 Vaenny'r gilydd ar gyffrith yng Nghymru yw oes yn ddechrau, yn dweud o gysig o'r M13530 ynghyd, yn y rwynt i ddechrau Joe Fitzpatrick, yn ysgwrs i'r gwneudiaeth ar y ddechrau. Byddwn i'r ddechrau yn gwyllennu gyfu oedd i'r gysig o'r Gympyrngodd, Scotland, mae'n rygwyr ei ddefnyddio'r cyffrith o'u dyfu i ddefnyddio'r Gwineilion, i weithio'r ddechrau mlynedd o'r ddefnyddio'r ddechrau. Motion No. 13530, minister. Fonly moved. Thank you very much, and as no member has asked to speak against the motion, therefore I will now put the question to the chamber, and the question is that motion number 13530 in the name of Joe Fitzpatrick be agreed to. Are we all agreed? We are. Thank you very much. And so the next item of business is a member's business debate on motion number 12916 in the name of Gil Paterson on the 30th anniversary of the Scottish Caught Death Trust. This debate will be concluded without any questions being put, and I would invite those members who wish to speak in this debate to please press the request to speak buttons now or as soon as possible. Mr Paterson, if you are ready, and if you would like to open the debate, please seven minutes all thereby. Presiding Officer, may I first thank you for agreeing with the request to bring forward this member's debate from this evening to this afternoon. It has allowed a number of the trustees from the Scottish Caught Death Trust to attend the debate, and I know that members are aware that we have a late decision time at 8 o'clock, so I'm very grateful that this was allowed to happen today, particularly on this day. I would also like to thank those colleagues who signed the motion for helping to bring this debate to the Parliament in the first place. As a parent and a grandfather, it can be nothing more difficult to imagine or to in any way comprehend the devastation that must happen when a baby has passed away. For this to happen at all would be enough for any parent and family to withstand, but not to know the reason for the loss is beyond all natural senses. Therefore, it is with some comfort, relief and respect that we have people who understand the gravity of such horrendous human experience and aim to help in a number of ways. Firstly, they know that support of a considerable nature is needed for parents, siblings and extended family members when such tragedies strike. Secondly, they recognise that action is needed to fund medical research in the hope that the cause of such tragedies can be identified. With the information that is currently available, campaigns are launched to educate and inform those who care for babies and young children with the view of reducing the number of people who experience this particular horror. Presiding Officer, how does this valuable work come about? Well, for 30 years, the Scottish Cot Death Trust has been in the vanguard of doing this very work on our nation's behalf. A group of individuals volunteering to do what must be the most difficult job possible of counselling parents who have just lost their baby, many of whom, as a starting point, blame themselves for the death of their child to the syndrome known as Cot Death. The dedicated people of the Scottish Death Trust asked for little in return from the Scottish Government or this Parliament other than to help to bring this issue to the attention of the wider public and to bring together agencies that respond in the most appropriate way whenever this tragedy strikes. When I was asked to bring forward this motion to Parliament in the hope of securing cross-party support and holding this debate, it was the very least that I could do. To give time to highlighting the sterling work of the charity and to raise awareness of the counselling and support available to those in need is something that comes with great appreciation to all members of this Parliament. I hope that this debate will indeed help to draw attention to some of the dangers for new parents, even if they have had children already, which will go to reducing the number of babies and young children being lost to Cot Death. In my own mind, I think that what is the most important part of the trust's work is the preventive element that stops Cot Death happening in the first place, though funding research or from highlighting ways in which parents can help to reduce the associated risk, which increases sudden unexpected death in infancy. Or is it the counselling of families who have suffered such a terrible loss? Presiding Officer, it is, of course, both, because, while the education and information provided will lead to a reduction in Cot Death and I know that the trust is working towards zero tolerance of Cot Death, I fear that some families will need their help for some time to come. In the 30 years since the trust was established, it has an important vital and wide-ranging impact. The trust has brought about a different approach by the authorities and, of course, the press, who now have some sympathy and a much better understanding of the truth that they never had before. Cot Death occurs in every part of Scotland and affects every section of society, although more frequently in deprived areas. However, more earthen areas are not safe from the heartache. Most Cot Deaths occur within the first years of life, but can also occur in older children, so, sadly, it can occur wherever an infant is sleeping. In the early 1990s, the Back to Sleep campaign was the single most significant awareness campaign that was ever implemented and the Scottish Cot Death Trust was instrumental in ensuring the implementation across Scotland. The campaign aimed to educate all parents and carers