Chamber and committees

The Demand and Capacity programme and core principals have been designed and delivered in partnership with unions - with representatives of GMB, Unite the Union and Unison all being members of the steering group which meets monthly.

A staff engagement and consultation process, also agreed in partnership with Unions at the outset, is being conducted in all regions.

SAS continue to hold regular discussions with staff side representatives, including weekly meetings with the Project Team on this review.

A full public consultation into proposed restrictions on the advertising and promotion of vaping products was launched on February 3. The consultation will run for 12 weeks and all responses will be independently analysed.

The Scottish Government acted on requests by retail organisations not to launch the consultation in the run-up to Christmas which is the busiest trading period and may not have allowed retailers the full opportunity to share their views. We took the opportunity to liaise with a short-life working group and update the consultation in line with the most recent emerging evidence.

I refer the member to the answer to question S6W-06307 on 28 February 2022. 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

As of 31st January 2022, 54,726 women in Scotland have waited more than 36 months since their last breast screen. Data presented in relation to S6W-06127 on 28 February 2022 sets out the average length of time between screening appointments by screening centre. Historically, the Scottish Breast screening Programme has invited around 260,000 women per year. In 2019-20 just under 270,000 women were invited.

The programme continues to recover from the March 2020 Covid-19 related pause, and the National Screening Oversight, Scottish Screening Committee and Breast Screening Programme Board (BSPB) continue to work with health boards to increase the number of available appointments, including through deploying additional mobile breast screening units and providing additional appointments during evenings and at weekends.

It should be noted that the data provided is management information that has not been subject to quality checks applied on an official publication.

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

The Scottish Government is committed to resuming the pause to self-referrals for those aged 71 and over as soon as it is feasible. The Breast Screening Programme Board (BSPB) agreed that the option for women over 70 to self-refer into the breast screening programme should resume once all screening centres are able to offer those aged 53-70 their breast screening appointments within 39 months of their previous screening. However, in recognition of the anxiety the pause is causing, the screening programme is exploring whether there are other options that will accelerate the restart without unduly impacting appointment times for the eligible screening population. Any decision will be informed by clinical advice and the on-going pandemic.

In the meantime, the programme is working hard to increase capacity, including by deploying additional mobile units and offering appointments at evenings and weekends.

Regardless of their age, women should remain symptom aware and report any symptoms to their GP immediately for these to be investigated.

a) There are six breast screening centres across Scotland. For women aged 53-70 years who were screened between 1st April 2020 and 31st January 2021, the average interval between screening episodes was 41 months across Scotland.

The average interval between screening episodes, broken down by screening centre, was as follows:

East – 46 months

North – 40 months

North East – 42 months

South East – 41 months

West – 38 months

South West – 39 months

b) It is not possible to provide information on the current longest interval between screening episodes; however, within the period between 1 April 2020 and 31 January 2021, 2% of those screened had an interval between screening rounds of greater than or equal to 51 months.

It should be noted that the data provided to answer this question is management information that has not been subject to quality checks applied on an official publication.

The Service commissioned an independent Demand and Capacity Review in 2017. Funding has since been approved on a phased basis, with the third phase of the review scheduled to be concluded and changes implemented by November 2022.

Internationally renowned modelling company Operational Research in Health (ORH) were commissioned by the Scottish Ambulance Service to carry out an analysis on 7 years’ worth of data to help inform the review of demand and capacity.

ORH used a population growth data to predict future demand and resources required to meet performance standards. This included patient demand, types of clinical presentation, on scene times, at hospital times, travel times, vehicle tracking data, resourcing levels, receiving hospitals, station locations, rest periods and standard operating procedures.

In addition, Working Time Solutions were also commissioned to assist with the design and implementation of rosters that better match demand profiles.

Following approval, SAS will publish the third phase of the business case.

Since agreement of phased funding, SAS have been actively recruiting staff at pace and increasing vehicles on the ground on a transition basis into priority locations across the country. Seven additional satellite stations have already been established, with a further three still to be established, enabling resources to be spread across busy urban areas to better match patient demand.

Alongside this, the service having been working in partnership to design new rosters. SAS are expecting new rosters to be implemented in April 2022 for the majority of locations across the East and North Regions. The West Region full implementation is expected to be concluded by the end of July.

Recruitment for phase 3 of the review has commenced and will enable SAS to increase their establishment by a further 162 staff as well as further increase our station locations and vehicles on the ground.