16/09/2014 Scotland 2014


16/09/2014

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The NHS is back at the centre of the referendum debate tonight,

:00:00.:00:00.

as secret documents seen by the BBC give the arguments a new twist.

:00:07.:00:28.

Gordon Brown says the SNP are lying about the NHS,

:00:29.:00:31.

while the SNP say they have protected the

:00:32.:00:33.

on the day leaked documents suggest there is a large hole

:00:34.:00:38.

in the Scottish Government's spending plans.

:00:39.:00:41.

Also, The three UK party leaders have signed a vow pledging more

:00:42.:00:44.

They are also promising to protect the Barnett formula as a means

:00:45.:00:50.

of deciding how much money Scotland gets.

:00:51.:00:52.

But Lord Barnett himself says its time the formula was scrapped.

:00:53.:01:02.

That's what every political party always promises the voters.

:01:03.:01:06.

But never has the future of health services,

:01:07.:01:09.

how they are paid for and how they are delivered, been the subject

:01:10.:01:12.

Gordon Brown today accused the SNP of lying about the NHS,

:01:13.:01:18.

while the Yes campaign says it will be best protected if Scotland has

:01:19.:01:22.

But the row comes on the same day that the BBC has

:01:23.:01:28.

seen leaked documents that suggest there is a multi-million-pound hole

:01:29.:01:31.

in the SNP government's spending plans for the NHS.

:01:32.:01:34.

Here is our health correspondent Eleanor Bradford.

:01:35.:01:38.

This confidential document was intended only for the eyes of NHS

:01:39.:01:41.

chief executives and civil servants, and the language is stark.

:01:42.:01:43.

It suggests plans to manage the pressure

:01:44.:01:47.

on the NHS are being undermined by the Scottish government,

:01:48.:01:50.

that policy commitments made by the SNP are "not fully funded" and that

:01:51.:01:54.

some are "directly in conflict" with plans to transform care.

:01:55.:01:57.

The result, according to this document, is a

:01:58.:02:00.

funding gap of ?400-450 million over the next two years, representing

:02:01.:02:06.

Opposition MPs have described the revelations as extraordinary,

:02:07.:02:12.

Here is the Scottish National party planning to cut health service

:02:13.:02:29.

spending in Scotland by 450 million, not telling us about it and denying

:02:30.:02:32.

they have the power to do anything about it and trying to tell people

:02:33.:02:35.

that they are trying to save the NHS. The truth is they have now

:02:36.:02:41.

started to use the NHS as a battering ram for independence and

:02:42.:02:44.

So, politics aside for a moment, what would a funding gap mean

:02:45.:02:48.

Well, the paper says "The status quo is no longer an option".

:02:49.:02:52.

And that "radical and urgent decisions need to be made".

:02:53.:02:55.

In layman's terms, that could mean closure of some services,

:02:56.:02:57.

including possibly A - a measure the SNP vowed to stop when it was

:02:58.:03:01.

elected in 2007, reversing plans to close Monklands and Ayr hospitals.

:03:02.:03:08.

So is that the kind of hard choice that will be back

:03:09.:03:11.

Speaking to BBC Scotland tonight, Alex Salmond said they aren't

:03:12.:03:16.

cutbacks but efficiency savings made necessary by Westminster.

:03:17.:03:23.

All that money from their savings is reinvested in the health budget,

:03:24.:03:30.

which is why it is increasing in real terms and will continue to do

:03:31.:03:33.

so across this year and next year and the year after in terms of the

:03:34.:03:38.

front line budget. What I'm pointing out is if you look at the bulk of

:03:39.:03:43.

these cost pressures, they are changes to pensions from

:03:44.:03:46.

Westminster, changes to national insurance from Westminster. Is it

:03:47.:03:52.

really a case of efficiency savings?

:03:53.:03:57.

