SCOTTISH EXECUTIVE
Blood Supplies
To ask the Scottish Executive how it will address any shortage of blood supplies arising from an outbreak of West Nile virus. (S2O-269)
The Scottish National Blood Transfusion Service will temporarily defer donors who have visited the US or Canada for 28 days in order to minimise the risk of West Nile virus entering blood supplies. The SNBTS is actively campaigning to encourage donors to give blood before they go on holiday. Last week, as a result of those efforts, more than 1,700 new or returning donors gave blood.
I thank the minister for that reply and I am encouraged by it. I hope that he agrees with me about the importance of blood donation to this country. In light of the outbreak of West Nile virus that is affecting the United States, will the minister consider increasing public awareness of blood donation throughout Scotland?
I agree that this is an important matter. I thank him for raising the issue, given some of the history that is attached to blood donation. The SNBTS is very much aware of the need to raise awareness and is involved in a publicity campaign. I am sure that it will continue to monitor the situation and pursue that campaign actively.
Index of Deprivation
To ask the Scottish Executive what unit of population it will use in constructing the Scottish index of deprivation. (S2O-261)
The Executive has commissioned research to underpin the development of a long-term strategy for measuring deprivation in Scotland. That includes considering the size of units that might be used in an area-based index. We will make decisions once the research is complete.
I thank the minister for that reply. I am glad that she has not yet made up her mind and I encourage her to use as small a unit of population as possible. I highlight the Auchmill ward in my constituency of Aberdeen North, which has half of the Great Northern social inclusion partnership within it. If the minister uses the ward arrangement, there will be little prospect of financial support within the City of Aberdeen. I would much rather that we continue to use the numeration districts that were used following the 1991 census.
Any unit of definition brings its own challenges, as I am sure the member appreciates. We attempt to measure a number of factors in order to deliver an effective strategy to tackle deprivation and to ensure that we deal with concentrations of deprivation. We know that the current system is far from perfect because smaller areas are not properly picked up. There are streets that have severe deprivation in some prosperous areas, and we seek to target such areas of deprivation. The research is robust. We will give the matter great consideration to ensure that we address the issues that the member raises.
As the minister knows, Stirling is polarised in that it has very well-off areas and very disadvantaged areas side by side, an example being Cornton and Bridge of Allan. If the research that is being done to develop the index of deprivation is not sufficient to identify smaller pockets of deprivation, will more work be undertaken to give us a more accurate analysis of where deprivation and disadvantage exist?
The research that we are doing should give us some of the answers that we are looking for by establishing the proper unit size and levers that we need to target resources.
Disabled People (Care)
To ask the Scottish Executive how it will empower people with disabilities to make their own choices about their care. (S2O-305)
Direct payments can help to empower disabled people by giving them more choice and control over the delivery of the community care and children's services that they need. On 1 June, we introduced provisions that will make direct payments more widely available to disabled people.
Thank you. I am certainly well into the second half of my three score years and ten.
I am more than happy to give that reassurance. The Executive fully recognises the contribution that such organisations make. I would strongly encourage health boards and local authorities to engage in discussions to ensure that they can make their contribution to the proper funding of those bodies. The organisation in Ms Alexander's constituency was previously funded by Communities Scotland, which I know fully recognises the work that the organisation has done. I know that Communities Scotland is prepared to work with its staff to identify longer-term sources of income.
I join the minister in wishing Wendy Alexander many happy returns—although she is some years away from suffering the particular disability that is known as deafness. Could the minister tell me where we are with the decision made in the partnership agreement to proceed with the issuing of digital hearing aids throughout Scotland?
As Jamie Stone knows, a report on audiology services in Scotland was produced earlier this year. That whole service is being reviewed at the moment. We are aware of the significant commitments made in the partnership agreement, and the measures to which Jamie Stone refers are being examined in detail with a view to implementing them as soon as possible.
