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We continue to consider the findings of Sarcoma UK’s recent report and recognise the recommendations made within it.

We are working to improve access to timely and accurate diagnosis and on improving referral pathways to specialist care. We published the Scottish Referral Guidelines for Sarcoma on 6 August. These support primary care clinicians to identify those with symptoms suspicious of Sarcoma and identify those who require urgent assessment by a specialist.

Rapid Cancer Diagnostic Services are a useful addition to how cancer can be diagnosed in Scotland. They provide primary care with access to a new fast-track diagnostic pathway for people with non-specific symptoms suspicious of cancer, such as weight loss and fatigue, important for those with Sarcoma. We introduced another RCDS this year, situated in NHS Forth Valley.

We are investing in research and clinical trials. The Chief Scientist Office (CSO) directly funds research projects and fellowships. All funding decisions are made based on an independent expert review process and we welcome applications for sarcoma-specific research.

The CSO also provides funding for NHS Research Scotland (NRS) whose role is to facilitate and develop the capacity of the NHS to support clinical research.

The Scottish Government is further committed to supporting patients to deal with the financial, emotional, and physical health effects of cancer.

We are currently working in partnership with Macmillan to improve the service we offer patients with cancer through the Transforming Cancer Care Programme (TCC).

This joint partnership with Macmillan is worth £27 million and is the first of its kind in the UK. The programme ensures that people affected by cancer in Scotland have access to a specialist key support worker, who can provide financial advice and emotional and practical support.

All cancers, including Sarcoma, remain a priority for the Scottish Government and wider NHS Scotland.

The Scottish Government published our Cancer strategy 2023 to 2033 - gov.scot along with an initial three year Cancer action plan 2023 to 2026 - gov.scot in June 2023.

Our strategic aim is to improve cancer survival and provide excellent, equitably accessible care. The strategy and plan take a comprehensive approach to improving patient pathways from prevention and diagnosis through to treatment and post-treatment care and will focus on reducing inequities in access to cancer care and cancer outcomes. This means treatment and care will be equally good for everyone, including for those with Sarcoma and we are taking action to achieve this.

For example, on 6 August we published the clinically reviewed Scottish Referral Guidelines for Sarcoma to help ensure the right person is on the right pathway at the right time. These guidelines support primary care clinicians to identify those with symptoms suspicious of Sarcoma and identify those who require urgent assessment by a specialist.

We do not expect to conduct a specific review for sarcoma care and treatment at this time.

The Scottish Government has funded the creation of hundreds of additional specialty training places for doctors in training in Scotland across multiple different specialties (including cancer-related specialties), since 2014. These training places have been created in response to recommendations made by the Scottish Shape of Training Transition Group (SSoTTG), which meets annually to review the number of specialty training places needed in order to meet anticipated future service demand, and consultant need.

The training programmes for relevant specialties (including Histopathology, Clinical Oncology, Surgical specialties and Clinical Radiology) follow curricula overseen by the respective Royal Colleges and include training on and/or exposure to sarcoma which varies depending on factors including the specific curriculum, specialty and placement. Furthermore, NHS Education for Scotland follow a multipronged approach to mitigate training gaps and there are also other opportunities and resources in relation to sarcoma knowledge available for doctors in Scotland.

Whilst Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters, including staffing, are ultimately the responsibility of NHS Boards.

How the recommendations are taken forward will be determined following consultation with stakeholders, including NHS Boards and OSCR. Consultation will ensure no unintended consequences as well as appropriate consideration of capacity, as significant work will be involved for both for the Scottish Government and for Health Boards. The timing of that consultation has yet to be determined.

In the meantime, funds remain available to be directed in accordance with the charities’ purpose, and taking account any restricted funds.

It is also important to note that neither OSCR's inquiry nor the Independent Review indicated that there are widespread issues in the decisions being made about the use of NHS Endowments’ charitable funds.

