Chamber and committees

Overall, more trainee doctor posts have filled in 2023 than any other year on record. 7 posts were advertised in Neurology at ST4 level and 4 (or 57.14%) 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. 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.

Neurology 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 NHS Education for Scotland 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 Neurology (among several other specialties) and increasing front-end supply should therefore improve the sustainability of services in the longer term.

NHS 24 call handlers are not medically trained, they are classed as healthcare support workers.

Callers to NHS 24 will initially have their symptoms triaged by a call handler before being passed on to a clinician within the Service or to another area of the health service best placed to meet their needs as appropriate.

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.

The increase in operational budgets of overseas offices in 2024-25 predominantly reflects how running costs for Scotland House London are attributed from a budgeting perspective as well as a minor amendment to IFRS 16 adjustments, and does not reflect an increase in the costs of its activities. Aside from these, there are adjustments across all offices to reflect a smaller increase in staff costs for the pay award announced by the Scottish Government in June 2023.

(a) For Local Authorities there were 140 separate lines in the funding formula being used in the consultation process for the 2024-25 revenue settlement. Twenty-six lines specifically use rurality-related indicators, though about 120 of the lines attract extra funding for island communities .

(b) Formula allocations to territorial NHS boards are informed by the NHS Scotland Resource Allocation Committee (NRAC) formula. The NRAC formula captures the variation in both the relative need for health services across small area populations and the relative unit costs of delivering services across different geographies. The formula models 6 care programmes separately: Acute (with 7 discrete diagnostic groups), Care of the Elderly, Maternity, Mental Health and Learning Difficulties, Community and Prescribing. An adjustment to take account of the difference in relative unit costs across urban, rural and remote areas is applied to all of the care programmes except GP prescribing (because prescriptions are reimbursed at national prices).

Overall more trainee doctor posts have filled in 2023 than any other year on record, (data correct as at 25 July 2023). 81.25% is still a high fill rate for Paediatrics ST1in rounds 1 and 2 of 2023 recruitment. Within that context there will always be a small number of posts that will not fill. 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, (data correct as at 25 July 2023). Within that overall context there will always be a number of posts which do not fill. Medical Ophthalmology ST3 is a small specialty with only 1 post advertised in 2023, therefore, as this post has 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, (data correct as at 25 July 2023). Within that overall context there will always be a number of posts which do not fill. Oral and Maxillo Facial Surgery ST3 is a small specialty with only 2 posts advertised in 2023, therefore, as only 1 post has filled, the fill rate appears as 50%. 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.

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.

The Scottish Government greatly values the positive effects that twinning can offer to communities home and abroad and the opportunities it can provide to maintain close international relationships with partnering countries.

With the financial challenges we currently face, there are no current plans for the Scottish Government to provide financial support towards town twinning in the near future.

However, the Scottish Government and the international network will continue to work with partners at home and abroad to support and promote meaningful and valuable twinning arrangements.