Chamber and committees

The table referred to in PQ S6W-33144 on 21 January 2025, which is held in the Scottish Parliament Information Centre (BIB number 65598), gives a breakdown of the numbers of specialty posts available for recruitment and vacancies after recruitment for the past 10 years.

NHS Education for Scotland, in collaboration with wider stakeholders, are taking action to support recruitment into underfilled specialties including cancer and psychiatry. These actions include initiatives to promote these specialties through recruitment campaigns; increase exposure to these specialties, particularly during medical school and early career stages through Foundation placements and programmes, careers fairs and training days and; supporting recruitment in specific regions.

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

Recruitment to specialty training is undertaken on a UK-wide basis and managed by NES in Scotland. The number of posts advertised by NES each year is determined by two factors: (i) individuals who have vacated their post and whose posts are therefore available for new applicants for apply for, and (ii) whether any additional posts have been created.

The Scottish Shape of Training Transition Group – membership of which includes the Scottish Government, NHS Education for Scotland, British Medical Association, Academy of Medical Royal Colleges and various Health Board representatives including regional workforce planners – undertakes an annual review of medical training establishments and makes recommendations to Scottish Ministers on the need to create additional training places in order to meet increased demand and future anticipated consultant need.

In line with the Tobacco and Vaping Framework, work is underway to improve the technical infrastructure of the existing register of Tobacco and Nicotine Vapour Product retailers.

Officials are working with Scottish IT developers ePass, selected by the Scottish Government through CivTech Challenge 9, to create and deliver an up-to-date web-based register product. It is expected that this new product will make enforcement easier, will support improvements in data quality, as well as support engagement with retailers and increase the value of registration for retailers. It is expected to launch in Spring this year.

The data below shows that 1083 Foundation Year 2 doctors have returned to training in Scotland since 2020.

A copy of a table which shows how many NHS specialty training places have been available in each of the last 10 years, broken down by speciality, has been placed in the Scottish Parliament Information Centre (Bib. Number 65598).

The number of established training places in each specialty is determined by anticipated future demand and workforce need for consultants and General Practitioners rather than foundation programme numbers.

While resident doctors are eligible to apply to specialty training after completing foundation training, other career routes are available and many choose deferred application or alternative routes including periods in locally employed doctor roles or periods of travel alongside options to develop their skills and experience through SAS grade roles. Data shows a trend of increasing proportions of Foundation Year 2 doctors delaying NHS specialty training in the whole of the UK and in Scotland. However, of all the cohorts from 2017 to 2021, only 8% of Foundation Year 2 doctors did not receive any offer of a training post after applying in the same year they completed foundation training.

There is no evidence to show that the reduction in Foundation Year 2 doctors entering specialty training has had an impact on the availability of medical professionals. Progression data from the General Medical Council shows that 90% of trainees have obtained a specialty training post in the UK within three years of completing the Foundation Programme.

The overall cost of training Foundation Year 2 doctors from August 2023 to July 2024 was £56,590,177.

UK data from the General Medical Council (GMC) shows that the reported trend of Foundation Year 2 doctors delaying NHS specialty training in Scotland is similar to the trend in the UK as a whole. There are a number of possible (and complex) explanations for this trend but progression data from the GMC shows that 90% of trainees have obtained a specialty training post in the UK within three years of completing the Foundation Programme.

Details are as follows: