Chamber and committees

The number of posts advertised annually by NHS Education for Scotland is determined by two factors: (1) the number of trainees who have completed training, obtained a CCT (Certificate of Completion of Training) and whose posts are therefore vacant, and (2) whether any additional posts have been created.

We funded the creation of additional training places this year in both Medical and Clinical Oncology. This, coupled with high CCT rates, has led to lower fill rates. All unfilled posts are being readvertised in the last recruitment round of 2023, meaning these fill rates could improve. The end-year position will be known in November.

The Scottish Government is providing the funding per the following table for the financial year 2023-24. Health boards can use this funding to manage and remove asbestos as and when it is appropriate to do so.

We recognise the hazard of asbestos and the risks to health it poses. However, asbestos is only dangerous when it is disturbed or in poor condition. The Health and Safety Executive’s guidance states that it is safe for asbestos to remain in place if it is in good condition, well-protected and unlikely to be disturbed. Health boards carry out annual asbestos monitoring surveys and asbestos management plans are in place across the NHS estate.

Tackling poverty and protecting people from harm is one of three critical missions of this government.

The Tackling Child Poverty Ministerial Oversight Group, which I will convene, will provide Ministerial-level oversight and assurance of the delivery of the actions set out in Best Start, Bright Futures.

Scottish Government analysis, published in April 2022, estimated that reversing key UK Government welfare changes that have taken place just since 2015 could lift an estimated 70,000 people out of poverty, including 30,000 children, in Scotland this year. We will continue to urge the UK Government to match our ambitions in tackling child poverty head on through reversing its policies such as the benefit cap and child cap and bedroom tax.

The following table presents the budget for NHS estate maintenance in each of the last three financial years. It is the intention of the Scottish Government to double the NHS estate maintenance funding over the Capital Spending Review period of 2021-2026.

Overall responsibility and accountability for the management of NHS complaints lies with individual Boards’ Chief Executives, Executive Directors and appropriate senior management.

The NHS Model Complaints Handling Procedure (CHP) has been in operation across Scotland since 1 April 2017. The CHP introduced nine complaints performance indicators, three qualitative and six quantitative. These performance indicators are set out in The Patient Rights (Feedback, Comments, Concerns and Complaints) (Scotland) Directions 2017.

NHS Boards have a legal duty to publish their feedback and complaints reports annually and to submit these to the Scottish Ministers, Public Health Scotland, the Patient Advice and Support Service, Healthcare Improvement Scotland, the Scottish Public Services Ombudsman and, where appropriate, the Scottish Prison Service. National complaints statistics are published annually by Public Health Scotland.

Public Health Scotland currently publish a range of statistics relating to Primary Care services in Scotland: https://publichealthscotland.scot/publications/?ic=topics-primary-care&q=&fq=topics%3APrimary+care%23&sort=pdesc .

We continue to work with all partners to develop a clear and evidence-based approach to ensure robust data is available. A Primary Care Data and Intelligence Programme Board has been established to inform this development work going forward.

A substantial amount of progress has already been made, notably with the introduction of a new publication of General Practice activity data. This collaborative effort between ourselves, the profession, National Services Scotland and Public Health Scotland, was a significant step in our journey to improving access to General Practice data.

This is in addition to the continued investment in the national GP IT re-provisioning programme, which allows Health Boards the ability to offer new and advanced, modernised systems for General Practice in Scotland. This will enhance access to GP data, and enable quality data to be stored and reused many times for multiple purposes, to allow us to better understand and improve the provision of care.

We are committed to openness and transparency in an NHS that welcomes all forms of feedback and uses it to inform continuous improvement. The current NHS Model Complaints Handling Procedure (CHP) has been in operation across Scotland since 1 April 2017.

This revised procedure is intended to support a more consistently person-centred approach to complaints handling across NHS Scotland. It brings a much sharper focus to the early, local resolution of complaints, wherever that is appropriate.

The timescales for handling complaints, set out in the CHP, are in line with all public sector organisations’ complaints procedures in Scotland, with a distinct, five working day stage for early, local resolution, ahead of the 20-working day stage for complaint investigations. There are no plans to review the timescales.

The Scottish Government has not carried out work to assess the impacts of buddleia on Scotland’s forests, natural habitats and riparian areas. Due to the preference of the species for disturbed open ground, its impact on these areas appears to be low. It is not considered to be forest-invasive at this time, and as such, currently poses limited concerns for woodland management or creation. We will continue to record and monitor its presence in the habitat restoration plans we will produce as part of our work to restore Scotland’s Atlantic rainforest.

We understand that buddleia is only likely to establish in buildings where there is a lack of building maintenance. Investing in overall repair and maintenance, therefore, will reduce problems caused by buddleia. Historic Environment Scotland has produced guidance, on both building maintenance and on the effect of biological growth on masonry, which is freely available on its website.

NHS Highland’s oncology service is currently provided by a mix of substantive staff, locum consultants and some support from consultants based in other boards. This arrangement is ensuring all patients are receiving the treatment they need. Efforts to recruit additional substantive staff are ongoing, however this is difficult because of the current UK national shortage of doctors who are qualified oncologists.