I understand that just four out of the 26 board members of "The same as you?" implementation group have a disability. Will the Scottish Executive consider increasing that level of representation?
It is important that people with specific experience of disability are represented on such groups. It is also important to have a wide breadth of experience from all sectors of society, so that people can bring different talents to ensure that services are delivered in the best possible way, that disabled people have proper access to those services and that their concerns can be expressed properly.
Public Transport (Lanarkshire)
To ask the Scottish Executive whether any action will be taken to improve public transport links between north and south Lanarkshire. (S2O-262)
The Scottish Ministers are always anxious to encourage improved public transport links, although, in this instance, the Strathclyde Passenger Transport Authority, along with North Lanarkshire Council and South Lanarkshire Council, would have the lead responsibility.
Does the minister agree that the transport links within those areas of Lanarkshire are in particular need of improvement? Many of my constituents are faced with using at least two different buses—perhaps more—for a journey taking upwards of an hour in order to gain access to their nearest maternity and paediatric facilities. Does the minister agree that, if those facilities are to be of the utmost benefit to the people whom they serve, it is crucial that transport links to and from them improve?
I agree that there is significant scope for improving public transport in Scotland. That is one of the reasons why the Executive is shifting its transport expenditure towards public transport and why, over the coming years, we will spend 70 per cent of the funds available on public transport.
Bus Services (Scottish Borders)
To ask the Scottish Executive what concerns it has about withdrawal of bus services in the Scottish Borders. (S2O-273)
Although the provision of local bus services is a matter for individual bus operators and the local council or local transport authority, the Scottish Executive is clearly concerned at the reduction of any public transport provision.
I note what the minister says, but in a recent parliamentary answer he stated:
The Scottish Executive is increasing funding to local authorities and the funds available are rising right across Scotland. In addition, the Executive has provided £19.7 million in new investment since 1998 through the rural public passenger transport fund. Wide powers are available to local authorities and I know that Scottish Borders Council is considering ways of mitigating the worrying reductions in services. I hope that it will seize its powers and take action.
Is the minister aware that local Peeblesshire Liberal Democrat councillors, together with independents and me, are working hard to seek the retention of the town service in Peebles? That approach is more constructive than that of the member who asked the question—an approach that was described by a former SNP councillor in a local newspaper last week as "bitching and whining".
I was unaware of that comment and am unwilling to comment on it. However, I have read in the local press some of Christine Grahame's generous comments about my Liberal Democrat colleagues and me.
Incineration Facilities
To ask the Scottish Executive whether it supports the development of new incineration facilities. (S2O-281)
The national waste plan recognises that producing energy from waste has a role to play in an integrated approach to waste management. However, development of new incineration facilities will be supported only where this is the best practicable environmental option identified in the relevant area waste plan. That means that recycling and composting will be maximised and only residual waste will be used for energy recovery.
Is the minister aware of the widespread concern in Aberdeen over the plans to build an incinerator at a site in the Altens area of the city? Aberdeen City Council is still considering the planning application for that site. Thousands of people in the communities around Altens object to the fact that the proposed incinerator is of such a size that it will need to process waste from outside the city in order to be economically viable. They are also concerned about the substances that will be released from the incinerator into the environment around their homes. In light of those objections, does the minister agree that the proposed incinerator should not be built?
The member will appreciate that, as a planning application for the incinerator is currently awaiting a decision by Aberdeen City Council, I am unable to comment on the merits of the application. However, that application, and any other similar proposal, would have to be in line with the best environmental option in the local area waste plan.
Will the minister join me in welcoming converts on this issue—given that it was the former administration in Aberdeen City Council that promoted the incineration concept? Will he also join me in welcoming the commitment that has been given by the new administration in Aberdeen to seek other methods of waste disposal?
I will not be drawn on the specific application; I think that the member would agree that that is wise. However, high levels of recycling, reuse and composting are not incompatible with the recovery of energy from waste. So, in that wide context, I agree with Mr Rumbles.
