16/05/2013

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:01:47. > :01:50.windsail windsail windowsills The Labour Party supported the move

:01:50. > :01:56.for free prescriptions in this chamber and in this Parliament and

:01:56. > :02:01.if they want to reverse that policy as many suspect they do, then they

:02:01. > :02:05.should say clearly to the people of Scotland and in particular up to

:02:05. > :02:09.600,000 families earning �16,000 a year and less who had to pay for

:02:09. > :02:15.prescriptions under the previous system. In terms of the cancer

:02:15. > :02:25.drugs, it is a hugely difficult and challenging issue. We can talk about

:02:25. > :02:26.

:02:26. > :02:30.that drug if Joanne wishes, but the position is not as she stated.

:02:30. > :02:38.Everything is not about an argument between the First Minister and I

:02:38. > :02:44.about manifestoes. There are some things that are more important.

:02:44. > :02:47.It is the hugely challenging Government. Scots cancer patients

:02:47. > :02:53.are three times less likely to get the drugs they need on the Scottish

:02:53. > :02:58.NHS than patients in England according to cancer charities.

:02:58. > :03:04.Scottish cancer patients have to pay thousands of pounds for vital, life

:03:04. > :03:09.enhancing drugs which are available free south of the border. That means

:03:09. > :03:14.that some Scottish cancer victims are planning to jup root their

:03:14. > :03:20.families from their jb uproot their families to move to England for

:03:20. > :03:30.treatment they cannot afford here. We are in danger of exporting health

:03:30. > :03:33.

:03:33. > :03:43.We are in danger of exporting health refugees. Order. Order.I agree that

:03:43. > :03:47.

:03:47. > :03:52.it is shameful so I'm asking Order. I agree it is shameful we are in

:03:53. > :03:59.danger of exporting health refugees. So what is the First Minister's

:03:59. > :04:06.advice to those families? The First Minister.

:04:06. > :04:09.On the question of the drug. This was authorised by the Scottish

:04:09. > :04:19.medicines consortium in January 2010. The decision to restrict its

:04:19. > :04:22.

:04:22. > :04:28.use was the application from the pharmaceutical company. The

:04:28. > :04:31.submitting company requested that it had a licence for patients who had

:04:31. > :04:35.not previously received chemotherapy. Therefore, for that,

:04:35. > :04:40.it was approved by the Scottish medicine consortium. It is similar

:04:40. > :04:46.to the decision that was made by NICE in England. Now, of course, it

:04:46. > :04:52.is the case that in England there is a Cancer Drugs Fund and people can

:04:52. > :04:56.apply to the Cancer Drugs Fund, but this drug was listed in the Cancer

:04:56. > :05:03.Drugs Fund, but with restrictions on its use. The Cancer Drugs Fund is

:05:03. > :05:07.coming to an end in England next year. With has been criticised by

:05:07. > :05:13.the cancer charities who challenged the idea of the Cancer Drugs Fund

:05:13. > :05:16.and we know that the Labour Party in this Parliament not only voted for

:05:16. > :05:21.to remove prescription charges from Scotland which was a good vote, but

:05:21. > :05:27.voteds against the idea of the Cancer Drugs Fund in this Parliament

:05:27. > :05:32.because of the challenges to that fund. Now, I know that Joanne Lamont

:05:32. > :05:35.doesn't like to be reminded of these things, but in terms of tackling

:05:35. > :05:43.access to medicines and what's the right thing to do. I think looking

:05:43. > :05:47.at the track record in this Parliament of people facing up to

:05:47. > :05:52.prescription charges and what's the right way to put forward a medicines

:05:52. > :05:58.which can help people with life limiting conditions. Then the fact

:05:58. > :06:03.that the Labour Party agreed with this Government puts Joanne Lamont

:06:03. > :06:05.in a difficult position to pursue the line of questioning which she is

:06:05. > :06:09.now pursuing. APPLAUSE

:06:09. > :06:16.No, the extraordinary difficult position that I am in is I am not

:06:16. > :06:19.able to address these problems. I cannot only ask the questions.

