Seòmar agus comataidhean

Three Rapid Cancer Diagnostic Services (RCDS) – formerly known as Early Cancer Diagnostic Centres (ECDC) – have been opened in NHS Ayrshire and Arran, NHS Dumfries and Galloway and NHS Fife. An interim report on the rollout of RCDC's is expected shortly and are actively considering further rollout of Rapid Cancer Diagnostic Services.

All Boards have recruited both medical and non-medical staff to manage the new referral pathway for patients with non-specific symptoms, including navigators who support patients from the point of referral.

Recruitment for clinical services is the responsibility of individual Boards and it is therefore for them to provide specific details.

The Scottish Funding Council (SFC) collects and analyses data relating to the provision of further and higher education in Scotland. Table 1 below highlights data from SFC showing both the recommended and actual intakes to pre-registration nursing and midwifery programmes, broken down by year from 2019-20, 2020-21 and 2021-22. Nursing and Midwifery at the Open University in Scotland (OUiS) were funded through the SFC for the first time in 2021-22. As such figures for the SFC Early Statistics Collection are only available in 2021-22 and have been provided separately in Table 2.

Table 1

The University of Strathclyde has been commissioned to undertake critical evaluation of early adopter sites to inform wider roll-out, ensuring learnings from the first three Services are embedded, working towards equitable access across NHS Scotland, as set out in the NHS Recovery Plan.

In the meantime, officials are working with Boards to open additional early adopter sites.

Recruitment will be undertaken by the host Board, and will be dependent on their locally agreed pathway and resourcing requirements.

Rapid Cancer Diagnostic Services (RCDS) – formerly known as Early Cancer Diagnostic Centres (ECDC) – are fast-track diagnostic pathways taking patients from referral to diagnosis, not treatment.

Scotland’s first three RCDS are early adopters to help inform wider roll-out of an optimal model for patients with non-specific symptoms suspicious of cancer.

All three Services are using a nationally agreed minimum data-set, capturing consistent data from age, gender, symptoms at presentation etc. A sub-section of this data will be published by the three Boards in 2022.

Meanwhile, work is underway with Public Health Scotland to scope and progress national data collection as more sites are expected to be established.

NHS Boards received notification on the 11 August of their share of the £50 million investment which has been allocated in its entirety to support NHS Health Boards to improve A&E waits through a new National Collaborative for Urgent and Unscheduled Care.

Each board’s share of the £50 million fund is listed below:

The Scottish Government remains committed to supporting and growing our nursing and midwifery workforce. That is why student nurses and midwives entering Scottish Government funded degree programmes will increase by 8.7% in 2022-23, to a total recommended target intake of 4837 nursing and midwifery students.

Universities are continuing their recruitment for programmes commencing in the 2022-23 academic year. Final data on the number of placed applicants on nursing and midwifery programmes commencing in the 2022-23 academic year will not be available until January 2023.

Three Rapid Cancer Diagnostic Services (RCDS), formerly known as Early Cancer Diagnostic Centres (ECDC), have been established in NHS Scotland, and we are committed to ensuring equitable access across the country.

RCDS’s provide primary care with a new referral route for patients with non-specific symptoms suspicious of cancer (i.e. weight loss, fatigue, nausea), which can often be a sign of blood cancer. The Clinical Leads for two of the Services are Haematologists, reflecting the role that this new model can play in diagnosing blood cancers earlier.

Our NHS Recovery Plan commits to providing greater public awareness of signs and symptoms of cancer, with a new national campaign in development and website being re-designed.

The Scottish Government will continue to work closely with primary care clinicians, including the Scottish Primary Care Cancer Group, to identify possible symptoms as early as possible and support appropriate referral via the Scottish Referral Guidelines for Suspected Cancer.

Scottish Government officials are meeting with NHS Education Scotland on 27 September to explore primary care cancer education. This follows the recent cessation of Cancer Research UK’s Clinical Engagement Team that played a key role in delivering cancer education across NHS Scotland in recent years.

The questions used in the next Scottish Cancer Patient Experience Survey will be relevant to all cancer patients including those with blood cancer. The data collected will be broken down by cancer type and published as it has been in previous years.

The Scottish Stroke Improvement Programme report, published on 28 June, includes data from the Scottish Stroke Care Audit (SSCA). The SSCA measures quality of care of stroke services in each acute hospital, grouped by NHS board against the Scottish Stroke Care Standards.