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Read the full transcript of the Ministerial Statement in the Scottish Parliament Official Report: http://goo.gl/ujTT6J
www.parliament.scot
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Ministerial Statement: Health and Care Update
-
Published by the Scottish Parliament Corporate Body.
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A
B
Thank
You
presiding
officer
this
year
we
are
rightly
celebrating
seventy
years
of
our
national
health
service.
Across
this
chamber,
we
have
expressed
our
pride
in
our
health
and
social
care
services
and
the
remarkable
commitment
of
our
staff
across
the
country,
and
while
there
is
indeed
much
to
celebrate,
it
is
also
our
responsibility
to
look
ahead
to
see
what
must
be
done
to
make
sure
that
the
whole
system
is
equipped
for
the
future.
Over
the
coming
weeks,
I
will
set
out
what
I
believe
to
be
important
milestones
in
the
journey
we
need
to
take
today.
B
I
am
publishing
our
understanding
of
the
overall
financial
climate
in
which
we
will
be
working,
our
expectation
of
future
demand
and
the
demand
that
places
on
future
resourcing
over
the
coming
weeks.
I
will
also
provide
an
update
on
our
NHS
estate,
setting
the
scene
for
a
more
detailed
capital
investment
strategy.
I
intend
to
bring
to
Parliament
before
the
end
of
this
financial
year
and
as
I
have
set
out
to
the
Health
Committee
I
will,
in
the
coming
weeks,
bring
our
plan
to
substantially
and
sustainably
improve
waiting
times
to
this
chamber.
B
These
important
strategic
developments
underline
our
commitment
to
transparency
and
accountability
and
are
supported
by
the
regular
reporting
of
the
financial
position
for
our
NHS
boards
and
integration
authorities.
All
of
these
elements
combined
will
provide
the
clarity
necessary
for
the
important
discussion
we
need
to
have
about
the
future
shape
of
our
NHS
and
social
care
services.
B
The
Scottish,
Government's
health
and
social
care
delivery
plan
highlights
the
necessity
of
achieving
long-term
financial
stability
of
our
health
and
care
system.
The
financial
framework
directly
supports
the
delivery
plan
and
sets
out
in
mordy
till
the
potential
approach
and
the
types
of
initiatives
required
to
deliver
a
financially
balanced
and
sustainable
health
and
social
care
system.
It
is
important
to
view
the
health
and
social
care
system
within
the
context
of
the
overall
Scottish
government
budget,
the
greater
fiscal
responsibility
for
the
government
and
this
Parliament
and
the
continued
pressure
of
UK
government
austerity.
B
The
financial
framework
is
therefore
firmly
set
within
the
context
of
the
Scottish
Government's
first
medium-term
financial
strategy
published
in
May
this
year.
Today's
publication
of
the
medium-term
financial
framework
has
required
close
and
effective
working
with
our
partners
across
the
whole
sector
and
I'm.
B
It
follows
a
principle
set
out
in
the
Scottish
Government's
medium-term
financial
strategy
and
reflects
our
current
understanding
of
the
UK
government's
funding,
an
announcement
in
June
for
the
NHS
in
England.
Let
me
say
at
this
point
that
the
implications
of
the
UK
government's
announcement
are
still
far
from
clear.
B
The
cabinet
secretary
for
finance
economy
and
fair
work
sought
immediate
clarification
on
the
true
level
of
Barnett
consequentials
that
would
come
to
Scotland
as
a
result
of
the
plans
in
England
Dave
Mackay
sought
confirmation
that
the
claimed
levels
of
consequentials
would
be
a
true
net
benefit
to
our
budget.
He
also
sought
clarification
on
the
implied
income
tax
changes
that
had
been
suggested
as
a
result
of
the
UK
government's
announcement.
