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Chamber

Meeting of the Parliament 20 June 2018

20 Jun 2018 · S5 · Meeting of the Parliament
Item of business
Access to Medicines
Stewart, Alexander Con Mid Scotland and Fife Watch on SPTV

I am delighted to have the opportunity of taking part in today’s debate. I pay tribute to the Labour Party for bringing it to the chamber and to Anas Sarwar for the campaign that he has fought.

The serious issues of cystic fibrosis and breast cancer are two completely separate conditions, but they have a common thread, in that they are both attributed to genetics. As we have seen, individuals who have those diseases have tried their best to do all that they can, and companies have consistently had an uphill struggle to ensure that they can successfully provide treatments for patients. However, thankfully—and due in no small part to current knowledge and expertise—two drugs are now available for cystic fibrosis and HER2-positive breast cancer.

First, Orkambi is different from traditional treatments for cystic fibrosis because it is a precision medicine. With traditional medicines, damage occurs and patients have seen their illness progress. Precision medicine targets the root cause and has the potential to ensure that lung function is restored and that the patient’s decline subsides. The Cystic Fibrosis Trust has recognised that 336 people in Scotland could currently benefit from having access to that drug; that is one third of the 900 people across the country who live with CF.

Perjeta is a newly developed drug for women with HER2-positive breast cancer, and has been created by the pharmaceutical company Roche. Today, we have heard how women in England and Wales can get the drug, but those in Scotland cannot. It gives patients with cancer the opportunity to have their treatment increased for 16 months, which is a lifeline for many and ensures that they spend more time with their families and loved ones. They need access to it now—not later.

We know the facts about Orkambi and Perjeta, and their benefits, but they are not available to Scottish patients, who cannot understand why they are not being seen as a priority. Why are they not being given those opportunities? The life expectancies of many are shortened, and they die because they do not have the drugs.

The Scottish Conservatives have made it quite clear, on numerous occasions in this Parliament, that Orkambi should be available—we have been discussing it since 2016. Indeed, in a debate last week we called for it to be made available. I pay tribute to Maurice Corry, who called for a portfolio approach whereby medicines for cystic fibrosis could become available for patients when they are manufactured and licensed. Deals of that type have already taken place in other countries, and people want to know why cost and bureaucracy are stopping them from happening here. Doctors can move patients on to new medicines if they believe that their access to them might ensure that they have longer life expectancies, and we should provide that. Only last month, Ruth Davidson spoke about Perjeta at First Minister’s question time. I also pay tribute to my colleague Miles Briggs, who last month held cross-party talks on the topic.

We have also talked in the Scottish Parliament about having a cross-border arrangement for Perjeta, to ensure that no one misses out on that crucial drug.

It all comes back to choice. The Scottish Government is making the choices. We must make sure that those are the right choices for the people of Scotland. They deserve nothing less. Enough is enough.