It is sometimes difficult to make your way through the claim and

:03:58.:04:01.

counterclaim. This document comes from the top and contains dramatic

:04:02.:04:06.

language not normally seen in the boardroom and stark warnings and

:04:07.:04:10.

criticises government policy. To me, that is not just business as usual

:04:11.:04:16.

at normal efficiency savings. It can't be a coincidence that you

:04:17.:04:21.

got sight of these papers just before the referendum.

:04:22.:04:28.

The whistle-blower who passed these to said they were frustrated by the

:04:29.:04:35.

yes campaign saying that cuts to the NHS were due to Westminster. I have

:04:36.:04:41.

been contacted by many doctors today on both sides of the debate all

:04:42.:04:50.

concerned about the NHS. We only have one full day of campaigning

:04:51.:04:54.

left and many people will have already made up their minds.

:04:55.:04:55.

In the studio we have the Cabinet Secretary for Health

:04:56.:04:58.

and Wellbeing, Alex Neil, and the Scottish Labour Spokesperson

:04:59.:05:00.

Thank you for coming in. The language in this document doesn't

:05:01.:05:11.

sound like a case of efficiency savings. Gordon Brown is talking

:05:12.:05:18.

rubbish in a whole range of things. He started the privatisation of the

:05:19.:05:22.

NHS in England. It is very relevant indeed. He is talking mince. He says

:05:23.:05:30.

this is secret. There is nothing secretive. When we approved the

:05:31.:05:34.

budget in February, every health board put this information on their

:05:35.:05:39.

websites. If Gordon Brown had known that, he could've gone and seen that

:05:40.:05:43.

the information has been there months. These are not cost-cutting,

:05:44.:05:49.

these are efficiency savings being reinvested in the health service and

:05:50.:05:52.

the difference between us and south of the border is where we get

:05:53.:05:58.

efficiency savings, we reinvest in the NHS. What Labour want us to do

:05:59.:06:04.

is to take the Tory cuts and tax the Scottish people second time round to

:06:05.:06:11.

make up for it. It's absurd. If it is simply efficiency savings then

:06:12.:06:13.

why are senior health service managers talking about radical and

:06:14.:06:16.

urgent decisions leading to be made? What they are saying is there

:06:17.:06:25.

are a number of challenges facing every National Health Service and

:06:26.:06:27.

reading needs to deal with it and that is why we are going to produce

:06:28.:06:33.

a plan for 2020 all in next year. As the First Minister said, if you take

:06:34.:06:36.

the pension increase, ?100 million of these pressures for example

:06:37.:06:40.

because of the additional pension contributions we are being asked to

:06:41.:06:44.

make for the Westminster government, that is going into the Treasury in

:06:45.:06:49.

London. If we were independent, that money would stay in Scotland for

:06:50.:06:54.

investment in the NHS. The irony is that the extra money we are in force

:06:55.:07:00.

to give in pension contributions isn't going into NHS workers'

:07:01.:07:05.

pensions. It is paying off the deficit that Gordon Brown, Alistair

:07:06.:07:13.

Darling and George Osborne caused. I think that is absolute fantasy. What

:07:14.:07:20.

we see in this week to document is clearly not just to talk about

:07:21.:07:23.

efficiency savings. It looks more like a crisis document to me. We are

:07:24.:07:30.

supposed to listen to him. He misled Parliament over what was happening

:07:31.:07:33.

in his own backyard. He has misled the country by claiming that the NHS

:07:34.:07:41.

will be privatised with a no vote. When was he going to tell us about

:07:42.:07:47.

this? Brady, next week? I wouldn't trust him to open a box of

:07:48.:07:52.

Elastoplast is never mind tell us the truth about the NHS. Gordon

:07:53.:07:58.

Brown outright accused the SNP of lying. They are telling untruths.

:07:59.:08:10.

The NHS was never mentioned in the first years of the campaign. Then

:08:11.:08:16.

suddenly the NHS became the biggest issue. The NHS is now the biggest

:08:17.:08:22.

issue because he has been rumbled big-time on this. Is it not

:08:23.:08:28.

inconvenient that this has been leaked, even if it was for political

:08:29.:08:38.

reasons, right in the middle of the NHS becoming the biggest thing in

:08:39.:08:45.

your campaign? Some of these chief executives were people who wanted to

:08:46.:08:53.

shut A departments. Labour were going to shut Monklands. This man

:08:54.:09:01.

tried to get me sacked because I tried to keep up in a mental health

:09:02.:09:08.

unit. I didn't mislead Parliament. Does this not prove that Scotland

:09:09.:09:12.

has full control over the NHS and there is no reason to vote yes? The

:09:13.:09:21.

Scotland act allows Westminster to overrule the Scottish Parliament on

:09:22.:09:26.

anything and it had already has done, for example the waters of the

:09:27.:09:29.

West of Scotland and renewable energy. Consequences of

:09:30.:09:36.

privatisation and charges, they are speaking down south about charging

:09:37.:09:45.

people ?25 for visiting the doctor. If this happens then it means the

:09:46.:09:52.

funding by the NHS under the union goes down. That is a fact of life.

:09:53.:09:58.

If public spending was down and then the amount of money coming to

:09:59.:10:07.

Scotland goes down. If they are procuring in the private sector then

:10:08.:10:15.

it is still money coming into the public. They're privatising to

:10:16.:10:27.

reduce public funding. He is trying to take it away from the substance

:10:28.:10:33.

of what the report is saying. Now we see the consequences in this

:10:34.:10:40.

document. It is his responsibility and he has been caught out. This

:10:41.:10:47.

sounds like a lot of arguments so far, both sides shouting and calling

:10:48.:10:56.

each other liars. Who really should have control of the Scottish NHS? In

:10:57.:11:01.

an independent Scotland we should take the money from getting rid of

:11:02.:11:10.

Trident, ?50 million per year, we could put that into the health

:11:11.:11:16.

service and public services. We could decide exactly how much is

:11:17.:11:21.

spelt an NHS and not rely on a Tory government or a right-wing Labour

:11:22.:11:24.

government such as the one led by Gordon Brown which cut public

:11:25.:11:31.

services to ribbons. People at home should make their minds up based on

:11:32.:11:34.

the facts and that is that we have control over the NHS in Scotland.

:11:35.:11:40.

The problem is that Alec is not taking his responsibilities

:11:41.:11:43.

seriously and he was not going to tell us that up his sleeve he has

:11:44.:11:47.

half a billion of cuts. When was he going to tell us? Desires

:11:48.:11:51.

responsibilities. He has been trying to hide it. Thank you both very

:11:52.:11:56.

much. As soon as the pledge

:11:57.:11:58.

from all three party leaders to guarantee more powers for the

:11:59.:12:00.

Scottish Parliament was published on the front page of the Daily

:12:01.:12:03.

Record it was quickly dismissed by That makes a change from describing

:12:04.:12:06.

Better Together as Project Fear. But does it suggest a note of panic

:12:07.:12:11.

in the Yes camp that a pledge of further devolution, however late

:12:12.:12:15.

in the day, might just be enough to The countdown continues. This is

:12:16.:12:31.

campaigning in a frenzy. And up to the wire. On the day the three main

:12:32.:12:38.

Better Together parties published this. A foul to the people of

:12:39.:12:42.

Scotland to deliver change. They vowed to keep the Barnett formula

:12:43.:12:47.

and guarantee powers to raise revenue. They say categorically that

:12:48.:12:52.

in no vote will deliver faster change. Is it offering no voters a

:12:53.:12:59.

little bit of yes? One of the signatories went to Edinburgh today.

:13:00.:13:08.

Ed Miliband this year. If we're used to about the yes campaign talking

:13:09.:13:13.

about change then it is now the key argument of the no campaign as well.

:13:14.:13:20.

A vote for no is not a vote for no change. It is a clear vote for

:13:21.:13:26.

change and stronger powers for the Scottish parliament. Each party has

:13:27.:13:31.

already set out their vision for more devolution. There is no more

:13:32.:13:41.

talk of the status quo. We need change and we would all over it.

:13:42.:13:51.

