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Business Bulletin 1999-2011

Minutes of Proceedings 1999-2011

Journal of Parliamentary Proceedings Sessions 1 & 2

Committees Sessions 1, 2 & 3

Annual reports


Vol. 2, No. 21 Session 2

Meeting of the Parliament

Thursday 30 September 2004

Note: (DT) signifies a decision taken at Decision Time.

The meeting opened at 9.30 am.

1. Centralisation of Health Services: Mr David Davidson moved S2M-1784—That the Parliament is opposed to the centralisation of health services across Scotland; notes the threat facing many local hospital services including those at Caithness General Hospital, Western Isles Hospital, Lorne and Islands District General Hospital, Belford Hospital, Inverclyde Royal Hospital, the Vale of Leven Hospital, St John’s Hospital, Stobhill Hospital, the Victoria Infirmary, the Western Infirmary, Wishaw General Hospital, Hairmyres Hospital, Glasgow Homeopathic Hospital, Queen Mother’s Hospital, Ayr Hospital, Perth Royal Infirmary, Forth Park Hospital, Queen Margaret Hospital, Stirling Royal Infirmary, Falkirk Royal Infirmary, Monklands Hospital and Balfour Hospital and the additional threat to many community and long-term care hospitals right across Scotland; believes that this is part of a strategy of centralising services at a handful of elite hospitals which has led to uproar from coast to coast over hospital reorganisation plans, and therefore has no confidence in the ability of the Minister for Health and Community Care to devise and implement a strategy for the NHS which serves the needs of local communities throughout Scotland.

The Minister for Health and Community Care (Malcolm Chisholm) moved amendment S2M-1784.3 to motion S2M-1784—

Leave out from "is opposed" to end and insert—

"acknowledges public concern about the extent of proposed centralisation of health services across Scotland; believes that improvement is essential to ensure that all patients have access to both high-quality specialist services and appropriate medical care delivered locally; recognises that NHS boards must pursue clinical strategies which demonstrate regional planning; notes that boundaries are irrelevant to patients; welcomes the determination of the Scottish Executive to develop the planning of healthcare services across NHS board boundaries, within the context of a national strategy; notes the work of the Parliament’s Health Committee on this issue; welcomes the decision of the Minister for Health and Community Care to make no decision on new proposals for service change that come before him until such times as the Expert Advisory Group chaired by Professor David Kerr has reported; notes that this provides an opportunity to debate what services are best provided locally, regionally and nationally and that the presumption in the interim is that services will be maintained unless there are genuine issues of clinical safety, agreed by the Minister; affirms the Executive policy outlined in Partnership for Care that the patient must be at the centre of the process, and supports a patient-centred policy that acknowledges safety and quality and that also ensures that as many services as possible are provided locally."

Shona Robison moved amendment S2M-1784.2 to motion S2M-1784—

Leave out from "is opposed" to end and insert—

"is concerned about the centralisation of health services across Scotland; believes that there must be a clear national strategy for the future structure of the NHS in Scotland; therefore calls on the Scottish Executive to suspend all planned reorganisations while a national strategy is developed involving the public and health professionals, and calls on the Minister for Health and Community Care to issue instructions to NHS boards to put in place appropriate arrangements to retain services faced with centralisation and reinstate any that have been withdrawn without full public consultation and ministerial approval."