Does the minister think that incineration is the most efficient means of waste disposal?
For the third time, I repeat that incineration is one of many options for waste disposal. We continue to believe that reuse, recycling and composting are the best environmental options, but that belief is not incompatible with consideration of recovery of energy from waste, which is better than landfill.
The minister will be aware that there is no target in the national waste plan for the reduction of the amount of waste that is produced in the first place and that, by the Executive's own figures, the waste that is generated in Scotland is projected to rise by 30 per cent before 2020. Does the Executive intend to tackle the ever-increasing amount of waste that is produced? If so, will the minister consider introducing at least some sort of target and strategy for reducing such waste?
We have targets for increasing recycling, reuse and composting and, as a consequence, reducing our reliance on landfill, so it is untrue to suggest that there are no targets. However, we will certainly consider all the best practical environmental options. As I told the member's colleague last week, we believe in local solutions to local problems. Such solutions are determined by the area waste plan for the area in question.
Does the Scottish Executive treat incinerators differently where they are described as thermal energy reclamation units? Does the Executive have any plans to monitor the output from those plants in response to local concerns?
I am aware of the European Court of Justice's decision on the matter. In that context, I repeat that our policy is that waste prevention, minimisation, recycling and composting should be maximised, but to meet our landfill reduction targets, we must consider the use of energy from waste recovery, which is a better environmental option than landfill.
Sport
To ask the Scottish Executive what measures it is taking to improve opportunities for sporting participation and achievement. (S2O-265)
We are supporting a range of initiatives that contribute to delivering the agenda that is fully set out in sport 21, which is the national strategy for sport.
Will the Executive encourage sport's governing bodies to ensure that sporting achievement is rewarded with the opportunity to participate at a higher level? Would it not be a travesty of justice if the Scottish Football Association failed to ensure that Falkirk Football Club's achievement in winning the division 1 championship is rewarded with the opportunity to participate in the Scottish Premier League?
As Frank McAveety is not here today, I am a late substitute who has just been drawn off the bench and I think that that question is rather unsporting. However, I take my hat off to Dennis Canavan. His consistency and persistence in supporting his local football club is highly commendable. However, I am sure that he will appreciate that it would entirely inappropriate and improper for me to comment on the matter today, given that an appeal is on-going, the second half of which will be heard later tonight.
Sexual Health Strategy
To ask the Scottish Executive when its sexual health strategy will be implemented. (S2O-276)
An expert group has been taking forward the preparation of a national sexual health strategy. A report for public consultation will be published by autumn 2003.
Does the minister agree that there has been a worrying rise in the number of sexually transmitted diseases, with chlamydia rising by 100 per cent, gonorrhoea rising by 52 per cent and new HIV cases rising by 60 per cent in the past four years? Will he describe how the sexual health strategy will tackle prevention as well as cure?
There were three strands to the remit that I gave the group that is considering the matter. One strand was to enhance the provision of sexual health services. The other strands were to reduce unintended pregnancies and sexually transmitted infections and—crucially—to promote a broad understanding of sexual health and sexual relationships that encompasses emotions, attitudes and social context. We want to take a much broader view of the matter than has been taken in the past and I look forward to receiving the recommendations so that we can carry on with the consultation.
Will the minister join me in welcoming the most recent statistics, which show a reduction in the number of teenage pregnancies in Scotland? However, does he agree that a great deal more still needs to be done in that area? Will he therefore give an assurance that the issue will be actively and fully addressed in the forthcoming sexual health strategy and thereafter in its implementation?
I can certainly give Susan Deacon that assurance. I am sure that we all want to pay tribute to her work in the area. We are building on the foundations that she created. For example, the healthy respect demonstration project, which is a testing ground for issues, has been feeding into the work of the strategy. Earlier this year, we also set up a sexual health and well-being learning network, which is disseminating information about what works and examples of good practice.
Given the inequalities in access to termination services that have been evidenced in areas such as the Greater Glasgow NHS Board area, will the strategy include initiatives to eradicate such inequalities?
