Miles Briggs
Conservative
8. To ask the First Minister what the Scottish Government’s position is on the statement from the Royal College of Nursing that nursing in Scotland is facing “a perfect storm”. (S5F-00367)
Nicola Sturgeon
Scottish National Party
We appreciate the dedication of our nurses, midwives and, indeed, all our national health service staff, and we recognise the pressures that they face. Under this Government, there are now more than 2,100 extra qualified nurses and midwives, which is a rise of more than 5 per cent since we took office. We are, of course, not complacent, so this year we will again increase the number of trainee nurses and midwives—a fourth successive rise. We will also spend £450,000 to enable former nurses and midwives to retrain and return to the profession.
Miles Briggs used the phrase “perfect storm”, which I accept is that of the RCN. A situation in the future in which people from other countries who work in our health service are prevented from doing so will add to the challenges that our health service faces. We value our health service staff: we must ensure that we value all of them, regardless of where they were born.
Miles Briggs
Conservative
With the First Minister today taking responsibility for the health service, does she believe that she made a mistake as the then Cabinet Secretary for Health and Wellbeing in cutting the number of student work placements in Scotland? Why has it taken her Government 10 years to introduce a national health service workforce plan?
The First Minister:
Workforce plans are in place in health boards and, as I have just said, the number of qualified nurses and midwives in our health service is higher today than it was when we took office. That suggests that the policies of this Government have been right—but we have more work to do. That is why, as I said earlier, we are determined to do that work and to focus on the challenges. We will work with our NHS staff to ensure that we meet the challenges.
Anas Sarwar
Labour
On a point of order, Presiding Officer. This morning, Labour requested an emergency question on the publication by Audit Scotland of the worst report since devolution on the state of the NHS, with only one out of eight standards having been met. The reason for the refusal of an emergency question, as I understand it, is that on Thursdays we have an opportunity to hold the Government to account through First Minister’s Question Time. However, emergency questions are the opportunity for Parliament to hold the relevant minister to account and standing orders are clear that emergency questions can be asked on any sitting day, including Thursdays.
It cannot be right that the Cabinet Secretary for Health and Sport hides behind the First Minister. Is she simply out of her depth? The report is a damning indictment of the health secretary and she should come to Parliament to address—[
Interruption
.]
Anas Sarwar
Labour
The tone from Scottish National Party members tells us how much they respect the NHS and its hardworking workforce.
Presiding Officer, can you tell us whether you have been advised that the health secretary had given any indication—[
Interruption
.]
Anas Sarwar
Labour
Is it not amazing that we hear everybody’s voice on the issue apart from Shona Robison’s? When will Parliament hear a statement from the health secretary about how she has allowed our NHS to decline?
The Presiding Officer:
The member has made a point, but it is not a point of order. The member is perfectly capable of speaking to his business manager and raising the issue through the business manager at the Parliamentary Bureau meeting on Tuesday morning.
That concludes First Minister’s Question Time.
Ministers make up the Government and almost all are members of the House of Lords or the House of Commons. There are three main types of Minister. Departmental Ministers are in charge of Government Departments. The Government is divided into different Departments which have responsibilities for different areas. For example the Treasury is in charge of Government spending. Departmental Ministers in the Cabinet are generally called 'Secretary of State' but some have special titles such as Chancellor of the Exchequer. Ministers of State and Junior Ministers assist the ministers in charge of the department. They normally have responsibility for a particular area within the department and are sometimes given a title that reflects this - for example Minister of Transport.
The cabinet is the group of twenty or so (and no more than 22) senior government ministers who are responsible for running the departments of state and deciding government policy.
It is chaired by the prime minister.
The cabinet is bound by collective responsibility, which means that all its members must abide by and defend the decisions it takes, despite any private doubts that they might have.
Cabinet ministers are appointed by the prime minister and chosen from MPs or peers of the governing party.
However, during periods of national emergency, or when no single party gains a large enough majority to govern alone, coalition governments have been formed with cabinets containing members from more than one political party.
War cabinets have sometimes been formed with a much smaller membership than the full cabinet.
From time to time the prime minister will reorganise the cabinet in order to bring in new members, or to move existing members around. This reorganisation is known as a cabinet re-shuffle.
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Question Time is an opportunity for MPs and Members of the House of Lords to ask Government Ministers questions. These questions are asked in the Chamber itself and are known as Oral Questions. Members may also put down Written Questions. In the House of Commons, Question Time takes place for an hour on Mondays, Tuesdays, Wednesdays and Thursdays after Prayers. The different Government Departments answer questions according to a rota and the questions asked must relate to the responsibilities of the Government Department concerned. In the House of Lords up to four questions may be asked of the Government at the beginning of each day's business. They are known as 'starred questions' because they are marked with a star on the Order Paper. Questions may also be asked at the end of each day's business and these may include a short debate. They are known as 'unstarred questions' and are less frequent. Questions in both Houses must be written down in advance and put on the agenda and both Houses have methods for selecting the questions that will be asked. Further information can be obtained from factsheet P1 at the UK Parliament site.