Chamber and committees

To date, the NHSScotland ‘Once for Scotland’ Workforce Policies Programme has refreshed the following PIN policies and process:

• Attendance
• Bullying and Harassment
• Capability
• Conduct
• Grievance
• Workforce Policies Investigation Process

These were launched on 1 March 2020.

In addition, the NHSScotland Whistleblowing Policy that includes the National Whistleblowing Standards was published in April 2021.

Following a pause due to the pandemic, the ‘Once for Scotland’ Workforce Policies programme of work has formally restarted.

The objective of the Once for Scotland Workforce Policies Programme is to produce refreshed, simple, standardised and person centred policies that are:

• accessible on an innovative digital solution;
• dynamic and interactive with staff and managers at the centre of policy and digital development;
• national standard for employment practice in NHSScotland.

This programme of work has and will continue to be progressed in partnership with representation from NHSScotland employers, trade unions and the Scottish Government using a dynamic and interactive engagement process involving all key stakeholders.

The Programme Board, that also has representation from the Scottish Government, Employers and trade unions, oversee and drive this work, supported by policy and digital development groups. The Programme Board reports to the Scottish Workforce and Governance Committee.

I refer the member to the Scottish Governments National Workforce Strategy for Health and Social Care, where we committed to developing a Remote and Rural Workforce Recruitment Strategy for Health and Social Care by the end of 2024. An update on the National Workforce Strategy for Health and Social Care will be published later this year.

To complement the local support available for the mental health and wellbeing of the health and social care workforce, the Scottish Government are continuing to provide a range of resources including the National Wellbeing Hub, a 24/7 National Wellbeing Helpline, confidential mental health treatment through the Workforce Specialist Service, Coaching for Wellbeing and funding for additional local psychological support. We are also working closely with NHS Boards to support a range of local initiatives designed to meet the basic and practical needs of Doctors in Training, and their teams. This includes access to quiet spaces to support health and wellbeing, and the installation of lockers.

Our ongoing response will be informed by the Improving Wellbeing and Workforce Cultures Strategy which will be launched in 2023. The strategy is a commitment from the Scottish Government to drive a supportive and enabling culture for people working in health, social care and social work across wellbeing, leadership and equalities.

As outlined in the National Workforce Strategy for Health and Social Care, we have committed to funding up to £10 million on a phased approach which will support increased regional working, workforce recruitment and maximise capacity across the existing workforce through initiatives like non-medical prescribing and treatment closer to home. Over 2022, we have provided £1.5 million across Scotland, and the National Oncology Taskforce will shortly be considering recommendations to support sustainability of SACT services. As agreed with the regional cancer networks and Health Boards, these funds are being used to support SACT services.

The National Oncology Taskforce will shortly be considering recommendations to support sustainability of SACT services.

The NHS National Ethnic Minority Forum (EMF) was established in April 2021 and aims amplify the voices of ethnic minority staff across the health service and tackle issues of systemic racism. EMF members also use their expertise to shape policy and practice in areas such as the Leading to Change Programme. We continue to work closely with the EMF on their priorities for 2023-24:

• the development of a ‘How to Talk about Race’ in the workplace guide
• considering support for staff reporting incidents of racial abuse/harassment
• supporting the development of anti-racism training resources for staff (an action that Scottish Government are taking forward).

Finally, I had the pleasure of attending an in-person meeting of the EMF on the 5 th October 2022. I made it clear that I will continue to actively support the chair and members in delivering their aims objectives.

In 2022-23 the Scottish Government spent £2,761,815 on health and social care staff wellbeing. In addition to this, the Scottish Government intend to spend a further £1,397,475 on health and social care staff wellbeing in the remainder of this financial year.

We do not hold a detailed breakdown of spending at the level requested.

Since its inception in 2014, the annual budget for the Commissioner’s office has been £250,000. This is funded by the Scottish Government and covers the Commissioner’s remuneration, support staff, office and IT requirements and general running costs. The draft budget published on 15 December proposed increasing this to £280,000 in Financial Year 2023-24.

The UK Government has since funded the appointments of the UK Independent Veterans Advisor and the Wales and Northern Ireland Veterans Commissioners for which the Scottish Government do not receive any Barnett Consequentials.

In relation to veterans healthcare, the Scottish Government has developed a scheme to help General Practices to identify and recognise the circumstances of veterans and their families . This is currently in the pilot phase of the programme.

In addition, the application form for Adult Disability Payment asks clients about their possible entitlement to Armed Forces Independence Payment, War Pensioners’ Mobility Supplement and War Pension Constant Attendance Allowance. Where appropriate, clients are then directed to Veterans UK for further advice.

We are also engaging with Scotland’s Housing Network’s Local Housing Strategy Group to encourage local authorities to identify the housing needs of the veterans and Armed Forces community. This will include local authorities sharing examples of best practice.

Finally, during 2022, the Scottish Government supported the UK Government work to undertake a scoping study for provision of digital verification of veteran status and contributed to the project’s Discovery Phase. We will continue to support the work as it progresses which will make it easier for all veterans to identify as such when accessing services and support.

The ‘Welcome to Scotland’ guide was first introduced in 2018 to provide practical information to Service personnel and their families who are moving to or already living in Scotland, on topics such as housing, education, healthcare and employment. It is not specifically targeted at veterans or their families but it is promoted to the veterans community through the Veterans Scotland newsletter.

The guide is refreshed annually and we work with the military in Scotland, the Ministry of Defence and the Armed Forces Families Federations to develop and promote its use.

The Scottish Government works closely with the Scottish Prison Service and last year attended the Veterans in Custody Support Officer (VICSO) gathering at HMP Castle Huntly to discuss how we can better support their work, including future attendance at a Breakfast Club event. Officials will again attend a VICSO gathering in February. Furthermore, the Scottish Crime and Justice Survey now includes a question on former Service in the Armed Forces. We are considering analysis proposals from this survey and findings will be available at varying points during mid-to late-2023. Having a veterans question in this national survey will improve our understanding of the profile, circumstances and needs of veterans in Scotland which in turn will help inform policy and services.

We also support Police Scotland’s pledges under the Armed Forces Covenant to support the Armed Forces and veterans community, including pledges to review and refresh the Veterans Champion role across local policing divisions and to introduce Veterans Champions within its custody and criminal justice environment.