The provision of sexual health services is one of the key strands of the strategy, so that issue is part of the strategy that we must keep in mind.
Greater Glasgow NHS Board (Funding)
To ask the Scottish Executive what discussions it has had with Greater Glasgow NHS Board regarding any shortfall in funding and budget cuts. (S2O-303)
The Executive has regular discussions with all NHS boards on a wide range of issues, including financial issues. The most recent discussion with Greater Glasgow NHS Board took place at the annual accountability review on Wednesday 25 June.
The minister will be aware of the reported funding reduction in the budget for Greater Glasgow NHS Board. The board has restricted the supply of beta interferon for new patients and attributes its action to that shortfall. Can the minister give an assurance that both newly diagnosed and existing sufferers of multiple sclerosis who live in the health board's area and who require the drug will get access to it in line with the Scottish Executive's policies?
I remind members that Greater Glasgow NHS Board's uplift next year will be 7.4 per cent, which is high by any historical standards. However, Robert Brown is right to say that a small adjustment had to be made because of a fall in population.
I congratulate the minister on using his muscle to order Greater Glasgow NHS Board to drop its ban on beta interferon for MS sufferers. When will action be taken by the board to reinstate such drug treatment and will it involve all 240 MS sufferers in Glasgow? At the moment, only 71 patients are involved. Can the minister give an assurance that that will happen as soon as possible?
The board has already given an assurance that patients will continue to be assessed. The drug is subject to the clinical guidelines. Not all patients with MS will benefit from beta interferon, so assessment must take place. However, those who will benefit will be prescribed the drug. That is precisely what will happen in Glasgow as elsewhere.
Childhood Obesity
To ask the Scottish Executive what action it is taking to tackle childhood obesity. (S2O-299)
Scotland's health improvement policy emphasises the need for concerted action on obesity. The two key risk factors are poor diet and lack of physical activity. "Improving Health in Scotland: The Challenge" has a major focus on improving lifestyles, including healthy eating and physical activity. A key setting for this work is both in the early years and during the teenage transition.
Does the minister agree that reduced physical activity is one of the most significant factors in weight gain for children and adolescents, which will lead to major health problems in adulthood? Over the past 20 years, the number of children travelling to school by car, as opposed to walking or cycling, has doubled.
I am happy to give that assurance and I acknowledge Sarah Boyack's work in previous years on safer routes to school. That project continues and is being actively pursued. The project makes a major contribution to children's physical activity. The encouragement that is given to the project remains and will continue into the future.
Alcohol-related Violence
To ask the Scottish Executive what action it will take to tackle alcohol-related violence. (S2O-280)
The Scottish Executive will shortly publish the report of the Nicholson committee's review of liquor licensing law. Earlier today, the First Minister and the Minister for Communities announced proposals for inclusion in the antisocial behaviour bill, which include action to tackle problems in licensed premises.
Those measures are welcome. Will the minister consider encouraging the police and procurators fiscal to make more use of existing laws to tackle the problem, such as the law against selling alcohol to someone who is already drunk, under which no one is ever prosecuted?
I am acutely aware of the issue, which I know the member has raised a number of times. We would want to consider his suggestion when we look at other proposals. I assure him that we will continue to examine such issues to see how best we can make progress. It is clear that we also need to work on a culture change to ensure that educational approaches make a difference.
I welcome the minister's announcement that the Nicholson committee will report soon and I urge her to act speedily on its recommendations.
I am highly aware of some of the difficulties in communities. I draw members' attention to the proposals that are contained in the consultation paper that was announced today. As part of that consultation, we are seeking people's views on whether to give police the same right of entry to off-licences and registered clubs that sell alcohol that they have in relation to other licensed premises. That is an important part of a range of options that will ensure that we take quick and effective action in those cases. I am also aware that many communities do not like the fact that they feel that they have no say and no power to object in such circumstances.
