11/02/2014 Stormont Today


11/02/2014

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Hello and welcome to Stormont Today. Coming up in the next 30 minutes:

:00:28.:00:32.

The Health Minister responds to news that delays in treatment may have

:00:33.:00:35.

contributed to the deaths of five people at a Belfast hospital. The

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public need to know that mortality is lower in Northern Ireland and it

:00:45.:00:50.

is in England in our hospitals. We hear from an MLA angered by the

:00:51.:00:53.

Health Minister's decision to consult further on the issue of

:00:54.:01:00.

organ donation. The statement proves one thing in this House today, the

:01:01.:01:05.

personal commitments of every First Minister needs nothing. You can

:01:06.:01:08.

serve an issue to death, meanwhile people continue to die.

:01:09.:01:12.

And the News Letters Sam McBride casts his eye over the day's

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proceedings. News broke this morning that as many

:01:18.:01:21.

as five patients died in Northern Ireland's biggest hospital last year

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partly because they were not treated quickly enough. Dr Tony Stevens,

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Medical Director of the Belfast Health Trust, said the deaths

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happened at the Royal Victoria Hospital. A Sinn Fein MLA used his

:01:31.:01:34.

topical question during Question Time to ask for the Health

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Minister's response to the deaths. There is always an number of deaths

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in emergency departments. The speed of what appropriate medical care is

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a factor and that includes ambulance response times, diagnostic testing

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and the provisional -- provision of clinical care. I ensure the best

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outcome for the individual. I did express my concern about the Royal

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Victoria hospital. I am aware of the five cases that have been referred

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to. While I don't have the specific details I have asked my officials to

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ascertain whether the systems in place for learning are fully

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functional and to identify issues of concern. It is important to reassure

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the public about the overall safety of these services. Overall,

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mortality figures for Northern Ireland hospitals compare favourably

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with the rest of the UK. Let's be very clear, the public need to know

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that mortality is lower in Northern Ireland than it is in England in our

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hospitals. Would the Minister cup -- contrast that news with his comments

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in early January that the situation with the Royal was a one off? The

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discussion we had in January was about three days. This particular

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issue we are discussing is about the five incidents over the course of a

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year. We need to be very careful and very sensitive on how to handle

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these things and I don't intend to engage in some ping-pong about

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people 's deaths. Can I assure the House and neither will I have the

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design view for sustained political and media focus which has led to

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these revelations which might not always come to the fore. We conclude

:03:37.:03:41.

the Minister Ivan did know or didn't know about the long-term pressures

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when he was making his earlier remarks. Will he agree with me the

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public might the right to suspect there was at least a disguising of

:03:50.:03:52.

the situation or at worst a cover-up? It has been said in this

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House a number of times and people ignored it. I attended the Royal

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Victoria hospital on the morning after the major incident was

:04:10.:04:13.

declared. I spoke to staff and I took my actions on the basis from

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speaking to staff. Nothing else, nothing more. The Health Minister,

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Edwin Poots. I'm joined now by the News Letter's Political

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Correspondent, Sam McBride. Another tough day for Edwin? It was. It has

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to be said, he does front up on these occasions and comes out and

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answers the tough questions, he did that at the time of the crisis in

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the Royal a few weeks ago. It also has to be said this change to the

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assembly question Time when MLAs can ask topical questions is a massive

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improvement from six months ago. It would have been impossible for

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anyone to ask him what was on the radio this morning. It was good he

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could face those questions. It is a difficult position he finds himself

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in. I suppose some people might say he ordered a major review into the

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Royal last week. What else can he do? That is a fair question. It is

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clear why nobody wanted this portfolio when they were dividing up

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the departments at the election. Nobody wanted this, they all had the

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chance to go for it. The DUP, as the largest party was left with it. It

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is such a large department. Education is enormously important,

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not everyone has children or interested in schools, but everyone

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uses hospitals. As we move towards an election we will see this as a

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big issue, OK it is a European election, but they are contested on

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much more mundane issues sometimes in this part of the world. We have

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had flags, parades and all of that stuff, but aside from that, and

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massive issue will be the health service. He has been critical of the

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media in recent weeks for its handling over the health stories

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that have come to light. He was accused himself of responding to

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media pressure. Is that a fair criticism? It is difficult for

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journalists sometimes to report specialised issues like health. It

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is incredibly specialised. The idea of having bigger hospitals, which

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the evidence seems to suggest are safer and Edmonton -- Edwin Pitts

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has been pioneering. It is difficult to explain to the public which ones

