First Minister’s Question Time – in the Scottish Parliament at on 2 May 2024.
Michael Marra
Labour
Hundreds of women in the Grampian region are travelling hundreds of miles to the central belt for vital breast cancer treatment. I was alerted to that issue this week by a clinician, who told me that there are great concerns about the impact of the treatment delays on patients’ chances of recovery.
The First Minister knows that the situation is intolerable. Coupled with issues in NHS Tayside, which I have raised here many times, there is a significant issue regarding breast cancer care in north-east Scotland. Why has that happened? What can the First Minister do to fix the situation? What guarantees can he offer today that NHS Grampian is working urgently to restore a full service?
Delays to cancer treatment cost lives. Will the First Minister commit to a full assessment of the devastating impact of treatment delays for those women?
Humza Yousaf
Scottish National Party
Michael Marra has raised an important issue. He has raised the issue in relation to Tayside before, and he is right to raise it, because we do not want any delays in treatment.
I should say that those who are asked to travel for treatment will get the best possible care, wherever they are asked to travel, but of course we want them to be treated as close to home as they possibly can be. That is why we have increased our funding and head count in relation to oncologists and consultants over the years. However, there continues to be a shortage in some health boards, including NHS Grampian. I will therefore ask the Cabinet Secretary for NHS Recovery, Health and Social Care to write to Michael Marra with the details of the conversations that he has had with NHS Grampian and other health boards in whose areas there is a shortage, so that we can get to a position at which the best treatment for breast cancer and, indeed, any other condition takes place as close to home as possible.
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.
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.