:06:19. > :06:29.APPLAUSE I am not in Government and I am

:06:29. > :06:29.

:06:29. > :06:36.asking the First Minister... Order. I am not in Government. I have a

:06:36. > :06:41.responsibility to raise the difficult issues which are had and

:06:41. > :06:44.I'm asking the First Minister not to retreat to the comfortable refuge of

:06:45. > :06:51.dealing with party politics, but focus on what's happening in the

:06:51. > :06:55.real world. Because First Minister, with respect, this is not good

:06:55. > :07:04.enough for people like Maureen Fleming. She is is a mother of three

:07:04. > :07:09.and a a grandmother of ten and she has bowl -- bowel cancer. Maureen

:07:09. > :07:16.has been denied the drugs which the consultant says would extend her

:07:17. > :07:21.life. The Flemings are struggling to get together the �10 thou needed for

:07:21. > :07:25.the -- the �10,000 needed for the treatment. They are planning to

:07:25. > :07:32.leave their home of 27 years and rent a flat in Newcastle because in

:07:32. > :07:39.England they can get the drug for free. Time is short. So Maureen

:07:39. > :07:45.Fleming has come to this chamber today to hear first hand what is the

:07:45. > :07:53.First Minister's advice to her and cancer victims like her. First

:07:53. > :07:57.Minister. As Joanne Lamont will have noticed we had the review which put

:07:57. > :08:02.forward a range of ways which the SNP is carrying out its job for the

:08:02. > :08:05.Scottish people. I can give Joanne Lamont a list of drugs which are

:08:05. > :08:10.available in Scotland because of the efficiency of the SNP process which

:08:10. > :08:13.is not available in England, but as far as the canner drugs fund, this

:08:13. > :08:18.chamber and indeed the cancer charities in Scotland decided that's

:08:18. > :08:23.not the right way to go. We know that the cancer drug fund comes to

:08:23. > :08:28.an end in England next year. In Scotland, we have an efficient

:08:28. > :08:33.process which would be unwise to challenge in terms of the Scottish

:08:33. > :08:41.medicines consortium and it is effectiveness is widely admired in

:08:41. > :08:46.terms of the quickness in which it judges and evalue waits drugs --

:08:46. > :08:49.evalue waits drugs, but we have the individual patient request system

:08:49. > :08:53.where people can apply in terms of the individual nature of their

:08:53. > :08:59.condition and we know also that improvements can be made to that

:08:59. > :09:03.system as well. But Joanne Lamont accuses me of playing party

:09:03. > :09:07.politics, but Joanne Lamont introduced this in the party

:09:07. > :09:12.political way and it is reasonable to point out on prescription charges

:09:12. > :09:15.and on her attitude to the Cancer Drugs Fund that the Labour Party

:09:15. > :09:20.agreed with our judgement that it is the best way to deliver health to

:09:20. > :09:22.the Scottish people. So in these extraordinary difficult

:09:23. > :09:30.circumstances, we are trying to judge a position which gives the

:09:30. > :09:36.best trEEmght to the people of Scotland -- best treatment to the

:09:36. > :09:39.people of Scotland. And it is not the case that they are a simple or

:09:39. > :09:44.easy solution to these matters. These are judged in the best way we

:09:45. > :09:52.can and it is done as I hope every member of this chamber does, with a

:09:52. > :09:56.genuine wish to protect the welfare and health of patients in Scotland.

:09:56. > :10:02.I regret all of and the First Minister has not addressed the

:10:02. > :10:07.question I put to him because Mrs Fleming represents a failure in the

:10:07. > :10:10.system and while we are thinking and deliberating about how in future we

:10:10. > :10:16.might address this problem, it is the business of Government to

:10:16. > :10:23.address what is happening to families now who do not have time to

:10:23. > :10:28.wait. Because we are walk talk being the real lives of real Scots. I will

:10:28. > :10:32.engage in the policy debate, but I urge the First Minister to act now

:10:32. > :10:36.for those people who have been failed for the system because the

:10:36. > :10:41.First Minister and I agree that the NHS should be free at the point of

:10:41. > :10:45.need, but the reality is, isn't it the case that in the First

:10:45. > :10:50.Minister's Scotland if you have a headache, xwrur prescription is

:10:50. > :10:56.free, but if you have cancer, your prescription can cost �3,000 a

:10:56. > :11:02.month. Isn't it the case that in this Scotland, Scots with hayfever

:11:02. > :11:09.can get the prodescriptions for free, but Scots with cancer may have

:11:09. > :11:16.to leave their homeland for the treatment to save their lives.

:11:16. > :11:23.Minister. When this administration abolished

:11:23. > :11:30.prescription charges, we were in a minority. They supported the move

:11:30. > :11:38.and they supported it because they felt for that range of 600,000 Scots

:11:38. > :11:42.and �16,000 -- on �16,000 a year or less. If they felt the Cancer Drugs

:11:42. > :11:45.Fund was the right thing to do, they could have supported it, but they

:11:45. > :11:48.agreed with us and the cancer charities that wasn't the right

:11:48. > :11:52.thing to do. There are always improvements that can be made to the

:11:52. > :11:56.system, but the SM C process a robust and effective system. It is

:11:56. > :12:01.doing the best it can and we are making improvements. The individual

:12:01. > :12:06.patient request is a good system and that is why we are trying to

:12:06. > :12:10.standise across the nation in terms of looking at the particular aspects

:12:10. > :12:15.of individual patients. But to pretend to people that there is a

:12:15. > :12:21.solution to these hugely difficult questions which are faced by every

:12:21. > :12:24.health service across the world in terms of the ethicacy of what drugs

:12:24. > :12:27.can be approved for use is misleading people. And to pretend to

:12:27. > :12:33.people that the situation in England is either continuing, which it is

:12:33. > :12:35.not, or is satisfactory is wrong and the last thing I would say to Joanne

:12:35. > :12:38.Lamont and I have every consideration and respect for the

:12:38. > :12:43.individual cases and we have all had constituents in that position and

:12:43. > :12:47.that's how it is done, but we have to look with some regard at some of

:12:47. > :12:54.the information that is placed out by drugs companies in this matter.

:12:55. > :13:04.There was a statement from last week which argued the drugs tourism that

:13:04. > :13:11.Joanne Lamont referred to, we should reflect on the fact that the drug

:13:11. > :13:16.there was concern about. They did not offer the dis discount on the

:13:16. > :13:22.drug. This is franchise a company that has been operating -- this is

:13:22. > :13:27.from a company which has an operating profit of �10 billion.

:13:27. > :13:31.Perhaps we should ask the drugs companies why they have they are not

:13:31. > :13:41.prepared to offer to the Scottish people the effective drugs at a

:13:41. > :13:41.

:13:41. > :13:44.reasonable price which would allow more of them to be approved?

:13:44. > :13:50.So ask the First Minister when he will meet the Secretary of State for

:13:50. > :13:57.Scotland? I have no plans. Last year we had the embarrassing

:13:57. > :14:00.pantomime of the First Minister pretending fof legal advice on an

:14:00. > :14:04.independent Scotland relationship with the EU to find no such advice

:14:04. > :14:08.existed. They made it up to cover the fact that everything this

:14:08. > :14:15.Government said about the EU was based on little more than wishful

:14:15. > :14:19.thinking. Then, in October... We had the Deputy First Minister

:14:19. > :14:22.promising this chamber she would tell us how much it cost taxpayers

:14:23. > :14:28.for that aborted action. As of this morning, that information has not

:14:28. > :14:31.been lodged. So I will ask again, how much public money was spent on a

:14:31. > :14:41.pointless action to prevent the publication of legal advice which

:14:41. > :14:41.

:14:41. > :14:49.never existed? First Minister? have to says -s but to talk about

:14:49. > :14:53.Europe and the phrase embarrassing pantomime...

