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. 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.

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.

Overall, more trainee doctor posts have filled in 2023 than any other year on record. 14 posts were advertised in Geriatric Medicine at ST4 level and 7 (or 50%) 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. Examples in Geriatric Medicine include:

• Increasing the number of Internal Medicine Training (IMT) posts in the system. IMT is one of two primary routes into Geriatric Medicine. 22 additional posts will be created in 2024 to feed supply into Geriatric Medicine among other specialties.
• The Geriatric Medicine team within NHS Education for Scotland arranged a national teaching session in December for IMT trainees which focused on progression opportunities in the specialty, and a virtual ‘Geriatrics for Juniors’ conference was run in November which included career advice sessions.

Scottish Government standard Terms and Conditions of Contract require contractors to comply with all applicable national legislation and any applicable requirements of regulatory bodies as well as Good Industry Practice.

In addition to this, the Scottish Government uses the power of procurement to influence practice relating to a range of economic, social and environmental risks and opportunities. To achieve this, practical support for public bodies is available through the https://sustainableprocurementtools.scot/guidance/ platform, which provides a range of guidance and e-learning, including a methodology for identifying specific risks and opportunities such as fair work and health and safety in individual procurement projects. Fair work and Health and safety guidance is already available on the platform and the health and safety content in our guidance will be strengthened when we publish updated Fair Work First in Procurement guidance over the next couple of months.

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. Paediatric and Perinatal Pathology 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.

Scottish Water faces many technical challenges providing drought resilience compared to England and Wales. Due to the geography of Scotland, and population spread, Scottish Water operates many more water resource zones and has less connectivity between zones as is the case in the rest of the UK.

Despite the challenges, Scottish Water currently plans to maintain supplies through the worst historic drought, using fixed assets and drought plan contingencies which are broadly the equivalent of a 1 in 150 year return period. Scottish Water is looking to develop processes to move toward assessing drought risk to a 1 in 500 worst plausible drought level, which is similar to companies in England and Wales.

Drought has historically been more prevalent in England, however, the climate emergency means that drought is becoming more common and more severe in Scotland, hence our developing processes. Our water, wastewater and drainage policy consultation ( https://consult.gov.scot/energy-and-climate-change-directorate/water-wastewater-and-drainage-policy-consultation/ ) seeks views on how Scotland should adapt.

While Scottish Ministers are sympathetic to calls to replicate the non-domestic rates relief available to businesses in England in the retail, hospitality and leisure sectors, doing so would have meant that the Scottish Government could not provide the NHS, local government, schools, or emergency services with the funding they require.

The Scottish Government will continue to do all it can to support businesses. In 2024-25, the Basic Property Rate will be frozen, which, combined with an inflationary increase in the Intermediate Property Rate, will deliver the lowest poundage for properties with a rateable value up to and including £100,000 in the UK for the sixth year in a row. The Budget also announced a package of reliefs in 2024-25 worth an estimated £685 million . The Small Business Bonus Scheme which offers up to 100% relief from non-domestic rates will be maintained and a new 100% rates relief will be available in 2024-25 for hospitality businesses in island communities, capped at £110,000 per ratepayer.

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). 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.