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Meeting of the Parliament

Thursday 27 October 2005

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

The meeting opened at 9.15 am.

1. Delivering for Health: The Minister for Health and Community Care (Mr Andy Kerr) moved S2M-3468—That the Parliament commends the action plan for NHS Scotland, “Delivering for Health”, and its acceptance of Professor David Kerr’s report, Building a Health Service Fit for the Future, as the basis of NHS boards’ future service change proposals; welcomes the report’s emphasis on shifting the balance of care to provide more safe and sustainable local services, including intensive case management in the community for the most vulnerable; applauds the commitment to tackle health inequalities by developing anticipatory care in our most deprived communities and applying the approach to benefit people wherever they live; supports the steps to consolidate improvements in waiting times and to put highly specialist services on a sustainable basis, and commends the Scottish Executive’s policy of pursuing greater quality and productivity.

Shona Robison moved amendment S2M-3468.3 to motion S2M-3468—

Leave out from “supports” to end and insert—

“, and considers that more needs to be done to bring down waiting times for patients, including the introduction of individual patient waiting time guarantees based on their particular needs, the expansion of diagnostic and treatment centres within the NHS and the introduction of an element of activity-based payment for hospitals to encourage greater efficiency and utilisation of spare capacity in the NHS.”

After debate, the amendment was disagreed to ((DT) by division: For 23, Against 87, Abstentions 2).

Mrs Nanette Milne moved amendment S2M-3468.1 to motion S2M-3468—

Leave out from “of NHS boards” to end and insert—

“to discuss the future structure of the NHS in Scotland; welcomes the report’s emphasis on shifting the balance of care to provide more safe and sustainable local services, including intensive case management in the community for the most vulnerable; welcomes the commitment to tackle health inequalities by developing anticipatory care in our most deprived communities and applying the approach to benefit people wherever they live; however notes that, despite higher funding for the NHS in Scotland, too many patients are still having to wait too long for treatment; believes that a truly patient-centred NHS will only be possible if professionals are given the freedom to prioritise treatment by clinical need rather than by government targets and if purchasing power is put in the hands of patients so that their choices determine the development of the service, and, to that end, calls for the establishment of foundation hospitals within NHS Scotland and for continuing increase in the capacity available to treat NHS patients by extending the use of the independent sector.”

After debate, the amendment was disagreed to ((DT) by division: For 15, Against 97, Abstentions 0).

Carolyn Leckie moved amendment S2M-3468.2 to motion S2M-3468—

Leave out from first “commends” to end and insert—

“notes the action plan for NHS Scotland, “Delivering for Health”, and its acceptance of  Professor David Kerr’s report, Building a Health Service Fit for the Future, as the basis of NHS boards’ future service change proposals; is concerned that the over-centralisation of services, which is against the wishes of communities up and down Scotland, may not be prevented by all of the above; is concerned to ensure that any change is democratic in that it actively involves communities and staff in making the key decisions that affect service provision; is extremely concerned about the opportunities for encroachment by the private sector into the NHS which the report represents; notes the Minister for Health and Community Care’s and the Executive’s increased communication and collaboration with the private health care sector; notes the alarming developments in England where the Government is attempting to transfer NHS clinical staff to the private sector; opposes the idea that incentivisation can improve health care and believes that the NHS is fundamentally under threat as a public health care system and requires urgent action to protect and improve it including increased investment in training to provide more NHS doctors, dentists, clinicians, other professionals and valuable support staff to increase the NHS’s own capacity, and believes that Scotland’s stark health inequalities will be intensified by increased involvement of the private sector and that the current funding mechanisms of the NHS are inadequate to address inequalities and require wide-ranging reform.”

After debate, the amendment was disagreed to ((DT) by division: For 15, Against 96, Abstentions 1).

The motion was then agreed to ((DT) by division: For 70, Against 20, Abstentions 22).

2. General Question Time: Questions were answered by Scottish Ministers and junior Scottish Ministers.

3. First Minister’s Question Time: Questions were answered by the Deputy First Minister (Nicol Stephen).

4. Themed Question Time: Questions on Health and Community Care and on Environment and Rural Development were answered by Scottish Ministers and junior Scottish Ministers.

5. Homelessness: The Parliament debated the subject of Homelessness.

6. Substitution on Committees: Ms Margaret Curran, on behalf of the Parliamentary Bureau, moved—

S2M-3465—That the Parliament agrees that Ms Rosemary Byrne be appointed to replace Carolyn Leckie as the Scottish Socialist Party substitute on the Equal Opportunities Committee; and

S2M-3466—That the Parliament agrees that Carolyn Leckie be appointed to replace Ms Rosemary Byrne as the Scottish Socialist Party substitute on the Justice 2 Committee.

The motions were agreed to (DT).

7. Decision Time: The Parliament took decisions on items 1 and 6 as noted above.

8. Looked-after Young People: The Parliament debated S2M-3240 in the name of Mrs Mary Mulligan—That the Parliament congratulates the looked-after young people of West Lothian who presented “Having Your Say” to MSPs; recognises the work of the young people in producing such a thought-provoking presentation and acknowledges the challenges they face, particularly in relation to education, and believes that MSPs should communicate further with the West Lothian young people, and other looked-after young people, to address the educational needs which they identified.

The meeting closed at 5.54 pm.

P E Grice
Clerk of the Parliament
27 October 2005


Appendix

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

Subordinate Legislation

Affirmative Instruments

The following instrument was laid in draft before the Parliament on 27 October 2005 for approval by resolution

The Victim Statements (Prescribed Courts) (Scotland) Revocation Order 2005

laid under section 88(2) of the Criminal Justice (Scotland) Act 2003

Negative Instruments

The following instrument was laid before the Parliament on 27 October 2005 and is subject to annulment

The Victim Statements (Prescribed Offences) (Scotland) Revocation Order 2005 (SSI 2005/526)

laid under section 88(1) of the Criminal Justice (Scotland) Act 2003