Chamber and committees

The Scottish Government recognised in 2021 that partial implementation of the pharmacotherapy and community treatment and care services, on a national level, meant that general practice was facing a difficult winter without all of the support Scottish Government and the BMA had agreed it should have in 2018.

GP practices will receive £10 million in Sustainability Payments this year in addition to their regular funding (Global Sum and Income & Expenses Guarantees) of £696,549,007, to which an uplift will be applied backdated to April 2022.

We also now have more than 3,220 healthcare professionals recruited to support general practice since 2018 and are committed to investing at least £170 million a year on growing primary care multi-disciplinary teams.

The Scottish Government is not removing funding for Primary Care implementation plans. Reserves that have been built up over four years by HSCPs are now being used so that recurring funding for recruiting multi-disciplinary teams can be maintained. It is prudent to reinvest these public funds given that these reserves have been steadily accumulating over a number of years, especially at a time of considerable inflation. At the same time, we have increased the recurring funding for primary care improvement to £170m in 2022-23.

Reserves held by Integration Authorities, comprising Primary Care Improvement Fund (PCIF) funding from previous years, have been utilised in funding this year's PCIF allocation, resulting in a one-off benefit. The distribution of these reserves is set out in the following table:

NHS 24 has received £15.1 million to support improvements that lead to sustainable delivery across the Redesign of Urgent Care pathway and contribute to the wider ambition to reduce attendances at acute care.

This funding is largely committed to the recruitment of additional workforce to support the NHS 24 -111 service which includes increasing their call handler and clinical supervisor capacity which will support improvements in call answering times.

Funding will also be used to further develop public information through NHS Inform, develop public messaging about access to services and improve data sharing and digital support to optimise the continuity and co-ordination of care.

NHS 24 will have recruited an additional 41.81 Whole Time Equivalent (WTE) staff by 1 December 2022. These additional posts support the recruitment priorities set out in the Winter Resilience Plan.

The following table shows the breakdown by role of the total number of WTE staff joining NHS 24 through to 1 December 2022. The role of Call Operator was re-created in September 2022 to supplement NHS 24's call handling capacity.

As advised in the letter I wrote to you on 26 October 2022, funding will be made available to health boards to boost workforce and recruit up to 750 nurses, midwives and allied health professionals. Early indication from Boards suggest the breakdown will be 634 nurses, 17 midwives and 99 allied health professionals. These numbers may vary as pipelines are developed and dependant on Boards service requirements. We will continue to work closely with Boards to monitor progress and provide support where required. Health boards are currently building their pipelines for international staff and will negotiate start dates with candidates and agencies.

In addition, 250 band 4 non-registrant posts have been identified and we are working with Boards to support the recruitment and training of staff into these posts, which are across acute, primary care and mental health settings.

The requested information on how many whole time equivalent radiographers who were fully qualified to undertake MRI scans working in the NHS in the financial year (a) 2018-19, (b) 2019-20, (c) 2020-21, (d) 2021-22 and 2022-23 to date, broken down by NHS board is not centrally available.

Information on how many whole time equivalent Radiographers (Diagnosis and Therapy) working in the NHS since 2012, broken down by NHS Board can be found in the following link: NHSScotland workforce | Turas Data Intelligence

The recent BBC investigation was heavily reliant on data sourced from third party websites and limited anecdotal evidence from a very small proportion of the network as opposed to comprehensive, consistent, verified data directly from the CPS operator. The third party website utilised in their investigation does not present accurate up-to-date information and should be treated with caution when used to form the basis of overarching claims about reliability.

CPS network reliability has consistently improved in the last year, with the entire network now up and running at around 95% of the time each month. Furthermore, the vast majority of faults are being closed swiftly and with minimal impact on driver experience with approximately 90% closed within 24-48 hours.

The CPS website now provides the public with ready access to detailed information on the performance of the public charging network, showing each charge point’s reliability levels, fault history and usage. CPS is also working closely with third party EV charging websites to ensure they have access to more up-to-date information.

The Scottish Government regularly reviews its plans for public awareness campaigns. We do not intend to run a public awareness campaign for deep vein thrombosis, pulmonary embolism, venous thromboembolism and thrombosis at this time.

The full list of the savings generated, and new commitments made, through the Emergency Budget Review was outlined in the EBR document and published on the Scottish Government website. The Deputy First Minister wrote to the Finance and Public Administration Committee in September providing a line by line analysis of the first phase of these savings.

In addition the nature of each line item and its effect on the Scottish Government Budget was outlined in the Guide to Autumn Budget Revision document provided to the Committee. Within this document an analysis of the items included within the ABR is included along with detail of the transfers expected to be included within the Spring Budget Revision.

A full breakdown of the implications of the Emergency Budget Review (EBR) measures on the Scottish Budget was included within the guide to the Autumn Budget Revision (ABR) provided to the Finance and Public Administration Committee.

Of the initial £560 million line items included within the Deputy First Minister’s letter to the Committee in September, £369 million is included within the ABR as either a return of budget or a funding change. The balancing figure of £191 million are reductions to previously unfunded pressures which have emerged since the Scottish Budget was published and savings which will come through the SBR exercise.

The new commitments detailed in the EBR document published earlier this month are also reflected in the ABR position. The additional savings outlined will be processed, where necessary as part of the Spring Budget Revision.