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do have a local hospital, even if it is not the safest hospital. But a

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lot of this stuff would not have come out if it had not been for

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brave people in the health service you are speaking to journalists who

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have concerns. It is a tough department to be in charge of. He

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does not look like a man who is on the verge of being asked to

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relinquish his position. He'd theoretically should have gone now

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as Minister? When Simon Hamilton replaced Sunni Wilson last year, the

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DP said it would be January if there was any change. January has come and

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gone and we have seen nothing. It is unlikely we see him move unless

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there is a huge crisis. I don't think that is likely. Sam, thank you

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for now. The Health Minister was very much centre stage today as he

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reported back to the Assembly on consultation about organ donation.

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The Ulster Unionist MLA Jo-Anne Dobson is campaigning for a change

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to the current legislation, but Edwin Poots said he needs more

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evidence before changes can be made. We'll hear from Jo-Anne Dobson in a

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moment, but first here's a flavour of what was said in the chamber this

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morning. The strategy does not propose soft opt out legislation and

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should be introduced as UK wide policy. The strategy proposes that

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three groups, society, individuals, NHS hospitals and staff, NHS

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commissioners need to act for this strategy to be successful and

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achieve the desired outcomes. 56% of respondents said they would be in

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favour in changing to a soft opt out system. However, when asked if they

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agreed with the statement everyone should presume to be an organ donor

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unless they register otherwise, 49% agreed, indicating there is some

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confusion about the idea. Minister, your statement proves one thing in

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this House today. The personal commitment of the first and Deputy

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First Minister means nothing. People continue to die. Will you give a

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commitment to this House when you know the results of the second

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public survey, which I gather could be up to a year away. You will bring

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the soft opt out system before the end of this mandate, or perhaps you

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will commission and other survey followed by another survey, followed

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by yet another survey? I think that I couldn't be in a position to

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actually indicate that I know the outcome of what the second survey

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would actually produce. I did not dictate what people responded to in

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the survey. We asked people questions and they came back with

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answers. I know organ donation is hugely important to the member, and

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personally her family have benefited from that. I am not against the

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proposals that Mr Dobson has produced on soft opt out. That might

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be the right way forward but it is important we educate the public and

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bring the public with us on these issues, if we are going to take what

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is a significant step, but nonetheless the right step, but at

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this moment in time, I haven't got the powerful evidence base that I

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think we should have to move ahead just at this point in time. Recently

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on a number of occasions I have heard an MLA in the assembly making

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the point that when a department or minister wants to kick something

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into touch, he asks for more evidence. I am wondering, given the

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evidence, is this a case of looking for more evidence or are you kicking

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it into touch? That MLA was Jim Wells. I could not argue with him. I

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am not interested in taking this into touch, I am interested in

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getting the best outcomes. People can judge me as being genuine or

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not. I sincerely believe we should be encouraging more people to donate

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their organs. It is a sensitive issue, and it is something we need

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to be careful in how we manage the public and that we don't take the

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public for granted. I would encourage people to actually read

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the statistics that have been produced from the public health

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agency. They are very, very interesting. In fact, it indicates

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there could be a community difference or a religious difference

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in terms of organ donation. People from the Roman Catholic community

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for example, would be less inclined to have their organs donated than

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people from the president community. That was a flavour of the exchanges

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in the House today. Jo-Anne Dobson is with me now. Do you think he is

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deliberately holding things up? I was deeply disappointed, as were

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thousands of people about this statement. Here is the opportunity

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for the health minister and the executive to provide meaningful

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legislation and give hope to those waiting across Northern Ireland. I

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was exasperated again, another consultation, another survey. 12

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months down the line. Meanwhile, in those 12 months 15 local people will

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have died waiting for a transplant. He said no powerful evidence -based

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that is needed to move ahead exists at this time? I totally disagree

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with that. He has got that wrong in your view? I did my consultation

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over the summer, 82% in favour of soft opt out. If he came with me to

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meet those charities and campaigners, members of the public

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coming up to me saying, we are all behind you, it makes common sense.

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He says he will carry out another survey to sample public opinion.

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Your view is that it will simply tell him what you're survey has

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already told him? That is why I am so frustrated, that is the reality.

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Meanwhile it will be this time next year for him to know what we already

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know. What did departmental officials tell you about the timing?