Seroxat
To ask the Scottish Executive whether Seroxat will be withdrawn from use in the treatment of depression. (S2O-259)
Following new data, the United Kingdom Committee on Safety of Medicines has advised that Seroxat should not be used in children and adolescents under 18 with depressive illness because the balance of risks and benefits is negative. The committee's current advice is that Seroxat is an effective medicine for the treatment of adults with depressive illness and anxiety disorders and that the benefits of treatment outweigh the risks. An expert working group of the Committee on Safety of Medicines will examine urgently what implications, if any, the new findings have for the use of Seroxat in adults.
Does the minister agree that the off-licence prescribing of antidepressants and other adult medicines to children is of grave concern? Will he give us an assurance that children who are no longer prescribed Seroxat and other medicines will be offered alternative methods of treatment?
I certainly agree with that point—alternatives must be available. The major piece of work on mental health services for young people will take that on board. In relation to Adam Ingram's first point, the guidance from the Committee on Safety of Medicines is clear on people who are under 18 and it will be followed.
Means Testing
To ask the Scottish Executive whether it has any plans to phase out and eliminate the use of means testing. (S2O-271)
The Executive decides whether means testing is appropriate on a case-by-case basis.
In 2001, in reply to a question to the Secretary of State for Work and Pensions, Ian McCartney stated:
You must put a question.
—many of my generation are suffering in a needless cycle of poverty.
You must put a question, Mr Swinburne.
Does the minister agree that means testing is the most unjust tool in the tax system, as it is used to withhold meagre benefits from the elderly?
The whole of that question deals with matters that are for the Westminster Parliament. We need to have a balance. We cannot deliver all benefits and services on the universal principle or through means testing; neither of those is a credible or realistic option. The health service, for which I am responsible, is the best example of a universal service and the Scottish Parliament can take pride in the fact that it extended that principle in its first session to deal with personal care for the elderly. That was a major extension of universal benefits, but it does not follow that because we decided that that was appropriate, every service and benefit should be universal. It is simply not realistic to run a Government in that way.
Renewable Energy (Highlands and Islands)
To ask the Scottish Executive what measures are being taken to strengthen the national grid to accommodate the expansion of renewable energy opportunities in the Highlands and Islands. (S2O-279)
Scottish and Southern Energy plc and Scottish Power have recently announced plans for considerable upgrading of the transmission network in their areas. The Scottish Executive will continue to work with the UK Government, the regulator and the industry to ensure that the grid is strengthened and that Scotland's renewable energy potential is realised.
The minister should meet Highland Council's planning office more regularly. At last week's Highland Council planning meeting, it was claimed that consumers will have to pay more to finance a massive upgrade of the national grid. It was also claimed that the proposed grid upgrade will require pylons to be twice the size they are now, with heavier power cables criss-crossing Highland moors and mountains. Does the minister endorse the concerns of Highland Council? Will he meet Highland Council, those in the islands and the Department of Trade and Industry to ensure a more co-ordinated approach?
We work with the DTI and others precisely to ensure a co-ordinated approach. Along with our partners, we take part in the DTI transmission issues working group, which is addressing how to put in place the transmission network that will be necessary to carry the renewable energy benefits that the north of Scotland in particular can produce. Our policy clearly supports the production of that renewable energy. We are clear that we will support the measures necessary to make it possible.
Does the minister agree that, in spite of the caveats voiced by Highland Council, the majority of people in the Highlands are looking forward to the strengthening of the grid and the extra prosperity that will go to the Highlands with the development of renewables?
That is right. Strengthening the grid will not be done for nothing, but the companies that are responsible will do it through investment. They will invest money because they will see a return for themselves. There will be economic benefits for the areas that are served through their ability to carry larger amounts of electricity to and from the national grid.
The minister has referred to the differences in the regimes for the delivery of renewables between Scotland and England and Wales. He will also be aware that the Robin rigg wind farm will take up all the spare capacity in the south of Scotland, creating yet another problem for us. When will the minister be able to assure the renewables industry that all those problems are going to be sorted out with the DTI?
