Chamber and committees

‘A Fairer Scotland for All: An Anti-Racist Employment Strategy was published on 9 December 2022 and sets out the actions the Scottish Government will take and how it will work with employers to help make Scotland’s workplaces more diverse, fair and inclusive.

The strategy will support NHS and other employers to:

• improve their collection of workforce data, including reporting their pay gap, and take action on the findings
• take an anti-racist approach to remove barriers in their recruitment, retention and progression practices to improve representation of workers
• drive cultural, attitudinal and organisational change through building an understanding of the impact of institutional racism and the processes and practices in an organisation that lead to the unfair treatment of people on the basis of race.’

Scottish Ministers are already able to access advice and analysis which allows for the triangulation of workforce intelligence at national level. They are fully supported in this by other agencies and organisations, including NHS Scotland health boards and NHS Education for Scotland, which publishes quarterly official workforce statistics and provides associated analysis on the NHS Scotland workforce.

The Scottish Government also continues to work closely with NHS Boards and Health and Social Care Partnerships to improve workforce planning, including the data and intelligence required to carry this out effectively at a local level.

The Scottish Government has established a Workforce Data Information and Intelligence Improvement Programme to support further improvement in data collation and evidence triangulation. This programme is focused specifically on improving the quality and granularity of existing data sets, alongside considering the requirements for gathering new or different data to support better decision making, workforce and service planning.

In March 2022 the Scottish Government published The National Workforce Strategy for Health and Social Care in Scotland. This Strategy sets out a framework to shape our health and social care which includes Allied Health Professionals and Healthcare Scientists, over the next decade, placing training, wellbeing, job satisfaction and Fair Work at its heart. As part of the Strategy’s work, the Scottish Government has undertaken an AHP Workforce and Education Policy Review and a Healthcare Science Baseline Education Review.

In November 2022, Public Health Scotland published a report analysing the 2022 survey of the General Practice workforce. This publication is available at General practice workforce survey 2022 - General practice workforce survey - Publications - Public Health Scotland . Following this work in 2022, the Scottish Government has committed to undertaking the workforce survey on an annual basis.

Our National Workforce Strategy for Health and Social Care supports the remobilisation and recovery of health and social care services and sets out priorities for recruitment, training and retention. We anticipate that the Strategy will be used by workforce, service and financial planners across Health and Social Care at all levels.

Through this Workforce Strategy, and the NHS Recovery Plan, we are investing in staff so that they have the right skill mix and career progression opportunities.

Through our National Advisory Committee for Neurological Conditions, we are identifying priorities to strengthen the neurological workforce alongside the National Workforce Strategy, Remobilisation Plans and Rehabilitation Framework. We have scoped neurological workforce priorities and work has commenced to address these with a focus on nursing, allied health professionals (AHPs), neuropsychology and neurophysiology.

A Transforming Roles paper on Clinical Nurse Specialists (CNS) was published in 2021. Through the Centre for Sustainable Delivery, an expert group has been reviewing how existing CNS competencies for neurological conditions such as epilepsy, multiple sclerosis, motor neuron disease and Parkinson’s align to Transforming Roles with a view to identifying challenges or barriers to accessing training to develop and sustain this workforce.

We are testing with NHS neurology services in the West of Scotland, a workforce capacity planning tool for Allied Health Professionals that has been developed through the Healthcare Improvement Scotland Excellence in Care programme to help ensure staffing levels are in line with safe staffing legislation. An AHP Education & Workforce review has been completed with recommendations from that review being published early this year. Thereafter work will commence on an implementation plan.

We are undertaking work to better understand specialist service provision for people in Scotland with neurological conditions, through which we aim to develop an approach to ensure reliable information and workforce data is available and informs actions.

This will consider existing roles, specialities, subspecialties, and developments in advanced Health Care Assistants, key workers and third sector speciality regarding neurological care. The process will also align with relevant commitments from the Neurological Framework, Transforming Roles agenda and the National Workforce Strategy.

I refer the member to the Neurological Care And Support: A Framework For Action 2020-2025 – Midpoint Progress Report , which was published on 13 July 2022. This report provides an update on the progress under each of the five aims in the Neurological Care And Support: A Framework For Action 2020-2025.

Specifically, page 13 of the report details a project we funded to develop principles of good transition across the lifespan of people with neurological conditions, using a range of methodologies.

More widely, Scottish Government will introduce Scotland’s first National Transitions to Adulthood Strategy in this Parliamentary term to ensure there is a joined-up approach to supporting our young people with disabilities as they make the transition to adult life. The scope of the Strategy will be developed through engagement with people with lived experience of transitions in all areas of life, including health care. We will begin progressing external engagement on the Strategy in early 2023.

In 2019, we published a Neurological Care and Support – a National Framework for Action 2020-25 , with a vision to ensure everyone with a neurological condition can access the care and support they need to live well, on their own terms.

The aims include improving the provision of co-ordinated health and social care and support, developing sustainable workforce models and ensuring high standards of person-centred care.

Since October 2020 we have we have awarded £2.1 million across three rounds of funding to 35 projects by NHS Boards, Health and Social Care Partnerships and third sector organisations working to achieve better outcomes for people living with neurological conditions.

I refer the member to the Neurological Care And Support: A Framework For Action 2020-2025 – Midpoint Progress Report , which contains details of work to support personalised models of care.

We worked with Healthcare Improvement Scotland (HIS) to facilitate an online learning event in August 2021 to raise awareness of and build confidence amongst health and social care staff in Anticipatory Care Planning for people with neurological conditions.

This was attended by over 280 health and social care professionals working with people affected by neurological conditions, including specialist nurses and Allied Health Professionals.

The event explored how the principles of good Anticipatory Care Planning can be adapted for different neurological conditions, including for purposes much broader than end of life care.

We created a Neurological Anticipatory Care Planning webpage with HIS featuring useful tools for professionals and videos of the webinar presentations: ACP and neurological conditions - ihub | Health and social care improvement in Scotland - Anticipatory Care Planning and Neurological Conditions

In 2021 we supported the Neurological Alliance of Scotland (NAoS) to produce three new ‘What to Expect’ information guides for carers of people with neurological conditions. These guides include information on carers’ rights under the Carers (Scotland) Act 2016 and comprise:

• What to expect when you are new to caring
• What to expect from advocacy services
• What to expect when planning ahead

The guides were endorsed by the Coalition of Carers and are available at the NAoS website: https://www.scottishneurological.org.uk

We are currently supporting the NAoS to undertake a project in early 2023 to work with carers centres assessing current resources and identifying gaps that still need to be addressed regarding information, training and signposting.

In 2022-23 we supported the Neurological Alliance of Scotland (NAoS) to produce three information resources to support key workers and carers to guide people with neurological conditions to access Self-Directed Support (SDS).

The resources have been produced in conjunction with Self-Directed Support Scotland and are designed to raise awareness and understanding of SDS amongst three groups who are in a position to support people living with a neurological condition to access it: health and social care professionals, voluntary sector workers, and parents/carers of children with neurological conditions.

The resources were published by the NAoS in January 2023 at www.scottishneurological.org.uk and comprise:

• Self-Directed Support for adults: Information for Health and Social Care Professionals
• Self-Directed Support for adults: Information for the Voluntary Sector
• Self-Directed Support for children: What to Expect - Information for Parents