 gyda'r cyffaddEveryone. The question number one is for the Scottish Government to ask what action it is taking to support much of NHS Grampian and reducing the board's waiting times. Shona Robison NHS Grampian is using £4.9 million from the £50 million that is made available to boards in the current financial year to address long waits across the whole patient pathway, including in specialities such as orthopedics and ophthalmology. NHS Grampian has received £470,000 of the £4.85 million cancer funding that was released in 1718. That funding has been provided to ensure that cancer patients are continued to be prioritised and treated within the expected waiting times wherever clinically possible. That revenue is being targeted to increase scope in diagnostic and imaging capacity. Peter Chapman I thank you, cabinet secretary, for that answer. For the past nine months, NHS Grampian has had the worst waiting times in Scotland. In that time, more than 18,000 people have waited over 18 weeks for treatment. Core revenue expenditure for NHS Grampian is the second lowest in Scotland, with a spend per head of only £1,671. Does the cabinet secretary admit that that is unacceptable? Will she apologise to the people of Grampian? Shona Robison In 2018-19, NHS Grampian's resource budget will be £920.6 million. That is an uplift of 2.1 per cent compared to 2017-18, which is the highest of any territorial NHS board. I should say that that situation would be worse if we were to apply the Tory tax plans, which would have taken £49.5 million out of Grampian's resource budget. I really do not behold the member to come here complaining about Grampian's resource budget, when he would have taken almost £50 million out of that, had his plans gone ahead. Liam McArthur The cabinet secretary will be aware that waiting times not only affect those in the Grampian region, but also those covered by the island health boards, including Orkney. Can she update the Parliament on what discussions she or her officials have had with NHS Orkney about the additional investment going into NHS Grampian and how that meets the needs of island patients from Orkney and indeed from Shetland? Shona Robison As Liam McArthur will be aware, the involvement of Orkney and Shetland in those discussions is very important. As he knows very well, many of his constituents will rely on the services of NHS Grampian for procedures that cannot be carried out on the islands. The resources that have gone on, and of course Orkney and Shetland, will have also received their share of the £50 million waiting times initiative, as well as NHS Grampian. What I would expect—I know that it is happening very much in the north of Scotland—is that boards are working together to maximise collaboration to make sure that they can shorten the patient journey to share resources. There are, for example, shortages of specialist staff that look for north-wide solutions in order to recruit specialist staff. That work has been led very well by Malcolm Wright, and I am very happy to write to the member with more detail if he finds that helpful. supplementary Richard Lochhead I welcome the extra cash for NHS Grampian. Can I draw the cabinet secretary's attention to the growing frustration that is being expressed by the campaign group APACER in terms of the long waiting times for pain clinics, particularly in Murray, given that people do not want to have to travel to Aberdeen all the time for treatment? Can she investigate this and perhaps try to provide an update both to myself and directly to the campaign group APACER? One member of the campaign group, Brenda Carnegie, was quoted in the press and journal this week saying that she has been waiting for nearly two years for injections to get every six months if she could perhaps investigate these issues as well. I am happy to do that and to get back to the member. What I will say is that, nationally, almost three quarters of patients referred to a pain clinic were seen within the 18-week standard. That is a significant increase in the previous quarter, but, of course, there was too much local variation across boards, something that we want to eradicate. I assure you that the Government is very much committed to ensuring that all patients, no matter where they live, have swift access to the full range of services that they need. I am aware that waiting times are longer than we would expect in NHS Grampian. They have had significant staff absences in the past year that has affected this area. I know that there has been recent recruitment that has been successful and has enabled additional clinics to be offered, but, in terms of what the member was asking around the pain clinics in Murray, I am happy to look into that and get back to him. Given that early diagnosis can make the difference between successful and unsuccessful treatment for diseases such as cancer, I know that the cabinet secretary will agree with Cancer Research UK on the importance of early diagnosis and investigation. Can she tell us what specific steps she will take to reduce waiting times for diagnosis and investigation for patients with such diseases in Grampian? Obviously, Lewis Macdonald will be aware of the work that is being taken forward by the cancer strategy, which is looking to improve cancer services across Scotland. As I said in my initial answer, NHS Grampian has received £470,000 of the £4.85 million cancer funding last year, and the focus of that money has been very much in increasing scope and diagnostic and imaging capacity. That will continue to be our focus. We know that once a person is diagnosed, their journey from then on to treatment is very short, so it is the diagnostic pathway that we need to shorten. He might also be aware that I chair a national group of the very best experts in the field that are looking at the best practice, because there is, again, still variation around that diagnostic pathway. We are looking at making sure that we can do everything possible to shorten that diagnostic pathway. I am happy to keep the member appraised of any detail. 2. Mark Griffin Thank you, Presiding Officer. To ask the Scottish Government when details of the fund to support parents of premature babies in hospitals will be announced. Shona Robison We are pleased to announce that the neonatal expenses fund will go live on 1 April and will be available to families of all babies in neonatal care. We have worked with NHS boards and the neonatal charity bliss to develop a clear and simple scheme that is universally accessible. I have written to all boards this week to outline the details. I want to record the members' active interest and pursuits of the issue, which is well understood and certainly very welcome. Mark Griffin I thank the cabinet secretary for her answer and the work that has gone into setting up the funding. I am delighted to say that it will start on my daughter, Rosa's first birthday. Can I ask the cabinet secretary what levels of support the fund will provide each day and whether there are daily limits? The cabinet secretary will be aware that there will be babies born before 1 April and still be in a hospital after this point. It is an assurance that babies born earlier than 1 April this year will be able to access the fund. How and used will the fund be tracked throughout the year and what provisions are in place if the fund is exhausted within the financial year? Shona Robison I think that it is very appropriate that the fund is launched on baby Rosa's birthday. I can't think about anything more appropriate. I can say to the member that the fund will support parents with travel costs, parking and meals. I can tell him that we will be making it very easy for people to claim. I will leave it in a copy of the claim form. It will be given to families when their baby is admitted to a neonatal unit. In addition, posters advertise in the scheme to make sure that people are aware of it. It is important that we review and monitor it to see whether there are any adjustments that are required. We will review the scheme after six months and at the end of the first year to evaluate the provision. We can consider whether there are any changes to the scheme that might be necessary. Of course, we would want to hear from parents in that regard who are using it. Prior to 1 April, I will write to the member with that information, because I want to be accurate about that. However, I am happy to generally keep the member informed of this and the detail going forward, given his active interest. Fulton MacGregor, followed by Miles Priggs, will ask the cabinet secretary what engagement the Scottish Government has had with the UK Government regarding the extension of maternity leave and statutory maternity pay for parents of premature or sick babies, and just to remind the chamber that I am the PLO to the cabinet secretary. Fulton MacGregor raises an important point about additional support that families in this situation would no doubt welcome. I am aware that, in September of this year, at the request of the business minister, Margot James, ACAS published new guidance for employers to help them to support staff who have given birth to premature or very sick babies. I certainly welcome that move to provide information to parents on their rights and to employers on how best to support and hope that that will have some positive results for parents. The Scottish Government supports the proposal. I believe that it has also been raised by the neonatal charity, Bliss. We certainly will be working with our colleagues with responsibility for childcare in early years in social security to make sure that we keep pressure on the UK Government to do its bit. I start by paying tribute to Mark Griffin in helping to secure the £1.5 million fund for parents of premature babies. Alongside the fund, the health secretary announced in December that she was working with health boards to ensure that sufficient and free accommodation for all parents whose premature babies are in hospital. Can she update Parliament on the progress that has been made on that front? All boards have some provision for accommodation where there is a need for family to stay. 14 out of the 15 units currently offer accommodation for parents within their unit, and 11 others offer accommodation elsewhere within the hospital. We are working with boards and that continues to ensure that there is sufficient free of charge accommodation available to all parents who need it. Progress is being made, but there is still some progress yet to be made. To ask the Scottish Government what analysis the health secretary has made of the potential implications for Scotland of the findings in the recent annual report of the chief medical officer for England, which addressed the impact on public health of pollution. We welcome the broad-ranging and thorough report from the chief medical officer for England. Work by the Scottish Government, our partners and stakeholders to deliver environmental protection and improvement is supported by Scottish specific advice from the chief medical officer for Scotland and Health Protection Scotland. Many of the issues identified in the report have relevance to Scotland and Health Protection Scotland will consider the findings in detail to add to the evidence-based directing work that is taking place, for example, through cleaner air for Scotland to reduce the burden of disease from pollution in this country. Can I thank the minister for that response? One of the main findings of the report is that we simply do not know what the combined effects are of different forms of pollutants, such as noise, light and air, and the impact that that can have on health inequalities. Those are all issues that greatly concern my constituents who live in the shadow of the Moss Moran plant in Fife. Will the minister support calls for a long-term health study into the combination effects of the different forms of pollutants around the Moss Moran site? In recognising that the chief medical officer's report for England was broad-ranging, it identified a number of those areas that Mark Ruskell articulates around noise, light and air. There is work currently being carried out on a number of those issues already in Scotland, and happily we will take any concerns that his constituents have into account, happy to meet with the member if that would help if he wanted to further elaborate on some of the specific concerns that his constituents have, but the three issues that he raised are noise, light and air. There is work happening right across those areas, and we can continue to make improvements where we need to. The minister will be well aware that air pollution from particular matter is responsible for 2,000 early deaths in Scotland each year, and exposure to nitrogen dioxide in pm 2.5 causes 2,500 premature deaths each year, according to Royal College of Physicians. Does the minister share my view that those least responsible for air pollution are the worst affected and that are the most vulnerable in our society? Does the minister share my view that the action that is required is urgent roll-out of low-admission zones, additional funding for active travel and bus regulation? There are, as he knows, a number of actions that are being taken forward by the Government on a range of the issues that Dave Stewart outlines. We are, as a country, meeting domestic and European air quality targets across much of Scotland, but we understand and recognise that there are hotspots of poorer air quality in a number of the urban areas. He is right to identify the inequality that is linked to some of those who are most impacted by that. We have set more stringent air quality targets than the rest of the UK. Scotland is the first country in Europe to legislate for a particular matter, a pollutant that is of special concern for human health. We also have money and resources that are attributed to the efforts that we want to do, and not least the low-admission zones that the cabinet secretary announced fairly recently. There are a number of areas in which we are taking forward progress, in recognition of the fact that that does have an impact and can have an impact on people's quality of life. Therefore, we need to endeavour across portfolios to make sure that we can alleviate that as best we can. I ask members to be a bit more succinct with their questions and to be a bit more succinct with their answers. That way, more people can get in with supplementaries. To ask the Scottish Government what progress it has made rolling out the healthier, wealthier children approach to income maximisation across Scotland. The Scottish Government remains committed to embedding across all NHS boards healthier, wealthier children's key principles of health and advice services joining up to ensure pregnant women and families have access to financial advice when they need it. To progress this, we asked NHS Health Scotland to carry out a scoping exercise that ran between March and October last year with all NHS boards to establish their current position with embedding of health and advice service referral pathways. This exercise showed that, while a number of boards have formalised referral pathways, some are at an earlier stage in their journey. NHS Health Scotland has established a short-life subgroup of Scotland's health promotion managers group to make recommendations to the Scottish Government on next steps to ensure that all boards establish pathways. We expect to receive those recommendations in April this year, and we will consider them carefully to inform our next steps. Alison Johnstone I thank the minister for her response. Our research suggests that, based on the success of healthier, wealthier children in 2012, rolling the programme out across Scotland would lead to gains of at least £9.4 million for pregnant women and families in the greatest need. The evidence that we have clearly suggests that this helps to improve health and reduce inequalities. The minister has made to the point there very clearly that referral pathways are key. Can I ask the minister to be specific about what additional resourcing will be put in place to deliver the pledges? How much cash will the Government use to fund the show-out? I think that analysis that Alison Johnstone outlines shows the compelling need to make sure that this can happen. That is why it is important that we have that understanding about the situation across the country. The