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The Scottish Government works closely with local teams and expert groups to develop appropriate alternatives to attendance at A&E, minimise the need for admission, reduce length of stay and increase options and processes for timely and appropriate discharge which would in turn improve occupancy levels.

Decisions on capacity levels are ultimately for local health boards and their planning partners to make however, the Delayed Discharge and Hospital Occupancy Action Plan has been put in place to support systems to create the necessary capacity to deal with emerging pressures.

As set out in answer to question S6W-28317 on 19 July 2024, any unnecessary delay in hospital is unacceptable and below the standard we would expect. The Scottish Government recognises the relationship between crowding in A&E and increased risk of harm which is why we remain committed to delivering improved A&E performance.

Action is being taken to improve patient flow through our acute sites which will in turn reduce congestion within A&E and bring down waiting times. Through our Urgent and Unscheduled Care Collaborative Programme, we are working with Boards across Scotland to implement a range of initiatives such as improved escalation process and increased clinical support for care home and ambulance crews to avoid unnecessary admission to hospital.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

There has been an expansion of 68 posts in Clinical Radiology specialty training since 2014. Clinical Radiology is a competitive specialty which has historically filled posts at 100%. The 2025 expansion process is currently underway and will conclude later this year. This will consider the need for expansion in all medical specialties, including clinical radiology and clinical oncology, with the overall aim of ensuring Scotland has a sufficient supply of trained doctors coming through the system to meet anticipated future demand.

Consultant radiologists have increased by 34.2%, from 304 headcount ten years ago (March 2014) to 408 headcount in March 2024 .

An Oncology Task and Finish Group was established in May 2024 to improve access to safe, quality oncology services by planning, on a population basis across Scotland, a safe and sustainable operating model for NHS Scotland Oncology Services.

a) The Scottish Government recognises the need for active measures to improve retention across the health and social care workforce, which is essential to ensure confidence in longer-term modelling of a sustainable future medical workforce to meet future clinical service demand.

Retiring employees who wish to continue in employment that is suitable to them and the service are supported by the Retire and return provisions in the NHSScotland Retirement Policy . In addition, the NHSScotland Flexible work location policy and NHSScotland Flexible work pattern policy provide staff with a range of flexible working options to help them to balance their lifestyle whilst maintaining and promoting the best possible service to our patients and service users. We will continue to consider ways to increase staff retention alongside health boards.

b) As stated previously in answer to S6W-28159 on 25 June 2024, The Chief Medical Officer met with the Royal College of Radiologists on 14 December 2023 and the Deputy Chief Medical Officer met with them on 16 May 2024.

We will continue to engage with them through their representation on the Oncology Task and Finish group that is developing a sustainable operating model for NHS Scotland oncology.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

Operational matters such as decisions around clinical space, office space and picture archiving and communication system access are the responsibility of individual health boards.

As stated previously in answer to S6W-28153 on 25 June 2024, there has been an expansion of 68 posts in Clinical Radiology specialty training since 2014. Clinical Radiology is a competitive specialty which has historically filled at 100%. The 2025 expansion process is currently underway and will conclude later this year. This will consider the need for expansion in all medical specialties, including clinical radiology and clinical oncology, with the overall aim of ensuring Scotland has a sufficient supply of trained doctors coming through the system to meet anticipated future demand.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The Scottish Government has been increasing the number of available specialty training places for junior doctors in clinical interventional radiology training programmes. Since 2014 we have funded the creation of 10 additional posts in Clinical Interventional Radiology. The 2025 expansion process is currently underway and will conclude later this year. This will consider the need for expansion in all medical specialties, including clinical radiology and clinical oncology, with the overall aim of ensuring Scotland has a sufficient supply of trained doctors coming through the system to meet anticipated future demand.

More junior doctors are joining NHS Scotland than ever before, with more than 1,100 recruited throughout 2023, according to data from 26 March 2024. A total of 1,231 posts were advertised during the 2023 recruitment cycle and 94% filled successfully.

An Oncology Workforce Review was completed in 2023 with a proposal for an Oncology Transformation Programme for Scotland.

As part of the transformation programme, an Oncology Task and Finish Group was established in May 2024 to support oncology services by planning, on a population basis across Scotland, a sustainable operating model to improve access to safe, quality services. One of its aims is to reduce unwarranted variation in and inequity of access to oncology services.

A new Clinical Oncology training rotation in NHS Highland is also being explored in an effort to make the North of Scotland a more attractive place to work.

As stated previously in answer to S6W-28153 on 25 June 2024, there has been an expansion of 68 posts in Clinical Radiology specialty training since 2014. Clinical Radiology is a competitive specialty which has historically filled at 100%. The 2025 expansion process is currently underway and will conclude later this year. This will consider the need for expansion in all medical specialties, including clinical radiology and clinical oncology, with the overall aim of ensuring Scotland has a sufficient supply of trained doctors coming through the system to meet anticipated future demand .

An Oncology Task and Finish Group was established in May 2024 to improve access to safe, quality oncology services by planning, on a population basis across Scotland, a safe and sustainable operating model for NHS Scotland Oncology Services .

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

As previously stated in answer to S6W-28165 on 25 June 2024, The Scottish Government has been increasing the number of available specialty training places for junior doctors in Clinical Interventional Radiology training programmes. Since 2014 we have funded the creation of 10 additional posts in Clinical Interventional Radiology. The 2025 expansion process is currently underway and will conclude later this year. This will consider the need for expansion in all medical specialties, including clinical radiology and clinical oncology, with the overall aim of ensuring Scotland has a sufficient supply of trained doctors coming through the system to meet anticipated future demand.

More junior doctors are joining NHS Scotland than ever before, with more than 1,100 recruited throughout 2023, according to data from 26 March 2024. A total of 1,231 posts were advertised during the 2023 recruitment cycle and 94% filled successfully.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .