Seòmar agus comataidhean

I refer the member to the Scottish Government’s second Tackling Child Poverty Delivery Plan which committed to offering up to 500 apprenticeship opportunities across NHS Scotland in 2022/23.

NHS Boards deliver a wide range of employability programmes, following the ‘No One Left Behind’ overarching approach which is place-based, needs-led and person-centred. Programmes delivered in 2022-23 have focused on a wide range of groups, including: young people at risk of long-term unemployment, care leavers, veterans and service leavers, and lone parents over the age of 25.

The Scottish Government continues to focus on tackling disparities in deprived areas by ensuring equitable access to cancer services through the actions in our National Cancer Plan. We recognise that the impact from the COVID-19 pandemic may have exacerbated inequalities within screening. A key Ministerial priority is reducing inequalities in access to and uptake of screening programmes. That is why we committed up to £2.45 million to the Screening Inequalities Fund to build a programme of evidence-based, sustainable and scalable projects that tackle inequalities in a systemic way.

Rapid Cancer Diagnostic Services (RCDS) have been established across three NHS Boards to date which have a key role in delivering earlier diagnosis and improving patient care. The First Minister recently announced an additional two RCDS’ are being developed.

Additionally, the development of national clinical management pathways through the Scottish Cancer Network will help reduce variation across Scotland, across the entirety of the pathway. In parallel, the first optimal cancer diagnostic pathway, led by the Centre for Sustainable Delivery (CfSD) was launched in December 2022, and is being funded by £3 million from the Scottish Government’s Detect Cancer Earlier (DCE) Programme.

As committed to in the National Workforce Strategy for Health and Social Care, we have been undertaking a data collection exercise to inform future decisions about workforce investment. This work is being led by the Scottish Cancer Network, which is engaging with local boards and professional representatives.

A final report, including recommendations, will be provided to the National Oncology Taskforce in the first quarter of 2023. The Taskforce is made up of NHS Board Chief Executives and Medical Directors, and will seek national solutions to ensure the longer term resilience of oncology services in Scotland.

The following table shows the amount spent by the Tobacco Team in each year since 2017-18. Due to way in which spend is recorded it is not possible to disaggregate Tobacco Control spend from overall Tobacco spend. Also please note that 2022-23 spend is not included as this financial year has not yet concluded.

The Scottish Government see good accessible workforce data as a key tool for effective future planning within the Primary Healthcare Workforce. We have a number of ways in which we do this.

In General Practice, Public Health Scotland published workforce planning data through the General Practice Workforce Survey in November 2022 that gives us access to the latest General Practice workforce wte data, this is followed by the General Practice Workforce and Population Survey that gives us accurate headcount data across General Practice, published most recently in December 2022.

Workforce data on general dental practitioners is published by NES biannually, the latest data was published in December 2022.

The Centre for Sustainable Delivery intends to publish a report on workforce planning for the eyecare workforce by end March 2023.

Reporting arrangements are in place to monitor progress of Health and Social Care Partnerships against their Primary Care Improvement Plans (PCIPs). This includes progress on establishing Multi-Disciplinary Teams. Further information is provided in our annual statistical publication that published in March 2022.

In November 2022, Public Health Scotland published a report analysing the 2022 survey of the General Practice workforce. This publication is available at General practice workforce survey 2022 - General practice workforce survey - Publications - Public Health Scotland . Following this work in 2022, the Scottish Government has committed to undertaking the workforce survey on an annual basis.

I refer the member to the Neurological Care And Support: A Framework For Action 2020-2025 – Midpoint Progress Report , which was published on 13 July 2022. This report provides an update on the progress under each of the five aims in the Neurological Care And Support: A Framework For Action 2020-2025.

Specifically, page 13 of the report details a project we funded to develop principles of good transition across the lifespan of people with neurological conditions, using a range of methodologies.

More widely, Scottish Government will introduce Scotland’s first National Transitions to Adulthood Strategy in this Parliamentary term to ensure there is a joined-up approach to supporting our young people with disabilities as they make the transition to adult life. The scope of the Strategy will be developed through engagement with people with lived experience of transitions in all areas of life, including health care. We will begin progressing external engagement on the Strategy in early 2023.

In 2019, we published a Neurological Care and Support – a National Framework for Action 2020-25 , with a vision to ensure everyone with a neurological condition can access the care and support they need to live well, on their own terms.

The aims include improving the provision of co-ordinated health and social care and support, developing sustainable workforce models and ensuring high standards of person-centred care.

Despite the disruption to health and social care services during the pandemic, we have sustained our efforts to deliver the 17 commitments of the Framework. Since October 2020 we have we have awarded £2.1 million to fund innovative projects by NHS Boards, Health and Social Care Partnerships and third sector organisations working to achieve better outcomes for people living with neurological conditions.

I further refer the member to the Neurological Care And Support: A Framework For Action 2020-2025 – Midpoint Progress Report , which was published on 13 July 2022. This report provides an update on the progress under each of the five aims in the Neurological Care And Support: A Framework For Action 2020-2025.

In 2021 we supported the Neurological Alliance of Scotland (NAoS) to produce three new ‘What to Expect’ information guides for carers of people with neurological conditions. These guides include information on carers’ rights under the Carers (Scotland) Act 2016 and comprise:

• What to expect when you are new to caring
• What to expect from advocacy services
• What to expect when planning ahead

The guides were endorsed by the Coalition of Carers and are available at the NAoS website: https://www.scottishneurological.org.uk

We are currently supporting the NAoS to undertake a project in early 2023 to work with carers centres assessing current resources and identifying gaps that still need to be addressed regarding information, training and signposting.

Through the Neurological Care and Support – a National Framework for Action 2020-25 , Scottish Government and the Centre for Sustainable Delivery (CfSD) are improving referral pathways. The CfSD continues to work with neurological services to support the appropriate adoption of Active Clinical Referral Triage (ACRT) which ensures patients receive the right care in an appropriate setting, and Patient Initiated Review (PIR) which puts patients at the centre of their care.

The CfSD is working with Public Health Scotland towards capturing data in relation to ACRT and Discharge PIR, which will provide a better understanding of the scale, spread and potential further opportunity of these approaches.

The CfSD Neurology Specialty Delivery Group are developing a number of GP fact sheets for common neurological symptoms designed to support clinical triage by ensuring patients access the correct pathways in timely, robust and appropriate manner. These resources are intended to support good communication between secondary and primary care. They have been developed by a multi-Board expert group of primary and secondary care clinicians and are currently being prepared for national use.

Through our Neurological Care and Support – a National Framework for Action 2020-25 we are also funding condition-specific pathway work, in particular regarding Functional Neurological Disorder and migraine.