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Planning Together, was published alongside our proposals for establishing a comprehensive workforce development infrastructure for NHSScotland at local, regional and national level. This whole systems approach to integrated workforce planning will provide coherent and structured arrangements for addressing the workforce aspects of all services, including the maternity services framework.An action plan will be issued to reflect the feedback gained from the Workforce Development Action Day held on 15 April and to set out a critical path for creating a robust workforce development function, which integrates workforce planning with service planning across all services in NHSScotland.In the meantime, a short-life expert group on maternity services has been convened to determine a model specification for the provision of acute maternity services. As part of its work, this group is examining the workforce needs which arise from the modernisation of maternity services, in line with the principles enshrined in A Framework for Maternity Services in Scotland.

Consultant nurse/midwives undertake a combination of educational and clinical preparation.The nature of a consultant nurse/midwife post will demand a portfolio of career-long learning, experience and formal education; the postholder will have been working towards a master's degree; research experience, and a record of scholarship and publication.

The information requested is given in the following table, broken down by qualified and unqualified nursing vacancies by NHS board.Nursing vacancies^1,2 by NHS Board Whole-Time Equivalent: at 31 March 2001

	Total Vacancies	Became vacant in:			Vacancies as a percentage of establishment
		Less than 3 Months	3 Months or more	Unknown	Total	3 months or more
Qualified
Scotland	1,253.1	717.6	192.8	342.8	3.7%	0.6%
Argyll and Clyde2	146.8	60.6	75.1	11.1	6.2%	3.2%
Ayrshire and Arran	52.3	48.1	4.2	0.0	2.2%	0.2%
Borders	19.0	15.0	4.0	0.0	4.2%	0.9%
Dumfries and Galloway	2.6	2.6	0.0	0.0	0.2%	0.0%
Fife	57.0	48.8	2.2	6.0	2.8%	0.1%
Forth Valley	40.1	34.6	5.5	0.0	2.5%	0.3%
Grampian	156.3	122.0	34.3	0.0	4.6%	1.0%
Greater Glasgow2	452.4	190.5	39.6	222.2	5.6%	0.5%
Highland	36.1	25.7	10.4	0.0	2.4%	0.7%
Lanarkshire2	4.9	4.9	0.0	0.0	0.3%	0.0%
Lothian	184.1	136.5	6.2	41.5	3.5%	0.1%
Orkney	4.0	1.0	3.0	0.0	2.9%	2.1%
Shetland	7.0	7.0	0.0	0.0	7.1%	0.0%
Tayside	72.0	6.3	7.5	58.2	2.3%	0.2%
Western Isles	4.8	4.0	0.8	0.0	2.0%	0.3%
Special Health Boards	13.8	10.0	0.0	3.8	4.4%	0.0%
Unqualified
Scotland	391.5	196.6	61.4	133.5	2.5%	0.4%
Argyll and Clyde2	52.6	20.7	31.9	0.0	4.0%	2.4%
Ayrshire and Arran	18.1	18.1	0.0%	0.0	1.6%	0.0%
Borders	0.0%	0.0%	0.0%	0.0	0.0%	0.0%
Dumfries and Galloway	8.6	8.6	0.0%	0.0	1.6%	0.0%
Fife	3.8	3.3	0.5	0.0	0.5%	0.1%
Forth Valley	17.4	17.4	0.0	0.0	1.9%	0.0%
Grampian	22.1	15.5	6.6	0.0	1.5%	0.4%
Greater Glasgow2	138.1	49.6	11.4	77.1	3.8%	0.3%
Highland	5.2	4.2	1.0	0.0	0.9%	0.2%
Lanarkshire2	0.0	0.0	0.0	0.0	0.0%	0.0%
Lothian	88.7	56.7	10.0	22.0	3.7%	0.4%
Orkney	0.0	0.0	0.0	0.0	0.0%	0.0%
Shetland	2.0	2.0	0.0	0.0	4.1%	0.0%
Tayside	10.6	0.6	0.0	10.0	0.8%	0.0%
Western Isles	0.0	0.0	0.0	0.0	0.0%	0.0%
SNBTS	24.4	0.0	0.0	24.4	12.4%	0.0%
State Hospital Carstairs	0.0	0.0	0.0	0.0	0.0%	0.0%

Source: ISD(M)36, ISD Scotland.Notes:1. Excludes nurses in training.2. Lanarkshire Primary Care NHS Trust have not submitted a return and data for Lomond and Argyll Primary Care NHS Trust and North Glasgow University Hospitals NHS Trust were incomplete.3. The vacancy figures relate to posts vacant at 31 March 2001, irrespective of when the vacancy arose.4. Establishment is the sum of Staff in Post, Posts Under Review and Total Vacancies.

