Seòmar agus comataidhean

As we set out in our 2021 Programme for Government we will: ‘ deliver the recommendations of the Grouse Moor Management Review Group as a matter of urgency, including the licensing of grouse moors. Licensing or further regulation will cover the key areas identified in the review, including muirburn, wildlife control, the use of medicated grit and wildlife crime .’

The Grouse Moor Management Group chaired by Professor Werritty did not make any recommendations for a system to quantify and publish the number of gamebirds and other quarry species that are shot in Scotland each year and we have no plans to introduce such a system at present.

We are working with NatureScot to develop proposals for a licensing scheme for grouse moor businesses and it is conceivable that such a system might require records of quarry species shot on grouse moors. We will engage closely with relevant stakeholders as those proposals are developed.

The Scottish Government recognises that Complementary and Alternative Medicines Services (CAMS), may offer relief to some people suffering from a wide variety of conditions.

It is for individual NHS Boards to decide what complementary and alternative medicines/therapies they make available based on the needs of their resident populations and in line with national guidance.

The NHS Centre for Integrative Care (CIC) is a facility owned, operated and funded by NHS Greater Glasgow and Clyde (NHS GGC). It offers people with long term conditions a range of services, including complementary, holistic and homeopathic treatments. Most patients referred to the centre are experiencing chronic pain, chronic low energy, and/or chronic low mood or anxiety.

There is a range of projects being undertaken in Scotland to explore the use of AI in further high-demand medical areas, ranging from robotic surgery to the use of virtual reality in supporting mental wellbeing is currently being researched, evaluated, and implemented in Scotland.

The Industrial Centre for Artificial Intelligence Research in Digital Diagnostics (iCAIRD) website provides more information:

iCAIRD – Industrial Centre for Artificial Intelligence Research in Digital Diagnostics .

I refer the member to the answer to question S6W-04983 on 23 December 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 .

NHS Scotland’s staffing levels are at a record high, following nine years of consecutive growth. This includes record numbers of staff within the nursing and midwifery job family.

Creating new vacancies is an essential part of workforce expansion and are to be expected as we work to rapidly grow our nursing and midwifery workforce. The nursing and midwifery establishment has increased by 7.6% in the last year, or by 4,924.6 whole time equivalent posts. 77% of the nursing and midwifery vacancies reported at September 2021 have been recorded in the last three months, reflecting the extensive range of new posts being created.

We have announced a record £300 million of investment to support Health Boards and their staff over the coming months, as well as over £1 billion of funding through the NHS Recovery Plan. Through these investments, £4.5m of funding is being made available to Health Boards to attract registered nurses from outside Scotland. This is supplemented by an additional £1m to enhance Boards’ capacity for international recruitment, and £1m of recurring funding to fund International Recruitment Lead posts in Boards. We are also investing £11 million over the next 5 years in new recruitment activity and through the recent launch of the National Centre for Workforce Supply, which will coordinate national and international recruitment campaigns and support Health Board recruitment teams.

We have also worked with Boards to take forward a nationally coordinated recruitment campaign for midwives, and will undertake a focused national marketing campaign for the recruitment of Band 5 Nurses early in the new year.

We continue to invest in the domestic supply of nurses and midwives through the long-term growth of funded education programmes. Student nurses and midwives entering funded degree programmes will increase in 2022-23 to a total recommended intake of 4,837. This will be the 10th successive intake, doubling the number of students in the last decade.

A clinical refresh of the Scottish Referral Guidelines for Suspected Cancer has been completed with revised guidance published in January 2019. The Guidelines support primary care clinicians in ensuring those with symptoms suspicious of cancer are put on the right pathway at the right time, including possible skin cancers.

In December 2021, the Scottish Government published a refreshed Framework for Effective Cancer Management. This Framework provides NHS Cancer Teams with the tools to effectively manage USC patients from the point of referral to first treatment to improve patient experience and cancer waiting times. Tailored support will be provided to all NHS Boards to ensure the eight key elements are embedded, where relevant, across cancer pathways and specialties, including dermatology.

The Centre for Sustainable Delivery (CfSD) is working with a number of Health Boards to implement the Digital Dermatology app, which allows patients to interact with a clinician at a time convenient to them, without having to attend hospital. This will support dermatology teams in conducting more virtual appointments. CfSD also supports a Dermatology Pathways app and website which provides clinically validated pathway information to GPs and other health professionals for many of the most common skin conditions, with the aim of supporting access for patients who most need treatment in the most appropriate care setting. As part of this, CfSD is working with the British Association of Dermatologists to increase the number of pathways covered by this approach.

For information on Scottish Government action to address nursing vacancies I refer the member to the answer to question S6W-05019 on 5 January 2022.

NHS Lanarkshire is receiving a proportional share of funding allocations for the recruitment of qualified nurses and the enhancement of Health Board recruitment capacity.

NHS Lanarkshire's qualified nursing and midwifery workforce has increased by 28.5% since 2006, exceeding the 12.1% growth across NHS Scotland.

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

In Scotland, NHS Forth Valley is hosting a national project to support early diagnosis of skin cancer supported by digitalisation, the use of high-quality images, and machine learning. The project is called 25 by 25 - diagnosing cancer within 25 minutes by 2025. Industry, academics, and NHS are collaborating to rapidly innovate to create AI solutions in skin cancer.

This work is supported through the Scottish Health Industry Partnership and linked to the Health and Social Care and Wellbeing Programme. It takes the form of a number of challenges where partners innovate to find solutions to preparing images, creating AI learning environments, and real world Test Beds to try out new approaches in primary care with Consultant Dermatologist support.

The Scottish Government has invested in the Detect Cancer Early programme in this area, has committed to investing in an AI Hub, and has prioritised the 25 by 25 programme for innovation investment in 2022.

This will enable AI innovation in the form of AI enabled triage, diagnostics, and treatment decision making support for Clinicians.

It is for individual NHS Boards to decide which services they make available based on national and local priorities and the needs of their resident populations.