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Why is it waiting until the autumn? I was to meet with the minister but

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he had to go to another meeting. I have tried to meet with the Minister

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this time to get answers to these questions. All we know is they are

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doing another survey late autumn and there will be another year before we

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get the results. It is unacceptable, 15 people will die. You think he is

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kicking the can down the road? That is exactly what he is doing. He's

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putting it off. People would say, he is the health minister, he has

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responsibility for this potential important legislation and he has got

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to get it right. He has to satisfy himself the evidence exist to move

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in the way you want it to move. He is the health minister and you are a

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back venture. -- backbencher. I wrote to them on the 20th of

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November. When you have the First Minister and Deputy First Minister,

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is the minister letting the civil servants rule him? The wishes of

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there. Is the deal going to be cabled? That is what I'm doing, I'm

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working into the small hours of the night drafting the bill, soft opt

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out. Wouldn't it have been lovely for the executive and health

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Minister to get behind me, sit down and work together to speed up this

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bill, rather than leaving it on me to go it alone? That is why I'm so

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disappointed. Here was an opportunity for the health minister

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and the executive to deliver, a missed opportunity. Again, people of

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Northern Ireland have been let down. Just to be clear, you are

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disappointed, but you are not going to let it stop you doing what you

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wanted to do, which is to pursue this yourself? Never underestimate

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the power of a determined female, especially one with 20 years

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association with charities and the mother of a transplant patient. I am

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resolute, I will not be found lacking, I will not let the people

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of Northern Ireland down. I'll be doing what is right and progressing

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with soft opt out. We will continue to keep an eye on it, it's

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developing into an interesting situation.

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The budget bill is currently making an accelerated passage through the

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assembly. While it was discussed today, the roadblock prevented

:15:48.:15:52.

welfare reform from getting anywhere and reared its head. One MLA called

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it a Mexican stand-off between the the DUP and Sinn Fein. The purpose

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of the bill is to authorise the issue of ?15,530,833,000 from the

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Northern Ireland Consolidated fund in 2013-14. This is an additional

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123 million since the estimates were presented last year. This cash is

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drawn down on a daily basis as needed, from the Northern Ireland

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Consolidated fund, managed by my department on behalf of the

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executive. The bill also authorises the use of resources totalling

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?16,606,564,000 by departments and certain other bodies, 5 million more

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than approved in the last estimates last June. The order states that

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accelerated passage may be allowed for budget bills, provided that the

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committee are satisfied and it has been appropriately consulted on

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public expenditure proposals contained in the bill. On the 5th of

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February, departmental officials briefed the committee and her

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questions on the budget bill being debated today, including on issues

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relating to a range of departments. In addition to the evidence, the

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committee has also scrutinised the bills to the financial year. Finance

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minister suggesting a figure of ?1 billion, the figure may be in

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dispute, but the fact that there is and will continue to be a cost of

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doing nothing is indisputable. I don't support every part of the

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welfare legislation. However, the place that proposed it was not

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Westminster. The room that we have in this house is for local

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determination. I support local determination in the framework of

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the bill. Where there is room for... What there is not room for is

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a continued Mexican stand-off between parties. What we need is

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constructive dialogue on the welfare bill, not a microphone debate. The

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minister yesterday and today has been right to highlight that issue.

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It is the elephant in the room, the elephant of welfare reform. There is

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a catastrophe, potentially coming down the road, for all constituents,

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if the issue is not grasped soon. Deputy Speaker, when we compare this

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with the approach to financial scrutiny and the devolution of

:18:23.:18:27.

further tax powers to Northern Ireland, the difference is again

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starker. Scotland held a far-reaching commission to examine

:18:32.:18:36.

the issues in their entirety and make progress on financial scrutiny.

:18:37.:18:41.

Despite the executive's unanimous support for devolving corporation

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tax, what preparations for enhanced scrutiny have we made in this house?

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Inevitably, this brings me onto welfare reform, also referred to as

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cuts my colleagues across the way. The finance minister has been saying

:18:58.:19:00.

much of this recently. To be fair to him, I concur. With much of what he

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says, anyway. But it is deeply regrettable we have seen ?50 million

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set aside for penalties. This is wasted money. It was not ?50 million

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that directly affected the most vulnerable, nor was it spent wisely.

:19:19.:19:22.

It was spent while the parties engaged in an exhaustive process of

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negotiation around the issues. It is not acceptable that this bill is

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still festering away in the corridors of Stormont Castle. The

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question the minister has to decide in relation to this debate and where

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he takes his department forward is simply is he a Sammy or is he a

:19:45.:19:52.