A detailed breakdown of the latest available information on the number of vacant medical consultant posts is shown in the following table. The table should be read in conjunction with the following notes.The number of higher specialist training posts available in Scotland is regularly adjusted to meet the projected number of new consultants needed to meet known and anticipated turnover and local service developments. The total Specialist Registrar (SpR) establishment was increased by 100 in 2001, a rise of 9%, with many of the increases being in the specialties with the highest levels of vacancies. Additional funding for a further targeted increase of 375 junior doctors was announced on 2 April 2001, for the period to 2004. Targeting will take account of vacancy levels and also of the review of medical workforce planning which is due to report shortly.Medical Consultant Vacancies by Specialty and NHS Board Number at 30 September 2000

		Argyll & Clyde			Ayrshire & Arran	Borders	Dumfries & Galloway	Fife	Forth Valley	Grampian	Greater Glasgow	Highland	Lanarkshire	Lothian	Shetland	Tayside	Western Isles	Common Services Agency
Total Consultant Vacancies		12			11	3	6	11	12	9	26	7	24	12	2	11	2	4
Accident & Emergency Medicine				-	-	-	-	-	1	-	-	-	2	-	-	-	-	-
Anaesthetics		2			1	-	-	-	-	1	1	-	-	-	-	5	-	-
Clinical Laboratory Specialties
Blood Transfusion		-			-	-	-	-	-	-	-	-	-	-	-	-	-	2
Chemical Pathology		-			-	-	-	-	-	-	1	-	-	-	-	-	-	-
Haematology		-			1	2	1	-	-	-	-	1	-	-	-	1	-	-
Histopathology		-			2	-	-	-	-	-	4	-	2	-	-	1	-	-
Medical Microbiology & Virology				-	-	-	-	-	-	-	-	-	-	-	-	1	-	-
Medical Specialties
Dermatology		1			-	-	-	1	-	-	1	-	-	-	-	-	-	-
General Medicine (Group)		-			-	1	-	-	1	-	2	2	3	2	-	1	-	-
Geriatrics				-	1	-	-	-	-	-	-	-	1	-	-	-	-	-
Neurology		-			-	-	-	-	1	-	-	-	-	-	-	-	-	-
Paediatrics		2			-	-	-	-	-	1	-	-	-	1	-	-	-	-
Obstetrics & Gynaecology		1			-	-	-	-	-	1	1	-	-	1	-	-	-	-
Occupational Medicine		-			-	-	-	-	-	-	-	-	-	1	-	-	-	-
Psychiatric Specialties
Child & Adolescent Psychiatry				1	1	-	2	1	-	-	1	-	1	-	-	-	-	-
Forensic Psychiatry		-			-	-	-	-	1	-	-	-	-	1	-	-	-	-
General Psychiatry				3	-	-	-	-	-	-	1	2	3	4	-	-	-	-
Psychiatry of Learning Disability				-	-	-	-	-	1	-	-	-	-	-	-	-	-	-
Old Age Psychiatry		-			-	-	1	-	-	1	1	-	2	-	-	1	-	-
Psychotherapy				-	-	-	-	-	-	-	2	-	-	-	-	-	-	-
Radiology
Clinical Radiology		-			-	-	-	8	4	2	-	-	2	1	-	-	1	-
Nuclear Medicine		-			-	-	-	-	-	-	-	-	-	-	-	1	-	-
Surgical Specialties
Cardiothoracic Surgery		-			-	-	-	-	-	-	3	-	-	-	-	-	-	-
ENT Surgery				-	1	-	-	1	-	-	-	-	-	-	-	-	-	-
General Surgery		-			1	-	1	-	2	-	-	-	4	-	2	-	-	-
Ophthalmology		-			1	-	-	-	1	-	-	-	1	-	-	-	-	-
Trauma & Orthopaedic Surgery		-			-	-	1	-	-	-	4	-	3	-	-	-	1	-
Paediatric Surgery		-			-	-	-	-	-	1	-	-	-	-	-	-	-	-
Plastic Surgery				-	-	-	-	-	-	-	3	-	-	-	-	-	-	-
Urology		-			-	-	-	-	-	-	1	-	-	-	-	-	-	-
Public health medicine		1			2	-	-	-	-	2	-	1	-	-	-	-	-	2
Community Specialties
Breast Screening Service				-	-	-	-	-	-	-	-	-	-	1	-	-	-	-
Community Child Health				1	-	-	-	-	-	-	-	1	-	-	-	-	-	-