of babies to place babies on their back for sleeping rather than on their fronts, as had been the advice previously. That resulted in an immediate decline in the number of cases of Cot Death and continued to be one of the most important pieces of advice for parents. However, there is a common misconception held to do today that Cot Death has been completely eradicated in Scotland, so the work continues. The motion that is debated today outlines the key points that the trusts are aiming to promote as part of their 30th anniversary message to ensure that parents are given as much information and help as possible to prevent this tragedy from occurring to them. Since formation, the trusts have provided vital support for hundreds of families across Scotland. Over the years, the support services on offer have been further developed, and today the trust offers an impressive range of support for families affected by the loss of a baby or young child to Cot Death. However, the trust supports not only newly bereaved families but also those who are still affected by the loss of a baby, in some cases many years after the tragedy. That long-term support is vital for many families, including those who go on to have another baby. To see just how much work is carried out by the Scottish Cot Death Trust, you need to only look at the spring edition of the Scottish Cot Death Trust news. I know that most members have got the copy of that, and I would be grateful if you looked at them and passed them on. That would be a good bit of work for the trust. The work carried out by the trust and its staff is immeasurable, and there are a few words in the English dictionary that can be used to fully acknowledge it. However, there are at least two words that I would like to say at this moment in time and on behalf of the Parliament, and they are, thank you. Thank you very much. I now call on Margaret McCulloch to be followed by Stuart Stevenson, a generous four minutes. In beginning, I want to congratulate Joe Paterson for securing this debate in the Scottish Cot Death Trust. Like members from across the whole chamber, I want to commend the trust for all their work over the past 30 years as they passed its important milestone. Since 1985, the Scottish Cot Death Trust has fundraised for research into the causes of Cot Death. It has educated the public and raised awareness of Cot Death and have worked tirelessly to improve support for the families who have been bereaved. This afternoon is our opportunity to come together as a Parliament and thank them for the contribution that they have made over the past 30 years. They are leaders in their field, promoting healthy infancies, informing policy, celebrating best practice and offering friendship and support to those families who have sadly lost a child to Cot Death. The debate is also an opportunity to remind ourselves that their work is not done, our work is not done, it continues and it must go on. As the trusts say on their website, a baby dies every nine days in Scotland and there are parents who will never fully know the reasons why an apparently healthy baby has died. Those parents deserve some answers and some understanding of how it has come to be that their child has been lost. For new parents and their families, for health professionals and for society as a whole, we need to do more to understand the risks to an infant's health. The more we understand those risks, the more we can do to reduce them and hopefully prevent these tragedies in future. The motion before us provides a helpful summary of the key advice and recommendations that the Scottish Cot Death Trust has developed in conjunction with the Scottish Government. It reminds us that the safest place for a new baby to sleep is in a cot in the parental bedroom. It reminds us to avoid sleeping on a sofa or a nam chair with a baby. It reminds us to avoid sharing a bed with a baby if a parent has been drinking, is overly tired or it has taken medication that causes drowsiness. It reminds us to avoid letting a baby sleep on a surface that is neither firm or flat, such as an infant swing or a baby bouncer chair or a beanbag. This is all helpful advice and it is advice that would not have been common or is widely circulated back in 1985 when the trust was first established. I also understand that the information the trust and the government have produced is now available in an easy-read format. That is a welcome development and I would stress the need for this advice and indeed all the public health advice to be accessible as possible. Presiding Officer, I also want to pay tribute to the donors, fundraisers and volunteers who have supported the Scottish Cot Death Trust as it has carried out its work over the last 30 years. We have to remember that charitable organisations like this would not be able to deliver the kind of services and assistance that we are talking about today without the kindness and generosity of their supporters. 