Chamber and committees

The Scottish Government package of support for Scottish student nurses and midwives is currently at its highest level. The average cost of training a nursing student, over three years of full-time university education, is £55,000. This comprises:

• Teaching grant and tuition fee payments to the university;
• £10,000 non-means tested, non-repayable annual bursary payments to the student;
• travel costs;
• uniform costs;
• health checks;
• disclosure checks;
• and a range of additional funding students can also apply for, such as Dependant’s Allowance, Single Parent’s Allowance, Childcare Allowance for Parents and Disabled Students’ Allowance.

We issued standing instructions to health boards as part of the delivery of phase 1 of the Covid-19 vaccinations programme (broadly December 2020 – August 2021), requiring health boards to build a capacity to deploy up to 1,400 Whole Time Equivalent (WTE) vaccinators in any given week, subject to scheduling of appointments and supply. We maintain this standing instruction for the current winter seasonal Flu and Covid-19 booster programme which requires up to 1,400 WTE vaccinators to be in place for deployment. Deployment in any given week is determined in coordination with the scheduling of appointments and clinics. The substantive difference between phase 1 and the winter programme is that we co-administer flu and Covid-19 boosters, which allows Boards to administer vaccinations at significantly higher rates. We continue to monitor workforce deployment capacity on a weekly basis through the collation of management information.

Growing our nursing workforce is crucial and we have steadily increased places on undergraduate nursing courses over 9 consecutive years. Each year we undertake a robust nursing student intakes planning process to determine the target number of nursing students to which Scottish universities should recruit to meet future nursing workforce demands. The process involves significant input from key stakeholders from across the health and education sectors, and uses detailed modelling of current and projected staff and student numbers, including workforce supply and demand for 3-5 years hence, as well as anticipated key service drivers, in coming to a decision.

To address more immediate staffing pressures, the NHS Recovery Plan, which was published on 25 August 2021, commits more than £1 billion of targeted investment for the recovery and renewal of our health service. A key requirement to delivering the Recovery Plan is having the right workforce in place at the right time and it is therefore key that we now develop a new supporting workforce strategy to enable us to do this. We will therefore publish a National Workforce Strategy by the end of this year, which supports remobilisation, recovery and renewal of Health and Social Care Services.

Most influenza infections typically occur in the winter months with a peak between December and March. Public Health Scotland produce a weekly report monitoring the surveillance of influenza infection which currently sits at baseline activity (week 42). The latest weekly report can be found here: Weekly national seasonal respiratory report - Week 42 2021 - Weekly national seasonal respiratory report - Publications - Public Health Scotland .

Transport Scotland worked closely with ScotRail to develop contingency measures to mitigate the impact that strike action would bring. COP26 Delegates, business as usual and key workers were considered in the development of mitigation measures. I am delighted that an agreement has been reached with the RMT which means that all four rail unions have now accepted a pay offer ending all current disputes.

Booster vaccinations in Scotland started as soon as possible once the Joint Committee on Vaccination and Immunisation (JCVI) provided their advice on boosters, which stated that the booster dose should be offered no earlier than six months after completion of the primary vaccine course.

627,898 people have received a booster to 29 October, and we are working as quickly as we can, prioritising those most vulnerable.

Data on boosters by JCVI priority group is not yet published. We continue to work closely with Public Health Scotland to develop the vaccination data to provide robust statistics that enhance public understanding.

Booster vaccinations in Scotland started as soon as possible once the Joint Committee on Vaccination and Immunisation (JCVI) provided their advice on boosters, which stated that the booster dose should be offered no earlier than six months after completion of the primary vaccine course.

627,898 people have received a booster to 29 October, and we are working as quickly as we can, prioritising those most vulnerable.

Data on boosters by JCVI priority group is not yet published. We continue to work closely with Public Health Scotland to develop the vaccination data to provide robust statistics that enhance public understanding.

The infection, prevention, and control (IPC) guidance for dentistry is currently being reviewed by Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland are responsible for the Scottish Guidance. This Guidance has a provisional publication date of 29 November.

The Cabinet Secretary recently wrote to NHS dental teams describing the proposals from the Scottish Government on how we recover NHS dental services to normal practice. This letter is attached for reference: Letter from the Cabinet Secretary to NHS dental teams | Scottish Dental.

We are committed to ensuring that people with chronic pain are involved in decisions about the services they use. We have established a Patient Reference Group for Chronic Pain, convened and run by the Health and Social Care ALLIANCE, to ensure that the views of those with lived experience are included in Government policy development and service improvement work.

Representatives from the Group are members of the National Advisory Committee for Chronic Pain and have been equal contributors (alongside third-sector groups, researchers, NHS decision-makers and those on the frontline delivering pain management services) in developing a new Framework for Pain Management in Scotland.

Any claims of bullying and intimidation of patient representatives on the Committee by officials are untrue. All members of the National Advisory Committee are free to make whatever contribution they wish to discussions. However, all committee members must abide by the behaviours set out in the Terms of Reference, including the values of respect and mutual collaboration. The National Advisory Committee last met in May 2021 and since then we have communicated with members by correspondence, including reminding them of the behaviours set out in the Terms of Reference.

We will be reviewing how we can best engage the chronic pain community in order to help inform implementation of the Framework to ensure we improve services, support and outcomes for people with chronic pain.

Ministers are not responsible for individual staffing decisions. However, I am confident that the officials involved in supporting our policy development for chronic pain are suitably trained and equipped to do so as set out in my response to question S6W-02871 on 21 September 2021. 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.

There are no plans to undertake an immediate metastatic breast cancer audit. Our focus currently remains on maximizing available clinical capacity to see patients. Our £114.5m National Cancer Plan has a range of measures aimed at benefitting all cancer patients, including implementation of a single point of contact resource that will support patients throughout their pathway, and after discharge, including those with secondary breast cancer. We are however giving further clinical consideration to possible audit work in this area while recognising the ongoing severe pressures in our NHS.