:14:53. > :14:58.LAUGHTER In the wake of the House of Commons

:14:58. > :15:01.where her ally in the leader of the Liberal Democrats who I should give

:15:01. > :15:05.another mention to because he doesn't get a question today who

:15:05. > :15:11.said that the Prime Minister had taken leave of her senses and that

:15:11. > :15:21.is that allies in the coalition Government, I think, takes the most

:15:21. > :15:23.

:15:23. > :15:29.extraordinary degree of bravado for which I congratulate Ruth Davison.

:15:29. > :15:33.She would do well not to make these claims in the future. In terms of

:15:33. > :15:39.bare faced bravado when the SNP's own voters are more interesting in

:15:39. > :15:42.holding a referendum on Europe than voting on independence, I think the

:15:42. > :15:46.First Minister goes some himself. Despite being promised. Seven months

:15:46. > :15:49.ago for that information, it is still being kept secret, we don't

:15:49. > :15:53.that. Last night we heard from another one of the ministers of this

:15:53. > :16:01.Government who says that at last Scottish Government legal advice on

:16:01. > :16:05.the EU does actually exist. Now, on the basis that she was not

:16:05. > :16:09.pretending, the First Minister needs to tell the people of Scotland what

:16:09. > :16:15.that advice contains. Last year, the NHS commissioner ruled that question

:16:15. > :16:21.had a right to know on this critical issue and vague promises of edited

:16:21. > :16:24.highlights in a far off White Paper just won't cut it. Is the First

:16:25. > :16:29.Minister once again going to go through the costly farce of fighting

:16:29. > :16:39.in the courts to stop the people of Scotland knowing the truth or will

:16:39. > :16:51.

:16:51. > :16:57.he reveal what the Information When you request information, it is

:16:57. > :17:03.normal to receive it. This is no great surprise. We will do what the

:17:03. > :17:08.Deputy First Minister said on October 23rd, 2012, that the White

:17:08. > :17:15.Paper will be based on the advice we received. The UK government have

:17:15. > :17:19.not published advice, that has not been done. The UK government

:17:19. > :17:27.published legal advice from an eminent expert, James Crawford. We

:17:27. > :17:32.now have a large selection of eminent experts who can opine on

:17:32. > :17:34.the Scottish government within the context of the European Union and a

:17:34. > :17:44.10 scale of 18 months is a reasonable timescale for the

:17:44. > :17:47.

:17:47. > :17:51.successful completion of the negotiations. Lord Malloch Brown, a

:17:51. > :17:55.minister in the last Labour government, and only yesterday, a

:17:55. > :18:01.former Taoiseach and EU ambassador to the United States said exactly

:18:01. > :18:07.the same thing. Perhaps the absolutely clinching view that you

:18:07. > :18:11.could negotiate your position from within, and 18 months was a

:18:11. > :18:19.reasonable timescale, should come from the UK Government's legal

:18:19. > :18:25.adviser, Professor James Crawford. The Scottish estimate is around 18

:18:25. > :18:30.months, which seems realistic, he said. We have this consensus of

:18:30. > :18:40.legal experts, including even the UK Government's expert, can Ruth

:18:40. > :18:46.

:18:46. > :18:49.Davidson not bring herself to join the consensus? To ask the First

:18:49. > :18:56.Minister what discussions the Scottish government has had

:18:56. > :19:02.regarding its investments in offshore wind energy prospects?

:19:02. > :19:09.Discussions have been held regarding we ensure energy projects.

