand. Rightly, the motion calls for cross-party support in Parliament to meet the challenges ahead. However, we have an SNP Government that wants to work together but then attempts to shift the blame to the UK Government. It is time for this Government to stop treating the NHS like a political football.

I was pleased to hear Shona Robison use the words “preventing illness”, “prevention” and “preventative” in her opening statement. In encouraging a healthy lifestyle, it is important to establish good habits that start early and last right throughout childhood and adulthood. We all know the factors of a healthy lifestyle: regular exercise and healthy eating. However, in Scotland, two out of every three adults are overweight or obese, 31 per cent of children are at risk of being overweight, and obesity levels of 40 per cent are predicted by 2030. Those are the highest rates in the UK and among the highest in the Organisation for Economic Co-operation and Development countries.

A Scottish Parliament information centre report last year estimated that the cost of obesity was £4.6 billion a year to Scotland—resource that could be directed to hospitals, nurses and general practice. If we work hard to get Scotland active now, we will see a return on that vital investment.

In 2014, the Scottish Government reported that physical inactivity contributes to nearly 2,500 deaths and costs the NHS £91 million per year. In order to combat inactivity, we must encourage participation in sports and recreational activities in and out of schools.

I currently help to coach Earlston high school netball team, in the Borders, and I see at first hand the benefits that sport—particularly netball—can bring. Indeed, its qualities have been recognised and an initiative set up by Netball Scotland, called bounce back to netball and aimed at ages 18 and over, was recently launched. A further goal—excuse the pun—is to offer netball in more secondary schools throughout Scotland by educating our educators.

We must replicate the example set by Netball Scotland and help tackle health inequalities. Let us take that positive illustration and be constructive, not blaming the UK Government for an obstacle that we have the power to overcome. The Scottish Government has new powers, and it is time to be accountable, get to work and offer solutions to Scotland’s health problems.

In fact, it is with the help of the UK Government’s commitments to the NHS that the Scottish Conservatives were able to pledge a health guarantee in the 2016 manifesto. As Donald Cameron said, we want to see the health budget rise annually by whatever is highest out of inflation, 2 per cent, or Barnett consequentials. Under current projections, that would mean an additional £1.5 billion for our health service by the end of this session of Parliament, with the budget reaching £14.5 billion by 2021-22.

To make best use of an increased NHS budget, the Scottish Government must show leadership. That is echoed in an Audit Scotland report that states:

“The Scottish Government needs to provide stronger leadership and a clear plan for implementing the 2020 Vision”

which is to enable

“everyone to live longer healthier lives at home.”

The 2020 vision has cross-party consensus, but it will be the Scottish Government’s ability to apply the vision that underpins its success.

It is the UK Government that has the ambition to be among the best in Europe at reducing levels of premature mortality. Premature mortality is something that Scotland is blighted by. It is affected by numerous factors that are the responsibility of the Government or the NHS, including diet, climate, personal circumstance and lifestyle choice. The Scottish Government must take more responsibility and accountability. By encouraging physical activity, we can reduce the chance of type 2 diabetes—which is a growing problem in Scotland—by 40 per cent, cardiovascular disease by 35 per cent, and breast and colon cancers by 20 per cent, and we can also improve mental health.

It is clear that promoting and encouraging an active lifestyle can do so much good. We should prioritise doing that as much as we prioritise warning of the dangers of smoking and drinking.

With reference to the motion, I also expect TTIP to bring much good, delivering £10 billion to the UK economy each year. I commend the UK Government for achieving it and I recognise that there is no way in which TTIP will affect how the NHS decides who will provide the best service.

