– in the Scottish Parliament at on 2 November 2023.
Pam Gosal
Conservative
3. To ask the First Minister whether he will provide an update on waiting times for post-cancer breast reconstruction surgery. (S6F-02497)
Humza Yousaf
Scottish National Party
We recognise the importance of breast reconstruction surgery. I am aware that there are still unacceptable waits in some specialties, but we are committed to delivering sustained improvements and year-on-year reductions through service redesign and national working.
Waiting times are not published by individual procedure, but the most recent national statistics from June show that almost 7,500 patients are waiting for in-patient day-case treatment in the plastic surgery specialty in Scotland. Breast reconstruction surgery covers a range of procedures, and delays can be caused by a number of factors. We know, of course, the impact that the pandemic has had, but I assure Pam Gosal that we are working hard to reduce those waiting times.
Pam Gosal
Conservative
Breast cancer treatment is not just physically demanding—it is emotionally taxing, too. Reconstructive surgery gives women the chance to regain control of their bodies. I have received a response to a freedom of information request that shows that the average wait time for that surgery is nearly 400 days in Greater Glasgow and Clyde. However, I have a constituent for whom it has been more than three and a half years since her mastectomy. She was told that she would have a date for her surgery by 21 October, but that date has come and gone. Does the First Minister accept that that is not good enough? What steps will he take to cut waiting times for that surgery and ensure that patients such as my constituent are not left waiting for years?
The First Minister:
I thank Pam Gosal for raising the case of her constituent. Obviously, I do not know the details, but Pam Gosal can write to me if she has not done so already. I am happy to look at the case and the Cabinet Secretary for NHS Recovery, Health and Social Care will be happy to raise it with the health board.
I agree with Pam Gosal’s premise that waits of that length are unacceptable. She speaks powerfully around the emotional and physical impact of breast cancer, in particular. We have been working towards improvements in waiting times, and we have met the 31-day standard, according to the most recent statistics, but I am afraid that we have fallen short of where we need to be with the 62-day standard.
We will continue to progress work and action to reduce those waiting lists. I will ensure that the cabinet secretary for health writes in detail to Pam Gosal about some of the actions that we are taking. In the meantime, if Pam Gosal provides me with the details of her constituent, we will liaise with the health board to see whether anything further can be done.
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.
The cabinet normally meets once a week in the cabinet room at Downing Street.