Chamber and committees

Below are four tables which confirm the attrition rate for each NHS medical speciality, also broken down by NHS board, since 2021 .

Overall more trainee doctor posts have filled in 2023 than any other year on record, (data correct as at 25 July 2023). Within that overall context there will always be a number of posts which do not fill. Genitourinary Medicine ST4 is a small specialty with only 3 post advertised in 2023, therefore, as these posts have not filled, the fill rate appears as 0%. We continue to work closely with our partners in NHS Education for Scotland and Health Boards, to consider ways of improving fill rates across all specialities.

Overall, more trainee doctor posts have filled in 2023 than any other year on record. 5 posts were advertised in Medical Oncology at ST3 level and 1 (or 20%) filled successfully. These figures are accurate as of 25 July and pertain only to the initial recruitment rounds of 2023; end-year data for all UK nations and specialties will be published by NHS England in the coming weeks. It should be noted that recent uplifts in Medical Oncology (3 posts in 2022 and 2023) led to a greater number of posts being advertised. We continue to work closely with our partners in NHS Education for Scotland and Health Boards, to consider ways of improving fill rates across all specialities. Examples in Medical Oncology include:

• We are funding uplifts in Internal Medicine Training (IMT) with 22 posts set to be created in 2024. IMT is a pre-requisite for Medical Oncology (among several other specialties) and increasing front-end supply should therefore improve the sustainability of services in the longer term.
• NHS Education for Scotland (NES) colleagues have been promoting Medical Oncology at undergraduate level and at various careers events across the country. The West of Scotland Oncology Team, for example, is hosting a careers event at the Beatson Cancer Centre in January 2024 for IMT trainees.
• A national oncology teaching programme has also been signposted to IMT trainees which is accessible via monthly MS Teams sessions.

I refer the Member to the answer to question S6W-24197 on 19 January 2024. 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

Overall, more trainee doctor posts have filled in 2023 than any other year on record. 8 posts were advertised in Palliative Medicine at ST4 level and 4 (or 50%) filled successfully. These figures are accurate as of 25 July and pertain only to the initial recruitment rounds of 2023; NHS England will publish full recruitment data for all UK nations in January (date TBC).

Palliative Medicine recently became what is known as a group 2 specialty (formerly group 1), meaning that trainees must complete 3 years of Internal Medicine Training (IMT) rather than 2. We are working with NES to determine what impact this is having on the attractiveness of the programme. We are also funding uplifts in IMT with 22 posts set to be created in 2024. IMT is a pre-requisite for Palliative Medicine (among several other specialties) and increasing front-end supply should therefore improve the sustainability of services in the longer term.

In addition to expanding numbers, the mandatory education programme in the first year of IMT now includes aspects of Palliative Medicine training which should increase the visibility of the specialty for trainees who are considering their future career options. Various careers events have also been showcasing opportunities in Palliative Medicine.

The Scottish Government collates data by job family rather than by position, and as such, does not hold the information on recruitment to positions. As the employer, Health Boards hold individual responsibility for recruitment to ensure appropriate staffing levels to deliver services.

Overall, more trainee doctor posts have filled in 2023 than any other year on record. 15 posts were advertised in Emergency Medicine at ST4 level and 5 (or 33.33%) filled successfully. These figures are accurate as of 25 July and pertain only to the initial recruitment rounds of 2023; end-year data for all UK nations and specialties will be published by NHS England in the coming weeks. It should be noted that recent uplifts in Emergency Medicine (10 posts in 2023) led to a greater number of posts being advertised. Another 12 posts will be added this year. Steps have been taken by NHS Education for Scotland to fill the 10 vacant posts: 5 are being filled through IDTs (Inter-Deanery Transfers), 1 has been converted to an ST1 post and the other 4 are have been converted to LAT (Locum Appointed to Training) posts.

There is no minimum required number of medically-trained NHS 24 call handlers, as call handlers are classed as healthcare support workers and are not medically trained.

Call handlers operate under clinical supervision at all times with a minimum level of one clinical supervisor for every five call handlers. Each call has clinical supervision input at an appropriate level, depending on acuity and outcome.

Below is a breakdown of posts that were advertised in Round 1 and Round 2 by region, speciality and level. These set of results were published in July 2023 by NHS England. The total number of posts advertised in Round 3 cannot be disclosed as end-year results have yet to be published. These results are expected to be made available by NHS England in the coming weeks. In addition to this, please note that Scottish Government does not have access to data broken down by NHS board.

Overall, more trainee doctor posts have filled in 2023 than any other year on record. 18 posts were advertised in Clinical Oncology at ST3 level and 5 (or 27.78%) filled successfully. These figures are accurate as of 25 July and pertain only to the initial recruitment rounds of 2023; end-year data for all UK nations and specialties will be published by NHS England in the coming weeks. It should be noted that recent uplifts in Clinical Oncology (4 posts in 2022 and 2023) led to a greater number of posts being advertised. We continue to work closely with our partners in NHS Education for Scotland and Health Boards, to consider ways of improving fill rates across all specialities. Examples in Clinical Oncology include:

• We are funding uplifts in Internal Medicine Training (IMT) with 22 posts set to be created in 2024. IMT is a pre-requisite for Clinical Oncology (among several other specialties) and increasing front-end supply should therefore improve the sustainability of services in the longer term.
• NHS Education for Scotland (NES) colleagues have been promoting Clinical Oncology at undergraduate level and at various careers events across the country. The West of Scotland Oncology Team, for example, is hosting a careers event at the Beatson Cancer Centre in January 2024 for IMT trainees.
• A national oncology teaching programme has also been signposted to IMT trainees which is accessible via monthly MS Teams sessions.