Chamber and committees

In January 2022, the Scottish Government commissioned research to understand the outcome of primary care reforms for Scottish people. It commissioned a survey to assess public understanding, perceptions and experiences of primary care in the context of recent reforms and the COVID-19 pandemic. The report can be found here: https://www.gov.scot/publications/public-understanding-perceptions-primary-care-scotland-survey-analysis-report/pages/3/

To strengthen the evidence base on the national context for implementation of primary care multidisciplinary teams, including on patient experience and awareness, we have established a Phased Investment Programme. Through this programme, we will work with a small number of areas using an improvement science approach to demonstrate what a model multidisciplinary team can look like in practice and collect evidence on the impact of Multi-Disciplinary Team working which will then inform and support future long term investment.

There has been no formal review of the provision of sexual health and wellbeing services for young people, however the Scottish Government is committed to ensuring that young people across Scotland have access to these services. In 2023 we published our Sexual Health and Blood Borne Virus (SHBBV) Action Plan, particular attention was paid to young people in the development of the plan. We have allocated multi-year funding to a range of projects to help deliver this goal, details of these projects were published alongside the SHBBV Action Plan.

We remain committed to ensuring funding is distributed equitably across the country as set out in the 2021-22 Programme for Government. The existing National Resource Allocation Formula (NRAC) is updated on an ongoing basis for a range of factors including population demographics, relative health needs and remote and rural factors. We will continue to assess the need for a more detailed review of the formula, in line with developments in National Care Service funding and Integration reform.

Public Health Scotland review the calculations each year, which informs the geographical allocation of the NHS budget, ensuring resources are distributed fairly. The Scottish Government is not involved in the calculation of the target values. However, we use the formula to ensure appropriate allocation of resource. In 2024-25, we will provide an additional £31.1 million in parity funding, ensuring that all Boards remain within 0.6% of their target.

Work to determine how the review should be taken forward is underway, with an initial meeting of the Technical Advisory Group on Resource Allocation (TAGRA) having taken place to consider the next steps to determine scope and timing of the review.

Please note that the main driver of the NRAC formula is the population size of each area for the target year and as such each run incorporates the most up-to-date population information available. This includes the latest population estimates (including census data) and sub-national projections published by National Records of Scotland (NRS).

The Scottish Government has not held recent discussions with the Port of Cairnryan, P&O Ferries or Clyde Marine Recruitment regarding the Fair Work Convention and ferry services between Cairnryan and Larne.

While employment law remains reserved to the UK Government, we will use our Fair Work policy to promote fairer work practices across the labour market in Scotland. In December 2022, we announced the strengthening of our conditionality approach, and now recipients of public sector grants awarded on or after 1 July 2023 are required to pay at least the real Living Wage and provide appropriate channels for effective employee voice.

Both shipping and employment law remains reserved to the UK Government and we would expect all ferry operators to ensure compliance with UK regulations on employees’ pay and conditions.

Advanced Nurse Practitioners are employed within a range of settings within Primary Care.

The 2023 General Practice Workforce Survey ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/general-practice-workforce-survey-2023/annual-report/?pageid=10709 ), reports that there are 553.7 whole-time equivalent (WTE) Advanced Nurse Practitioners (ANPs) employed by and working in General Practices.

Alongside this, the ‘Primary Care Improvement Plans - Implementation Progress Summary’ ( https://www.gov.scot/publications/primary-care-improvement-plans-summary-implementation-progress-march-2023/ ) reports that a total of 219.9 WTE ANPs employed by Health Boards within Urgent Care services.

The latest NHS Scotland Workforce data published by NES ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/05-march-2024-workforce/ ) shows that there are 4.8 WTE ANPs employed by the Scottish Ambulance Service, as well as 1.0 WTE ANP employed by NHS 24.

The current phase of Clyde Metro is being led by Strathclyde Partnership for Transport, working alongside Glasgow City Council and with Transport Scotland providing support in a project assurance role.

I am advised that the multi-partner project team has been engaging with colleagues from the Trams to Newhaven project and across the private and public sector to learn from experiences elsewhere in the development of mass transit projects and ensure lessons learned and best practice are embedded within Clyde Metro’s future development.

This information is not held centrally.

Some information on the percentage of people using glucose monitors and other diabetes technologies can be found in the Scottish Diabetes Survey, which provides an annual summary of key issues and trends in diabetes care and treatment in Scotland. The Survey provides annual data going back to 2004 and can be found here: https://www.diabetesinscotland.org.uk/publications/#survey-docs.

The next iteration of the Survey, covering data for 2023, will be published later this year.

The Scottish Government is: rolling out a new Community Glaucoma Service, which supports eligible patients with lower risk glaucoma and treated ocular hypertension to be discharged from hospital and registered with accredited community optometrists; and delivering UK-leading changes to the undergraduate optometry degree model, which will enable students to graduate as Independent Prescriber optometrists.

In relation to at-home diagnostic and treatment services, community optometry practices that provide NHS eye examinations to eligible patients in a domiciliary setting receive a General Ophthalmic Services eye examination fee as well as an additional visiting fee.

NES published the Core Competency Framework for General Practice Administration Staff and Practice Managers in September 2023, which includes an accompanying learning needs analysis tools and training packages. The training packages include training resources specifically for GP receptionists.

Table 1 provides the average available number of staffed beds that were recorded for paediatric/child and adolescent specialties in Scotland for each year from 2001-02 to 2022-23. Information on bed numbers prior to 2001-02 is not available. A figure showing the amount of these beds that were recorded for psychiatric child specialties is also provided.

Due to the way specialties are recorded for beds data, it is not possible to use the Public Health Scotland beds statistics to estimate the total number of beds that are available for use by different services and/or departments. For example, selecting the Paediatric specialty grouping will only provide a partial picture of the staffed beds that are used for children’s services. This is because many beds used for children are not recorded under paediatric specialties and are instead recorded under more specific specialties, such as Haematology, Neurology and Respiratory Medicine.

Furthermore, the specialty recorded for a bed depends partly on what the patient is being treated for: therefore, for some wards, the mix of specialties may change over time.

Due to the volume of data included, a table including a full breakdown by NHS Board has been placed in the Scottish Parliament Information Centre (Bib. Number 64979).

Table 1: Average available staffed beds in paediatric/child & adolescent specialties, NHSScotland, 2001-02 – 2022-23