Chamber
Plenary, 12 Dec 2007
12 Dec 2007 · S3 · Plenary
Item of business
Health Strategy
I, too, thank the cabinet secretary for the advance copy of her statement and action plan. Like others who received them, I thought that the 3,328 words of the statement and the action plan's 78 pages made interesting reading over the extended luncheon interval.
Like other members, we need time to study the cabinet secretary's important statement and to reflect on the fact that although there is much in it that the Liberal Democrats could welcome, there are a number of areas about which we are not clear. I welcome what I take to be a commitment from the cabinet secretary to offer Government time for a debate on this important subject. That would be appropriate.
Early in her statement, the cabinet secretary referred to increasing patient participation, which the Liberal Democrats would certainly welcome. However, I think that she is aware that these are difficult issues, even without a great bureaucracy behind them. She referred to a number of stages and steps to increase patient participation. Will she clarify whether there will be a range of additional consultations on patient participation or whether she may be able to wrap things up into a more simplified form so that we can tackle the problem?
I want to press the cabinet secretary on the ministerial task force on health inequalities. What she said about that is to be welcomed, but I see that there is also a cross-Government early years strategy. There is clearly crossover between elements of that strategy and the task force on health inequalities. There are similarities between the two and similar problems to be addressed. How will she ensure that, by establishing two separate groups, she does not separate those problems?
I agree that on mental health nothing has been abolished, but although the cabinet secretary has made it clear that the issue is a priority, spending on it in the part of the budget that is not devolved to local government is fairly flat lined. It is difficult to see how the issue will be prioritised if it does not receive improved funding.
The statement that the Government is
"to further shift the balance of care"
is important, leaving aside the infelicity of the split infinitive. Improvements in the funding of primary health care are to be welcomed, but it is not clear from the statement what the shift in the balance will be. Equally, it is not clear from the budget what significant shift in resources would give weight to that rhetoric.
We welcome the improved contribution of community pharmacies, but can the cabinet secretary confirm that her statement today goes beyond what has been signed up to in the new community pharmacy contract?
Finally, in your closing remarks you made much of performance management accountability, and it is vital that the Parliament is able to hold you and health boards to account. The Liberal Democrats and I welcome the shift from input to outcome measurement. However, in your statement—unless I misheard you—and in other documents, you talk about annual targets. Until now, a large number of input measurements, imperfect though they may be, have been made much more regularly than on an annual basis. I would welcome confirmation that the Parliament will be able to hold you to account not only several months after a year has ended, but much more regularly.
Like other members, we need time to study the cabinet secretary's important statement and to reflect on the fact that although there is much in it that the Liberal Democrats could welcome, there are a number of areas about which we are not clear. I welcome what I take to be a commitment from the cabinet secretary to offer Government time for a debate on this important subject. That would be appropriate.
Early in her statement, the cabinet secretary referred to increasing patient participation, which the Liberal Democrats would certainly welcome. However, I think that she is aware that these are difficult issues, even without a great bureaucracy behind them. She referred to a number of stages and steps to increase patient participation. Will she clarify whether there will be a range of additional consultations on patient participation or whether she may be able to wrap things up into a more simplified form so that we can tackle the problem?
I want to press the cabinet secretary on the ministerial task force on health inequalities. What she said about that is to be welcomed, but I see that there is also a cross-Government early years strategy. There is clearly crossover between elements of that strategy and the task force on health inequalities. There are similarities between the two and similar problems to be addressed. How will she ensure that, by establishing two separate groups, she does not separate those problems?
I agree that on mental health nothing has been abolished, but although the cabinet secretary has made it clear that the issue is a priority, spending on it in the part of the budget that is not devolved to local government is fairly flat lined. It is difficult to see how the issue will be prioritised if it does not receive improved funding.
The statement that the Government is
"to further shift the balance of care"
is important, leaving aside the infelicity of the split infinitive. Improvements in the funding of primary health care are to be welcomed, but it is not clear from the statement what the shift in the balance will be. Equally, it is not clear from the budget what significant shift in resources would give weight to that rhetoric.
We welcome the improved contribution of community pharmacies, but can the cabinet secretary confirm that her statement today goes beyond what has been signed up to in the new community pharmacy contract?
Finally, in your closing remarks you made much of performance management accountability, and it is vital that the Parliament is able to hold you and health boards to account. The Liberal Democrats and I welcome the shift from input to outcome measurement. However, in your statement—unless I misheard you—and in other documents, you talk about annual targets. Until now, a large number of input measurements, imperfect though they may be, have been made much more regularly than on an annual basis. I would welcome confirmation that the Parliament will be able to hold you to account not only several months after a year has ended, but much more regularly.