The purpose of a Significant Adverse Event Review (SAER) is to find out what happened, how it happened and why, and identify learning to reduce the risk of the same event happening again. Due to the nature to SAER reports, they often contain personal and clinical information. The Scottish Government does not require NHS Health Boards to publish SAER reports; however, they should always be shared with the individual concerned, or their family in the event of a death. Following the updated publication by Healthcare Improvement Scotland in February this year of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland, work is underway to support NHS Health Boards to share learning from SAERs locally and across Health Boards, to make the learning more accessible to healthcare professionals.

Work is underway to support health boards to share learning from SAERs locally and nationally, to make them more accessible to healthcare professionals. In February this year Healthcare Improvement Scotland (HIS) published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland. The revised framework includes an updated shareable learning template, which NHS Health Boards should complete following a Significant Adverse Event Review (SAER). These summaries, which will support local and national learning, will be published on an online community of practice for NHS staff which HIS will launch soon. It is the responsibility of health boards to share learning within their organisations and to ensure that relevant staff groups are aware of changes to policies and processes as a result of learning and improvement actions.

Significant Adverse Event Reviews (SAERs) are conducted at a local level within each NHS Health Board. NHS Boards are required to notify Healthcare Improvement Scotland on a monthly basis of the number of SAERs that have been commissioned, including the event type and specialty. HIS recently reviewed and published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland in February this year. This provides templates to support NHS Health Boards to consistently report and learn from SAERs. The Scottish Government does not monitor NHS Boards responses to SAERs.

Whilst Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing are the responsibility NHS Boards. NHS Boards take account of national, regional, and local priorities, and we expect NHS boards to plan and provide safe, effective, and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

To help address recognised workforce pressures, Scottish Government continues to invest heavily in radiology training. Scottish Government is currently funding around 190 specialty training places in clinical radiology, including 78 extra places which have been added since 2014. This enables doctors to train and enter the workforce following completion of training - which takes a minimum of 5 years. Clinical radiology specialty training programmes have been filled at 100% in Scotland from 2014 to 2024, with 230 resident doctors successfully completing training in this period.

To further support a coordinated response to pressures in cancer services, Scottish Government commissioned the National Oncology Coordination Group. This group considers real-time assessments and develops proactive risk mitigation proposals aligned with the strategic aims for cancer. This collaborative approach across NHS Boards in Scotland is ensuring that services can deliver for people with cancer.

Significant Adverse Event Reviews are conducted at a local level within each NHS Health Board and the learning and improvement actions that are identified as part of that review process are considered within the Health Board to reduce the risk of the same event recuring in the future. When relevant this will include actions to ensure that findings inform related professional development or training plans and delivery. The Scottish Government is clear that this learning should be shared nationally to enable other Health Boards consider if their processes can be improved as a result.

The Scottish Government has funded the Joint Commission for Safety, Openness and Learning – delivered by NHS Education for Scotland (NES) – which has developed Compassionate Communication Skills training to support staff in having difficult conversations after adverse events, reinforcing a commitment to learning and patient-centred care. NES has developed professional development and training resources, such as Human Factors/Ergonomics (Safety Science for Patient Safety), which can be accessed by all NHS Scotland staff.

The Scottish Government recognises the importance of Financial Education in equipping learners with key life skills. Financial literacy is embedded in the curriculum in Scotland through numeracy and maths, business studies and personal and social education classes. Financial Education is a key feature of Curriculum for Excellence “Experiences and Outcomes” for Numeracy and Mathematics, assisting learners in understanding the benefits and risks of bank cards, effectively managing money, making appropriate use of technology and appreciating the importance of budgeting.

Education Scotland provides professional learning resources enabling educators to reflect on their own understanding and knowledge and to support future learning and teaching about money. Guidance is available for primary and secondary schools highlighting the links between financial education and Curriculum for Excellence. In addition, a wide range of teaching resources are provided by the private and Third Sector. These include Barclays LifeSkills, financial education guidance from the Money & Pension Service and the work of the charity, Money Ready.

Education Scotland are currently reviewing the curriculum in line with the Curriculum Improvement Cycle programme. As part of this review, work is taking place to review the place of financial education within the curriculum. Education Scotland are engaging with a wide range of practitioners and stakeholders, including children and young people, to review current Financial Education teaching and practice and plan how it can most effectively be integrated into the curriculum, ensuring an equitable approach.