B
It
is
deeply
disappointing
that
we
still
do
not
have
the
clarity
sought
from
the
UK
government
on
these
issues,
but
the
information
that
is
available
indicates
that
we
will
receive
consequentials
amounting
to
3.3
billion
between
now
and
2020
324
in
finalizing
the
financial
framework
I
have
made
the
perhaps
bold
assumption
that
the
UK
government
will
honor
its
commitment,
deliver
the
consequentials
as
a
true
net
benefit
and
not
reduce
the
scottish
government's
funding
by
cuts
applied
elsewhere
or
by
other
measures
and
I.
Very
much
hope.
B
This
is
an
ear
here
on
which
we
can
all
be
agreed.
I
can
confirm
that
the
Scottish
Government
remains
committed
to
passing
on
health
consequentials
in
full.
This
is
reflected
in
this
financial
framework.
Our
commitments
on
health
and
care
funding
have
already
delivered
over
13
billion
in
health
funding
this
year,
including
over
550
million
in
investment
in
social
care
and
integration.
B
Other
key
investments
we
are
committed
to
delivering
include
500
million
pounds
for
primary
care
by
the
end
of
this
Parliament
and
250
million
additional
investment
in
mental
health
services
over
the
coming
years,
but
increased
funding
alone
will
not
be
sufficient
to
meet
the
challenges
that
lie
ahead.
Our
health
and
social
care
services
are
faced
with
clear
challenges,
not
least
demographic
change,
price
pressure
pressures
on
areas
such
as
medicines,
rising
demand
and
expectations,
and
we
require
to
address
all
of
this.
B
Against
a
backdrop,
backdrop
of
uncertainty
caused
by
brexit
the
impact
of
brexit
on
our
existing
and
potential
workforce
and
the
estimated
overall
economic
damage
to
Scotland's
GDP
of
12
point
7
billion
by
2030.
If
we
followed,
this
latest
call
running
costs
would
increase
by
5.9
billion
in
2023
24
compared
to
2016-17
to
meet
this
challenge.
A
responsible
government
such
as
us.
It
is
critical
that
our
significant
planned
investment
must
be
twinned
with
reform
to
further
improvements
in
our
services
to
achieve
better
outcomes
for
patients.
B
These
reforms
include
the
development
of
regional
working
and
better
collaboration
between
the
National
Health
Boards
to
improve
services,
including
improved
regional
approaches
to
the
planning
and
delivery
of
services.
This
will
help
drive
change
in
how
clinical
networks
are
formed
and
helped
to
reduce
duplication
in
services
and
functions.
I
recognize
that
any
NHS
boards
being
able
to
deliver
the
necessary
reforms
to
achieve
what
has
been
outlined
in
the
financial
framework
will
take
considerable
effort.
That's
why
today,
I
am
offering
NHS
boards
a
new
deal
in
return
for
their
efforts
to
deliver
the
reforms
for
the
future.
B
I
am
facilitating
a
new
three-year
financial
planning
and
performance
framework
for
our
NHS
territorial
boards.
This
change
will
require
boards
to
deliver
a
break-even
position
over
a
three-year
period
rather
than
annually,
as
is
the
case
currently
in
each
year.
Boards
will
have
a
1%
flexibility
on
the
annual
resource
budget
to
allow
them
scope
to
marginally
under
or
over
spend
in
that
year.
For
this
new
deal
to
be
successful,
I
believe
it
needs
a
new
start
so
to
give
all
our
territorial
boards
clear
ground
to
move
forward
on
that
three-year
planning
cycle.
B
The
referred
to
before
in
this
chamber
I've
been
clear
on
my
expectations
of
the
UK
government's
funding
announcement
and
how
we
intend
to
design
deliver
and
manage
the
right,
Health
and
Social
Care
within
our
avail
available
resources.
It
is
essential
that
we
see
the
UK
government's
commitment
delivered
in
full
failure
to
do
so
or
have
a
direct
detrimental
consequence
on
the
financial
position
outlined
in
the
financial
framework.
B
A
The
cabinet
secretary
will
now
take
questions
on
the
issues
raised
in
her
statement.