More powers to Scotland. Have fans of devo max come out victorious or

:13:52.:13:59.

is this just a bride? Nicola Sturgeon was counting down to the

:14:00.:14:02.

referendum at an engineering firm in Renfrew. Most people in Scotland

:14:03.:14:12.

with that -- would refer to it as an attempted con. There's not a single

:14:13.:14:16.

tangible power mentioned in what they're saying. They're asking

:14:17.:14:22.

people to vote no in return for unspecified powers they did not

:14:23.:14:25.

agree on and politicians south of the border are already saying they

:14:26.:14:31.

would block them. Lord Barnett himself says the Barnett formula

:14:32.:14:35.

should be scrapped. On the other hand it is being seen as a blueprint

:14:36.:14:40.

for the rest of the UK. A great precedent has been set by Scotland

:14:41.:14:47.

in getting clearer powers and I hope we will learn from that not just

:14:48.:14:50.

south of the border but in Wales and Northern Ireland as well. The valve

:14:51.:14:57.

sets out guarantees if Scotland votes no. But can we guarantee that

:14:58.:15:01.

they will deliver? Two old hands

:15:02.:15:02.

at this political game are here - the Labour peer Lord George Foulkes

:15:03.:15:05.

and the SNP's Linda Fabiani. Much is being made of this. Yet the

:15:06.:15:17.

plan still haven't been agreed. They are promising new powers and I doubt

:15:18.:15:24.

very much you can tell me tonight what they are promising. Some of us

:15:25.:15:31.

have argued for some time that we should provide people like Linda,

:15:32.:15:48.

MSP' s with the ability to have fiscal responsibility. They will

:15:49.:15:52.

have to raise the money they spend and they will have the power to do

:15:53.:15:55.

it but they also have the responsibility. I am pleased we have

:15:56.:15:58.

got this pledge from all three party leaders.

:15:59.:16:04.

But they do not agree on how much the Scottish parliament should be

:16:05.:16:12.

allowed to raise. The principle is beer. Everyone is saying that the

:16:13.:16:18.

Scottish parliament should have the power to raise tax. They have had

:16:19.:16:24.

the power for some time to raise income tax by 2p. They could do

:16:25.:16:29.

that. They have never it. Soon able get more powers under the Calman

:16:30.:16:33.

recommendations that have been fermented by Parliament. Now we have

:16:34.:16:41.

got a pledge that they will get even more. They will have more powers to

:16:42.:16:45.

raise the money so that they are responsible for the money they spend

:16:46.:16:50.

and they can no longer blame Westminster and take the credit for

:16:51.:16:57.

the money that they have spent. Are you worried that although it may

:16:58.:17:01.

have come at the last minute the promise of more devolved powers is

:17:02.:17:04.

what some people may have been looking for? I think it is quite

:17:05.:17:12.

obviously a panic measure. When I was chair of the Scotland Bill

:17:13.:17:19.

committee we push for powers beyond what was the. The same three parties

:17:20.:17:25.

that are now promising wonderful things for Scotland systematically

:17:26.:17:29.

refuse to even consider it, including the devolution of welfare

:17:30.:17:34.

powers. It is interesting that George Fuchs is talking about having

:17:35.:17:50.

tax-raising powers -- that George Foulkes. It seems to be a strange

:17:51.:17:54.

way for the Labour Party to be going. Joining up with the Tories

:17:55.:17:59.

and the Lib Dems because they suddenly realise that the people of

:18:00.:18:03.

Scotland can see a better future. They will do anything to try and

:18:04.:18:08.

scupper that. Just because the party leaders have made this pledge does

:18:09.:18:12.

not mean that this will go through Westminster. A lot of Tory MPs have

:18:13.:18:17.

taken flight at what is being promised. One today described it as

:18:18.:18:21.

a bloodbath if David Cameron tried to get this through Westminster. We

:18:22.:18:25.

are used to backbench MPs making these comments. They bought as well.

:18:26.:18:31.

Only if they have voted with the Labour Party. If you get the Labour

:18:32.:18:36.