child poverty delivery plan will be essential in progressing healthier, wealthier children, which will enable resources to help to progress the important programme. I am not in the position to outline exactly that funding, however we will endeavour to ensure that the member is kept up to date because she is right to articulate that by spending a little we can potentially save many people and many families a lot and help to reduce inequalities. Question 5, Rachael Hamilton. To ask the Scottish Government what action it is taking to tackle health inequalities and what role having access to arts and culture can play in this. Reducing health inequalities is one of the biggest challenges that we face. They are a symptom of wider social inequalities and that is why we are focusing on the underlying causes that drive health inequalities, ending poverty, fair wages, supporting families and improving our physical and social environments. The Government is working in collaboration with individuals, communities and organisations across Scotland to develop a culture strategy that will set out a vision and priorities for the future development of culture in Scotland, enabling everyone to have the opportunity to take part or contribute to cultural life in Scotland. We know that people who engage with and participate in culture activities report better health outcomes and we are seeking to better embed arts and culture into health and care settings. Many organisations working in the arts, such as the Scottish Mental Health Arts Festival, are recognising the health benefits that they can bring to their audiences. Rachael Hamilton. Minister for that answer. Aileen Campbell is right that the Scottish Government found that participation in culture is significantly linked to good health and high life satisfaction in Scotland. In fact, Cabinet Secretary Fiona Hyslop said that starting young and being encouraged to take part in culture as a child makes it more likely that benefits of taking part will be experienced as an adult. As such, does the minister agree with me that recent decisions concerning the Scottish Youth Theatre and other services have the potential to damage the nation's health? Will she agree that more needs to be done to increase access, especially for young people to arts and culture throughout Scotland to improve health outcomes? Aileen Campbell. I absolutely concur with the sentiments expressed by the cabinet secretary that if we enable young people to participate in the arts and culture, they are more likely to be able to enjoy that in later life. The same goes perhaps for sport. Similarly to sport, that is why we have endeavoured to ensure that we can offset the cuts from the UK national lottery, which has threatened many of our cultural and sporting organisations that enable young people to participate in the arts and culture. I recognise the on-going and very topical issue around the Scottish Youth Theatre. I understand that there are continued-to-be discussions on that issue to ensure that that very much-loved and well-respected organisation can ensure some sort of sustainable future. Elaine Smith. Thank you, Presiding Officer. As the minister seems aware that the health inequalities and including inequalities in mental health are often a symptom of poverty, will she commit to the Government addressing the shortfall and funding for other local community projects that give more deprived communities an opportunity to engage in arts and culture activities? Aileen Campbell. Again, I was imagining that my colleague Fiona Hyslop would have more to say and can certainly direct some of the information that maybe Aileen seeks to the culture department. However, as I said in my previous response to Rachel Hamilton, what we have done to try to protect some of our cultural organisers is to offset the cuts that have been experienced through the UK lottery, which has threatened many organisations that have relied on that revenue source, the same story that we experienced in sport. It was important that the Scottish Government stepped into offset those reductions. We recognise, as I said in my original answer, that we recognise that inequalities are something that we want to reduce, we want to reverse, we want to make sure that many young people get the opportunity to participate in arts and culture, and that is why it is important that we continue to press the national lottery to make sure that there is an adequate strategy to reduce the fallen revenues there. To ask the Scottish Government how the NHS monitors children diagnosed with fetal alcohol syndrome. The Scottish Government funds NHS Scotland to provide a range of services to promote and protect the health of children. Hospitals, general practice and nursing services provide on-going healthcare to children diagnosed with long-term medical conditions such as fetal alcohol syndrome. In July 2017, we launched the fetal alcohol spectrum disorder care pathway, which is an e-learning resource for health professionals, which aims to help with the diagnosis of the condition and support the families and carers of affected children. In Scotland, we have benefited from the support needs system that allows for the recording of children with diverse types of health needs, including those resulting from fetal alcohol syndrome. The system has currently been reviewed. Does the minister agree with me that it is important to have an interconnected system throughout Scotland? Will the review