16:45  

In the same item of business

The Deputy Presiding Officer (Linda Fabiani) SNP
The next item of business is a debate on motion S5M-12856, in the name of Anas Sarwar, on access to vital medicines. We are a bit behind time already for thi...
Anas Sarwar (Glasgow) (Lab) Lab
I stand here to stick up for patients in Scotland who have no voice: the patients with breast cancer or cystic fibrosis who have been denied access to vital,...
The Cabinet Secretary for Health and Sport (Shona Robison) SNP
In recent years, the Parliament has driven significant change in access to new medicines, for which the system is—rightly—independent of politicians. Reforms...
Anas Sarwar Lab
The cabinet secretary mentioned that the PACS tier 2 process says explicitly that cost is not a consideration. Will she make funds to access such medicines a...
Shona Robison SNP
First, it is still important to demonstrate clinical effectiveness. We have made funding available through the new medicines fund, which is funded through th...
Miles Briggs (Lothian) (Con) Con
I am pleased to contribute to today’s debate about access to life-prolonging medicines and I thank the Labour Party for bringing it to the chamber. It is an ...
Alison Johnstone (Lothian) (Green) Green
We all want patients to be able to access the treatments that they need without delay. It is unthinkable that patients’ health is deteriorating while medicin...
Willie Rennie (North East Fife) (LD) LD
It is tough to watch and read about breast cancer patients and their ordeal. Who would not want to make policy changes when they learn about Jen Hardy, from ...
Shona Robison SNP
One of the core principles that we want in the new PPRS deal is that the companies that offer a deal to one part of the UK must offer the same deal to all pa...
Willie Rennie LD
I agree with that approach, but that does not explain why we are in the position that Wales and Northern Ireland seem to be moving ahead, alongside England, ...
Jackie Baillie (Dumbarton) (Lab) Lab
It was only a week ago that we had a members’ business debate on access to Orkambi. The Minister for Public Health and Sport’s response then was disappointin...
Shona Robison SNP
Jackie Baillie raises an important point. The portfolio approach did include unlicensed medicines the safety of which remained unproven. I am glad that she s...
Jackie Baillie Lab
I am suggesting that we can address it if we have those negotiations. All those other countries have, and negotiations on such an agreement are well under wa...
Ash Denham (Edinburgh Eastern) (SNP) SNP
As the MSP for Edinburgh Eastern, I have met constituents for whom access to potentially life-altering medicines for themselves or their children is an incre...
Annie Wells (Glasgow) (Con) Con
I thank the Labour Party for bringing an extremely important topic to the chamber for debate. I ask members to imagine a situation in which a family member ...
Kezia Dugdale (Lothian) (Lab) Lab
I commend my colleague and friend Anas Sarwar for his persistent focus on access to medicines, which has allowed us to devote Labour’s debating time to the i...
Clare Haughey (Rutherglen) (SNP) SNP
I refer members to my entry in the register of interests, which shows that I am a registered mental health nurse and that I currently hold an honorary contra...
Alexander Stewart (Mid Scotland and Fife) (Con) Con
I am delighted to have the opportunity of taking part in today’s debate. I pay tribute to the Labour Party for bringing it to the chamber and to Anas Sarwar ...
Ivan McKee (Glasgow Provan) (SNP) SNP
I welcome the opportunity to take part in this debate on access to new medicines. The member who lodged the motion and all of us in the chamber want to achie...
Jackie Baillie Lab
Does the member agree that there is a gap between ultra-orphan medicines, which are covered by the new pathway, and the SMC process? There is nothing suitabl...
Ivan McKee SNP
Everything needs to be looked at to make sure that there are no gaps. I have been outlining the changes that the Government has made. What it has done and wh...
The Presiding Officer (Ken Macintosh) NPA
We move to the closing speeches. I am afraid that speeches must still be restricted to four minutes. 16:49
Brian Whittle (South Scotland) (Con) Con
I am pleased to close the debate on behalf of the Scottish Conservative Party, and I thank the Labour Party for giving us the opportunity to highlight once a...
Shona Robison SNP
It has been a good debate, in which we have heard some very powerful speeches. I hope that it has united the chamber in a number of respects; I will come bac...
Jackie Baillie Lab
I did. Let me quote from a Vertex statement that was made following its meeting with the Scottish Government on 18 June. Vertex says that it will accelerate ...
Shona Robison SNP
It is not for the Government to do that—it is for the SMC. However, there were unlicensed medicines in that portfolio. If things have moved on, that is to be...
The Presiding Officer NPA
I am sorry. There is no time to take an intervention, cabinet secretary. You must conclude.
Shona Robison SNP
I will write to members about the specific issues that they raised, but the message that we can all agree on in this debate is that we want medicines to get ...
The Presiding Officer NPA
I call David Stewart to conclude the debate. 16:58
David Stewart (Highlands and Islands) (Lab) Lab
Thank you, Presiding Officer. This has been a productive debate with passionate and well-informed contributions from across the chamber. At one level, discus...