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SNP MSP Maree Todd says she worked as a clinical pharmacist in mental health until her election in May.

Ms Todd says in 20 years of clinical practice nothing has come close to, in terms of change, to the impact of the Scottish Patient Safety Programme.

Doctors should spend more time listening to their patients in order to avoid unnecessary treatments , according to Scotland's chief medical officer.

Catherine Calderwood wants doctors and patients to have more open and honest conversations about the benefits and risks of procedures or medication.

She argues that quality rather than quantity of life can be more important.

The British Medical Association Scotland said doctors needed time to "learn, teach and reflect".

But its chairman, Dr Peter Bennie, said it regularly heard from doctors that they did not have the necessary time to do this.

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Labour MSP Elaine Smith says this unique plan is welcome but it must be considered closely and we must continually strive for improvment.

Ms Smith says NHS staff are under extreme pressure and she cites the increased use of agency staff.

She says keeping staff well trained and at safe levels is crucial.

Ms Smith mentions Chief Medical Officer Catherine Calderwood's realistic medicine comments earlier in the week.

She says far too many thyroid patients are not being properly treated and are not getting the right medicine and have to turn to the internet.

Tory MSP Brian Whittle says it is always incumbent on parties to constantly review the success of the Patient Safety Programme.

Mr Whittle says the system is under stress which has had an impact on those who work in it.

"When things do go wrong, it is crucial health boards are in learning modes," he says.

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SNP MSP Emma Harper, trained as a nurse, says the Scottish Patient Safety Programme has been vital and is recognised as world leading.

Ms Harper says: "Barack Obama mentioned Scotland as one of the best health systems in the world.

She says the programme has led to a significant reduction in harm and mortality to adult patients.

Lib Dem MSP Alex Cole-Hamilton says "we should be proud of the Patient Safety Programme" which, he says, is of international standard.

Mr Cole-Hamilton says he would like to see the programme enhanced. 

Here is the Lib Dem amendment on the Scottish Patient Safety Programme.

Image source, Scottish Parliament

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Mr Cole-Hamilton says we must ensure patients are kept safe in any setting where they receive care.

The Lib Dem MSP says there is a great desire among older citizens

National Falls Strategy building on the work of the Falls Prevention Framework.

He says fall prevention is one of the most important interventions in patient safety.

Lib Dem MSP Alex Cole-Hamilton says his party supports the government motion and all the amendments.

Mr Cole-Hamilton says the welfare and safety of citizens must always be the "alpha and omega" of the Parliament's duties.

The Lib Dem MSP says patient safety was not down to staff negligence in the main but more about poor systems. 

He says patients have stayed in hospital for up to 500 days after they have been declared fit to go home. 

Here is the Labour amendment on the Scottish Patient Safety Programme. 

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Scottish Labour's health spokesperson Anas Sarwar says Shona Robison said he read with interest the health secretary's comments in Holyrood magazine, when she said opposition members speak to her in her office and agree with her but say something different in the chamber.

Mr Sarwar says: "That is simply not true.

"Shona Robison is 100% wrong and she perhaps inadvertently, but I suspect not, is trying to mislead people about service cuts."

Mr Sarwar says not once has the cabinet secretary met with him or his colleagues and not once has she had the courage to lead a debate on service reforms.

He is clearly echoing Nicola Sturgeon from today's first minister's questions.

Ms Sturgeon said "Willie Rennie is 100% wrong" and that he "perhaps inadvertently but I suspect not, is trying to mislead people about standardised testing." 

Mr Sarwar says the health secretary is "hiding behind the health boards" and that "resource is not meeting demands".

The Labour MSP asks how £1bn in cuts will help patient safety.

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Mr Sarwar says Labour wanted to use the tax powers to improves the NHS and give more funding to local government.

"We have seen a complete failure to workforce plan," he says, "and 9/10 nurses said their workload is worse".

"We have had the worse Audit Scotland report since devolution," he says. 

Labour MSP Anas Sarwar pays tribute to all staff who contributed to the Patient Safety Programme.

Mr Sarwar says pays tribute to NHS staff across the health service who go "above and beyond".

The Labour MSP says there has been a lot of challenges around the "mismanagement of the NHS" which has led to NHS staff being undervalued.

He says Labour will support the motion but there needs to be further debates on the challenges in the NHS. 

The health service in Scotland is "stretched pretty much to breaking point", a doctors' leader said in January.

Peter Bennie, the chairman of the British Medical Association (BMA) in Scotland, warned that staff shortages could lead to "system breakdown".

Mr Bennie called for a major increase in funding or an "honest debate" about what services the NHS could offer.

The Scottish government said it recognised that it must "up the pace of change" in the health service.

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Mr Cameron says it is no coincidence every opposition amendment highlights concerns about NHS staffing.

The Tory MSP says NHS staff can't be expected to achieve when there are so many unfilled vacancies across the board.

He says given the crisis in staffing we cannot leave matters as they stand.

SNP MSP Claire Haughey asks if the member would accept that NHS staffing rates are at the highest they have ever been.

Mr Cameron says it is not enough simply to say we have record numbers of staff.

He says there are record numbers of people getting older and there needs to be more staff.

Tory MSP Donald Cameron says since 2007 there has been a 16.5% reduction in mortality rates.

Mr Cameron says there are now fewer avoidable deaths in Scotland's hospitals and we must expand on that.

The Tory MSP says it is also notable that stillbirth rates have fallen.

He says there is much to be praised about the programme but more can still be done. 

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Conservative MSP Donald Cameron says this is clearly a very important debate.

Mr Cameron says his party continue to support the Scottish Patient Safety Programme.

The Tory MSP says the need for every patient to be safe is paramount and important.

Here is the Tory amendment on the Scottish Patient Safety Programme. 

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Ms Robison says the Primary Care Programme has been a success.

The health secretary says the Scottish Patient Safety Programme team has worked effectively and openly with partners and stakeholders.

In response to an intervention from Labour MSP Elaine Smith, Ms Robison says there has been an 18% reduction in stillbirths and much of that is down to patient safety but there is more work to be done.

Ms Robison says the hospital standardised mortality ratio continues to decrease.