Chamber and committees

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.

The Scottish Government does not hold average data for ongoing waits, however the latest distribution of waiting times data with regards to ongoing waits for orthopaedic inpatient/day-case and new outpatient appointments is published on the Public Health Scotland website: Stage of treatment waiting times - Inpatients, day cases and new outpatients 30 November 2021 - NHS waiting times - stage of treatment - Publications - Public Health Scotland .

The Scottish Government has embraced artificial intelligence (AI) as a transformational technology for public good. We were the first UK country to establish an AI Strategy which set out our ambition for Scotland to become a global exemplar in the ethical and innovative deployment of AI.

As part of the Recovery Plans for the NHS, social care and the economy, the Government will support innovation in health care delivery and the adoption of AI solutions into use. Accelerating the adoption of new technologies that support improved access to healthcare, such as the use of artificial intelligence, will be integral to the recovery of NHS services, and there are a range of partner organisations that are central to this work, including the new national Centre for Sustainable Delivery.

The Scottish Government does not provide direct funding for the NHS Centre for Integrative Care (CIC). The CIC is a facility owned, operated and funded by NHS Greater Glasgow and Clyde (NHS GGC).

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.

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.

Public Health Scotland (PHS) publishes quarterly statistics relating to the waits patients experience for new outpatient appointments and inpatient or day case admission at specialty and health board level using the links below.

https://beta.isdscotland.org/find-publications-and-data/healthcare-resources/waiting-times/

The latest statistics were published on 30 th November 2021 and the following tables will be of interest.

New outpatient appointments (tab: 1.4 Table):

https://www.publichealthscotland.scot/media/10563/newop_nov21.xlsx

Inpatient or day case admission (tab: 2.4 Table):

https://www.publichealthscotland.scot/media/10487/ipdc_nov21.xlsx

The statistics published in the tables above include additions to the waiting list and not referrals as the national data captures only those referrals that lead to a patient being added to the waiting list for an appointment or admission.

The Scottish Government is not considering the introduction of sanctions for any contractor which breaches its NHS contract at present. The National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009, set out the provision of NHS pharmaceutical services and requirements for those entered on the Boards Pharmaceutical List.

The Achieving Excellence in Pharmaceutical Care strategy, published in 2017, commits the Scottish Government to review contractual arrangements and as such may consider the introduction of sanctions as part of any future strategy framework.

The community pharmacy network is a vital part of the primary care team. The Scottish Government continues to work with Community Pharmacy Scotland and other partners to ensure not only the stability of the network but also that a balance is maintained across the whole pharmacy workforce in the hospital, community, and GP practice sectors.

The Chief Pharmaceutical Officer has committed to putting together a workforce forum which will meet in early 2022. The forum will look at the workforce challenges and bring together stakeholders from pharmacy education and pharmacy service provision to set a strategic workforce plan for the profession.

There are no plans to introduce protected learning time at present. It is a decision for employers to allow staff time to study for additional qualifications.

To support delivery of the Community Pharmacy First Plus service, Community Pharmacist contractors receive backfill (up to £5750) to release community pharmacists to undertake their IP qualification (5 days face to face teaching + 12 days Period of Learning in Practice), clinical skills training (4 days) and also access to a maximum of 3 sessions at a CCC Teach and Treat Training Hub (backfill up to £750).