Chamber and committees

We have recruited to the following number of training posts each year for the past 5 years.

We continue to support and monitor all Health Boards to ensure all possible actions are being taken to support services and safeguard patient safety during the winter period. Planning for this winter builds on the effective measures which have supported our health and social care services in previous years.

My officials and I have been meeting regularly with the leadership of NHS Grampian to progress both immediate steps and a sustainable plan to ease capacity pressures with a focus on improving patient flow through the system, preventing SAS ambulance turnaround delays, and discharging as soon as patients are medically fit.

Aimmune Therapeutics, the manufacturer of Palforzia®, had indicated an intention to make a resubmission to the Scottish Medicines Consortium (SMC), however to date this has not been received. The decision on whether to submit, and the timing of that submission, is entirely for the manufacturer of the medicine to make. If they do resubmit, information on the specific timelines for the reassessment will be available via the search facility available on the home page of the SMC’s website here. There is a fast-track resubmission option, which reduces the normal assessment timeline.

In the meantime, Health Boards have procedures in place using the Peer Approved Clinical System “PACS Tier Two” process, for clinicians to request the use of licensed medicines on a ‘case-by-case’ basis for individual patients, when the treating clinician considers that there would be significant clinical benefit for a patient.

The Scottish Government provides the policies, frameworks and resources for high quality healthcare, and it is for each individual NHS Board to decide how best to utilise funding, to meet local health needs. There were 3,538.7 WTE working in physiotherapy in NHS Scotland at the end of September 2024. This represents an increase of 27.5% or 762.8 WTE over the last ten years. AHP numbers by NHS board are available at: NHS Scotland workforce | Turas Data Intelligence

There were 3,538.7 WTE working in physiotherapy in NHS Scotland at the end of September 2024. This represents an increase of 27.5% or 762.8 WTE over the last ten years.

The Scottish Government is committed to developing a sustainable health and social care system that ensures that the people of Scotland are provided high-quality, safe, effective, accessible and person-centred care. However, operational matters including staffing are in the first instance the responsibility of NHS Boards, who will take into account local and national priorities when making recruitment decisions.

The Allied Health Professions (AHP) Education and Workforce Policy Review, which includes physiotherapy, examined workforce and education issues. Progressive career models is one focus of the delivery of the review’s recommendations with the aim to improve and widen access to and increase the AHP workforce. Work is ongoing and an advisory group has been established to oversee the effective implementation of these recommendations.

Table 1 shows annual inflation as at September between 1999 and 2024 using the Consumer Price Index (CPI), as well as the annual change in the Basic, Intermediate and Higher Property Rates between 1999-2000 and 2025-2026. The rateable value threshold up to which different rates are charged has changed over time. In Scotland, there is no legislation linking the maximum possible uprating of the rates to inflation of the preceding year. Given that Scottish Ministers have chosen to set the Basic Property Rate in order to match or be below the Small Business Multiplier in England since 2007-2008, up until 2016-2017, September Retail Price Index (RPI) acted as a cap on inflationary increases in poundage in Scotland because in England, legislation used to link the maximum possible uprating of the Small Business Multiplier to September RPI of the preceding year. The independent Barclay Review of Non-Domestic Rates published in 2017 noted calls for increases in the poundage to be linked to the CPI rather than the RPI. Since 2017-18, annual changes in the rates in Scotland have been lower than the CPI increase. Revaluations are also typically designed to be revenue-neutral in real terms so both inflation and the growth in the tax base (taking into account expected appeals losses in that cycle) is taken into account when setting the rates.

Table 1: Annual CPI change as at Sept (1999-2024) and annual change to the Basic, Intermediate and Higher Property Rates (1999-2000 to 2025-26)

As autonomous institutions, universities are responsible for their own course provision. With the exception of AHP controlled subjects i.e. Paramedic Science and Prosthetics & Orthotics, the Scottish Government does not direct individual universities on the allocation of funded places for eligible Scottish students, and it is for the universities to decide how to distribute its funded places between faculties and courses including physiotherapy.

We do however recognise that there are particular circumstances when the government will step into address specific workforce challenges. This is why in 2019, the Scottish Government committed to creating 225 more Advanced Musculo-Skeletal (MSK) Practitioners in Primary Care, by increasing the Physiotherapy workforce via the NHS Scotland Physiotherapy Funded Places Scheme. To date, 194 students have been funded towards meeting this target. Further information on the scheme is available at the following link.

NHS Scotland Physiotherapy funded places scheme | Turas | Learn

The National Mission annual report is structured to relate to the six outcomes and six cross-cutting priorities in the National Mission Plan. Outcomes and cross-cutting priorities chapters have the following format: an overview provides context, including data, to understand the scope and purpose of the outcome. Progress set out our activities related to the outcome throughout the reporting period: the projects being delivered across sectors, locally and nationally have been highlighted, including dedicated funding and case studies.

The National Mission annual report finance sections aim to provide greater transparency of National Mission funding. Section 8.3 shows the funding distribution and section 8.4 shows the funding commitment and theme. The reports for financial years 2021-22, 2022-23 and 2023-24 are available at:

National Mission on Drugs: annual report 2023-2024 - gov.scot

National Mission on Drugs: annual report 2022-2023 - gov.scot

National Mission on Drugs: annual report 2021-2022 - gov.scot

The Corra Foundation publish an annual report on projects funded via the National Drugs Mission Funds and are available at:

National Drugs Mission Funds Report 2023-2024

National Drugs Mission Funds Report 2021-2023

Funding allocated to Alcohol and Drug Partnerships (ADPs) is available at: Alcohol and Drug Partnerships: funding allocations - gov.scot

We are working closely with NHS Grampian on the development of a sustainable plan to support improvements in capacity.

We know that system wide capacity challenges are driving pressure on our Emergency Departments. To address this we have a clear plan to reduce delayed discharges, release acute capacity and bring down A&E waiting times.

The plan will be supported by £200 million targeted investment through the 2025-26 Budget, if approved by parliament, with NHS Grampian receiving a share of this funding. We will focus on shifting the balance of care from acute, to community and will bring about this change by ensuring every A&E department has a frailty unit linked to community re-enablement.

Foundation Year 2 (FY2) doctors are encouraged to apply for and start specialty training through a range of initiatives that increase awareness and exposure to specific specialties, including educational and career events and targeted Foundation placements/programmes. Additionally, pay enhancements, including an 8.5% pay rise for doctors in training, help to improve the financial appeal of specialty training.