86 per cent of the charity's income comes from donations from the public and the trust's fundrais and events and activities. It is the family fund days, the fundrais and balls, the sponsored skydives, the marathons and the 10ks, which ensure that the trust continues to be a vibrant organisation, not just a competent provider of services but an efficient and energetic champion of health infancies. Finally, every parent and grandparent knows the joy a child can bring to a family, how a new baby can change your life forever. They know the eagerness and anticipation that the whole family feels when a baby is on the way, the planning, the preparations, the decoration. They know how a baby can take over and become the focus of all your attentions and emotions, what I cannot imagine, but what some have sadly had to endure is the feeling of shock and the feeling of loss that comes when a new baby, a new addition to the family dies without explanation within a few months or even just a few weeks. My heart goes out to any parent who has ever been in this position. It may be some comfort to know that there is an organisation that Scottish Caught Death Trust, which is there for them, but it must be our shared ambition for the future to ensure that no parent should lose a child to caught death again. We must understand caught death and we must prevent it. I now call on Stuart Stevenson to be followed by David Stewart. I thank Gil Paterson for bringing this important subject to Parliament. There are very few of us who will not, at some stage in our life, meet death. It is an inevitable part of being here in the first place. However, when the death is of a child, of someone who is younger than us, we feel that death most acutelyt, not simply because it reminds us personally of our own mortality but because, of course, we experience the loss of someone who is precious to us. One of my personal interests is genealogy, and I just happened to have been going through doing a bit of a longitudinal study of the St Giles parish in this city, which we are just on the edge of, 150 years ago. 150 years ago, 50 per cent of children born did not reach the age of 10, and half of those who died died before the age of one. Today, we have vastly improved our care and our ability to deal with a range of conditions and diseases that affect our young people. That throws into even more stark relief the sudden unexpected death, often unexplained, that comes under the general heading of caught death. Of course, it is not one cause, and we do not always satisfactorily identify the cause of the death. As the numbers of young children who die has diminished, the pain and the sense of guilt that parents can feel when that happens is substantially increased. My father is a GP, described bereavement in five stages. He is denial, often very short, that you do not accept that it has happened, blame who you blame yourself for something that you did not do, blame others because things were not done, depression and finally accommodation where, hopefully, you have come to terms with it and put the happy memories you have had of the person who departed into some context that you will carry forward for the rest of your life. A child, even of the briefest period on this earth, will leave memories for their parents and for all who have known them. I have not been in the fortunate position of being a father myself. I am told that I am a relatively well-trained uncle, now great-uncle, godfather and perhaps in the not-too-distant future great-great-uncle. So, while not personally experiencing fatherhood, I have watched and stood with those who have been parents and seen their pride and excitement when they bring new life in that will take over from those of us who are perhaps now contemplating more acutely than we once did our own mortality. So, as the position of caught death has become more important as a source of young people not making it at adulthood, the importance of having the right kind of support in place has substantially increased. I think that that is where the caught deaths trust is to be utterly congratulated for the work that they do. It is draining to support someone who is in mental despair who has experienced loss. It is expensive because it takes time to provide counselling to people. It is not just a pill for a week, it is support often for a very extended period of time. Over the last 30 years, we have seen the work of the Scottish caught death trust, supporting parents across Scotland and indeed working with others beyond Scotland, I understand. As Gil Paterson's motion makes clear in his constituency supporting the next infant support programme for bereaved parents, bespoke services the motion talks about through pregnancy and for the first year after birth through things like anal monitors. There is one little thing that we need to think about. It is right and proper that we provide advice as to how we can minimise the occurrence of caught death. Margaret McCulloch highlighted quite a few of the pieces of advice that there are, but it is equally important that we reassure parents that it will not be their fault that a child has experienced caught death. They may have followed all the advice, they may not have been aware of some of the advice, but it almost certainly in 99 cases out of 100, probably higher, it will not be the parents' fault and of course that is precisely why the trust has to be there to reassure and support those parents who do not know what more they could have done, and the answer may be that there is nothing more they could have done. Thank you very much, Presiding Officer. I now call on David Stewart to be followed by Jamie McGregor, a generous four minutes. Thank you Presiding Officer and I place on record my thanks and congratulations to Gil Paterson on securing this afternoon's debate. To mark, as we have heard, the 30th anniversary of the Scottish caught death trust. I also recognise the work of Lindsay Allen, the executive director of the trust and her colleagues, who have made such an incredible difference to the families who have faced such a terrible tragedy. I also praise the contribution of the chair of the trustees, Dr John McClure, who I met in Florence at the world conference of the sudden infant death syndrome over 10 