:19:09. > :19:19.Regarding offshore wind -- the scheme is to be developed alongside

:19:19. > :19:24.the Aberdeen renewable Energy Group, and is confident of securing new

:19:24. > :19:27.funding. Can he estimate what the Scottish government and the

:19:27. > :19:36.agencies have made of the benefits of the European offshore wind

:19:36. > :19:41.deployment centre a driver of jobs since Scotland? It will and Trish -

:19:41. > :19:51.- produce employment. 265 is the estimate in construction, and 25 in

:19:51. > :19:56.operation. It is not as a wind farm, it is a deployment centred to test

:19:56. > :20:03.the technologies, which is why there are only 11 turbines in the

:20:03. > :20:07.proposed development. the significance of what is to put

:20:07. > :20:13.Scotland and Aberdeen in a central position in the development of this

:20:13. > :20:17.new technology. That technology is estimated to be able to provide

:20:17. > :20:21.tens of thousands of jobs in Scotland because it is a technology

:20:21. > :20:29.which is going to be necessary for the energy needs of Scotland,

:20:29. > :20:34.England and the European Continent. The offshore wind deployment centre

:20:34. > :20:39.is important for the future of Scotland's offshore industry. Can I

:20:39. > :20:45.ask the First Minister if they are unable to sell their shares, will

:20:45. > :20:55.he stay open to secure its future? I saw the Labour Party spokesperson

:20:55. > :20:55.

:20:55. > :20:59.suggesting that we should match the funding, which was secured, 40

:20:59. > :21:03.million euros. Is that another Labour party spending commitment?

:21:03. > :21:08.Are they saying that 40 million euros to be spent from the Scottish

:21:08. > :21:11.Government? This is a commercial government supported by the 40

:21:11. > :21:14.million European investments secured by the initiative of the

:21:14. > :21:18.Scottish government. The project partners are confident they will be

:21:18. > :21:24.able to secure interested in the project. There are many companies

:21:24. > :21:32.interested in in the development of deep offshore wind in Scotland. He

:21:33. > :21:38.should come to this chamber and to outline his commitments. He said he

:21:38. > :21:48.is only asking a question. But his colleagues in Aberdeen was making a

:21:48. > :21:54.

:21:54. > :21:57.recommendation. To ask what the position is on the use of

:21:57. > :22:02.electronic tagging for offenders as an alternative for a short-term

:22:02. > :22:07.sentences. There is strong evidence that community sentences are an

:22:07. > :22:11.alternative -- effective alternative. 58% of offenders in

:22:11. > :22:15.prison for three months or less are reconvicted in one year, compared

:22:16. > :22:21.with 24% of those who receive a community sentence. Electronic

:22:21. > :22:26.monitoring has been used since 2002, and continues to play a part in

:22:26. > :22:33.offender management. It is possible development to include satellite

:22:33. > :22:37.tracking offenders. Thank you. Is the first Minister aware that in

:22:37. > :22:41.Sweden, anyone given six months or less can apply to be tagged under

:22:41. > :22:48.house arrest while being monitored? Any breach, and they will be

:22:48. > :22:53.returned to jail. Reoffending fell to 12%. The cost to the taxed it --

:22:53. > :22:58.the taxpayer, �40 per day. Given the success of tagging there, with

:22:58. > :23:07.the First Minister consider following their model? -- would be

:23:07. > :23:13.First Minister consider? There was an event at Strathclyde University

:23:13. > :23:16.which head from his -- heard from the Swedish probation service. Many

:23:16. > :23:19.of the characteristics are already in place in Scotland, but the

:23:19. > :23:23.consultation this summer will be an opportunity to capture any

:23:23. > :23:33.opportunities for improvements. We have the lowest crime rate in 37

:23:33. > :23:34.

:23:34. > :23:38.years, but we are all -- all was -- we are always keen to improve.

:23:38. > :23:43.wondered if the First Minister has had a chance to look in on the

:23:43. > :23:48.debate we had on Tuesday because in that, people that he himself has

:23:48. > :23:54.classified as offenders were split into two camps, those with

:23:54. > :23:58.electronic tags and could vote in an election, and those who had

:23:58. > :24:01.custodial for the same crime, more or less, and could not vote. I

:24:01. > :24:08.wondered if he agrees there is a matter of equity we should look a

:24:08. > :24:13.act. -- we should look at. It was an excellent debate on all sides.