In the same item of business

The Deputy Presiding Officer (Linda Fabiani) SNP
The next item of business is a debate on motion S5M-00346, in the name of Shona Robison, on taking Scotland forward: delivering a healthier Scotland. 14:18
The Cabinet Secretary for Health and Sport (Shona Robison) SNP
It is a privilege to be back in the job that I relish, driving forward a healthier Scotland and ensuring that services are fit for the future. The Governmen...
Neil Findlay (Lothian) (Lab) Lab
Is it only the NHS that the cabinet secretary is concerned about in relation to TTIP? Why will she not give unequivocal opposition to TTIP?
Shona Robison SNP
We have made it very clear that we want explicit protection for the NHS in the TTIP agreement. We have been consistent about that and see it as the key prior...
The Deputy Presiding Officer SNP
I call David Cameron to speak to and move amendment S5M-00346.4—Interruption. Sorry! How could I? I meant Donald Cameron.
Donald Cameron (Highlands and Islands) (Con) Con
At least the name was not Donald Trump. Laughter.
The Deputy Presiding Officer SNP
I do not think that I will respond to that, thank you. I will start all over again. I call Donald Cameron to speak to and move amendment S5M-00346.4. 14:33
Donald Cameron (Highlands and Islands) (Con) Con
Thank you, Presiding Officer. I reiterate my congratulations to Shona Robison on her reappointment as health secretary, and I welcome the other members of he...
Anas Sarwar (Glasgow) (Lab) Lab
My first job was in the NHS, so it is with great pride that I rise to speak in this debate as Labour’s shadow cabinet secretary for health. I congratulate Sh...
Shona Robison SNP
We have targets on cancer—we have the 62-day and the 31-day targets—and we are making a £100 million investment in the cancer strategy. Would it not be bette...
Anas Sarwar Lab
I am happy to engage with stakeholders. We have the 62-day waiting time guarantee, but it has not been met since the last quarter of 2013. We need to have ac...
The Minister for Mental Health (Maureen Watt) SNP
Will the member give way on that point?
Anas Sarwar Lab
I apologise, but I am running out of time. Labour’s amendment recognises the Government’s position on a number of areas but says that we need to do more. To...
The Deputy Presiding Officer (Christine Grahame) SNP
We move to the open debate, with speeches of up to six minutes. 14:52
Clare Haughey (Rutherglen) (SNP) SNP
Members might be aware that this is the first national infant mental health week. As a mental health nurse who has worked with mothers and their infants for ...
Brian Whittle (South Scotland) (Con) Con
I declare an interest as a director of a company that is developing technology for the healthcare sector. I receive no remuneration for that position. It is...
The Deputy Presiding Officer SNP
I think you referred to me as a fellow athlete—to anyone who knows me, that is strange news indeed. I call Tom Arthur, to be followed by Monica Lennon. 15:05
Tom Arthur (Renfrewshire South) (SNP) SNP
I congratulate the Cabinet Secretary for Health and Sport on her reappointment and also Maureen Watt and Aileen Campbell on their appointments. I welcome t...
Monica Lennon (Central Scotland) (Lab) Lab
I welcome the opportunity to contribute to this debate on delivering a healthier Scotland. Although Scotland is, generally speaking, becoming healthier, dee...
The Minister for Public Health and Sport (Aileen Campbell) SNP
Will the member give way?
Monica Lennon Lab
I think that I am in my last minute.
The Deputy Presiding Officer SNP
The member is in her last minute.
Monica Lennon Lab
I am; sorry about that. To deliver a healthier Scotland, we must invest in our future and help our children and young people to achieve their potential. He...
Ash Denham (Edinburgh Eastern) (SNP) SNP
When thinking of health, our thoughts naturally often turn to the NHS and to medical treatment. The rise in the Scottish Government’s health spending to a re...
The Deputy Presiding Officer SNP
I ask the member to wind up, please.
Ash Denham SNP
Keeping our NHS in public hands and prioritising cancer treatment will help us work towards a future Scotland where fewer families suffer like mine did. Some...
Rachael Hamilton (South Scotland) (Con) Con
Not to be outdone by my colleague, Brian Whittle, I also think that it seems appropriate in a debate about delivering a healthier Scotland to pay tribute to ...
The Deputy Presiding Officer SNP
I ask the member to wind up, please.
Rachael Hamilton Con
To conclude, Scotland faces significant challenges, and we must all work together to make Scotland healthier. I have stated the case here to focus on physica...
The Deputy Presiding Officer SNP
I remind members that, for every 30 seconds or minute that they go over their time, someone might be cut off their own speaking list. That is why we have to ...