years ago. As we have heard, one baby dies every nine days and about 40 infants die suddenly and unexpectedly in Scotland each year. Over the last 30 years, more than 1500 children have died suddenly and unexpectedly, with no definitive cause of death can be found. My youngest son Liam died from caught death in 1991. He was eight months old and I remember the horror and trauma of the moment that has never left me. A series of images are frozen in time. The ambulance, the faces of the doctors and nurses accident and emergency, the police and later the cold and remote manner of the pathologist during the post mortem. All that contrasted with the sport of friends, family and neighbours, the phone calls and visits and the hundreds of cards of condolence. Many other brief parents have told me of the tremendous support that they receive from the Scottish Cot Death Trust during the crucial first few months after their loss. That was certainly my experience. As we have heard, the number of deaths has declined since the 1990s and they are now recorded as sudden unexpected death and infancy. Such deaths can occur in every part of Scotland and in all social strata. Of course, most occur within the first year of the child's life and can occur whenever an infant is sleeping. Twice as many boys die as girls and second or later born children are more at risk, as are pre-term low-weight babies. What can the trust do, as we have heard, is invested more than £3 million in research and development and has educated thousands of parents and professionals about Cot Death and how to reduce the risk? It is a range of resources providing support, home visiting, counselling and befriending services. I particularly highlight the important work done with the apnoe monitors and resuscitation training for parents. Of course, every bereave parent reacts differently. Some will walk contact support to last longer than others. When I meet parents through the Scottish Death Trust, they told me that having received the support, they were better able to support their surviving children and to search to help elsewhere through a general practitioner or private counselling. At times of acute grief, it is easy to forget about surviving children, grandparents, aunts and uncles and, with older children, those children's pals. I praised the trust for its case review study, commissioned in 2000, which called for a multidisciplinary approach, given all the agencies to work together to minimise the stress to families, and I understand that NHS quality improvement Scotland attempted to roll out back throughout Scotland. Losing a young healthy baby is one of the greatest traumas that parents can ever face. For 30 years, the Scottish Get Cot Death Trust has been counselling, supporting and educating parents, as well as supporting the professional agencies that work with families. Let us never forget its pioneering research work. We owe a tremendous debt of gratitude to all those involved with the trusts, the befenders, the fundraisers and the health professionals. The work that they do is truly outstanding and makes a real difference to many families. We honour their contribution and commitments here today. I congratulate Gil Paterson on securing today's debate, and I pay tribute to his consistent work in this Parliament supporting the Scottish Get Cot Death Trust. I am pleased today to join other members in commending the excellent efforts of the Scottish Get Cot Death Trust, the only Cot Death charity in Scotland, and all those who work for it. I volunteer or help fundrais as well. Despite being extremely rare, Cot Death or Sudden Infant Death Syndrome is still the most common cause of death for infants between one and 12 months old in Scotland. A child dies from Cot Death every nine days. As a father of six children myself, four of them still at school, I find it difficult to imagine the extent of the pain and darkness of losing a child, something no parent should experience, but the loss of a healthy infant suddenly and without explanation must be absolutely devastating and beyond heartbreaking. That is why all MSPs should be grateful that the Scottish Get Cot Death Trust is there to support bereaved parent constituents in these circumstances. The Trust's website is a fantastic resource for parents and their families. I know several mothers and fathers myself who have suffered from the awful trauma of a Cot Death. Grief over the loss of a baby or toddler is so intense that it's terribly difficult for relatives or friends to begin to know what they can say or do to alleviate the grief of parents. Margaret McCulloch and other members rightly highlighted this. While it seems unlikely that all Cot Deaths can be prevented, the risk factors associated with Cot Death can be reduced. Therefore, like other members, I would urge prospective parents to look at the reduced the risk leaflet, which is very clear and helpful and offers parents to be straightforward advice on such things as placing babies on their back to sleep, keeping them away from smoke, breastfeeding and dummy use. It appears that reducing risk factors, primarily by encouraging parents to place babies on their back to sleep, notably since the time of the 1991 back to sleep campaign, has helped to gradually decrease the incidence of Cot Death over the last few decades, but we must continue to make progress in that direction. As Gil Paterson's motion makes clear, the Scottish Death Trust not only supports bereaved parents and educates the public and healthcare professionals about Cot Death and ways of reducing the risks, but is also committed to funding medical