In the same item of business
The Presiding Officer (Alex Fergusson):
NPA
The next item of business is a statement by Nicola Sturgeon on the Scottish Government's health strategy. The Deputy First Minister and Cabinet Secretary for...
The Deputy First Minister and Cabinet Secretary for Health and Wellbeing (Nicola Sturgeon):
SNP
I am delighted to publish today our new action plan for health and well-being. "Better Health, Better Care" sets out a clear vision for the national health s...
Margaret Curran (Glasgow Baillieston) (Lab):
Lab
I thank the minister for an advance copy of her statement.I have one note of significant disappointment—although there are perhaps a few others—that minister...
Nicola Sturgeon:
SNP
I thank—or at least I think that I should thank—Margaret Curran for those questions. It is slightly depressing that although I have just published a wide-ran...
Mary Scanlon (Highlands and Islands) (Con):
Con
I, too, thank the cabinet secretary for the advance copies of her statement and the action plan. I put it on the record that the Scottish Conservatives ackno...
Nicola Sturgeon:
SNP
I thank Mary Scanlon for her questions and for asking them positively. I accept that all members will want more time to read the action plan—on recent eviden...
Ross Finnie (West of Scotland) (LD):
LD
I, too, thank the cabinet secretary for the advance copy of her statement and action plan. Like others who received them, I thought that the 3,328 words of t...
The Presiding Officer:
NPA
Before I call the cabinet secretary to reply, I remind members that they may refer to her in many ways—as "cabinet secretary", as "minister" or as "Nicola St...
Nicola Sturgeon:
SNP
That is better than how members sometimes refer to me outside the chamber—at least, it is better than how Margaret Curran sometimes refers to me.Ross Finnie ...
The Deputy Presiding Officer (Alasdair Morgan):
SNP
A large number of members have pressed their request-to-speak buttons, so questions should be brief and focused. I call Christine Grahame.
Christine Grahame (South of Scotland) (SNP):
SNP
I do not know why that is always said just before I get up to ask a question, but there we are.Quite rightly, the cabinet secretary stressed the commitment t...
Nicola Sturgeon:
SNP
I thank Christine Grahame for asking perhaps the most important question that could be asked about the action plan. She will recall that when the Cabinet Sec...
Helen Eadie (Dunfermline East) (Lab):
Lab
The cabinet secretary has focused on making waiting times shorter for people to get into hospitals, but I have evidence of a sudden increase in patient waiti...
Nicola Sturgeon:
SNP
I assure the member that this Government gives absolute priority to tackling delayed discharges. Indeed, we have spent a long time discussing the topic in th...
Helen Eadie:
Lab
Absolute nonsense.
The Deputy Presiding Officer:
SNP
Order.
Nicola Sturgeon:
SNP
That administration then set a budget to bring the overspend down to nil. That is the reality of what the new administration in Fife inherited—Interruption.
The Deputy Presiding Officer:
SNP
Order.
Nicola Sturgeon:
SNP
I know that the member might not like hearing the truth, but she might do well to listen. That is the reality of what the new administration inherited, and i...
Ian McKee (Lothians) (SNP):
SNP
It is clear from the cabinet secretary's speech that the Scottish Government is looking for an NHS that is responsive to people's needs and available at the ...
The Deputy Presiding Officer:
SNP
Order.
Ian McKee:
SNP
What I would like to say—if I am allowed to—is that, as a former GP, I am interested in and agree entirely with the cabinet secretary's proposal to extend GP...
Nicola Sturgeon:
SNP
I thank Ian McKee for those questions. I would have to come into the chamber wearing earmuffs in order not to hear the moans and groans of the Labour Opposit...
Cathie Craigie (Cumbernauld and Kilsyth) (Lab):
Lab
The cabinet secretary's 25-minute statement to Parliament contained little more than we already knew, apart from new words for the principle—already accepted...
The Deputy Presiding Officer:
SNP
There should be a question, Ms Craigie.
Cathie Craigie:
Lab
When will the Government initiate a debate on health? The SNP supported Bill Butler's member's bill on direct elections to NHS boards in the previous parliam...
The Deputy Presiding Officer:
SNP
The member has spoken for long enough. Minister, will you answer, please?
Nicola Sturgeon:
SNP
Cathie Craigie is absolutely right that my party supported Bill Butler's bill on direct elections. Unfortunately, her party did not, which is why the bill fe...
Cathie Craigie:
Lab
No, you haven't.
Nicola Sturgeon:
SNP
Let me give her a few highlights of what we have done on health since the election in May.