Carolyn Leckie moved amendment S2M-1784.1 to motion S2M-1784—

Leave out from "is opposed" to end and insert—

"notes the succession of profound concerns expressed in debates and motions on the NHS; further notes that these concerns are so serious that calls for a moratorium on NHS closures and centralisations have been made for over a year; notes that communities remain at odds with NHS boards and the Scottish Executive over the future of the NHS, that NHS boards implement Executive policy and budgets, notably the expensive PFI/PPP model of funding for capital projects and have no control of pharmaceutical profits, which represent a massive strain on their budgets, that the application of the working time regulations has neither been planned properly nor budgeted for, that new contracts for medical staff at all levels have not been fully funded and that numbers of graduates in all health professions have been, and are, consistently insufficient to meet the needs of patients or a 21st century NHS; believes that NHS boards should be democratically accountable for their responsibilities but that it is the Executive that sets the structural, strategic, financial and political context that they operate in and regrets the failure of the Executive to acknowledge that responsibility in relation to NHS re-organisation or engage in a debate with the public; further believes that the threat of closure of so many important facilities is entrenching the disengagement between communities and government; believes, therefore, that all reorganisation plans in the NHS should be revisited in a national context so that a wide-ranging and meaningful debate about the security and future of the NHS can take place in Scotland, involving all trade unions and professional organisations who represent NHS workers, community organisations, voluntary organisations, the public at large and academics whilst ensuring that resources and strategies are put in place to protect local services until such a debate has taken place and a national strategy is developed that has the confidence of the Scottish people, and sends its support and solidarity to all campaigners attending the demonstration called by the Scottish Health Campaigns Network in Glasgow this Saturday."

After debate, amendment S2M-1784.3 was agreed to ((DT) by division: For 66, Against 59, Abstentions 0). As a result amendments S2M-1784.2 and S2M-1784.1 were pre-empted.

The motion as amended was then agreed to ((DT) by division: For 66, Against 54, Abstentions 5).

Accordingly the Parliament resolved—That the Parliament acknowledges public concern about the extent of proposed centralisation of health services across Scotland; believes that improvement is essential to ensure that all patients have access to both high-quality specialist services and appropriate medical care delivered locally; recognises that NHS boards must pursue clinical strategies which demonstrate regional planning; notes that boundaries are irrelevant to patients; welcomes the determination of the Scottish Executive to develop the planning of healthcare services across NHS board boundaries, within the context of a national strategy; notes the work of the Parliament’s Health Committee on this issue; welcomes the decision of the Minister for Health and Community Care to make no decision on new proposals for service change that come before him until such times as the Expert Advisory Group chaired by Professor David Kerr has reported; notes that this provides an opportunity to debate what services are best provided locally, regionally and nationally and that the presumption in the interim is that services will be maintained unless there are genuine issues of clinical safety, agreed by the Minister; affirms the Executive policy outlined in Partnership for Care that the patient must be at the centre of the process, and supports a patient-centred policy that acknowledges safety and quality and that also ensures that as many services as possible are provided locally.

2. First Minister’s Question Time: Questions were answered by the First Minister (Mr Jack McConnell).

3. Question Time: Questions were answered by the Minister for Enterprise and Lifelong Learning (Mr Jim Wallace) and the Minister for Transport (Nicol Stephen); by the Minister for Justice (Cathy Jamieson); and by other Ministers and junior Scottish Ministers.

4. Emergency Workers (Scotland) Bill – Stage 1: The Minister for Finance and Public Services (Mr Andy Kerr) moved S2M-1079—That the Parliament agrees to the general principles of the Emergency Workers (Scotland) Bill.

After debate, the motion was agreed to ((DT) by division: For 105, Against 20, Abstentions 0).

5. Business Motion: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1776—That the Parliament agrees that—

(a) consideration of the Breastfeeding etc. (Scotland) Bill at Stage 2 be completed by 5 November 2004;

(b) the Justice 1 Committee reports to the Justice 2 Committee by 6 October 2004 on the Title Conditions (Scotland) Act 2003 (Conservation Bodies) Amendment Order 2004 (SSI 2004/400); and

(c) the Justice 2 Committee reports to the Justice 1 Committee by 6 October 2004 on the draft Maximum Number of Judges (Scotland) Order 2004.

The motion was agreed to.

6. Membership of Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1772—That the Parliament agrees that Richard Lochhead be appointed to replace Roseanna Cunningham on the Environment and Rural Development Committee.

The motion was agreed to (DT).

7. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1790—That the Parliament agrees that Mr John Swinney be appointed to replace Mr Andrew Welsh as the Scottish National Party substitute on the Audit Committee.

The motion was agreed to (DT).

8. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1791—That the Parliament agrees that Ms Sandra White be appointed to replace Shona Robison as the Scottish National Party substitute on the Communities Committee.

The motion was agreed to (DT).

9. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1792—That the Parliament agrees that Michael Matheson be appointed to replace Tricia Marwick as the Scottish National Party substitute on the Education Committee.