Party and the Liberal Democrats supporting the Tory Government of

:18:37.:18:41.

course you will get it through. Or after May it will be a Labour

:18:42.:18:46.

Government introducing it. Each Government has pledged to introduce

:18:47.:18:49.

it and will get the support of the other parties. That does sound like

:18:50.:18:57.

a rock solid promise. There will be some movement on devolution. We do

:18:58.:19:01.

not know what that pledge is. They have called it a value rather than a

:19:02.:19:09.

pledge. It does not see what it is. They did not like what the SNP and

:19:10.:19:13.

the Green Party put forward to link the last Scotland Bill. They did not

:19:14.:19:21.

like the 80 of a third question on the ballot paper. The idea that that

:19:22.:19:27.

can be very quickly put through, whatever letters, I think smacks of

:19:28.:19:36.

desperation. Nick Clegg and David Cameron do not have to compromise.

:19:37.:19:42.

They are on the same size. If you look at the Strathclyde proposals

:19:43.:19:48.

and the proposals of the liberal Democrats... I think we will get an

:19:49.:19:58.

Agreement. We have got to get these powers for the Scottish parliament

:19:59.:20:02.

cracker. We will get them better and safer because we will not have this

:20:03.:20:06.

but that they would get with separation. You can get more powers

:20:07.:20:09.

to the Scottish parliament but stay within the United Kingdom, and all

:20:10.:20:15.

the safety and security of staying within the United Kingdom. We know

:20:16.:20:22.

what our currency and defence would be if we stay as part of the United

:20:23.:20:27.

Kingdom. We get more powers to the Scottish Parliament, but the

:20:28.:20:29.

security and safety of the United Kingdom. I know you do not want to

:20:30.:20:37.

contemplate the possibility of a No vote, but with the SNP take part? A

:20:38.:20:47.

pledge that we have always had is to do the best for Scotland. I believe

:20:48.:20:57.

that the people of Scotland will get a bright future if they vote for

:20:58.:21:01.

independence on Thursday. But when these people let us down yet again,

:21:02.:21:06.

and it is not safe and secure if you are telling at a food bank in East

:21:07.:21:10.

Kilbride, it will be the people of Scotland who would hold them to

:21:11.:21:15.

account. Thankfully I think that will not happen. Linda Fabiani says

:21:16.:21:20.

she will join in the devolution process in the event of a No vote.

:21:21.:21:24.

With you do likewise in the event of a Yes vote. #

:21:25.:21:36.

She is a genuine politician. I have said that we always work of what is

:21:37.:21:42.

best for Scotland. Would you join Alex Salmond if it is a Yes vote? I

:21:43.:21:49.

would do everything I can to advance a situation as far as the people of

:21:50.:21:50.

Scotland is concerned. Now let's take a look

:21:51.:22:00.

at how the referendum is headlining The New York Times reports on

:22:01.:22:13.

Westminster 's renewed pledge to grab Scotland extensive new powers

:22:14.:22:18.

if they stay within the union. There is a story on the battle

:22:19.:22:21.

between negative and positive forecasts on the future of Scotland.

:22:22.:22:32.

And our French publication sees it as yet another eccentricity from

:22:33.:22:34.

across the Channel. With me, for the last time, this

:22:35.:22:39.

side of the poll, is the journalist and political commentator for

:22:40.:22:43.

the Sunday Herald, Iain Macwhirter, and the leading human rights lawyer

:22:44.:22:45.

and pro unionist QC, Derek Ogg. To pick up on the vow that has been

:22:46.:23:06.

made, there is a great deal of scepticism about whether Westminster

:23:07.:23:16.

can or will deliver. Whoever the sub editor was who came up with the idea

:23:17.:23:21.

of the vow as a headline should get a medal from Better Together. It

:23:22.:23:28.

implies more than just what the words are. There is a spirit, is

:23:29.:23:34.

sincere promise. If they broke that there would be political mayhem in

:23:35.:23:41.