Notes:1. Data is sourced from the ISD(M)4 collection form and is the latest available.2. Information is provided on posts vacant at 30 September 2000 irrespective of when the vacancy arose.3. Includes honorary appointments.4. Only specialties and NHS boards with consultant vacancies are included.

Generally continuing professional development (CPD) is the responsibility of the trusts to support and evaluate, based on service and staff needs, for all staff including nurses and professions allied to medicine (PAMs). However, on occasion the Scottish Executive Health Department provides targeted funding for specific initiatives e.g. the £1.75 million announced for CPD as part of Facing the Future. Decisions have still to be made about how this money will be distributed and evaluated.Other targeted funding such as the Specialists Nursing Initiative, or Clinical Effectiveness funding for PAMs have been monitored to ensure effective use of resources.

One hundred and eleven student midwives will graduate by October 2002.

NHSScotland provides National Screening Programmes for Breast and Cervical Cancer. The Breast Screening Programme invites women aged 50 to 64 for breast screening every three years. Women over 64 can self-refer. The Cervical Screening Programme invites women aged between 20 and 60 for a cervical smear at least once every five years. Details of other organisations which provide cancer screening services are not held centrally.

Breast cancer in men is relatively rare, occurring most often in individuals with a family history of female breast cancer. Genetic counselling and advice is available through cancer genetics services provided through Regional Genetics Centres. Referral is normally arranged either through an individual's general practitioner or specialist consultant responsible for treatment and care following diagnosis.Similarly to women with breast or other types of cancer, the support of the multi-disciplinary team involved in their treatment and care is available to men with breast cancer. Counselling services for people with cancer offer advice and support individualised to meet the particular needs of the patients referred to them.

Health promotion is the responsibility of NHS boards who would be happy to provide information about local activities and campaigns targeted at breast cancer awareness. Contact information for NHS Board Chief Executives is available from Scottish Health on the Web:www.show.scot.nhs.uk.Similarly, the Health Education Board for Scotland (HEBS) is responsible for matters relating to health education. Contact details for the Chief Executive and wider information on the board's activities is available from the HEBS website:www.show.scot.nhs.uk/hebs.

The undernoted table sets out (a) the incidence of male breast cancer for the years 1994-98, which is the most recent year for which completed cancer registry data are available, and (b) deaths from male breast cancer in the years 1994-2000, the most recent year for which completed mortality data are available.Incidence of and Mortality from Breast Cancer in Scotland in Males, 1994-2000

	1994	1995	1996	1997	1998	1999	2000
Cases	15	18	8	17	15	n/a	n/a
Deaths	3	5	10	7	5	7	6

Sources: incidence data provided by ISD Scotland; mortality data provided by General Register Office Scotland (GROS).Notes:1. Breast cancer in males is rare in Scotland with an average of around 15 cases diagnosed per year. Incidence has remained fairly constant over the last 20 years. 2. The estimates are not broken down to NHS health board level because of the very small numbers. To minimise the risk of any inadvertent breach of confidentiality, it is the policy of ISD to avoid publishing tables with small numbers of cases in any cell which might conceivably be used, along with other information, to identify an individual.3. Rates are not presented, again because small numbers of cases are subject to random fluctuation from year to year giving rise to very unstable estimates of risk.