In response to a written question at Westminster a few weeks ago, Brian Wilson made it clear that the transmission issues working group on which we serve had come to a view on the grid: over a 10-year period, it will be good value for money for the companies that are investing. Ofgem has given the companies the clearance that they need to proceed with planning the upgrade of the grid so that it can carry that additional power. Scottish and Southern Energy plc in the Highlands and Islands and Scottish Power in south-west Scotland have recently announced plans to make that happen and that is the right way forward.
Does the minister acknowledge that all the problems of trying to get the grid to work in the Highlands are creating developer hot spots down the east coast, and that the planning regime is not strong enough to deal with those issues? Does he agree that we require a new planning framework for renewable energy in Scotland, particularly a framework that will deliver a strategy for Scotland?
No, I do not accept that, because the renewable energy planning guidelines were revised as recently as 2000. That revised guidance to local authorities on how to consider planning applications is effective, and that is why, not just on the east coast but in the Highlands and throughout Scotland, successful applications are being made that are adding to our renewable generation potential. We think that that is the right way forward, and that the strategy is in place to achieve the gains that we want to make.
Rail Services (Fife)
To ask the Scottish Executive what opportunities there will be to increase rail services to and from Fife under the next rail franchise. (S2O-263)
The new franchise will contain a mechanism to enable new services to be introduced into the franchise throughout its life. In addition, new rolling stock, in conjunction with platform lengthening, will enhance railway services in Fife over the coming months.
The minister will be aware of the capacity problems that affect the ability to deliver new rail services in Fife, in particular the problems at Waverley, and the need to redevelop Waverley station. Can the minister give me an assurance that he is doing all that he can to ensure that that redevelopment goes ahead? Also, will he join me on a commuter service to Fife to see for himself the extent of the overcrowding problems on the rails to and from Fife?
On the latter question, I experience some of those problems when I use the train to the north-east, but I would be pleased during the summer period to take up Iain Smith's generous offer.
While I welcome the minister's comments, I express surprise, given his answer to a written question last week. When the minister was asked about the information that he had on the capacity and usage of lines between Edinburgh and Aberdeen, he said that the information was not held centrally. When he was asked what direction and guidance the Executive had given to the Strategic Rail Authority regarding capacity and usage on that line, he said that it was not a matter for the Executive, but for the Strategic Rail Authority. How can the minister make bland promises when he does not know the existing situation on the line, and he has no control over future events?
Kenny MacAskill understands how the rail system in the UK works, but some of his contributions in the chamber tend to suggest otherwise. The system is simple: the information that he is talking about is held, as it should be, by the Strategic Rail Authority and Network Rail. The information that relates to Scotland is shared openly with the Scottish Executive, and we plan things together, in partnership.
As a regular Fife commuter, I look forward to increased capacity on the line. However, if we are going to encourage people from Fife to travel to Edinburgh by train, what plans are there to increase the number of car parking spaces, especially in my constituency of Kirkcaldy, where parking is a problem?
We have invested significantly in park-and-ride facilities across Scotland. As Marilyn Livingstone will know, one of the most successful park-and-ride facilities is the one that is developing, and indeed expanding, in Fife. If there are opportunities to do more, we will want to invest more. That is part of our commitment to investing more in public transport.
While I do not wish to join the dynamic duo of Messrs Stephen and Smith on their journey into Fife, I assure them that these days it is definitely a journey into hell. The overcrowding on the trains is something to behold. When the minister is considering rail services into Fife, will he also add his support to the campaign to restore the rail link between Leuchars junction and St Andrews, which has been campaigned for for many years?
The proper way to develop local projects such as that is, in the first instance, through the local authority. More schemes to develop the rail network in Scotland are being developed now by the Executive, in conjunction with local partnerships, than have been developed in recent decades.
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