Swinney? That is the difference between a minister knowing what it

:19:53.:19:57.

is to be in power, John Swinney, the finance secretary, and one two,

:19:58.:20:06.

whilst capable, is more about theatre than substance, which, is

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the legacy, in my view, of his princess. Now our third and final

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instalment from the health minister. Before topical questions, Edwin

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Poots was asked about cancer drugs, flu vaccinations and the major

:20:23.:20:27.

incident at the Odyssey Arena. I think the first responders provided

:20:28.:20:33.

an excellent service at the Odyssey Arena. They dealt with a lot of

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people at a site, without bringing them to hospital. There were able to

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provide them with the support and care they needed. Indeed, they

:20:43.:20:50.

initiated a major incident, that was something absolutely necessary and

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the right thing to do, given the scale of the event that was a caring

:20:54.:20:57.

and the possibility that it could have got considerably worse. They

:20:58.:21:04.

ensure hospitals were well placed to deal with the numbers that that come

:21:05.:21:08.

in. In response to a recent question I tabled to the education minister

:21:09.:21:12.

that indicated that 50,000 were days were lost amongst the teaching

:21:13.:21:15.

profession last year as a result of flu related illnesses, with the

:21:16.:21:21.

Minister consider working with a minister to extend a flu vaccination

:21:22.:21:26.

programme to teachers? We are targeting schoolchildren because flu

:21:27.:21:29.

is so common and easily spread whenever you get into that

:21:30.:21:32.

environment. Certainly, we want our teachers to be teaching, not sitting

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at home sick, and I'm sure they want to be teaching as well. If that is

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something the education minister wishes to take up with me, I am

:21:41.:21:48.

happy to liaise with him. The cancer programme in England has granted NHS

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access to a 238 drugs that are not available here. Would the Minister

:21:54.:21:59.

consider a Cancer Drugs Fund model year or approaching his counterparts

:22:00.:22:08.

to address this inequality? Certainly, and if they approached me

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to do it I would do it very quickly. That would be charging something for

:22:13.:22:16.

perceptions once again, which would allow others to establish a

:22:17.:22:20.

specialist dogs fund, not just for cancer drugs, but for specialist

:22:21.:22:23.

drugs that are not regularly available. -- drugs fund. I think it

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is the right thing to do. I think any good socialist would want to do

:22:29.:22:32.

it because those of us who could afford to pay for drugs would ensure

:22:33.:22:36.

that people who really need them but can't afford them would have the

:22:37.:22:40.

opportunity to receive them. We would save people's lives. The

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busiest man in Parliament buildings today, Edwin Poots. The environment

:22:46.:22:49.

Minister Mark H Durkan said he would consider a ban on election posters

:22:50.:22:53.

during his questions today. The minister was also asked about one in

:22:54.:22:57.

the consumption of alcohol on buses. His session began with some

:22:58.:23:00.

confusion over planning applications. With the Minister

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detail any sensitive planning applications which he is currently

:23:06.:23:09.

discussing to transfer to OFM DFM, or is likely or intending to discuss

:23:10.:23:16.

such a matter with them soon? Thank you, Mr Deputy Speaker. Thank you

:23:17.:23:26.

for the supplementary. Any failure to answer the supplementary will not

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be a deliberate attempt to avoid answering it, it will just be down

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to a complete lack of understanding as to what he means. I am the

:23:33.:23:43.

Minister for the environment. My department is responsible for making

:23:44.:23:46.

planning decisions and I am currently involved in no

:23:47.:23:49.

negotiations with the First Minister and Deputy First Minister. I am

:23:50.:23:55.

fairly certain that my department is not involved in any conversations

:23:56.:23:57.

with the Department of the First Minister, or the Deputy First

:23:58.:24:04.

Minister, around the transfer of any particular application, sensitive or

:24:05.:24:07.

otherwise. However, if there is a particular application that he would

:24:08.:24:15.

like to discuss with me, or with OFM, DFM, I would be happy to meet

:24:16.:24:20.

with him at a later stage. Can I ask the minister if he has given any

:24:21.:24:25.

consideration to review the legislation relating to the display

:24:26.:24:30.

of election posters, including a ban on election posters? Under the

:24:31.:24:35.

legislation as it stands, planning rights to all parties in advance of

:24:36.:24:49.

an election, reminding them of the requirements. Under planning law, no

:24:50.:24:53.

advertising and may be displayed without consent granted at the

:24:54.:24:57.

department, but exemptions exist for election posters in advance of a

:24:58.:25:03.

pending election. The display of election posters is a cause of

:25:04.:25:06.

annoyance for many members of the public and political parties are

:25:07.:25:10.

reminded of this annoyance every time we have an election. They are

:25:11.:25:14.

also a headache for those of us who have to put them up and take them

:25:15.:25:17.

down, although I have been told that my days as a poster boy might be

:25:18.:25:24.

over. It is an issue I am very much aware of. It is something I am

:25:25.:25:28.

willing to look at. I have been considering a review of current

:25:29.:25:33.

legislation in advance of the media interest in this particular issue.