I
would
ask
all
those
who
wish
to
raise
questions
to
press
the
request
to
speak
buttons.
I
love.I
around
20
minutes,
which
should
be
adequate
if
everybody
peers
the
limitations
in
mind
and
I
call
mails
breaks.
Thank.
C
You
I'd
like
to
start
by
thanking
the
cabinet
secretary
for
advanced
sight
of
her
statement.
The
cabinet
secretary
in
the
first
statement
to
this
Parliament
is
health
secretary
on
the
12th
of
September,
said
she'd
approach,
a
job
with
mature
reflection
and
22
days
later,
I'm.
Sorry
to
say
that
this
statement
doesn't
feel
like
that.
Treasury
figures
show
health
spending
in
England
is
increased
by
20
percent
since
2011
16,
but
only
by
14
percent
in
Scotland
over
the
same
time
period.
C
If
this
had
increased
at
the
same
rate,
NHS
Scotland
would
have
676
million
pounds
more
to
spend
today.
So
can
their
cabinet
secretary
outline
why
SMP
ministers
have
shortchanged
our
Scottish
NHS
at
a
time
of
record
UK
government
health
funding
and
the
kind
of
cabinet
secretary
in
her
statement
also
also
mentions.
She
intends
to
provide
an
update
on
the
NHS
estate
communities
across
Scotland,
which
have
seen
services
cut
and
centralized
will
be
concerned
that
this
statement
is
the
start
of
yet
more
SMP
cuts
and
centralization
of
our
health
services.
B
Jeanne
Freeman.
Thank
you
very
much.
I'm
grateful
to
mr.
Briggs
for
his
questions.
I
have
to
start,
though,
by
disagreeing
with
them,
health
spending
in
Scotland
is
7.1
percent
higher
than
in
the
UK
as
a
whole.
So
let's
be
clear
about
the
facts
here
and
let's
be
clear
that
this
government
is
not
shortchanging
anyone
and
in
terms
of
the
estate,
mr.
B
briggs,
the
only
reason
people
would
be
concerned
if
it
is,
if
once
more,
the
Conservatives
in
this
chamber
could
out
false
accusations
and
claims
that
are
then
rebutted
by
us,
but
it
serve
to
do
nothing
more
than
our
two
concern
and
upset
amongst
the
constituents
you
claim
to
represent.
I
am
looking
for
a
mature
reflective
discussion
and
I
really
do
hope
that
the
conservative
benches
show
themselves
able
to
rise
to
that
challenge
and
get
involved
with
us
in
planning
our
health
service
for
the
future.
D
The
Kabbalistic
is
he
for
early
state
overstatement
and
also
for
the
way
she
has
so
far
engaged
this
chamber
as
she
settles
interneural.
We
welcomed
the
financial
framework
and
the
extra
time
that
helps
to
give
boards
to
plan
their
future
services
from
previous
FY
responses.
Health
boards
have
told
us
that
they're
expecting
to
make
over
1
billion
pounds
of
savings
over
the
course
of
this
parliament.
D
Can
the
cabinet
secretary
said
I,
have
this
medium
term
financial
framework
impacts
on
those
figures
and
what
levels
of
cuts
well
health
boards
will
be
expecting
to
make
over
the
next
three
years.
The
cabinet
secretary
also
recognized
the
local
government
budgets
impact
on
Social
Care
Services.
So
can
she
also
said
again
what
this
means
for
AGB
budgets
and
any
savings
that
they
have
to
make?
The
statement
also
confirms
that
all
brooklet
over
the
last
five
years
is
to
be
written
off.
D
We
have
to
recognize
that
financial
mismanagement
has
happened
in
these
boards
has
happened
under
this
government.
So
can
the
cabinet
secretary
see
how
much
this
is
going
to
cost
and
whether
she
has
confidence
in
the
financial
management
of
health
boards
going
forward?
And
finally,
we
welcome
at
last
some
honesty
from
the
government
on
their
plans
for
service
reform.