research into Cot Death, and that is to be very much welcomed. Indeed, since it was established in 1985, the Scottish Cot Death Trust has invested more than £3 million in research projects locally, nationally and internationally, and we still know relatively little about the causes of Cot Death. That is what we have got to find out, I think. Why, for example, are premature babies more affected and second and later-born infants at a greater risk than the first-born? To conclude, Presiding Officer, I again warmly welcome today's debate, and on behalf of my party, I congratulate the Scottish Cot Death Trust on their 30th anniversary, and thank all those involved in the trust for the work that they do on behalf of all our constituents, and I wish them every success as they continue their critically important and valuable work in the years ahead. Thank you very much. On our call on Dr Richard Simpson, a generous four-minutes Dr Simpson, after which we moved to closing speeches. Thank you, Deputy Presiding Officer. Can I join with the other members in congratulating Gil Paterson on, again, getting a debate on this important topic? I have no negative feelings about the fact that we are debating it again. I think that it is important that we continue to consider this important topic. Of course, the context of the Scottish Cot Death Trust's anniversary, 30th anniversary, is a good one. I think that joining with Gil and saying thank you to them, our gratitude to them for the work that they have done over the years, is very important. The quality of the support that they provide in counselling and education is obviously extremely valuable. We commend their hard work and dedication, as David Stewart said, because it has a profound effect on those families who have been affected and support them. As a doctor, I experienced families with Cot Death and it was difficult. In the early days, in the 70s and 80s, the way in which it was managed was by silo people coming forward. That was the health visitor providing some support, but then the police were involved, the pathologist was involved and the thing was not connected up. Having a multidisciplinary approach of the sort that was referred to by David Stewart from 2000 on is critical in managing those situations. The police are infinitely better at this now than they were and that is something that is very welcome. Apart from patients, I have also had a family member who suffered a sudden infant death syndrome or unexpected death, as it is now called. The form of unexplained death is the one that is really important in what we are discussing today. Of course, differentiating it in the public mind from other things that may occur, the worst end of that being infanticide on Munkhamston syndrome is really critical. That suspicion is out there in the public sometimes when an infant death occurs. When you get the sort of experience of those families, as Stewart Stevenson said, of the feelings of guilt and self-blame, then the whole thing gets very confused. The trust's role is really critical on the educational role that they provide. The summit that they had fostering collaboration is important. Getting the range of health professionals to interact with the family through pregnancy and nursing when it is a second pregnancy but also the bereavement and other counselling is really important. The toolkit that is provided is helpful to professionals and families alike. There is a lot of information and, of course, none of us forget the back-to-sleep campaign, which again members have mentioned. It is critical that it is one of the nicest slogans back to sleep. It was so simple and so welcome and made such a fundamental difference. It seems extraordinary that it took to the 1990s for medical researchers to discover such a simple thing, making such a huge difference. However, it does not remove the fact that we still have deaths at one and every nine days, and it is critical that the research goes on, because we still do not understand it. Of course, there is a lot of research that indicates the factors involved, which have been mentioned by other speakers. The smoking issue is still important. We still have too many people smoking in pregnancy. It is almost 20 per cent—I think that it is about 18 per cent now. It has come down, and that is very welcome, but we need to go further on it. Groups such as the family nurse practitioner support who are supporting families who are more likely to experience this is important, because teenage pregnancies and young mothers are more likely to experience the very small numbers, but it is still more likely to happen. The question of laws and economic status as being overrepresented is important. The issue of breastfeeding is important. I was disappointed to hear that the family nurse practitioner programme, which we all support and feel is good, has only a 5 per cent level of breastfeeding. I think that that is something that we need to question and say, well, if this is a highly focused, low-case load approach, why is it only 5 per cent breastfeeding when that is so important to this particular group? Breastfeeding is another of the factors involved. If the breastfeeding we know protects against infection, it seems to be an association with cough death. The other issue is the question of teenage pregnancies. Of course, the reduction in teenage pregnancies, which the health committee reported on, is welcome. It is beginning to move in the right direction, but there is still substantial variation across the country in the levels of teenage pregnancies. I think that it is critical that we keep on that