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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 6 January 2025
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Displaying 759 contributions

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Health, Social Care and Sport Committee [Draft]

Subordinate Legislation

Meeting date: 10 December 2024

Jenni Minto

Absolutely. That reflects my experience with regard to the graveyard that was around the museum that I worked in.

It is clear that South Ayrshire Council did fantastic work in response to the recent flooding of graves. It has done proportionate work to support families who were severely impacted and distressed by the flooding incident that happened there.

It is very much the case that local authorities have to look at gravestones and do the appropriate, proportionate work to them—whether that means, as you described, staking them, or looking at ones that might be of cultural or historical significance and perhaps doing more. We do not expect the regulations to change the work that councils are currently doing with regard to graveyards and gravestones.

Health, Social Care and Sport Committee [Draft]

National Health Service Dental Services

Meeting date: 10 December 2024

Jenni Minto

We recognise that we need to improve that. I pass over to Tom Ferris to give you the details.

Health, Social Care and Sport Committee [Draft]

National Health Service Dental Services

Meeting date: 10 December 2024

Jenni Minto

Yes, that is absolutely part of the challenge. Prior to Brexit, about 50 per cent of rural dentists came from Europe, but that has changed.

Indeed, one of the major items on the agenda of our four-nations meeting about two weeks ago was how to increase the pipeline of international dentists into Scotland and the UK. Sadly, some of that is reserved, but I know that the previous Conservative Government, along with the General Dental Council, which runs the exams, carried out a consultation to see whether there was some way of improving how and where the exams were delivered, to allow all four nations to increase the number of dentists available to look after people’s health.

Health, Social Care and Sport Committee [Draft]

National Health Service Dental Services

Meeting date: 10 December 2024

Jenni Minto

I will reflect on that, but Tom is shaking his head.

Health, Social Care and Sport Committee [Draft]

National Health Service Dental Services

Meeting date: 10 December 2024

Jenni Minto

It is important that people are registered with a dentist, because timely access is important if they need to see a dentist. However, there is also emergency access to dentistry within hospitals, for people who need that.

It is important that we have the right workforce within our practices. We are now very much concentrating on ensuring that we have the right number of dentists. As Tom Ferris indicated, that means not only dentists but dentistry teams, so we are looking at the importance of dental therapists and ensuring that there is the right training and governance to allow patients to see the appropriate person in a dental practice and at the right time.

Health, Social Care and Sport Committee [Draft]

National Health Service Dental Services

Meeting date: 10 December 2024

Jenni Minto

I will touch on payment reform, part of which has involved listening to what dentists have been saying about preventative work. As Tim McDonnell referred to, it is a matter of allowing dentists to spend more time with their patients to ensure that they get the prevention message. For example, my dentist on Islay attended the Islay show with a model of a tooth to explain that. That slightly left-field prevention message is coming across, and dentists are absolutely at the core of that. I pass to Tom Ferris.

11:15  

Health, Social Care and Sport Committee [Draft]

National Health Service Dental Services

Meeting date: 10 December 2024

Jenni Minto

Public dental services are a very important part of our dental tapestry in Scotland and, as you highlighted, they provide emergency support. In areas where there has been an issue with high-street dentistry, we have worked closely with health boards by working directly with the public dental service. I can reference NHS Shetland and NHS Greater Glasgow and Clyde in that regard. We are considering how we can support them, whether it is providing funding for additional dentistry support or supporting them in other ways.

That is the work that we have been doing to date, and it will continue with the new budget. As part of the funding in the new budget, £100 million has been set aside to support entry into primary care, and we will look to spend it in dentistry to support access.

Health, Social Care and Sport Committee

Abortion Services (Safe Access Zones) (Scotland) Bill: Stage 2

Meeting date: 28 May 2024

Jenni Minto

I will address amendments 6, 7, 15 and 16 quickly. The amendments are drafting improvements. Amendment 6 clarifies that “protected premises” may refer to a building

“that is, contains or forms part of a hospital”

and that the building must provide abortion services.

Amendment 15 reflects that change, and amendments 7 and 16 improve the wording of those provisions.

I will address the amendments to section 10—amendments 35 to 38—together. First, my amendment 36 provides flexibility in how the definition of “protected premises” may be modified. As introduced, section 10 allows the definition to be extended to cover places approved as

“a class of place mentioned in section 1(3A) ... of the Abortion Act 1967”.

For example, if general practices were approved as abortion providers, they could all be covered by a zone.

Section 10 also allows the definition to be extended to places providing

“treatments or services relating to abortion services”.

For example, a zone could be established around a building where counselling related to abortion treatment is provided.

Under those provisions, if a class of place were approved under the 1967 act, ministers could not extend the definition of “protected premises” in the bill to include only individual premises that were part of a class of place.

To continue my example, if general practices were approved as abortion providers, but not all practices offered the service, ministers could not establish a zone solely around those practices that needed it. Instead, they would have to extend the definition to include all general practices. That would cover more providers than necessary. I am grateful to Dr Gulhane for drawing attention to the issue. My amendment 36 responds directly to points that he made at the evidence session on 19 March. The amendment provides that ministers can now extend the definition to cover individual premises within a class of place approved under the 1967 act. That provides greater flexibility and is proportionate. If required, however, the whole class of place can be added.

As ministers must always act proportionately, they will be bound to use the less restrictive option, where the evidence supports the aim of protecting women and staff. I hope that members agree that that is a positive step that ensures that the bill is future-proofed, while also reflecting the Government’s obligation to always act proportionately.

09:15  

I now turn to Dr Gulhane’s and Mr Balfour’s amendments. Given what I have set out, I hope that you will not be surprised to hear that I am resisting both.