So
can
the
cabinet's
take
recommit
to
stating
at
her
plans
to
this
chamber
at
a
future
date
and
also
in
shooting
film
public
consultation.
B
Jeanne
Freeman.
Thank
you
very
much,
I'm
grateful
to
mr.
Sawa
for
his
questions
and
can
I
be
clear
in
terms
of
savings
that
boards
are
required
to
make.
This
is
the
case,
and
indeed
always
has
been
the
case
that
the
money
that
boards
save,
which
is
retained
by
boards
for
allocation
to
other
areas
of
spend.
So
these
are
not
cuts.
These
are
savings
that
we
ask
Ford's
to
make
in
order
that
they
can
use
that
resource
in
other
areas
of
their
spend.
The
money
does
not
come
back
to
me
or
to
Scottish
government.
B
The
financial
framework
clearly
is
for
the
service
as
a
whole,
and
we
have
across
in
terms
of
the
money
from
local
government,
but,
most
importantly
in
terms
of
the
money
from
this
government
and
from
he'll
spend
contributed
significantly
to
the
IJ
B's
and
to
the
work
that
they
are
doing,
and
they
have
a
degree
of
flexibility
already
because
they
are
part
of
the
local
government
accounting
system
and
what
I
am
looking
to
do
is
provide
the
same
degree
of
three-year
planning
cycle
and
I'm.
Grateful
to
mr.
B
B
All
of
our
boards
are
required
to
ensure
and
to
report
and
to
demonstrate
not
just
in
the
reporting
that
they
do,
that
is
publicly
available,
but
in
the
regular
contact
between
my
officials
and
their
finance
officers
that
they
are
prudently
managing
the
budgets
that
they
have
and
they
are
seeking
value
for
money.
There
are
pressures
that
come
on
boards,
as
indeed
on
the
health
budget
overall,
that
we
have
little
control
over
inflation
in
terms
of
drug
prices
and
so
on.
B
We
have
made
positive
decisions
in
terms
of
pay
awards,
which
will
be
another
pressure,
but
nonetheless,
boards
do
have
to
financially
manage
their
resources
with
some
care
and
where
boards
have,
in
the
past,
not
shown
themselves
able
to
do
that
or
shown
themselves
needing
some
additional
skills
of
improvement.
I
want
to
assure
mr.
Sawa
that
my
finance
officials
are
actively
engaged
with
them.
E
Presiding
officer,
the
financial
framework
is
clearly
predicated
on
the
UK
government
actually
delivering
the
Barnett
consequentials
that
they
boasted
about
earlier
this
year.
Can
I
ask
the
cabinet
secretary
what
the
consequences
for
the
framework
will
be
if
the
UK
government
does
not
deliver
on
its
promises
and
the
budget
later
this
month,
Jean.
B
You
very
much
I'm
grateful
to
Ms
McGuire.
For
that
question
and
in
terms
of
answering
her
question,
the
financial
framework,
as
I
said,
assumes
the
full
net
benefit
of
those
consequentials.
In
other
words,
there
is
no
detrimental
effect
on
the
scottish
budget
in
other
areas,
including
on
any
tax
changes
that
the
UK
government
may
want
to
introduce.
I
advise
members
to
look
to
what
is
almost
the
last
page
of
the
financial
framework
to
see
what
our
anticipation
is
of
demand
and
expenditure
in
terms
of
Health
and
Social
Care.
B
What
we
will
do
in
terms
of
what
we
expect
to
achieve
in
by
way
of
reforms
and
then
imagine
that
if
you
take
out
3.3
billion
pounds,
and
that
is
the
impact
of
any
detriment
in
terms
of
those
full
consequentials
not
coming
to
us
in
either
full
or
in
part.
So
it
will
destabilize
that
financial
framework,
and
we
would
have
to
look
again
at
that,
but
it
would
be
more
than
that.
B
It
would
be
an
effect,
a
broken
promise,
and
that
is
significant
in
terms
of
how
we
work
together
with
the
UK
government,
as
they
tell
us
that
repeatedly
they
want
us
to
do.
Can
I.
Take
this
opportunity
too
presiding
officer,
and
my
apologies.
I
did
not
pick
up
mr.
Sarver's
question
in
terms
of
service
reform,
and
there
are
two
things
I
want
to
say
or
not.
B
One
is
that
our
health
and
social
care
delivery
plan
outlines
what
we
need
to
do
in
service
reform,
I'm,
happy
to
speak
to
individual
members
or
to
party
spokespeople
about
individual
reforms
bought
by
borders.
They
might
come
forward,
but
also
on
the
way
to
reforms
that
we've
already
set
out
in
terms
of
our
primary
care,
GP
working
or
in
increase
in
the
workforce
and
any
other
matters
that
may
be
of
interest
to
members.
G
You
deputy
presenting
ghosts
I
have
to
see.
I
was
hopeful
whether
change
of
cabinet
secretary.
We
make
a
change
of
approach,
but
it
means
me
the
vols
of
Roger
Daltrey's
meet
the
new
boss
same
as
the
old
boss.
Can
I
try
and
ask
the
cabinet
secretary,
given
the
report,
his
struggles
of
the
of
your
constituency,
health
poor,
there's
an
arm
to
meet
his
financial
obligations,
both
things
existing
and
future.
How
does
she
anticipate
these
new
proposals?
B
B
wattle,
you
and
I
will
work
very
well
in
the
weeks
ahead
in
terms
of
your
question
on
waiting
times
and
what
what
we
need
to
understand
is
what
this
is
is
a
setting
out
of
the
medium-term
financial
framework,
our
understanding
of
the
financial
pressures
set
against
the
demands
set
against
what
we
know.
We
need
to
do
our
swimming
through
net
consequentials
from
the
UK
government
and
therefore
what
the
position
looks
like
as
we
go
forward.
B
Members
who
have
had
the
opportunity
will
see
that
even
with
those
reforms
that
is
still
a
financial
challenge
there
and
we
need
to
work
together
to
address
that
future
financial
challenge.
We
need
to
do
some
of
that
now
and
that's
the
mature
conversation
that
I
live
in
hope
for
in
terms
of
waiting
times.
As
mr.
H
You
presiding
officer
and
whilst
I
welcome
many
of
the
initiatives
in
the
statement,
such
as
weaving
brokerage,
could
ask
the
current
Secretary
about
the
key
underlying
trends
that
have
caused
financial
instability
in
many
boards,
such
as
NHS
Highland.
The
carbon
estatua
know
that
the
Auditor
General
made
clear
that
Brooklands
for
Ireland
was
likely
to
be
needed
over
the
next
three
years,
and
it
is
a
financial
concern
are
well
known
at
the
cabinet
secretary.
There
are
the
social
care,
the
drug
overspend
and
there
the
cost
of
hiring
medical
locums.
F
B
Thank
You,
mr.
sir
okay,
so
I'm
not
going
to
get
into
a
competition
right,
quoting
songs.
Although
I'm
pleased
that
members,
both
members
have
actually
gone
for
songs
in
my
era
and
that's
a
comfort
to
me,
mr.
Stewart
makes
an
important
point
and
it
partly
links
I
believe
to
what
mr.
Sarver
was
asking
me,
which
is
a
boat.
It's
it's
fine
and
I
appreciate
the
fact
that
they
welcome
that.
We
are,
in
effect,
clearing
the
slate
introducing
that
three-year
planning
cycle,
giving
that
degree
of
flexibility
year-on-year
within
those
three
years.
B
But
the
end
position
for
each
of
our
territorial
boards
at
the
end
of
three
years
is
that
they
have
to
break.