report. It is not so far as long ago that it was produced, and it needs to be looked at. I personally feel that there should be a school-level publication of teenage pregnancies. I found when I went to Oldham that that was instrumental in changing the approach to teenage pregnancy. Schools who did not believe that they had a problem with it suddenly realised that when the figures were given to them, they had a serious problem and they needed to address it. Beyond the family nurse partnership, there are also other groups. Beyond that, a very limited and very tight group, we need to consider other families and potential mothers who may have problems, because drug and alcohol abuse is another of the factors involved, and we need to make sure that they are supported. That means that the health visitors who worked previously with those focused groups, from whom we have now removed the most difficult people, or the ones that are most needing help, the most at risk, and the ones beyond that, who do not qualify for family nurse partnership, need to continue to be supported. In Fife, for example, where there was an excellent programme supporting some 600 families, that programme has been somewhat damaged by the removal of resources into the FNP. That is, frankly, unacceptable. It needs to be looked at, and I hope that the Government will look at it. I hear that the positive change programme in Glasgow has similarly had problems since the FNP was established, so I think that that too needs to be dealt with. I am looking at it, Presiding Officer, to see if I am still all right. I could have a little more time if you wish. I think that one other issue that I want to address is a difficult one, because it is still a matter of debate and that is swaddling. In some cultures, swaddling is the natural way to do it. It is the established cultural approach. It is clearly important that we understand that, because it is thought that swaddling with the creation of increased heat can actually become a factor, because if the child is too hot, we know that that is a factor in the situation. Getting proper advice and swaddling I think is important, and I know that CotDest trust has advice on this, and I think that that is another thing that is important. At one point, it was a question of whether the emissions from certain types of mattresses were a factor as well. I think that that has now been addressed, but actually having the right bedding, the right clothing, the right temperature, avoiding smoking, avoiding alcohol or drug and alcohol, and not taking the baby into bed with you in the circumstances where there is any possibility that you could overlay, any possibility. Particularly if the child is premature, that is inappropriate. All that advice that the CotDest trust has given is extremely welcome, and I hope that it will not have to go on for another 30 years, that we will find a solution, that we will find an understanding, but in the meantime, the programme that it runs in educating the public in general, but also in supporting families who have been bereaved in this way, has been welcomed, is critical and has to be supported. I now call on the minister Maureen Watt to close this debate on behalf of the Government minister you have until 2 o'clock, if you wish. Thank you very much, Presiding Officer. I would like to thank Gil Paterson very much for bringing this debate today. I noticed in the records that five years ago he brought a similar debate recognising a quarter of a century of the Scottish CotDest trust, so I join with all the other speakers today in congratulating the Scottish CotDest trust on their 30th anniversary and acknowledge the important work that Lindsay Allen, Executive Director of the Trust, all its trustees, its staff and its many volunteers past and present have done over the last 30 years in supporting families who have lost their babies or young children to sudden and unexplained death in infancy. I welcome all the points that have been made by the speakers. Presiding Officer, any bereavement, as has been said, is traumatic. However, the effect of a sudden and unexpected death of a baby has a devastating impact on the family, which is why the support offered by the trust is necessary and greatly appreciated by the bereaved families affected. Interestingly, just last night in this Parliament, there was an event celebrating the work of the 10th anniversary of the Simpson Memorial box appeal. There were some very harrowing stories and many tears last night at that event, which just brought home how devastating such a death can be. As members have mentioned, thankfully, in recent years there has been a reduction in the number of sudden unexplained deaths in infancy. Until 1991, around 50 babies a year died in Scotland. That has gradually decreased to around 30 babies a year. Clearly, even one death is too many, but the trend is thankfully in the right direction. Figures from the National Records of Scotland for 2013 and Provisional Figures for 2014 show a potential further drop in numbers, and that is to be welcomed. Experts believe that the reduction is due to the advice given to parents to place babies on their backs to sleep. As Dr Simpson mentioned, it was just such a simple message. Supporting families has been and still is a fundamental aspect of the trust's work, and most recently it has introduced the Scottish co-ordinator role, which offers assistance to boards in conducting sudden infant death reviews where required. Also, the next infant support programme, where the trust offers to work with each of the SUDI pediatricians across Scotland to ensure