:24:13. > :24:19.Various arguments were put forward. I agree with the majority position

:24:19. > :24:23.taken, when people engage in crime and receive a prison sentence, they

:24:23. > :24:28.sacrifice some entitlements, the entitlement to freedom and also the

:24:28. > :24:31.entitlement to vote. That is the position I take. I thought it was a

:24:31. > :24:37.good debate, and it did the parliament proud in terms of a hat

:24:37. > :24:42.that was conducted. To ask what steps the Scottish government is

:24:42. > :24:49.taking to tackle bullying in the National Health Service. In 2011 we

:24:49. > :24:53.worked with health boards and trade unions to set out a new minimum

:24:53. > :24:59.standard insuring all members of National Health Service staff are

:24:59. > :25:04.treated fairly and consistently. A national helpline went live in

:25:04. > :25:14.April, providing support for staff who fear they may be bullied or to

:25:14. > :25:19.

:25:19. > :25:24.raise concerns about their health service. He is right to praise and

:25:24. > :25:27.thank hard-working staff for their dedication, but less than one-third

:25:27. > :25:33.of nurses believe that if they reported their concerns they would

:25:33. > :25:37.be believed. Any suggestion of a culture of management bullying is

:25:37. > :25:45.unacceptable, particularly where it would fit in robust whistle-blowing

:25:45. > :25:52.procedures which are necessary. More than a third of staff say they

:25:53. > :26:01.have been a victim of bullying. Will he ensure that this helpline

:26:01. > :26:08.has publicised more widely? -- is publicised? He should be careful

:26:08. > :26:13.with the statistics he is using. The staff survey said that 22% of

:26:13. > :26:18.staff believe they had been bullied or harassed, but 31% of that was

:26:18. > :26:24.from service users or relatives of service users, which is important

:26:24. > :26:28.to understand the terms of the statistics. We have introduced a

:26:28. > :26:38.confidential alert line. I do not agree with Jackie Baillie he seemed

:26:38. > :26:41.

:26:41. > :26:51.to suggest that such a thing was not necessary. Given that this has

:26:51. > :26:55.

:26:55. > :27:02.been introduced, posters and flyers were issued to the health board to

:27:02. > :27:08.promote this alert line, and it is true that we are planning more

:27:08. > :27:12.promotion throughout the year, making sure staff are aware of the

:27:12. > :27:19.confidential resource. Staff will be pleased to know that includes

:27:19. > :27:22.advice on payslips. To ask the First Minister what discussions the

:27:22. > :27:30.Scottish government is having with local authorities regarding Gaelic

:27:31. > :27:34.medium schools. A summit was hosted in February this year, attended by

:27:34. > :27:39.all local authorities that provide education and leading

:27:39. > :27:49.educationalists. The Minister for Scottish languages announced

:27:49. > :27:54.

:27:54. > :27:58.�90,000 to fund summer schools. Would he agree with many in the

:27:59. > :28:03.Gaelic community who feel strongly that the urgent priority should be

:28:03. > :28:07.addressing the concerns of teacher training in terms of the employment

:28:07. > :28:15.of teachers in Gallic Region Education and their retention in

:28:16. > :28:20.areas where there is high demand, rather than insisting local

:28:20. > :28:27.authorities spending where there is no demand? -- Gaelic region

:28:27. > :28:30.education. Yes, I agree. She should also know that the new posts in the

:28:30. > :28:40.University of the Highlands and Islands in Gaelic teacher training,

:28:40. > :28:45.

:28:45. > :28:50.they are very effective. We should be delighted to see the indications

:28:50. > :29:00.from public opinion surveys which, contrary to the view that the

:29:00. > :29:02.

:29:02. > :29:10.sometimes put forward in some of her less reputable... There is

:29:10. > :29:14.widespread public support for Gaelic medium education and for the

:29:14. > :29:18.BBC channel which has had outstanding figures, of over

:29:19. > :29:28.500,000 people on many occasions, which has a spectacular achievement.

:29:29. > :29:35.

:29:35. > :29:39.There we have it. A wide range of topics. The main event was those

:29:39. > :29:43.very serious and honest exchanges between Johann Lamont and the First