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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

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 a privilege to speak in the chamber for the first time—unexpected though that may have been a short few weeks ago. Indeed, my competitor in running for the Kilmarnock and Irvine Valley constituency, Willie Coffey—I use the term “running” loosely—has suggested in the chamber that I got in via the vagaries of the voting system. I assure him that whether I got in through the back door, front door, side door or skylight, I am here. [Applause.] He has five years to get used to my dulcet tones.

I thank the people who voted for me—nearly doubling our share of the vote in the constituency—and those who voted otherwise but nonetheless took the time to speak to me. Sometimes they attempted to point out the error of my ways, but they were always courteous and good humoured. That is important, because if we listen only to those who agree with us, we get a polarised view of the world.

Getting to this spot has been an interesting journey. I was an international athlete for 13 years. To those members who have mentioned it, I say thank you for remembering. Those who said, “I do not remember you but my dad said that you were not bad,” have made a happy man feel old.

Presiding Officer and fellow athletes, my passion lies in the firm belief that education is the solution to health and welfare issues—not only academic education but also coaching in sports, the arts, drama and any activity that can engage, enthuse and engender passion in our youngsters.

It has been stated in this chamber that the greatest inequality is inequality of opportunity, and I whole-heartedly agree with that. However, we have not done particularly well at addressing that. When we compare state education and private education, what is the difference? It is most certainly not the quality of the teachers; it is, quite simply, the access to opportunity. Sport and activity are the norm in the private school sector—that is borne out by the fact that a third of the 2012 Olympic team was made up from the 7 per cent of our population who are privately educated and that the Scottish schools sports championships are fast becoming the bastion of private education.

From the mid-1980s, when sport in state schools was decimated, there has been a steady decline in the physical literacy of our children. That has had a worrying effect on the health of our nation. Our farmers produce the highest quality food in the world, yet we are the unhealthiest nation in Europe and the unhealthiest small country in the world. That suggests that our home-grown produce is not making its way to the Scottish table.

Some 10 per cent of the Scottish NHS budget is spent on the treatment of type 2 diabetes, a disease that is predominantly linked to inactivity and obesity. One in four accident and emergency cases are drink and drugs-related, and we are all aware of how stretched our A and E staff are. Further, there has been a 10 per cent increase in child tooth extractions in just four years. Those issues are preventable yet they cost the Scottish NHS billions of pounds. We are all so focused on financing the NHS that we have missed the fact that there is a serious financial benefit in tackling preventable disease. As a leading Glasgow diabetes consultant said to me,

“We are sleepwalking into an economic health nightmare.”

The preventable disease epidemic is the greatest threat to our most treasured institution, the NHS. Those were not my words; the warning was from front-line healthcare professionals.

Kids nowadays are accused of laziness—of always playing computer games on phones and tablets and watching DVDs. I challenge that. Who is giving them those things and what are we offering as an alternative? In my experience, if they get the chance, kids want to participate.

We need a progressive physical literacy programme, alongside the academic one, that goes from pre-school active play into primary school active games and on to secondary school sport. We all agree that increasing children’s access to nursery education is a good thing, so can we agree to lay the foundations for an active, healthy lifestyle? If a child wants to participate in out-of-school activity, they need to go home first and then go somewhere else. That makes no sense, because most of the facilities are in schools. With a bit of innovation and thought, we can reintroduce extracurricular opportunities across the country for children, irrespective of background or personal circumstance.

To do that, we need agreement and co-operation across the chamber. The task will take a generation—yes, a generation—which means that although it is for this chamber to set the path, others will reap the rewards of the decisions. However, in the words of Harry Truman:

“It is amazing what you can accomplish if you do not care who gets the credit.”

If we choose to open up choices to our children and allow them opportunities to find their passion—if we stoke their enthusiasm and engender self-belief, self-motivation, self-awareness and a drive towards achievement, whatever they decide that achievement will be—they will seek to make better lifestyle choices.

The importance of self-awareness cannot be overstated. If we help them to achieve that, no matter what discipline they are involved in, it will have a profound effect across all other aspects of their lives and across society. However, if we choose to ignore the issue, the situation will continue to deteriorate, with the result that health inequality will increase and the attainment gap that we want to eliminate will widen.

I will finish with words from a great hero of mine, whom we sadly lost a few days ago. Muhammad Ali said:

“He who is not courageous enough to take risks will accomplish nothing in life.”

This chamber must be bold and must make the changes that are required to open up opportunities for our kids and to make Scotland a healthier and happier place for them to flourish in. [Applause.]

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 ...