that, when bereave parents are expecting a new baby, they will receive extra care and support during the pregnancy and after the birth. The Scottish court death trusts also received section 16B funding from the Scottish Government. That was £15,000 in 2014-15, and that was for sleep apnea monitors, and it will receive a total of £120,000 over three years for its support posts. The Scottish Government SUDI group was established in December 2012, of which the Scottish court death trust is an active participant. That group was set up to take a fresh look at this important area of work. In particular, the group has considered how best to ensure that SUDI reviews are fully completed and looked at how to drive improvement locally and nationally. The SUDI multi-agency toolkit that is currently hosted by Healthcare Improvement Scotland was set up and provides web-based guidance on the correct procedures in the invent of a sudden unexplained death in infancy. That developed a standardised pathway in the SUDI review process for all boards to follow when investigating a sudden unexplained death in infancy. The SUDI review process and the toolkit have been used since 2011, and NHS boards now have full responsibility for undertaking SUDI reviews. It is not just professionals from NHS boards who are involved in the management of SUDI cases, but also Police Scotland, the Crown Office, Procurator Fiscal, Ambulance Service, and often child protection colleagues. The information sharing processes between the different agencies are critical. The Scottish Government SUDI group has also considered the information gathered from the SUDI review process and will consider further data analysis to drive more quality improvements of the process and improve the care and information that is provided to families who have been devastated by tragic losses, of course. The minister has been talking quite properly about the wide-ranger professional support, and of course the CotDest trust musters much of that to help those who are affected by that. Is it not also the case that those who have experienced sudden infant death syndrome are often the ones who are most valued by later sufferers? Of course, they bring personal experience to it. It is often at least as valuable as the professional input that comes from the wide range of people who are involved in the trust and the whole issue. That is a feature of the third sector very generally of which the Scottish Infant Death Trust is a good example. I absolutely agree with the minister for that intervention that peer support is so crucial, not just in this area of work, but in so many aspects of the work that I undertake and the visits that I make to various organisations. You learn so much more and have so much more empathy with someone who has been through the same experience as you. Indeed, in the last two years, there have been two SUDI summits, which have been joined by the Scottish Death Trust and the Scottish Government events. The most recent summit, which I opened, took place in December 2014 and was an excellent day of sharing best practice with the common goal of assisting bereaved families who experience SUDI. The Scottish Government set up child death reviews steering group this year and the trust has a representative on this important group, ensuring that the perspective of bereaved parents is heard. The child death review steering group will provide a report to ministers in the summer, setting out their recommendations for a child death review process. As other speakers have mentioned, the cause of SIDS is not known. It is possible that many factors contribute, but some factors are known to make SIDS more likely. Those include placing a baby on the front or side for sleep. We also know that the risk of SIDS is higher in cases where babies are born pre-term, with low birth weight, where the mother smokes over 20 cigarettes a day, when pregnant or in families where there is socioeconomic deprivation or complex needs. As Dr Simpson said, looking at where the breastfeeding rates can go up, that shows that there is less likelihood of sudden death, and if we can tackle more, we are making good progress with teenage pregnancies, but more needs to be done. The NICE guidelines on postnatal care were updated in 2014, and they agree with all that. We need clear evidence to say that one particular factor directly causes SIDS. NICE reviewed evidence relating to co-sleeping, parents or carers sleeping on a bed or sofa, or a chair indeed with an infant in the first year of an infant's life. Some of the reviewed evidence showed that there is a statistical relationship between SIDS and co-sleeping. However, NICE was clear that the evidence does not show that co-sleeping causes SIDS. Therefore, the term association has been used in the recommendations to describe the relationship between co-sleeping and SIDS. NICE recommends that the healthcare professionals should inform parents and carers that the association between co-sleeping and SIDS may be greater if there has been alcohol consumption, drug use or low birth weight or premature infants. I should also mention the reduced risk leaflet that is given to every mother, antonately or following delivery. In closing, I would like to acknowledge again the work done by the Scottish Cot Death Trust and wish that the organisation continued success in the future, supporting families affected by sudden unexpected death of a child or baby. Many thanks and thank you all for taking part in this important debate. I now allow a moment or two for change of places for ministerial, and then we'll move on to portfolio questions.