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The successful implementation of the Health and Care (Staffing) (Scotland) Act 2019 is dependent on the engagement of clinical staff groups and the Health Board managers firstly in contributing to the development of the 2019 Act’s Guidance and subsequently in understanding and applying the relevant provisions to their services. The NHS’s main focus has been prioritising, managing and providing services throughout the pandemic. The movement towards remobilisation is now presenting the opportunity for officials to engage with the relevant stakeholders to coproduce an implementation strategy and timetable which the Government will subsequently publish.

The Scottish Government notes the position from the British Social Attitudes survey (BSA) which asks members of the public to rate how satisfied they are with “the way in which the NHS runs nowadays”.

We recognise that the NHS has been under significant pressure in recent years, in particular due to pressures arising from COVID-19.

The ongoing impact of addressing the COVID-19 pandemic has meant that many health services had to be suspended or reduced in scope and scale. This has affected almost all aspects of NHS planned care and as a result of this there are many people who are waiting longer for the care they need. Addressing the backlog of care, while continuing to meet the ongoing urgent health and care needs of the country, is a top priority for the Scottish Government.

We continue to prioritise investment in our NHS to support remobilisation and reform and to deliver world-class, sustainable services for the whole of Scotland. This is underlined by our latest Budget which provides £18 billion for Health and Social Care and takes forward our commitment to increase spending on the NHS in Scotland by at least 20% over the course of this parliament.

As part of our 100 days commitments, we published an NHS Recovery Plan in August 2021 which commits more than £1 billion of targeted investment for the recovery and renewal of our health service. This sets out our plans and key ambitions to address the backlogs of care by March 2026, which includes supporting an increase in capacity to deliver inpatient and day case procedures, outpatient activity, and diagnostics, which will be supported by the implementation of sustainable improvements and new models of care.

Alongside this, NHS Scotland staffing levels are at a record high and have increased for ten consecutive years. However, we recognise that our NHS has experienced unprecedented pressures since the Covid-19 pandemic. Our £300m of new support to help services deal with system pressures over recent months along with the £1bn-backed NHS Recovery Plan introduced a range of direct workforce investments and new measures to enhance Boards’ capacity for both domestic and international recruitment. Various commitments from these plans, such as the recruitment of 1,000 additional healthcare support workers, have already been achieved. We are continuing to implement vital workforce investments at speed.

In terms of the wider situation in Scotland, the Scottish Social Attitudes Survey (SSAS) asks similar, but not identical, questions to the BSA and is due to report in Autumn this year. The SSAS did not run in 2020 due to COVID restrictions and was run in 2021 as a telephone survey which means that results for the 2021 SSAS may not be directly comparable with the previous SSAS findings from 2019.

Other sources reporting information of this kind are the Scottish Household Survey (SHS) and the Health and Care Experience survey (HACE).

The most recent Scottish Household Survey asked participants to rate satisfaction with “local health services”. Whilst this question does not exclusively focus on the NHS, satisfaction was generally positive in Scotland with around 88% of those surveyed reporting they were satisfied with the quality of local health services in 2020. Also from the SHS, 93% of adults trusted “the Health System”, making it the institution that adults were most likely to express trust in. Similarly to the SSAS, the SHS ran in 2020 as a telephone survey, meaning that results for 2020 may not be directly comparable with previous SHS findings.

Scottish Household Survey data collection is ongoing, with 2022 data currently being collected. 2021 data is being processed and is due to be published later in the year.

https://www.gov.scot/publications/scottish-household-survey-2020-telephone-survey-key-findings/

The Health and Care Experience survey (HACE) asks people to rate their experience of using Health and Care services in Scotland which is not the same as asking about people’s attitudes towards health and care services. Similar to the SSAS, the HACE was last run in 2019 with results published in October 2020. The next set of results from the 2021-22 HACE survey will be published in May 2022.

https://www.gov.scot/publications/health-care-experience-survey-2019-20/

I refer the member to the answer to question S6W-07488 on 11 April 2022. 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

I refer the member to the answer to question S6W-07491 on 25 April 2022. 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

We recognise the need for urgent action to address our twin nature and climate crises. That is why we are not waiting until the introduction of the Natural Environment Bill to take action. We have already committed to invest £65 in our Nature Restoration Fund over the course of this Parliament and £250 restoring our peatland over this decade. We will soon be consulting on our new Biodiversity Strategy where we will set out our ambitious vision for a nature rich Scotland. We remain committed to introducing a Natural Environment Bill in year 3 which will include nature targets to help tackle the biodiversity and climate crises.

Our Detect Cancer Early (DCE) Programme aims to provide greater public awareness of signs and symptoms of cancer to improve earlier diagnosis rates. A symptom-checker tool is included on the getcheckedearly.org website, to raise awareness of the early signs and symptoms of cancer, including sarcoma cancers, and research is currently being undertaken to better understand the possible barriers and levers to early diagnosis that any new DCE campaigns should focus on.

A new Early Diagnosis Vision is planned as part of the new Scottish Government Cancer Strategy (due to launch in April 2023), and will look at awareness raising.

We recognise that the high-level ambitions we have to tackle the twin nature and climate crises need to be supported with adequate funding. This is why we have already committed to invest an additional £500 million in the natural economy over the course of this Parliament. This includes £250 million on peatland restoration over the current decade, £65 Million on the new Nature Restoration Fund over the course of this Parliament, and £100 million to increase forestry planting,

‎ £30 million to expand Scotland's national forests, and £20 million to increase nursery stocks. The Resource Spending Review will reflect these priorities.

I refer the member to the answer to question S6W-07557 on 19 April 2022. 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

I refer the member to the answer to question S6W-07560 on 19 April 2021. 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 Sarcoma Network is tasked with looking at this issue more closely for the whole of Scotland, particularly regarding any educational shortfall that may exist. Additionally, every year the network analyses and reports the Quality Performance Indicators (QPIs) for Sarcoma in Scotland, to identify areas for improvement and ensure quality of care and treatment for patients.

The Picture Archiving and Communication System (PACS) enables all radiologists to work together, and scans indicating a suspicion of sarcoma can be discussed with a sarcoma specialist radiologist.