The motion was agreed to (DT).

10. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1793—That the Parliament agrees that Linda Fabiani be appointed to replace Tricia Marwick as the Scottish National Party substitute on the Equal Opportunities Committee.

The motion was agreed to (DT).

11. Substitutions on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1794—That the Parliament agrees that Richard Lochhead be appointed to replace Nicola Sturgeon as the Scottish National Party substitute on the European and External Relations Committee.

The motion was agreed to (DT).

12. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1795—That the Parliament agrees that Alex Neil be appointed to replace Mr Adam Ingram as the Scottish National Party substitute on the Finance Committee.

The motion was agreed to (DT).

13. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1796—That the Parliament agrees that Mr Stewart Maxwell be appointed to replace Ms Sandra White as the Scottish National Party substitute on the Health Committee.

The motion was agreed to (DT).

14. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1797—That the Parliament agrees that Brian Adam be appointed to replace Roseanna Cunningham as the Scottish National Party substitute on the Justice 1 Committee.

The motion was agreed to (DT).

15. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1798—That the Parliament agrees that Mr Kenny MacAskill be appointed to replace Michael Matheson as the Scottish National Party substitute on the Justice 2 Committee.

The motion was agreed to (DT).

16. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1799—That the Parliament agrees that Mr Bruce McFee be appointed to replace Mr Kenny MacAskill as the Scottish National Party substitute on the Local Government and Transport Committee.

The motion was agreed to (DT).

17. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1800—That the Parliament agrees that Tricia Marwick be appointed to replace Linda Fabiani as the Scottish National Party substitute on the Procedures Committee.

The motion was agreed to (DT).

18. Substitution on Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1801—That the Parliament agrees that Stewart Stevenson be appointed to replace Bruce Crawford as the Scottish National Party substitute on the Subordinate Legislation Committee.

The motion was agreed to (DT).

19. Membership of Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1803—That the Parliament agrees that Mr Rob Gibson be appointed to replace Michael Matheson on the Edinburgh Tram (Line One) Bill Committee.

The motion was agreed to (DT).

20. Membership of Committee: Patricia Ferguson, on behalf of the Parliamentary Bureau, moved S2M-1805—That the Parliament agrees that Helen Eadie be appointed to replace Dr Sylvia Jackson on the Edinburgh Tram (Line One) Bill Committee.

The motion was agreed to (DT).

21. Decision Time: The Parliament took decisions on items 1, 4, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 as noted above.

22. Increasing Gender Pay Gap: The Parliament debated S2M-1410 in the name of Ms Sandra White—That the Parliament notes with concern the result of research by PayFinder.com which indicates that the gender pay gap is getting wider, that it has increased by 5% in the last year and that the gap is now 29% in Scotland and believes that this is an unacceptable situation and that the Scottish Executive has a duty to investigate the matter and bring forward proposals to close the gap.

The meeting closed at 5.59 pm.

P E Grice

Clerk of the Parliament

30 September 2004

Appendix

(Note: this Appendix does not form part of the Minutes)

Bills withdrawn on 29 September 2004

Fire Sprinklers in Residential Premises (Scotland) Bill––The Bill, introduced on 17 November 2003, was withdrawn by Michael Matheson. (SP Bill 13 (Session 2)) (Member’s Bill)

Subordinate Legislation

Negative Instruments

The following instruments were laid before the Parliament on 30 September 2004 and are subject to annulment—

The Controlled Waste (Fixed Penalty Notices) (Scotland) Order 2004 (SSI 2004/426)—

The Litter (Fixed Penalty Notices) (Scotland) Order 2004 (SSI 2004/427)—

laid under section 161(3) of the Environmental Protection Act 1990

Committee Reports

The following Reports were published on 30 September 2004—

Subordinate Legislation Committee, 34th Report 2004 (Session 2): Report on Subordinate Legislation (SP Paper 215)

Communities Committee, 10th Report 2004 (Session 2): Report on Subordinate Legislation (SP Paper 216)

Environment and Rural Development Committee, 11th Report 2004 (Session 2): Report on Subordinate Legislation (SP Paper 217)