Chamber and committees

The Assurance of Action Plan report which followed the Gateway Review of 2021 recommended a further Gateway Review be conducted in approximately March 2022. This review is being carried out this month.

A public consultation on improving victims’ experiences of the justice system will open from today, 10 May 2022, until 3 August 2022. It will be available at https://consult.gov.scot/justice/victimsconsultation .

The consultation focuses on proposed legislative reforms with particular reference to victims of sexual offences. It takes forward our Programme for Government commitments to introduce a statutory right to anonymity for complainers in sexual offence cases, establish a Victims’ Commissioner and carefully consider the recommendations from Lady Dorrian’s Review into the management of sexual offence cases that require a legislative basis to deliver.

The Scottish Government is committed to improving victims’ experiences of the justice system by putting them at its centre. This consultation explores how to do this by making the justice system more trauma informed and person centred. It is an important part of a wide-ranging programme of work to bring about transformational change necessary to ensure our justice system is trusted, modern, smart and effective.

We will continue to take an open and collaborative approach to achieve this aim, and this consultation will seek to capture the views of a broad range of stakeholders including legal professionals, the third sector and those with lived experience of the system.

I look forward to considering the full range of views received.

This information is not held centrally.

SEEMiS may be able to provide this information if you contact them directly.

Student nurses entering Scottish Government funded degree programmes will increase by 9% in 2022-23, to a total recommended intake of 4536 students. This will be the 10 th successive increase in recommended student numbers, with the intake doubling over the last decade. We anticipate most of these students will be eligible for the Paramedic, Nursing and Midwifery Student Bursary.

Every year, the Scottish Government undertakes a robust nursing student intake planning process to determine the target number of pre-registration students to which Scottish universities should recruit to in the following academic year to meet estimated future nursing workforce demands.

The Programme for Government (PfG) 2021 commits to expanding medical school places by at least 100 per annum over this lifetime of this Parliament and doubling the number of widening access places. The medical undergraduate intake for 2022-23 has been set at 1317, of which it is anticipated that 1,239 students will be Scots/UK/ROI or Gibraltar and 78 will be international including EU. This intake represents an increase of 200 places above the 2021/22 intake target of 1,117 thereby delivering the first two tranches of the PfG commitment.

The Scottish Government is committed to growing the number of Scottish domiciled students studying medicine at Scottish universities as a policy priority through widening access and other targeted interventions. Places reserved for widening access students are being increased by 30 (bringing the total to 90) and pre-medical entry places are being increased by 20 (bringing the total to 70 places) in 2022-23.

Intake targets for 2023-24 and 2024-25 have not yet been set but will be considered in light of the PfG commitment.

As postgraduate medical students do not form part of the controlled medical school intake the Scottish Government is unable to respond.

Universities are independent, autonomous institutions responsible for their own selection procedures and offers, with intake numbers and the breakdown of these a decision for each individual medical schools.

Attrition rates vary each year across all degree programmes, it is therefore not possible to predict attrition rates for future cohorts. However, we have observed that course completion rates for pre-registration nursing programmes have been steadily improving year-on-year, and we anticipate that this trend will continue.

The exchange of factually accurate patient information is pivotal to the delivery of high quality, safe, patient centred healthcare whether it takes place locally, regionally, nationally in Scotland or elsewhere in the UK. Normal practice would be that where a patient is referred by a specialist team in Scotland to a specialist team in another part of the UK, the clinician responsible for their care would write a formal referral letter which would include details of the patients diagnosis, investigations already undertaken, treatments pursued so far and any proposed treatment plan or specific request of the team to which they are referring. It is also often the case that the referring clinician may provide some further detail as part of a Multidisciplinary Team Discussion, Virtual Consultation or telephone call.

On the occasion that the treatment is unplanned, the NHS facility providing the treatment should contact the individual’s GP Practice, in Scotland, directly to exchange key information from their patient record. NHS National Services Scotland (NSS) are available to support Scottish practices and the NHS in England, Wales and Northern Ireland to facilitate the sharing of records and or important information about the patient.

Systems integration and providing greater access for the public to their health and care data is a priority for Scottish Government and our ambitions are set out in our Digital Health and Care Strategy which was published in October 2022 and available at: https://www.gov.scot/publications/scotlands-digital-health-care-strategy/

The Scottish Government fully recognises the role of genomics in improving patient outcomes particularly for people with cancer. Our genetic laboratories across Scotland already provide a range of cancer genetic tests to support the diagnosis and treatment of cancer.

We have committed £6.2 million of funding to genomics in 2022-23 which will support expanding our genomics capabilities in NHS Scotland.

We recognise the significant pressure on Orthopaedic Waiting Times, and actions to address this are being considered within the wider context of planned care recovery.

We are working closely with Boards to finalise planned care activity plans, including for orthopaedics, for 2022-23, which will be critical to stabilising and improving our health and social care system in the medium term.

The National Treatment Centre (NTC) Programme will deliver the single biggest increase in protected planned care capacity ever created in NHSScotland. The network of 10 NTCs, will deliver capacity for over 40,000 additional planned procedures and diagnostic care across 12 specialities. Within next 18 months, NTCs will open in NHS Fife, NHS Forth Valley, NHS Highland and at NHS Golden Jubilee specialising in orthopaedic surgery. On 13 April, we also announced £1.8m of funding to purchase a private hospital in Ayrshire (Carrick Glen) to be developed into a new National Treatment Centre specialising in orthopaedics.

As well as significant investment in new infrastructure, the new NHSScotland Centre for Sustainable Delivery is also leading work to explore new and innovative ideas to reduce In Patient / Day Case and Outpatient waiting times. Examples include:

• The rollout of Active Clinical Referral Triage, to provide patients with information about non-surgical interventions and self-management options;
• Patient Initiated Reviews, enabling patients to be escalated if their condition deteriorates and reduces routine appointments while supporting patients in a safe and clinically appropriate manner; and
• Enhanced Recovery after Surgery pathways, designed to support patients achieve faster recovery after surgery.

Discussions are also progressing with the Centre for Sustainable Delivery to build clinical leadership across all specialties to help innovate and drive productive opportunities to support the recovery of planned care.