With amendment 38, Dr Gulhane seeks to entirely remove the potential to extend the definition of protected premises. As I set out to the committee during my evidence, by including that section we will ensure that we pass legislation that is capable of protecting women, not just this year or next, but in years and maybe even decades to come. It means that women and staff will be able to access and provide services, even if treatments or delivery models change, and it provides scope to respond if the behaviour of groups that oppose abortion and the venues that they target change.

If anyone doubts that that is necessary, I would ask them to reflect on the history of abortion care since the Abortion Act 1967 was passed. When the 1967 act came into force, having an abortion meant undergoing a surgical procedure. Now, for many women, having an abortion involves visiting a clinic to collect tablets that they can take at home. We have no idea what care will look like in the future, but it would certainly be unwise to assume that it will remain as it is now.

Likewise, although I hope that it does not happen, we cannot rule out that the ways in which anti-abortion groups will seek to target those who are having abortions will continue to evolve. A decade ago, we did not see the kinds of activity in Scotland that we do now, and, although I will not labour the point, we have seen how anti-abortion groups have mobilised to strike at abortion provision in the United States in ways that we would not have imagined possible.

We must make sure that we are able to respond if we need to, although, of course, always ensuring that we act compatibly with the European convention on human rights. Section 10 does not threaten any broader rights to protest. It could only ever be used to protect women and staff at the point where they are accessing or providing services. Of course, I understand that the prospect of covering all GP practices or pharmacies could be significant, and committee members may have concerns about that. I do not want to dismiss that, but I will provide reassurance.

First, the examples that I have given are purely illustrative. There are no plans to approve pharmacies or GP practices as classes of place under the Abortion Act 1967. As I said earlier, we have no idea what the future might bring. A class of place approval may never be granted, or it may be granted for a very small set of premises. Section 10 ensures that we can act if we need to, and the Government amendment has ensured that the protection can be extended only to those premises where it is needed.

Secondly, any decision to extend the definition will be evidence based, and the Scottish ministers must always act compatibly with the European convention on human rights. Because of that, no additional protected premises can be added unless ministers are satisfied that it would be proportionate. They would have to balance protecting the article 8 rights of women and staff with any interference to articles 9, 10 and 11 rights. Again, that underlines the significance of the Government amendment. If protecting only individual premises, rather than an entire class of premises, would achieve the bill’s aims, ministers would be duty bound to do only that.

Thirdly, ministers cannot act unilaterally. Any change to the definition of “protected premises” using section 10 will require affirmative regulations. The Scottish Parliament will therefore be able to scrutinise the necessity and proportionality of the designation of any new protected premises. If the Parliament is not satisfied that ministers have met their obligations, or that the evidence to modify the definition is sufficient, the regulations could be voted down.

My reasons for not supporting Mr Balfour’s amendments 35 and 37 are very similar. In the event that GP practices or pharmacies are approved as a class of place, we must be able to extend protection to them if that is needed. As I have said, there are no plans to do that. Nevertheless, it is illogical to exclude them when there is a possibility that they could be approved as a class of place for the provision of abortion services and then targeted in the future.

I recognise the concern that underpins those amendments and I hope that the Government’s amendment 36 will provide reassurance that we, too, have considered the matter and have taken steps to ensure that the least restrictive approach will be taken.

I move amendment 6.

Health, Social Care and Sport Committee

Abortion Services (Safe Access Zones) (Scotland) Bill: Stage 2

Meeting date: 28 May 2024

Jenni Minto

I am aware that Ms Mackay intends to provide a full and detailed response, so I will simply affirm that the Scottish Government’s position aligns entirely with hers. In-depth work has been undertaken to ensure that the bill sets a zone size that takes into account the specific circumstances of individual premises and, thereby, provides adequate protection while remaining proportionate.

To accept amendment 43 would be to strike at the bill’s heart without reasonable justification. It would represent bad lawmaking, as the legislation would not be fit for purpose because the zones would not be of the necessary size.

Health, Social Care and Sport Committee

Abortion Services (Safe Access Zones) (Scotland) Bill: Stage 2

Meeting date: 28 May 2024

Jenni Minto

Thank you, convener. I apologise. I will just get the right page in my file—my tome.

The Scottish Government has lodged amendments 8 to 14, 26 to 30, 32, 40 and 41, which would amend sections 2, 7, 8 and 13. The bill establishes safe access zones around premises in Scotland that provide abortion services. Therefore, it is important that the way in which safe access zones are described is accurate and easy to understand.

It is proposed that a safe access zone will exist around premises that provide abortion services, which are to be called the “protected premises”. The zone will, therefore, consist of the protected premises, the public area of the grounds of the protected premises and the public area of land that lies within a boundary measured from those grounds.

The ability for legislation to be understood by the reader is key to good law. In between the bill’s being published and stage 2, I took the opportunity to review the wording of the bill and I identified some areas where there is unnecessary duplication of words, or areas that could be simplified. Overall, the amendments in the group are designed to make it easier to understand how a safe access zone is defined and measured.

Amendments 8, 10, 28 and 29 will remove unnecessary repetitive wording. Amendments 12 and 40 will remove the term “edge of the protected premises”. That term will be replaced through amendments 14 and 41, which will introduce a new defined term—“protected site”. The reason for that is to improve clarity and avoid repetition of words. There has been no change in policy; rather, the changes help to explain that the protected site is made up of the protected premises together with its grounds.

Amendment 13 will clarify the definition of “grounds”. As a consequence of the change of the wording to “protected site”, amendments 9, 11, 26, 27, 30 and 32 will replace the phrase “edge of the protected premises” with “boundary of the protected site” throughout the bill.

I understand that Ms Harper will speak to the amendments in her name, and I will address those when I wind up the group.

I move amendment 8.