:25:34.:25:38.

As part of that review, I will examine a range of options,

:25:39.:25:45.

including a ban. Has the minister had any update in respect of the

:25:46.:25:48.

allegations Rambus is being used to ferry alcohol at the weekend towards

:25:49.:25:55.

the Odyssey Arena? -- allegations of buses being used. Thank you for that

:25:56.:26:03.

question. I have just answered Mr Eastwood's question and I see this

:26:04.:26:07.

very much as a follow-on to that. Yes, I am aware of alcohol

:26:08.:26:13.

consumption on many buses and coaches responsible for taking young

:26:14.:26:17.

people to the event at the Odyssey on Thursday night. That is something

:26:18.:26:23.

I have said we had to address. We have to deal as a department,

:26:24.:26:30.

weighing gauge, with the proprietors -- we have to engage with the

:26:31.:26:34.

proprietors of the buses and make sure they were taking every step

:26:35.:26:37.

possible to ensure that alcohol was not being consumed on their bus,

:26:38.:26:47.

particularly by minors. Sam McBride has joined me. We just heard from

:26:48.:26:52.

Jo-Anne Dobson earlier about organ donation, something she is clearly

:26:53.:26:56.

passionate about. Where is the DUP on this? We seem to have

:26:57.:26:59.

contradictory positions from the First Minister, the health minister,

:27:00.:27:03.

Alistair Ross, preserving his own agenda? It's an unusual position to

:27:04.:27:10.

seek the DUP or Sinn Fein MLAs take radically different positions on

:27:11.:27:14.

this. Some people in the DUP feel extremely strongly and they are

:27:15.:27:17.

willing to come out and say they disagree with the position the First

:27:18.:27:21.

Minister seems to be adopting. Last week, Peter Robinson released quite

:27:22.:27:26.

an intriguing statement, where he said he supported both his own the

:27:27.:27:31.

UUP MLA Alistair Ross's bill, but also Jo-Anne Dobson's bill, even

:27:32.:27:35.

though a lot of people would see them as being close to, if not

:27:36.:27:40.

completely, mutually exclusive. He is in a somewhat difficult position.

:27:41.:27:44.

But in many ways, these pills and the issue of human trafficking, this

:27:45.:27:50.

is the normal politics that happens in any legislative area in the

:27:51.:27:55.

world. In that regard, it's not unusual that in a big party,

:27:56.:28:00.

increasingly a broader church than it used to be, the DUP will have

:28:01.:28:04.

people that take different editions on what is pretty much an issue of

:28:05.:28:09.

conscious. How do you see the debate unfolding? The DUP has various

:28:10.:28:14.

issues on how it recedes. Then we have Jo-Anne Dobson, clear in the

:28:15.:28:18.

studio, that she is going to pursue her agenda and try to get her

:28:19.:28:21.

private members bill through as soon as possible. She seems very

:28:22.:28:25.

determined, she was very articulate in terms of how she got it across.

:28:26.:28:30.

She clearly has a story in terms of her son which is very persuasive.

:28:31.:28:33.

When she says people will die if it is not taken forward, I think it's a

:28:34.:28:37.

difficult argument to counter. I think Alistair Ross's argument has a

:28:38.:28:41.

certain amount of merit in that he is saying that the evidence from

:28:42.:28:48.

other countries is that the best way to get people onto a register is not

:28:49.:28:53.

to make them feel they are being forced onto it. I think there is a

:28:54.:28:56.

genuine split and I don't think, that some people have assumed, that

:28:57.:29:00.

this is the DUP trying to block a bill, I think it is very much a

:29:01.:29:03.

difference of opinion within the DUP. Some people think it would be a

:29:04.:29:07.

popular measure, they would be happy to see it go through, Alistair Ross

:29:08.:29:11.

does not. A different political debate. And, isn't it? Don't forget

:29:12.:29:17.

to join me for The View on Thursday night at 10:35 on BBC One. Thanks

:29:18.:29:19.

for watching. Goodbye.

:29:20.:29:22.

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