Chamber and committees

Programme for Government 2021/22 committed an additional £20 million investment, over the life of this Parliament, for the Detect Cancer Earlier (DCE) Programme to improve early detection rates. So far investment has been made into the development of a new behaviour change campaign to reduce fear of cancer, launched 6 March 2023.

Through the Programme, there’s a firm focus on lung cancer which remains a national priority. This funding has included supporting implementation of Scotland’s optimal lung cancer diagnostic pathway (published December 2022); exploring the role of artificial intelligence in expediting those identified as higher risk; continuation of the University of Edinburgh’s LUNGSCOT study; and establishing a National Bronchoscopy & EBUS Training Programme for NHS Scotland.

A new earlier diagnosis vision is expected to launch in Spring 2023, as part of Scotland’s new cancer strategy – this will be supported by a 3 year action plan, the delivery of which will be supported by this Detect Cancer Earlier (DCE) Programme investment.

Preliminary findings from the EAVE II study, led by Public Health Scotland in collaboration with the University of Edinburgh, were published in a preprint article on 7 March 2023. This article presents preliminary analysis of the number of adults aged 18 and over presenting with long COVID in general practice. It uses routinely collected clinical data from almost the entire adult population in Scotland.

Please note that these findings are preliminary and have not yet been peer-reviewed.

This study estimates that, depending on the outcome measure used, between 0.02% to 1.8% of the participant cohort had long COVID at some point over the course of the study (March 2020 to October 2022). The total number of cases identified each year have not been published with the preprint article. However, findings suggest that there was a general increase in new long COVID cases between September 2020 to April 2022, interrupted by a temporary decline between February and May 2021. Findings suggest a general decline in new long COVID cases from April to October 2022. The outcome measures used include, but are not limited to, diagnosis recorded via clinical codes. The article notes that these figures represent a probable under-recording of cases.

For comparison, the estimated prevalence of self-reported (as opposed to clinically diagnosed) long COVID in Scotland from the ONS Covid-19 Infection Survey was 3.53% (95% confidence interval: 3.23% to 3.83%) for the four week period ending 1 October 2022, which is the four-weekly estimate most closely aligned with the end of the study period.

Preliminary findings from this analysis suggest that, across NHS health boards, cases of long COVID were largely proportionate to population shares. However, findings suggest that NHS Greater Glasgow and Clyde saw a disproportionately large share of cases, and NHS Lothian saw a disproportionately small share of cases.

Please refer to the preprint article for further details: Identifying Long Covid Using Electronic Health Records: A National Observational Cohort Study in Scotland .

The Scottish Government continues to work with its partners and key stakeholders, including Public Health Scotland, health boards, and across the Four Nations to prepare Scotland to identify and respond to future infectious disease and pandemic threats. This work builds on existing health protection approaches, including the 2011 UK Influenza Pandemic Preparedness Strategy , and a now enhanced respiratory surveillance programme.

National preparedness arrangements include stockpiles of clinical consumables, PPE, medicines, a contract for access to a pandemic influenza vaccine – and a national pandemic influenza service at 4 Nation level to distribute antivirals. NHS Boards have pandemic flu plans based on guidance – and are also expected to plan locally on a multi-agency basis with Resilience Partnerships and/or HSCPs. The Coronavirus (Recovery and Reform) (Scotland) Act 2022 was passed last year, giving the Scottish Government new powers to respond to public health emergencies. This includes provisions for education, higher and further education, care services, housing, justice.

The Scottish Government established the Standing Committee on Pandemic Preparedness to bring together scientists and technical experts to advise the Scottish Government on the future risks from pandemics and how best to approach these. The final report will be presented later this year.

Details of funding for the Redesign of Urgent Care is provided in the following table.

During 2022-23 we invested £50 million in the Urgent and Unscheduled Care Collaborative Programme which aims to support NHS Boards to improve hospital processes and enhance out-of-hospital care. This approach gives Health Boards the flexibility to focus on their key priorities with Redesign of Urgent Care one of the fixed anchor points Boards need to sustain.

Breakdown of funding awarded for RUC since 2020-21:

We are considering how to address access to medicines for the treatment of some cancers in the draft new cancer strategy and action plan. Safe, realistic and effective treatment is one of our key ambitions.

In May 2019, the then Cabinet Secretary visited the Isle of Skye, with Sir Lewis Ritchie to undertake a review of progress. Then in May 2022, the current Cabinet Secretary visited the Isle of Skye, for the official opening of the Broadford Hospital. No formal discussions took place at that time, regarding the independent external review of Skye, Lochalsh and South West Ross.

The review undertaken by Professor Sir Lewis Ritchie was conducted in his capacity as an independent reviewer. The programme of engagement resulted in around 70 meetings with the Board and other key stakeholders. Due to the number of meetings, confidentiality and level of engagement no formal agendas or minutes were taken however progress was captured and fed back to NHS Highland and the relevant community groups. It would not be the place of the Scottish Government to publish these documents due to the nature of the review. However, Professor Ritchie and officials visited Portree again in May and November 2022. Minutes of these meetings are available via the Implementation Group and NHS Highland.

The Endoscopy and Urology Diagnostic Recovery and Renewal Plan , published in November 2021, is backed by £70m investment. The plan focuses on a number of key areas including Development and Infrastructure Innovation and Redesign to provide alternatives to traditional endoscopy. This includes Capsule Colonoscopy Endoscopy ( CCE ), Computer Tomography ( CT ), Cytosponge and Transnasal Endoscopy ( TNE ).

In Urology, alternative delivery pathways include Diagnostic Urology Hubs and 'One Stop' clinics, such as the Urology Hub at Forth Valley Royal Hospital, which was opened in July 2022.

The Scottish Government does not hold the detailed information centrally, the member should contact NHS Boards directly.

While NHS Boards hold the direct responsibility for staffing, we are providing direct investment to assist boards, including those in the South Scotland region, in growing and retaining their workforce. This has included funding to support the recruitment of up to 750 nurses, midwives, and allied health professionals from overseas before April 2023.

In addition, our National Workforce Strategy sets out the actions we will take in partnership with Boards to plan, attract, train, employ and nurture the health and social care workforce.

Guidance is provided by the Scottish Government to Health Boards which is publicly available on the following website SHOW - SGHSC - Scottish Government Health and Social Care Directorates including guidance on matters in relation to attraction and retention of medical and non-medical staff. The Centre for Workforce Supply, hosted by NHS Education for Scotland works with Health Boards to support the building of workforce capacity.