consider a single data recording system, rather than one that is fragmented into health board areas? Eilidh Campbell Mae cair is absolutely right to point to the fact that we need consistency in terms of the way in which we diagnose and record incidences of fetal alcohol syndrome. Health boards record the diagnosis of conditions on their local information systems and the FASD care pathway, which we launched last July, provides all health professionals with the necessary information to help with the diagnostic and support process. There is also a multidisciplinary professional sign group looking specifically at the assessment and diagnosis of fetal alcohol syndrome. That is due to report by the end of this year. We will certainly ensure that the points and issues raised by Rona Mackay around the consistency of diagnosis is part of that work. Quick supplementary, please, Brian Whittle. Thank you, Deputy Presiding Officer. I will ask that on behalf of a constituent of mine who is asking what the process is following the birth of children with fetal alcohol syndrome and perhaps the effects of opiates from a social care intervention perspective and child protection perspective. The prevalence of fetal alcohol syndrome is very complex. There is not a single treatment for fetal alcohol spectrum disorder, which varies in its presentation and its severity, but it is recognised as a lifelong condition. There is evidence that early intervention support, for example, to enhance learning and managed self-regulation and behaviour, can be beneficial. That involves early enrolment with relevant educational resources and other agencies such as social and psychological services. Enhance the awareness and recognition of FASD and adopting the getting it right for every child approach to support families can optimise the long-term management of FASD. Again, though, if the member would like to write to me with the specifics around his, I would be content to take that further. To ask the Scottish Government what progress it is making with the clinical review of cancer waiting times and when the results will be published. The clinical review of cancer access standards in Scotland provides an excellent opportunity to examine how information on cancer waiting times could be best used to modify and enhance the patient experience. It will determine if any amendments or modifications are required to ensure that the cancer waiting time standards best meet the needs of patients and the NHS for the future. A wide range of views from stakeholders, including patients, the public, primary and secondary care clinicians, data staff and third sector organisations have been collated to help to formulate the review recommendations. Those recommendations are being finalised with a view to publication in the spring of this year. Maurice Corry I thank the cabinet secretary for that answer. Will the cabinet secretary be able to describe what actions are being considered as part of the clinical review of cancer waiting times targets to minimise inequalities of service across the health boards and to ensure that those missing the target are given the support that is needed to improve performance? Will the review be looking at the areas that have been suggested by Cancer Research UK? Shona Robison I think that it is first of all about making sure that the targets that we have are fit for purpose and then looking at what adjustments, if any, need to be made. There is wide clinical agreement broadly that the existing 62-day and 31-day standards have been crucial in driving performance and patient care, although there is still some improvement yet to be made. Also, it is looking at things such as pathway complexity and making sure that that is understood because for some cancers that pathway is more complex and whether those targets are appropriate in those circumstances. Also, whether for cancer types, some of those should be within the targets because, as he will be aware, not all are. I do not want to prejudge what the recommendations are but it has definitely the right people looking at that. I am confident that whatever those recommendations are, it will help us to make the improvements that will help to ensure that our cancer services are fit for purpose for the future. To ask the Scottish Government what action it is taking to reduce ambulance waiting times. Shona Robison The service is undertaking a number of measures to look at ways that it can further improve response times to calls from patients and healthcare professionals requesting an ambulance. They are also looking to improve pathways for patients to ensure that they receive the most appropriate clinical response to meet their needs. The service is committed to ensuring that it continues to deliver a high quality level of emergency healthcare to the people of Scotland and the Scottish Government continues to support the services that it takes forward this work. Jackie Baillie Stitching to Elizabeth Clayton is 100 years old, registered blind and lives in Renton, which is minutes away from the Vale of Leven hospital. She became ill at 2 p.m. Her doctor called for an ambulance to take her to the Vale. No ambulance appeared despite phone calls from the family and at 10 p.m. that same day, the call was upgraded to a 999 emergency. The ambulance eventually arrived at 1 a.m. 11 hours after it was first called. Will the cabinet secretary apologise to Mrs Clayton, who waited 11 hours in considerable pain, and what action