Chamber and committees

There are currently three Energy from Waste (EfW) sites currently in construction and commissioning and SEPA keeps the Scottish Government updated about their development.

With respect to community consent, these facilities require planning consent from the relevant local authority and a permit from SEPA. Both the planning process and SEPA permitting process include formal consultation processes.

For EfW permits, SEPA consults the public twice: firstly at an early stage of the application and again on SEPA’s draft determination and draft decision document. This process has been followed for all EfW permits to date. Some EfW facilities also have regular liaison meetings with their local community and SEPA attends when invited.

Permits plus compliance and monitoring data are published by SEPA on its public register and EfW operators are also required, via the permit, to publish their monitoring data on their own website. There is also a 24 hour pollution hotline which members of the public can use to inform SEPA of any issues associated with an EfW facility.

Physician Associates (PAs) are a long-established profession within the NHS Scotland workforce. The Scottish Government continues to engage regularly with the PA profession, including through dialogue with the Scottish Physician Associate Network which is represented on our national Medical Associate Professionals Programme Board. The Scottish PA Network also participates in the national MAPs Stakeholder Group, with a representative from the network acting as co-chair of the Group.

(a) The Scottish Government engages with the General Medical Council (GMC) on its regulatory functions as a matter of routine. Many of those operational discussions will have touched upon issues relating to physician associates and anaesthesia associates since the decision was taken that the GMC would be their regulator. The answer to FOI requests 202400422610 and 202400441146, published on the Scottish Government website, provides information on written communications between the Scottish Government and the GMC.

Surgical Care Practitioners, also a Medical Associate Profession, are not regulated by the GMC.

(b) The GMC has no functions in respect of the design of services in NHS Scotland. Health Boards are responsible for determining the services appropriate to the needs of their local populations, and the skills mix necessary to ensure their delivery.

The Scottish Government is supportive of a gradual and carefully managed expansion of physician associate (PA) and anaesthesia associate (AA) roles, underpinned by robust evidence of the benefit that can be derived from these roles in specific settings and contexts.

In order to achieve this, we have established a national Programme Board to advise on key aspects of the roles and NHS Scotland’s approach to their deployment. This work builds on action already undertaken to introduce statutory regulation of the roles which we consider is vital for patient safety. GMC regulation has, for the first time, introduced UK-wide standards for education, training and professional practice with meaningful consequences when these are not met.

The Scottish Government does not hold this information. Decisions regarding the employment of individual members of staff are a matter for each NHS Scotland Board.

The implementation of regulation has not prevented physician associates (or anaesthesia associates) who are currently practising from continuing to do so, nor has it prevented NHS Boards or other employers from designing services around, and recruiting to, these professional groups.

As set out in Section 19(1)(b) of the Anaesthesia Associates and Physician Associates Order 2024, from December 2026 it will be an offence to practise as a PA or AA in the UK without holding registration with the General Medical Council (GMC).

Surgical Care Practitioners, also a Medical Associate Profession, are not regulated by the GMC.

The Scottish Government is supportive of a gradual and carefully managed expansion of physician associate (PA) and anaesthesia associate (AA) roles, underpinned by robust evidence of the benefit that can be derived from these roles in specific settings and contexts.

In order to achieve this, we have established a national Programme Board to advise on key aspects of the roles and NHS Scotland’s approach to their deployment. This work builds on action already undertaken to introduce statutory regulation of the roles which we consider is vital for patient safety. GMC regulation has, for the first time, introduced UK-wide standards for education, training and professional practice with meaningful consequences when these are not met.

The information requested on how many (a) physician associate and (b) other medical associate profession roles were recruited by NHS Scotland in 2023-24 is not centrally held. Information on how many whole-time equivalent physician associates and other medical associates are in post can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHS Scotland workforce | Turas Data Intelligence.

The Scottish Government has written to NHS Scotland Boards noting the closure of the Managed Voluntary Register previously operated by the Faculty of Physician Associates and encouraging the early registration of Physician Associates (PAs) with the General Medical Council following the introduction of statutory regulation of the role in December 2024.

The Scottish Government continues to engage regularly with the PA workforce, including through dialogue with the Scottish Physician Associate Network which is represented on our national Medical Associate Professionals Programme Board.

The Scottish Government does not hold this information.