Chamber and committees

Scottish Government recognises that throughout their career, employees, including radiologists and oncologists, will face differing demands on their time and energies at home as well as at work which may lead to them leaving the workforce below the age of 50.

The national ‘Supporting Work Life Balance’ workforce policies to provide staff with a range of flexible working options to help them to balance their lifestyle whilst maintaining and promoting the best possible service to our patients and service users.

Further, Scottish Government are supporting staff throughout the NHS, including radiologists and oncologists, through funding of over £2.5m annually to support staff wellbeing. Evidence shows that positive wellbeing enhances staff retention and engagement, which in turn raises standards of patient safety and quality of care.

This funding provides our workforce with access to psychological interventions and therapies, self-service resources through the National Wellbeing Hub and the National Wellbeing Helpline delivered by NHS 24. Registered staff also have access to confidential mental health services through the Workforce Specialist Service (WSS).

Whilst Scottish Ministers are responsible for determining the strategic policy of the NHS in Scotland, NHS Boards are responsible for delivering their services, including making decisions to outsource NHS contracts to the independent sector where appropriate to meet the Board’s needs.

We have expanded the Clinical Oncology and Medical Oncology specialty training programmes since 2014. The Scottish Government is working directly with NHS Education for Scotland (NES) to increase supply into Clinical and Medical Oncology and promote these options as an attractive career choice by future applicants.

Further, we have been expanding Internal Medicine Training (IMT) numbers, for example, which is a pre-requisite for various higher specialties including Clinical and Medical Oncology. This will increase front-end supply into several higher-level specialties including Oncology. The IMT programme has filled at 100% for the past five years.

Over the last ten years we have increased the Consultant Radiologist workforce by 27.7% (from 304.5 WTE as of March 2015 to 388.9 WTE as of March 2025).

Scottish Government is committed to supporting NHS staff, including radiologists, through the provision of over £2.5 million in annual funding dedicated to staff wellbeing initiatives. This funding provides our workforce with access to psychological interventions and therapies, self-service resources through the National Wellbeing Hub and the National Wellbeing Helpline delivered by NHS 24. Registered staff also have access to confidential mental health services through the Workforce Specialist Service (WSS).

These resources play a vital role in helping the workforce manage mental health challenges, supporting their return to work and enhancing the quality of care they can provide.

Whilst the Scottish Government sets the strategic direction for the NHS in Scotland, operational matters including staffing and the recruitment is the responsibility of health boards as autonomous institutions.

Decisions will depend on the service needs of each board taking account of national, regional and local priorities, and we expect NHS boards to plan and provide safe, effective and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

We know that cancer services are treating more patients on time, within both standards, compared to the same quarter five years ago – 4.5% more within the 31 day standard & 1.6% more within the 62 day standard.

Over £106 million has been allocated to NHS Boards in 2025-26 to help tackle the longest waits for procedures and operations. The funding has been assigned to specialty areas where it can have the greatest impact– this includes £21 million for imaging and over £14 million for cancer waiting times. Scottish Government officials meet with NHS Boards’ Cancer Management Teams on a monthly basis to identify challenges, explore solutions and share best practice.

We have also committed to additional funding for chemotherapy services reaching up to £10m per annum by 2026-27, with £6.6m released in 2025-26. This funding will support increased regional working and workforce recruitment to maximise capacity across the existing workforce.

The Scottish Government has launched the Cardiovascular Disease (CVD) Risk Factors programme to improve CVD outcomes with an aim to ‘reduce avoidable CVD death by 20% in 20 years’. The focus is on improving the identification and management of key risk factors which are; high blood pressure, high cholesterol, raised blood sugars, obesity and smoking.

We have also established a new GP enhanced service from the 2025-26 Reform Fund to support 100,000 patients who are at risk of developing CVD.

Our Population Health Framework, soon to be published in partnership with COSLA, will support the creation of environments that positively supports health and wellbeing. It will focus on prevention and tackling the building blocks of health—including good early years and education, fair work and income, healthy places, equitable healthcare, and the broader social and economic drivers of ill health.

The Scottish Government, along with the other UK nations, relies on advice about screening programmes from the UK National Screening Committee (UK NSC), an independent expert advisory group.

We welcome research on the further improvements that can be made to our screening programmes. The UK National Screening Committee is reviewing this evidence as it becomes available. Should a recommendation be made to introduce changes to the screening programme, the organisations that oversee screening will advise Scottish Ministers on how to take that recommendation forward.

We are not aware of high rates of maternal mortality in remote and rural areas of Scotland, and unfortunately the ICESCR report does not provide any evidence in support of this statement in its report in relation to Scotland or the UK.

All women and girls who are pregnant in any part of Scotland will have the full range of maternity care provided to them. Our Health Boards continue to look to improve the range of maternity and neonatal care that can be provided locally to meet the needs of their rural populations. When specialist maternity or neonatal care is required which cannot safely be delivered locally, women and babies may need to travel to access that care, and we expect Boards to facilitate seamless delivery of this care.

We are also committed to ensuring that women across Scotland have timely access to sexual and reproductive health services, and to information which allows them to make informed decisions about their own sexual and reproductive health. Our Sexual Health and Blood Borne Viruses Action Plan 2023-26 sets out our ambitions to improving the accessibility and availability of contraception services across Scotland. As part of this plan, we have committed to visiting all 14 health boards. During these visits we will be recognising the challenges that boards are facing and the good practice they are delivering. We will also use this time to explore areas for collaboration between boards both nationally and regionally, especially within rural areas.

The Scottish Government highly values the support provided to young people by youth workers. Violence towards youth workers is unacceptable and all employees, including youth workers, have the right to be safe at work and to feel safe at work.

Through introduction of the Violence Prevention Framework, the Scottish Government continue to take action by funding activities for young people to prevent and reduce harm from violence.

The Scottish Government encourages anyone who experiences antisocial behaviour or violence at work to report the incident immediately to their employer and Police Scotland. Youth workers should be fully supported by their employers to understand their organisation’s policies regarding antisocial behaviour and the support available if situations escalate.

Health and safety legislation applies to all employers across the UK without exception and is a reserved matter under the authority of the UK Parliament.

It is an employer’s duty to protect the health, safety and welfare of their staff and where death or injuries at work occur, there are a range of reserved offences which can be used to hold employers to account, if they are found to be criminally liable.

The Health and Safety Executive states one factor that Scotland’s higher workplace death rate is in part due to more workers in high-risk industries.

The Scottish Government promotes workplace health and safety through its Fair Work policy and supports initiatives like Healthy Working Lives, a Public Health Scotland programme offering resources and training to improve workplace wellbeing.