will she take to support our dedicated paramedics by increasing the capacity of our ambulance service? Shona Robison Can I first say to Jackie Baillie that I would expect, in a case like that, that the Scottish Ambulance Service would be investigating. If she has not already passed it on to the Scottish Ambulance Service and she should, I would also want to see the details of that case. Of course I would apologise to Mrs Clayton for that. I would also want to know the context of when that happened, because Jackie Baillie will be aware of some of the challenges over the winter period that the Scottish Ambulance Service faced, but for Mrs Clayton that is no consolation. I would want to look into the details of that case as soon as possible. I am sure that Jackie Baillie will be aware that we have increased funding to the Scottish Ambulance Service to strengthen the workforce with the recruitment of a further 224 paramedics this year, in line with the commitment to see 1,000 more paramedics recruited by the end of 2021. She will also be aware that, in addition to the response in the emergency vehicles, she will be aware that there is also a lot of training of community paramedics going on, who will be able to see and treat people within their own homes where that is appropriate. To ask the Scottish Government, in light of information provided by the Scottish Parliament Information Centre, suggesting that NHS Grampian has been underfunded by £165.6 million since 2008, whether it plans to provide additional funding to meet that long-term short-form. I will repeat the response that I provided in the chamber to Mike Rumbles on 24 January this year. NHS Grampian will receive a resource budget uplift of 2.1 per cent in 2018-19, the highest percentage uplift of any territorial board. That includes £5 million share of additional NRAC parity funding and takes the board's annual resource budget to £921 million. Over a seven-year period, the Scottish Government has invested in the additional £1.2 billion in supporting those boards that are below their NRAC parity levels. In 2018-19, all boards will be within 0.8 per cent of NRAC parity. That is the first time that has been the case. Mike Rumbles The minister will be aware of the shocking report that was published yesterday, highlighting that, over a quarter of patients who suffer chronic pain disorders have been forced to wait longer than 18 weeks for treatment. Once again, NHS Grampian has the worst results for Scotland, with 542 people waiting desperately as the deadline for treatment has come and gone. Does the minister now agree with me that 10 years of underfunding have left NHS Grampian unable to deliver the same level of service that is received by patients in the rest of Scotland? It does not help just repeating an answer from January. Shona Robison The answer from January is factually correct. That is why I repeated it, because facts matter. NHS Grampian has received the highest percentage uplift of any territorial board and is within 0.8 per cent of NRAC parity. Earlier on, I said that the chronic pain waiting times had significantly improved from last quarter, but there was local variation. That local variation is for those above NRAC parity and those below NRAC parity. If you look at Ayrshire and Arun, for example, it has worked to do as well. To link that to the issue of NRAC parity is not correct. What NHS Grampian needs to do and is recruiting the staff that it needs to do to provide the clinics—I might rumbles listened to my earlier answer—he would have heard me say that NHS Grampian has had difficulties recruiting the staff to staff the clinics. They have been on a recruitment campaign and have had some success in that. That is not a money issue. That is about the ability to recruit staff. Perhaps if Mike Rumbles met with NHS Grampian more often, he might get the detail that he requires. The Scottish Government, what discussions the health secretary has had with the housing minister regarding action that can be taken to mitigate the cost of health inequalities brought about by poor or unsuitable housing? Aileen Campbell Ministers and officials have discussions on a wide range of issues aimed at tackling health and social inequality. I have met with the minister for local government housing regarding ways in which we can collaboratively create a fairer and healthier Scotland. For instance, a new fuel poverty strategy and warm house bill will contribute to a number of government objectives and will help to improve outcomes across Scotland. Its overarching ambition is to see a Scotland where everyone's life lives in a warm home, has sufficient income for healthy living, has access to affordable low-carbon energy and has the skills to make appropriate use of energy. Andy Wightman I thank the minister for the answer. Year on year increases in housing costs mean that housing affordability for many people remain a key driver of inequalities, particularly for people in areas where there is a chronic shortage of affordable housing. We know that NHS could save around £60 million a year in preventative savings if investments were made in affordable housing, but does the cabinet secretary agree that, compared to England and Wales, we have inadequate data on the effectiveness of investment in housing to improve health? Does she agree that housing is a key health intervention for many people? Aileen Campbell Absolutely. That is why I continue to work with my colleague Kevin Stewart