 Am gael, mae gennymau y cysyllt fel yng Ngôr 1, Liam McArthur. Thank you very much, Presiding Officer. To ask the Scottish Government what assessment it is carried out of the number of beds needed in the proposed new Balfour hospital in Orkney. Cabinet Secretary, is there a role of NHS boards, in this case NHS Orkney, to develop and implement clinical strategies for the provision of healthcare to the populations and to Cadw iawn iddynt. Oeddynt mae'n bwysig o'r hyfforddiad, yn gweithio'r piwyddau ar y bwysig, mae cael ei gynnigion bwysig eo'r negrach a'r llai'n bwysig i gyd. Mae gweithio yn bwysig i fod mae'n bwysig i fod muretau o'r tynnebu amdaliadau. L Gymru, hi'n ddershwm ddflennos i gweithredu iawn. That response that I did catch, she will be aware of concerns raised by me directly and by my constituent Dr Ian Cunningham regarding the capacity at the new hospital in Orkney. The outline business case quoted a potential requirement of 56 beds against the plan provision of 47 inpatient and two assessment beds. Calculations carried out by Dr Cunningham on the basis of the figures available from ISD and obtained under freedom of information suggested that at the very least the new hospital may be as many as 12 beds short. Will she therefore agree to look again at the assumptions that are being made by NHS Orkney to justify the plan bed numbers? While reducing average lengths of stays, providing more care at home, greater use of technology and an increased emphasis on preventative care are all very welcome, does she accept that being overambitious or indeed unrealistic in the assumptions that are made, or determining bed numbers principally on the basis of cost, is not in the interests of either patients or indeed staff in my constituency? Cabinet Secretary, it is important that we get the bed numbers right, but also the configuration of the services in general. I know, for example, that they are looking at the plans for the new hospital to include, as I understand, 49 beds. However, the proposed layout will allow a more effective usage of those beds as the current layout limits the usage due to the inability, for example, to separate men and women in the existing hospital. In essence, the new hospital's layout will allow for a better management of bed capacity. That is going to be complemented by an increase from 13 to 42 day-case chairs and that NHS Orkney plans to make significant changes to clinical practice prior to the opening of the new hospital, which will reduce average stays, reduce admissions and increase the proportion of elective surgery performed as day cases in line with the rest of the direction of travel in the rest of Scotland. However, I can say to the member that, clearly, the full business case for the project is going to be brought forward later in the year. It will require to demonstrate that the new hospital will be appropriate to meet the needs of the population before it will receive approval from the Scottish Government. I will continue to liaise with NHS Orkney as the local member would expect me to do. We will have oversight to ensure that the new hospital, which I am sure everyone will welcome, meets the needs of the local population. 2. Jenny Marra To ask the Scottish Government what plans it has to give boys the HPV vaccination. The Scottish Government is advised on all immunisation matters by the Joint Committee on Vaccination and Immunisation. At its meeting on 7 October 2015, the JCV highlighted the importance of the on-going modelling work being undertaken by Public Health England and Warwick University to aid its consideration of extending HPV vaccination to adolescent boys. As this is a complex piece of work, the JCVI might not be in a position to provide its final advice until 2017. The Scottish Government will, of course, carefully consider any future JCVI recommendation about HPV vaccination for adolescent boys. Jenny Marra I am very grateful to the Minister for her answer. I understand that the Joint Commission on Vaccination and Immunisation is doing this work at the moment, and I am glad that the Scottish Government will take cognisance of this in 2017. I am sure that she is aware that gay men under the age of 45 in Wales are now offered the vaccination, but there is evidence that it should also be offered at a much earlier age. The throat cancer diagnosis is due to overtake those of cervical cancer by 2020, according to the throat cancer foundation. I am very glad that the minister has this on her radar and that she will be listening to the advice of the HP, of the Joint Commission on Vaccination and Immunisation. I am not sure that there was a question there either. I was waiting for it. I would like to remind Jenny Marra that the HPV vaccination of girls was introduced for protection against cervical cancer. The uptake rates are very high, and you get herd immunity. There is a particular case for men under 45 MSN men attending gamon HIV clinics to have the vaccine. The Scottish Government is considering the JCVI's recommendation, and we are working with Health Protection Scotland and NHS Scotland to identify potential routes for the delivery of any programme to vaccinate MSN and the cost effective price. To ask the Scottish Government what discussion it has with local authorities in the Highlands and Islands and Transport Scotland regarding proposed infrastructure projects. Transport Scotland officials routinely meet Highlands and Islands local authorities, and those meetings are arranged as required. In addition to a twice yearly meeting that is held with the Highland Council to discuss major road schemes and strategic transport planning matters, the most recent of those meetings were held on 9 December. I thank the cabinet secretary for that reply. Cabinet secretary, from Shetland to Argyll, from Lewis to Murray, Harbour, Peer, Slitways, Rhodes and Bridges, they all need to be repaired and replaced. Therefore, many people are surprised that a Transport Scotland priority is the A9896 so-called link road. They believe that they have made a case for it. The proposed expenditure of about £65 million