Chamber and committees

Patients travelling outwith their local Health Board area for treatment at a National Treatment Centre (NTC) will be compensated for their travel expenses by their Board of Residence, in line with the process for other cross boundary patients.

Patients referred in the first instance will be expected to make their own way to the NTC. However, to ensure equity of access, where necessary - and by special arrangement between the NHS Board and the NTC - every effort should be made to support transport arrangements for patients who otherwise meet the referral criteria for treatment within an NTC facility. To support equity of access across patient groups, where NTC transport services are not available, alternative transport methods may be used (e.g. Hospital Ambulance Car Service, a volunteer service, ambulance or taxi). On all occasions the cost of transporting patients will be passed back to the purchaser (referring Board) for payment.

Patients should speak to their local health board about help with travel or accommodation costs to attend an appointment at an NTC and should follow the NHS Board travel expense policy requirements guidelines to make an expense claim.

In the specific case of NHS Grampian patients receiving treatment at NTC Highland:

Patient travel costs and the travel cost of a person accompanying them will be reimbursed. This is either at a cost per mile if they choose to drive or full reimbursement of public transport. If required by the patient, support can be provided by NHS Grampian’s Central Waiting Times Team to arrange transport on their behalf.

Accommodation is offered to the patient, and person accompanying the patient under reasonable circumstances, and would be arranged through NHS Grampian’s Central Waiting Times Team. Costs are either reimbursed to the patient or paid for directly by NHS Grampian (as is the case for Golden Jubilee Hospital).

Examples of reasonable circumstances

•if the appointment or admission time is early morning or late afternoon.

•if the patient requires an overnight or multiple nights’ stay at which point accommodation would be arranged for the person accompanying the patient.

•The patient or person accompanying them has medical conditions which would prevent travel to and back from location on same day.

If capacity at NTC Highland were to be allocated to other Boards outwith the local health board area, the responsibility for accommodation and transport would similarly fall upon the patient’s Board of Residence and be subject to that Boards’ procedures for cross-boundary patients.

The Scottish Government has worked collaboratively with partners, patients and third sector organisations in recent months to develop a ten year cancer strategy for Scotland.

Due to publish Spring 2023, the strategy will take a comprehensive approach to improving patient pathways, from prevention and diagnosis through to treatment and post-treatment care. It aims to improve cancer survival and provide excellent, equitably accessible, care across Scotland, including those affected by brain cancer.

A new earlier diagnosis vision will feature within the strategy and will include similar actions to those outlined in the Brain Tumour Charity’s report. This includes continuing to deliver our Detect Cancer Earlier Programme, working with primary care clinicians to ensure they have direct access to diagnostic tests and quality education sources; optimal cancer diagnostic pathways are designed and implemented across NHS Scotland; and public campaigns educate and empower those with possible symptoms to act early.

The Scottish Government is committed to ensuring fund accessibility as part of ongoing implementation. We met with Health Boards in summer 2022 to discuss the implementation of the fund and areas for improvement, including accessibility.

The Scottish Government can investigate complex cases in relation to future broadband connections delivered through Scottish Government funded programmes such as the Reaching 100% (R100) programme. Through our online checker at www.scotlandsuperfast.com , members of the public are able to check if their property will receive a connection through the R100 contracts or if it is eligible for a voucher worth up to £5,000 through our R100 Scottish Broadband Voucher Scheme (SBVS). There is an online enquiry form to contact the R100 team directly for additional information.

In cases where members of the public have issues related to connections being delivered by commercial suppliers, it falls upon Ofcom as the UK’s telecoms regulator to investigate any such matters: https://www.ofcom.org.uk/about-ofcom/contact-us .

The Scottish Government wants to ensure the quality, fairness and consistency of social care support provision regardless of where people live in Scotland. Framework guidance on National Eligibility Criteria and Waiting times for the Personal and Nursing Care of Older People was issued jointly by the Scottish Government and COSLA for use by local authorities on 28 September 2009.

Four eligibility categories - Critical, Substantial, Moderate and Low Risk are defined in the framework. In addition, the category of "No Risk" is used for people who are assessed as not coming under any of the four eligibility categories, and "Not available" is used when the eligibility category is not known. The eligibility criteria consider both the severity of the risks and the urgency for intervention to respond to the risks.

The national framework recognised that local authorities should set eligibility criteria that indicate what level of need they and their partners recognise as requiring services. In setting criteria, local authorities consider a range of factors including the overall level of resources available to meet need, the cost of service provision and ensuring equity in their service decisions. These criteria are not required by statute, but most local authorities have relied on them for the allocation of limited resources.

Eligibility criteria can be a barrier to accessing social care support. We want the focus to be on people getting the support they need when they need it, not on eligibility. The Scottish Government and COSLA are committed to "the overhaul of the current mechanism of eligibility criteria to ensure an approach to social care support that is based upon human rights and needs" (Joint Statement of Intent and Next Steps for Adult Social Care, December 2022), and are working together with partners and stakeholders on the development of alternative approaches.

Table 1 presents the latest available statistics on the total waiting list size for patients covered by the Treatment Time Guarantee (TTG) and the number of ongoing waits for treatment within an inpatient or day case setting at 31 December 2022, broken down by waiting times of over (a)two years (104 weeks), (b) two years and six months (130 weeks), and (c) three years (156 weeks) for an orthopaedic procedure.

Table 1 - Number of ongoing waits for an inpatient or day case admission for orthopaedics by length of wait in NHS Scotland, at 31 December 2022

The Scottish Social Services Council, as the regulator of social care services, publishes an annual report on the social services workforce which can be found on their website here: Scottish Social Service Sector: Report on 2021 Workforce Data (sssc.uk.com) .

Their latest report shows that, at the end of 2021, there were more than 208,000 people working in the social services workforce.

The introduction of biometric identification systems is a matter for local authorities and schools to decide upon at local level.

Our position is clear that the views of parents, pupils and school staff should be taken into account as part of any decision-making process to introduce and implement biometric identification systems. Furthermore, information collected through a biometric system must, like all personal data, be processed fairly and lawfully in line with data protection law.

Information on Social Care Eligibility and Waiting times is collected and published by the Scottish Government. This is publicly available via the following link: Social Care Eligibility Criteria And Waiting Times, Scotland, 2020-21 - gov.scot (www.gov.scot)

Many Local Authorities have reported difficulty in providing the information asked for in this data collection, which has had a significant impact on the robustness of the information available for analysis. We have been working with Public Health Scotland (PHS) to consider the future of this data and are developing plans to capture waiting times data within existing Social Care collections returned to PHS, aiming to make it more straightforward for partnerships to provide data, and in turn resulting in more complete and consistent data in the future.

Education Scotland are leading on a national engagement programme for Pupil Support Staff, which sought the views of Pupil Support Staff, senior leaders, children and young people and parents and carers.

The 4 month consultation element of the programme was extended and closed in March 2023. Over 2,500 surveys were completed representing all 32 local authorities. Analysis and evaluation of all the programme responses is in progress as is the programme report and should be completed by July 2023.

The programme has provided the first national opportunity for Pupil Support Staff to share their views on a range of areas including whether they feel it would be beneficial to have their own workforce vison and set of values. They were also asked to collaborate on the development of any potential workforce vision and values using draft versions provided. A wide range of suggestions and comments were received and this feedback is currently being collated within the programme evaluation report.