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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

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 again what amounts to an anomaly in the process of approving drugs for general use, particularly portfolio medicines. That is especially true in the cases of the drugs Perjeta and Orkambi.

We have heard how Perjeta can prolong the lives of women who are suffering from terminal breast cancer by up to 16 months, and we have heard how Orkambi, unlike traditional medicines for the treatment of cystic fibrosis, targets the root cause of the condition and has the potential to preserve or even restore lung function, thereby improving life expectancy and the quality of life of patients.

In speeches to the chamber, I tend to shy away from quoting constituents, but in this case I will make an exception, because their experiences and words highlight the issue that we are debating far better than I ever could. Willie Rennie has mentioned Ruth McEnaney, who has a young son. Ruth’s mother wrote to me and asked that I speak on her behalf. She says:

“From this early age her daily regime of medication was huge, 60 tablets a day with added ones when required and intravenous antibiotics on occasion too. She has also had daily physiotherapy from us twice a day and every kind of activity added to keep her fit and active, keeping her lungs in good shape. This must have cost us thousands of pounds over the years, with dancing 4/5 times a week, singing and trumpet lessons etc. I have never regretted one penny of what we have spent on this wonderful, kind hearted intelligent young woman. Having completed a degree in performance music, she has gone on to work with children and young adults with Autism—now a piano teacher herself. She also has worked extremely hard on her fitness as an adult which is the main reason she has got to being 31 years old!”

The age of 31 has already been mentioned as a key age.

“As I said before she is now a Mum too, dedicating her energy to bringing up her 4 year old son, but now on a downward spiral with her health, having more hospital admissions in the last 6 months than ever before and struggling with her lungs and her bowel with blockages now a regular occurrence and chest infections too.”

Ruth’s mother goes on to say:

“Ruth is desperate to stay alive to see her son grow up, to take him to school, high school and beyond, which is what most of us parents take for granted. I cannot therefore understand why there is a drug which could potentially transform her life, sitting on a shelf, while people say the cost is not worth it for her and many more wonderful, courageous young cystic fibrosis warriors. They have battled for so long already along with us, I’m hoping and praying that today will be a landmark day, to change their lives forever, giving them the gift of improved health and long life!”

As Willie Rennie said, today, Ruth attended the funeral of her last surviving friend from her days at the cystic fibrosis clinic at Crosshouse hospital. He was 26 years old—five years younger than my constituent’s daughter. Time is precious when we are talking about improving the quality of people’s lives, giving them time with their families and allowing them to continue to achieve, as Ruth has done.

Most debates in this place are about finding a way to gain a political inch on our opponents, to dodge the bullet of an intervention or to get out of here unscathed having landed a blow, but this afternoon’s debate is not. It is not about politics. It is about finding a way—and doing so quickly—to resolve a situation that is eminently solvable.

I fully recognise that it is not for politicians to make medical decisions and that there is always a tension between those medicines that are approved and those that are rejected, but I make a plea to the cabinet secretary to get the parties round a table and find a solution, because that is most definitely within her power.

16:53  

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...