would mean that a one-mile stretch of road is going through an area that is identified in the local plan for a park. It has been dubbed locally as the mad mile. Cabinet secretary, to personally review that and to meet with me to discuss this better use of that sum of money, please. The member will be unsurprised to learn that I do not share his view. I do not think that it is true that local people do either. The A9896 link is a key part of the future infrastructure proposals for Inverness. Its design has been influenced by the current and future demand for housing, employment and aspirations for what is Scotland's rapidly growing highland capital. The proposed scheme has been part of the Highland Council's infrastructure aspirations to support the continued expansion of Inverness for over 10 years. Without the new link road, there will be a significant impact on the future effectiveness of the trunk road and the local roads in the immediate vicinity. Therefore, we will continue to invest in the project to make sure that the project happens for the benefit of the future aspirations and the current needs of people around Inverness. I take into account Tuesday's topical question to ask the Scottish Government whether it will provide an update on the condition of the fourth road bridge. The fourth road bridge opened to vehicles except HGVs from 23 December after the completion of temporary repairs. New state-of-the-art monitoring equipment in the form of electronic strain gauges and tiltmeters have been installed on the bridge and they are continually monitored and, since traffic has been introduced to the structure, they remain within acceptable parameters. A permanent repair to allow HGVs across the fourth road bridge will commence in the coming days and subject to favourable weather conditions and no further defects being identified, the bridge will reopen to HGVs in mid February. In 2012, the fourth road bridge capital budget got chopped in half. Looking at next year's budget, the capital maintenance budget suddenly sees an 80 per cent increase. Bearing that in mind, was chopping it in half for four years a mistake? As ministers have said repeatedly, the fault that has occurred was not predicted. The works that have been undertaken are fulfilling our obligations around the bridge will continue to take place and will allow all traffic over the bridge, as has been stated by the Scottish Government. To ask the Scottish Government what criteria need to be met before Transport Scotland undertakes safety upgrades where rural roads intersect with trunk and other major roads. Criteria is in place to assess the safety performance of the trunk road network on an annual basis. Transport Scotland screened all locations on the trunk road network. We are three or more personal injury accidents have occurred in the preceding three-year period, or where a section of road has had an accident rate of 1.25 times above the national average if for that road type over the same three-year period. Further investigations are then carried out and where appropriate mitigation measures are prioritised and installed. I am grateful to the minister for his answer. The Cree Valley Community Council in my constituency has become increasingly concerned about the safety of the road junction where the A71 2 meets the A75 trunk road just outside Newton Stuart. As he will be aware, the A75 carries a huge percentage of heavy goods vehicles and the A71 2, a large number of timber lorries. Local opinion is that this junction constitutes a major accident waiting to happen, yet all approaches to Transport Scotland are met with a response that says effectively no fatal accident history, so no action. Would the minister agree that it is time that local opinion in those circumstances is given more weight by Transport Scotland, especially when endorsed by elected representatives from all parties and at all levels? Mr Ferguson asked me about the criteria that I have given, but I could go on to say that we always look at specific localised circumstances as well to see if there are any other interventions that can be made. I think that it is right to target resources to where they can make the biggest difference. Road safety is a very serious issue, but I am very happy to look at individual circumstances to understand them more fully. If the member writes to me, I will then look at those circumstances. To ask the Scottish Government how it supports unpaid carers in Glasgow. This Government recognises and values the vital contribution that unpaid carers and young carers make to the lives of those who care for them in communities across Scotland, including in Glasgow. That is why we introduced the carers bill, which has now passed stage 2 of the parliamentary process. The bill is an important part of our programme of health and social care reform, which will extend the rights of all adult carers and young carers across Scotland, ensuring that carers can be supported in their caring roles. At other Scottish Government initiatives, such as the voluntary sector short breaks fund, the young carers festival, and the care report of employment scheme, benefit carers across Scotland, Scottish Government care information strategy funding to NHS Greater Glasgow Clive is over £1 million and £90,000 for 2015-16. This investment is contributing to a wide range of support to carers in Glasgow, including training for carers, young carers projects and information advice service to carers in acute hospital settings. Minister of Glasgow City Council is tending out service provision at six carer centres across the city. The centres offer vital support such as information advice, income maximisation and access to respite care. Minister, given that the council's previous poor track record and matter such as adult day centres for learning, disabled and personalisation, can the minister enter into constructive dialogue with the council to ensure that the city is well prepared for the enhanced carer support, which council will be required to deliver following the passage of the Scottish Government's carers bill? Presiding Officer, I am aware that Glasgow City Council has undertaken the process that Mr Doris has referred to. He will appreciate that this has been a decision that the council has taken. It is not one that the Scottish Government is directly involved in. I am very aware of the good work that is done by carers centres. I visited the south-east Glasgow carers centre last March on the day that we lodged the carers bill. I saw first-hand the good work that they are doing locally. One of the changes that we have made to the carers bill with direct relevance to carers centres at stage 2 is to make it explicitly clear that, where advice services exist, the local authority does not need to recreate them. I can assure Mr Doris in advance of the bill coming into force that the Scottish Government will maintain a constructive dialogue with the local authorities, including Glasgow City Council. To ask the Scottish Government what the value is of projects under construction or development in the Edinburgh area under the Hub Southeast Scotland programme. Currently, there are 15 projects with a total value of £192.6 million, either in construction or in development in the Edinburgh area under the Hub Southeast Scotland programme. I thank the cabinet secretary for that answer. The recent announcement of the £330 million of capital projects across Scotland includes £25 million for the Lothian NHS bundle. Can the cabinet secretary confirm that the Firhill Partnership Centre is part of that bundle and is able to outline the timescale for construction of this long-awaited new medical facility? I notice that, in the projects that I mentioned previously, two of them are the Crammond primary school and also Fox cover primary school, two schools that I attended. It is nice to see them being extended. However, in relation to the health projects, I can confirm the interest and support of the member for that project and recognise the work that he has done in relation to that. I can confirm that the Firhill Partnership Centre is part of NHS Lothian's partnership bundle, the construction of which is expected to start in 2016. Until financial clause itself has reached, I am unable to confirm at this stage when the facility will be completed. However, it is estimated that the construction period would be around 18 months. To ask the Scottish executive how much it has overspent on its estimated ICT budget in the last five years. The ICT budget for the core Scottish Government has not been overspent in the last five years. Well, it has been well overspent in the last three months. In 2012, the Auditor General recommended the post of chief information officer to develop support and improve cost effective ICT services. Why did it take so long to fill this post and why are so many hundreds of thousands of pounds of taxpayers' money still being wasted in our ICT contracts, including £450,000 every month for NHS 24? Mary Scanlon will understand that it is good to see the better together alliance is still alive and clicking over there. Many of the ICT reforms that we have to undertake are complex projects. On the common agricultural policy system, for example, there were substantial changes in the policy applied by the European Union after the original business case was put forward by the Scottish Government in 2012. A reasonable-minded assessment of the fact that there are major policy and structural changes in a system of that nature requires us to adapt our ICT challenges, principally. Mary Scanlon will understand that point because of the importance of guaranteeing compliance with EU schemes in the expenditure of public money, which is an issue of great significance to the Scottish Government and the European Union. I understand and appreciate Mary Scanlon's interest in those questions, but I assure her that those issues are the subject of very clear and sustained investigation and management by the Scottish Government, both at ministerial and official level, to guarantee that we utilise public money in an effective way to deliver for the citizens of Scotland. To ask the Scottish Government when it last met with the council leader and chief executive of North Lanarkshire Council. Minister and official regularly meet the leaders and chief executives of all Scotland's local authorities, including North Lanarkshire Council, to discuss a wide range of issues as part of our commitment to working in partnership with local government to improve outcomes for the people of Scotland. The cabinet secretary will be aware that the redundancy decision by Tata and the DL plant and Clyde bridge plants and the indications from HMRC to reduce staff at its Cumbernauld tax office, along with the press comments by North Lanarkshire Council regarding potential redundancies as a result of local government budget settlements over the next year. Would the cabinet secretary commit to establishing a round table meeting with elected members representing the area, along with the local authority and other agencies, to identify how we can mitigate against the economic impact of the levels of redundancies anticipated in North Lanarkshire area? We are already involved heavily in addressing the issue around the Tata potential closure, and my colleague Fergus Ewing in particular has been leading the way through the working party to make sure that we do everything that we possibly can to find a buyer, and he recently announced a subsidy of £195,000 to ensure that the plants will remain open until we find a buyer. In terms of the wider issues, we will always be happy to work with all the stakeholders in North Lanarkshire and in every other part of Scotland where there are threats to jobs and the possibility of redundancies to try to ensure that everything is done. First of all, to potentially protect such jobs, and secondly, if that is not possible, to find alternative employment for those affected by redundancy. Question 10, in the name of the net mill, has not been lodged. The member has provided an explanation. We are just moving right now to First Minister's Questions. Question number one, Kezia Dugdale.