because of the real impact that good-quality housing has on health outcomes and in helping to reduce health and social inequalities. That is why the Government has invested considerably in housing over the past parliamentary term. Over 33,000 affordable homes were delivered, 22,000 for social rent. The ambitions continue, with more money being put in to ensure that we can achieve our desire to reach 50,000 affordable homes over the lifetime of this Parliament, a 76 per cent increase on our previous five-year investment. The Government takes housing incredibly important because of the allied health benefits and associated ways in which it can help us to tackle inequality. I am happy to engage with the member further, but I know that the Government and myself, and Kevin Stewart, remain committed to ensuring that we can create a healthier Scotland and a fairer Scotland by ensuring that we continue to meet those ambitious targets that we have set and which are being delivered on. Llyr Lyfton Jackson To ask the Scottish Government when the health secretary last met with the chief executive of NHS Greater Glasgow and Clyde and what issues were discussed. Shona Robison Ministers and Government officials meet regularly with representatives of all boards, including NHS Greater Glasgow and Clyde, to discuss matters of importance to local people. Jackson Carlaw With local authority and new local plans, local authorities very often resolve new housing demands with the provision of major new estates. However, councils themselves can provide for future education needs, but community healthcare partnerships have to try and anticipate future health provision with GP services. Is the cabinet secretary satisfied that the process underpinning that is sufficiently robust and well resourced, particularly where a major new estate is created, and when the existing lists within GPs are at full capacity, as is currently the case in a particular example within my own eastward constituency? Shona Robison I think that the member makes an important point. The fact that we now have the health and care partnerships working across health and social care, bringing in a housing element to those discussions as well, I think that there is the need to make sure that when new house building is taking place, that the local services that are required to provide those services, including health services and primary care services, to those residents, is taken into account when looking at future planning. We would expect our partners to be doing that. If there is more that we can do in that space to make sure that that is done at an early enough time, because he will appreciate expanding at any health services takes time, and there can sometimes be a mismatch with the planning process and the house building process. I am happy to communicate further with Jackson Carlaw on that matter, if he would find that helpful. 12. Clare Baker To ask the Scottish Government what assistance it can provide to Cydian Beath FC with its club 1C5 campaign on or the past ensure a future that aims to secure the future of the club. I am aware of the good work that is being carried out in support of Cydian Beath's club 1C5 campaign. I know that the club has strong and deep roots, now dating back more than 135 years in the town. Like many football clubs at all levels in Scotland, Cydian Beath is an important part of the local community, and I am encouraged by the spirit that is shown by both the club supporters and the wider community to raise £135,000 to help to build a sustainable future. I have instructed my officials to contact the club directly to discuss the campaign in more detail. Clare Baker As the minister recognises, the club is 137 years old, and it is important to the local community, but the club no longer has the large mining community that it used to have for its support. The rent from the weekly market and stock cars no longer come to the club as it lost its ownership of Central Park. An emergency general meeting and a public meeting had to be cancelled because of the snow, but the club is clearly in a mode of fighting for survival. I welcome the minister's commitment that officials will contact the club. Will she also join me in calling for locals and football lovers in the world all over to help to save the club? Aileen Campbell I am happy to lend my name to that call for people to get behind the club's campaign. Fans and are the lifeblood of Scottish football, and if anyone can make the difference to the club, I know that it will be the club's supporters. I am happy to continue to meet the member on the back of our officials' meeting with the Cowdenbeath Football Club and to do what we can to raise awareness of the efforts of the supporters. Ruth Davidson That concludes general questions. Although I still have half a minute left, can I say something about the slot? Presiding officers, try very hard to give a balance when we are doing portfolio questions in terms of supplementaries. I have seen a few grumpy faces around the chamber this afternoon. However, there has also got to be a respect for those who have questions submitted and have taken time with their supplementary questions, so that has to be borne in mind as well. Also to be borne in mind, when people take far too long, it does mean that we cannot take some of their colleagues. I would ask ministers to reflect on that as well in relation to their answers. Give a couple of moments for people to get themselves settled.