Engagements

– in the Scottish Parliament at on 1 December 2016.

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Photo of Kezia Dugdale Kezia Dugdale Labour

2. To ask the First Minister what engagements she has planned for the rest of the week. (S5F-00565)

Photo of Nicola Sturgeon Nicola Sturgeon Scottish National Party

Engagements to take forward the Government’s programme for Scotland.

Photo of Kezia Dugdale Kezia Dugdale Labour

The treatment time guarantee will ensure that eligible patients start treatment within 12 weeks of the treatment being agreed—that is what we were told by Nicola Sturgeon when she introduced a legal right to treatment for patients. Can the First Minister tell us how many national health service patients have not been seen within 12 weeks since that legal right was introduced in 2012?

The First Minister:

Since the legal right was introduced in 2012, there have been 53,257 who have waited longer than 12 weeks, but there have been 1,267,000 treated within 12 weeks. Waiting times are lower than they were when we took office, but we have work to do because of rising demand in our health service. We are continuing to ensure that our health service has the investment and record numbers of staff so that we can continue to provide the best care and treatment for patients across the country.

Photo of Kezia Dugdale Kezia Dugdale Labour

That is a legal guarantee to 53,000 people broken. In fact, the past few months have been the worst on record, and these are not just statistics. They are pensioners in need of a knee replacement having to wait for months, or people waiting for eye surgery facing delay after delay. Each time I bring an individual case to the chamber, the First Minister promises to deal with it. It would take me centuries to work through each of those 53,000 cases. How bad do things have to get before she steps in to fix this mess?

The First Minister:

Kezia Dugdale talked about records when it comes to waiting times. It is worth pointing out that when this Government took office, only 85 per cent of patients were being treated within 18 weeks. Not only have we reduced waiting times from 18 weeks to 12 weeks, a higher percentage of patients are now being seen within that shorter waiting time. That is the progress that we are making.

We also see record numbers of staff working in our health service and record levels of investment in our health service. I know that Kezia Dugdale does not like me to point out this fact, but there is going to be more investment in our health service under this Government than there would have been in the admittedly unlikely event that Labour had won the election, because Labour promised the lowest increase in health funding of any party represented in the chamber. That is the reality.

We have rising demand for our health service. That is why we continue to invest to build up the capacity of our health service so that we can continue to ensure that more and more patients get seen within those shorter waiting times.

Photo of Kezia Dugdale Kezia Dugdale Labour

There she goes again, Presiding Officer, bringing up a 10-year-old record of a Labour Government and pointing at England. It just does not cut it with patients.

The First Minister likes to remind the chamber that she is going to spend £500 million more in the current session of Parliament. What she did not tell us is that Audit Scotland told us last month that she has to cut £500 million out of health budgets in this year alone through the health boards. That is a fact that she cannot avoid. In fact, it sums up the priorities of this Government. While Labour Party activists were out campaigning with NHS staff and patients at the weekend to protect the NHS, the Scottish National Party was out talking about independence. It is no surprise that the SNP does not want to campaign on the NHS, because here is its record: local services facing closure, missed targets and a growing workforce crisis. Is it not the case that, under the SNP, the NHS is stuck in the waiting room while the First Minister plots a second referendum?

The First Minister:

Kezia Dugdale rightly asked about the performance of this Government and, when I am talking about the performance of this Government, it is perfectly reasonable to look at the situation that we inherited and the progress that has been made since.

Kezia Dugdale wants to quote Audit Scotland. Here is what it said in its recent report:

“Overall staff levels are at the highest level ever” in NHS Scotland.

When we took office, as I said, 85 per cent of in-patients and day cases in Scotland were being seen within 18 weeks—those figures are from quarter 1 of 2007. Now, almost 90 per cent of patients are being seen within 12 weeks, so the waiting time is shorter and the percentage of patients being seen within it is higher.

That is progress in anybody’s language, but it is not enough progress, which is why we are committed to continuing to increase investment, not by £500 million in the current session of Parliament but by £500 million more than inflation in the current session of Parliament. Labour simply committed to inflationary increases for the national health service.

More investment, more members of staff and reform of our health service so that we get more investment into social care as well—those are the actions that patients across the country want to see and they are the actions that we will continue to take.

Photo of Kenneth Macintosh Kenneth Macintosh Labour

We have just one Constituency supplementary question this week, which is from Jackie Baillie.

Photo of Jackie Baillie Jackie Baillie Labour

On Monday evening, over 200 people attended a public meeting to express their Opposition to the proposed closure of the Vale of Leven maternity unit. One of those attending said:

“If the Cabinet secretary is not doing her job then I’m going to tell her and hold her to account. She has said she’s committed to the Vale. The problem is that we’ve got to make sure she sticks to that.”

Those were the words of the SNP group leader on West Dunbartonshire Council. Does the First Minister agree with him? Will she make sure that the Cabinet Secretary for Health and Sport sticks to the vision for the Vale?

The First Minister:

The SNP Government is committed to the vision for the Vale. People have longer memories than Labour would like, so it is worth pointing out that, if Labour had won the 2007 election, it is highly unlikely that the Vale of Leven hospital would even be open today. The Government stepped in to save the Vale of Leven hospital, just as we saved the accident and emergency services at Monklands and Ayr. We will continue to stand up for local services, because that is what people expect of our Government—and they know that that is not what they got when that lot were last in government.

Minister

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.

constituency

In a general election, each Constituency chooses an MP to represent them. MPs have a responsibility to represnt the views of the Constituency in the House of Commons. There are 650 Constituencies, and thus 650 MPs. A citizen of a Constituency is known as a Constituent

cabinet

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.

The cabinet normally meets once a week in the cabinet room at Downing Street.

opposition

The Opposition are the political parties in the House of Commons other than the largest or Government party. They are called the Opposition because they sit on the benches opposite the Government in the House of Commons Chamber. The largest of the Opposition parties is known as Her Majesty's Opposition. The role of the Official Opposition is to question and scrutinise the work of Government. The Opposition often votes against the Government. In a sense the Official Opposition is the "Government in waiting".