Even
so,
we
cannot
continue
with
a
situation
where
boards
have
significant
overspends
on
their
budgets,
but,
albeit
that
those
spends
have
been
on
patient
care,
so
in
looking
at
how
we
deploy
our
resources
to
boards
and
how
we
expect
them
to
deploy
their
resources.
B
Part
of
the
reforms
are
looking
at
how
we
can
ensure
the
resources
we
have
within
all
the
caveats
that
I
outlined
are
adequately
targeted
towards
patient
care
meeting
those
waiting
times
and
so
on.
With
some
of
the
additional
resource
that
we
will
come
forward
with
and
that
we
also
value
our
workforce,
we
increase
our
recruitment
and
we
meet
those
pay
pressures
that
I
talked
about
now.
B
I
am
convinced
that
where
we
have
boards
that
are
managing
to
do
that
now,
not
every
board
is
looking
for
procreation,
indeed
in
some,
where
they
set
out
at
the
beginning
of
this
year.
Looking
for
that
that
that
figure
is
coming
down
and
if
we
look
at
previous
years,
we
see
that
that
is
what
happens.
B
Now
in
some
boards,
like
Highland
I,
completely
accept
there
are
additional
pressures
in
terms
of
the
geography
and
the
demands
that
are
there,
but
some
of
the
initiatives
we've
introduced
in
terms
of
rural
working
and
GP
recruitment
in
rural
areas
and
so
on
well
I,
am
sure,
helped
to
address
some
of
those
new
or
different
challenges
between
our
health.
Our
territorial
boards.
I
B
Freeman,
thank
you
very
much
and
I'm
grateful
to
miss
Johnson,
for
what
is
I
believe
an
important
questions
is
absolutely
right.
That
part
of
the
key
to
this
is
being
able
to
forecast
demand
and
one
of
the
areas
where
we
have
some
of
the
highest
quality
information
that
is
drilled
down
to
quite
a
significant
level
is
from
our
integration
authorities
and
our
integration
joint
boards.
J
Very
much
Debbie,
presiding
officer
and
I
thank
the
cabinet
secretary
for
advance
sight
of
her
statement.
Three
years
ago,
the
Scottish
government
said
it
would
eradicate
this
delayed
discharge.
It
is
one
of
the
biggest
financial
drains
on
the
resources
of
our
health
service
and
this
week
delayed
discharge
got
worse.
Will
the
proposals
outlined
in
this
statement
and
delayed
discharge
Jeanne.
F
B
This
is
the
financial
framework.
This
is
our
cut.
An
estimate
of
the
financial
position
that
our
Health
Service
faces
in
the
years
ahead
and
of
the
demand
is
placed
on
that
health
service.
It
is
not
a
framework
that
has
specific
initiatives
within
it,
nor
should
it
have
the
waiting
times
planned
that
I
will
bring
forward,
which
is
looking
at
improved
unsustainability
in
our
waiting
times.
Work
which
links
to
delete
discharges.
Mr.
B
Coe,
Hamilton,
well,
noise
will
come
forward
to
this
Parliament
in
the
coming
weeks
and
is
there
that
we
will
look
to
see
how
much
further
we
can
make
an
improvement
in
delayed
discharge.
But
I
would
draw
his
attention
to
the
successful
work
of
the
Aberdeen
integrated
into
authority
who
successfully
by
some
significant
percentage
points
not
only
brought
down
delete
discharge,
but
also
brought
down
unscheduled
Bedi's.
K
B
Freeman
I'm
grateful
to
mr.
Allen
for
that
question.
Integration
authorities
are
in
accounting
terms,
part
of
local
government,
and
so
they
have
that
degree
of
flexibility
and
they
also
have
the
capacity
to
hold
reserve.
So
what
I
am
trying
to
do
is
ensure
that
that
degree
of
flexibility
and
capacity
to
plan
with
any
reasonable
timeframe
is
also
something
that
our
NHS
boards
can
benefit
from.