Scotland. A lot of people would say they could not tolerate that. They

:23:42.:23:48.

have taken a fairly bold step by calling it a vow. It does have some

:23:49.:23:52.

limited to it. I am not sure there is as much scepticism as some may

:23:53.:24:01.

say. I am going to guess that you are sceptical. Yes. There is nothing

:24:02.:24:08.

new in this other than the colour of the newspaper and which it is

:24:09.:24:14.

expressed. Normally when people commits to do something tangible.

:24:15.:24:23.

There is nothing beyond what Gordon Brown was talking about last week

:24:24.:24:32.

which is essentially the proposal of 5p income tax. If they have come up

:24:33.:24:40.

with an idea for a federal constitution which would give

:24:41.:24:46.

Scotland the dominant economic powers, and a new federal

:24:47.:24:50.

arrangement with the other elements of the United Kingdom, but makes

:24:51.:24:54.

have carried some weight. It's did not do that. The excluded federalism

:24:55.:25:01.

from the ballot paper. At the very last minute in a desperate panic

:25:02.:25:06.

move they are seeing that we will give you the earth, sun and stars,

:25:07.:25:11.

but we will not tell you what it is. There is no substance to it. There

:25:12.:25:16.

are some new opinion polls out tonight. The first one is in The

:25:17.:25:37.

Daily Mail. Yes is on 48, No is on 52. Another opinion poll mirrors

:25:38.:25:52.

that. Is it in the bag, Derek Ogg? All the ups and downs of the

:25:53.:26:04.

campaign, yet there is this resilience of 52% showing up. Unless

:26:05.:26:08.

there is something radically wrong with the methodology that every

:26:09.:26:19.

opinion poll is using, that is well within the margin of error. I think

:26:20.:26:25.

the No campaign can feel comfortable. But this should not

:26:26.:26:29.

feel proud of themselves. It has been a shocking campaign in some

:26:30.:26:40.

ways. This has been diffusing kind of Gordon Brown. The opinion polls

:26:41.:26:50.

are very tight. There is not much in it. But they are consistent. The Yes

:26:51.:27:00.

campaign is not disappointed. The fieldwork has been conducted in the

:27:01.:27:07.

last few days when the Prime Minister has said, we will give you

:27:08.:27:16.

anything. It is surprising that it does not further in favour of the No

:27:17.:27:28.

campaign. Some voters will think that they have humiliated David

:27:29.:27:35.

Cameron and this should maybe accept that and get some change in the

:27:36.:27:39.

future. That has not happened. An opinion poll shows a 6-point advance

:27:40.:27:46.

for the Yes campaign. Well this translate into a victory on

:27:47.:27:57.

Thursday? I do not know. Most Scots never wanted to leave the United

:27:58.:28:00.

Kingdom in the first place. Every opinion poll for the last 30 years

:28:01.:28:05.

has shown that Scots want more economic powers within the overall

:28:06.:28:09.

wrapping of the native kingdom. It is quite extraordinary that this

:28:10.:28:17.

campaign has managed to force so many Scots into voting out of

:28:18.:28:22.

desperation or independence. One slightly different in -- one

:28:23.:28:29.

slightly different survey, regarding the question of whether David

:28:30.:28:30.

Cameron should resign? have to take responsibility if there

:28:31.:29:02.

is a Yes vote? I do not think so. Is that the British that are saying

:29:03.:29:08.

that? Yes. But there will be a political day of reckoning. There

:29:09.:29:11.

has been speculation about the position of David Cameron. There are

:29:12.:29:16.

some who will lay the blame more squarely at the door of Ed Miliband

:29:17.:29:19.

because it would be Labour voters who would desert to court two. There

:29:20.:29:29.

are 42% of Labour voters who are now contemplating voting Yes. That is

:29:30.:29:38.

the reverse of what happened before. In 2007 the SNP managed to establish

:29:39.:29:46.

a Government. Thank you for talking to us tonight.

:29:47.:29:50.

That is all for now. We are back at the same time tomorrow night.

:29:51.:29:51.

Goodbye.

:29:52.:29:59.

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