L
You
presiding
officer,
the
cabinet
secretary,
is
stated
that
the
brokerage
to
those
health
boards
that
have
it
will
be
at
North
can
I
ask
the
cabinet
secretary.
When
this
will
be,
and
will
we
see
in
this
year,
Scottish
Government
budget
and
also
an
asking
of
how
much
day
it
will
be
written
off.
Jean.
B
Freeman,
thank
you.
I'll
start
with
the
last
part
of
that
question.
First,
our
current
estimate
of
what
brooklet
would
be
for
the
last
five
years.
So
it's
not
about
this
current
year
alone.
Is
that
owned
150
million
pounds
and
all
territorial
boards
we'll
start
with
a
clean
slate
from
20
19
20,
and
that's
when
we
will
begin
that
three-year
planning
cycle
with
all
of
all
of
that
work
that
I
described
earlier
in
the
meantime,
boards
will
continue
to
work
to
reduce
what
the
anticipate
will
be.
B
M
You,
the
cabinet's,
actually
mentioned
Briggs
in
our
statement,
and
presumably
that
could
have
an
impact
both
on
the
economy
and
less
taxes,
which
would
put
a
pressure
on
the
NHS,
as
well
as
a
potential
shortage
of
staff,
both
skilled
and
unskilled.
Does
she
think
the
UK
government
understands
these
extra
pressures
on
our
NHS
Jeanne.
B
I,
thank
you,
I'm
grateful
to
mr.
Mason
for
his
question
and
I.
Don't
have
a
insight
into
the
minds
of
UK
government
ministers,
but
by
their
actions
it
appears
to
me
that
they
do
not
understand
or
if
they
do,
they
are
not
taking
sufficiently
seriously
the
impact
of
brexit
on
our
health
service,
not
just
in
Scotland
but
the
health
service
in
England,
under
wills
and
indeed
in
Northern
Ireland.
All
of
us
benefit
significantly
from
EU
Nationals
being
valued
skilled,
experienced
members
of
our
workforce.
B
We
also
all
benefit
from
our
own
workforce
being
able
to
work
in
EU
countries.
We
benefit
from
the
mutual
recognition
of
qualifications.
We
benefit
from
being
part
of
an
in
Scotland's
case
leading
members
of
international
research,
collaborative
which
themselves
produce
a
significant
input
to
our
economy.
N
I
welcome
and
congratulate
the
cabinet
secretary
on
the
financial
framework.
Today
it's
been
recommended
for
some
time,
though
it's
been
long
awaited
and
I
do
feel
that
the
conservative
frontbench
have
really
misjudged
the
advance
that
has
been
made
today,
because
it
allows
us
to
make
the
chef's
to
the
care
that
we
need
a
point
of
clarification.
If
I'm
a
presiding
officer,
the
cabinet
secretary,
said
she
will
write
off
all
outstanding
brokerage
now
she
knows
that
NHS
Tayside
has
a
projected
deficit
of
eighteen
point:
seven
million
for
this
financial
year.
N
B
She's
Freeman
I'm
great
I'm,
grateful
to
miss
Mara
for
that
question
and
for
her
recognition
as
I
believe.
Actually,
colleagues
on
the
Labour
benches
have
done
of
the
importance
of
this
financial
framework
and
what
it
actually
is
as
opposed
to
what
it's
not
and
that's
an
important
question
that
she
asked
and
and
by
my
answer
earlier,
that
all
health
boards
will
start
with
a
clean
slate
from
the
financial
year.
Nineteen,
twenty
nineteen
to
twenty
twenty
that
I
believe
I'm
answering
and
saying.
Yes,
that
will
be
the
case.
B
A
Concludes
questioning
on
the
cabinet
secretary
statement,
my
apologies
to
Rona
Makai,
who
wish
to
ask
a
question,
can
I
say
to
members
that
we
have
eaten
entertain
for
the
next
debate,
but
we
still
didn't
manage
to
get
through
all
the
questions.
We
have
a
couple
of
moments
for
folk
to
get
organized.