Chamber and committees

We issued standing instructions to health boards as part of the delivery of phase 1 of the Covid-19 vaccinations programme (broadly December 2020 – August 2021), requiring health boards to build a capacity to deploy up to 1,400 Whole Time Equivalent (WTE) vaccinators in any given week, subject to scheduling of appointments and supply. We maintain this standing instruction for the current winter seasonal Flu and Covid-19 booster programme which requires up to 1,400 WTE vaccinators to be in place for deployment. Deployment in any given week is determined in coordination with the scheduling of appointments and clinics. The substantive difference between phase 1 and the winter programme is that we co-administer flu and Covid-19 boosters, which allows Boards to administer vaccinations at significantly higher rates. We continue to monitor workforce deployment capacity on a weekly basis through the collation of management information.

Growing our nursing workforce is crucial and we have steadily increased places on undergraduate nursing courses over 9 consecutive years. Each year we undertake a robust nursing student intakes planning process to determine the target number of nursing students to which Scottish universities should recruit to meet future nursing workforce demands. The process involves significant input from key stakeholders from across the health and education sectors, and uses detailed modelling of current and projected staff and student numbers, including workforce supply and demand for 3-5 years hence, as well as anticipated key service drivers, in coming to a decision.

To address more immediate staffing pressures, the NHS Recovery Plan, which was published on 25 August 2021, commits more than £1 billion of targeted investment for the recovery and renewal of our health service. A key requirement to delivering the Recovery Plan is having the right workforce in place at the right time and it is therefore key that we now develop a new supporting workforce strategy to enable us to do this. We will therefore publish a National Workforce Strategy by the end of this year, which supports remobilisation, recovery and renewal of Health and Social Care Services.

The Scottish Government package of support for Scottish student nurses and midwives is currently at its highest level. The average cost of training a nursing student, over three years of full-time university education, is £55,000. This comprises:

• Teaching grant and tuition fee payments to the university;
• £10,000 non-means tested, non-repayable annual bursary payments to the student;
• travel costs;
• uniform costs;
• health checks;
• disclosure checks;
• and a range of additional funding students can also apply for, such as Dependant’s Allowance, Single Parent’s Allowance, Childcare Allowance for Parents and Disabled Students’ Allowance.

There are a number of Scottish Government programmes that offer a diverse range of training opportunities for people to train, reskill or upskill and access new sectors:

• Employability Fund - offers employability and skills training for unemployed individuals across Scotland. The Employability Fund cease in March 2022 with future associated funding transferring to No One Left Behind.
• Modern and Graduate Apprenticeships – learn on the job to gain the experience people need and work towards a recognised qualification.
• Individual Training Accounts – to help unemployed people or those on low income to develop the skills they need for work or to progress their career. Individual Training Accounts provide learners with a contribution of up to £200 towards a training course.
• National Transition Training Fund - supports people aged 25 and over, who have been made redundant, who are in at risk jobs/or sectors or whose sectors have been most impacted by Covid 19 or EU Exit, to access funded training to help them transition into new employment in growth sectors or where there are regional job opportunities.
• A wide range of short courses at Further and Higher Education level, including online provision, are available through colleges and universities across Scotland. Fully funded courses can be sourced using the Skills Development Scotland’s My World of Work Website course search here: https://www.myworldofwork.co.uk/learn-and-train

The guidance on international school and educational visits was updated on 10 November to confirm that international school trips and wider educational and youth work visits can now be arranged. The guidance is available at https://www.gov.scot/publications/coronavirus-covid-19-guidance-for-school-and-youth-work-visits-and-trips/pages/international-educational-visits/

The PricewaterhouseCoopers contract was awarded to provide recommendations for the National Care Service design authority programme management structure which will support the proposals for community health and social care outlined in the National Care Service consultation.

The contract was awarded on 2 September 2021 in accordance with the Crown Commercial Services (CCS) Management Consultancy Framework 2 (RM6008) terms with the Contract Award Notice.

The health and social care system is currently experiencing significant pressures. We recognise that some people’s care services have been affected by this, and the impact this may have on them and their unpaid carers.

That is why an investment of more than £300 million for health and social care was announced by the Cabinet Secretary for Health and Social Care on 5 October 2021, including £62 million to address care at home pressures.

This funding will help to enhance capacity in care at home provision. It will help to increase social worker assessment capacity, fulfil unmet need, and deal with the current surge in demand and complexity of individual needs.

The additional funding of £62 million to expand care at home capacity has been approved for distribution to local authorities by the Settlement and Distribution Group meeting on 18th October and will be passed in full to IJBs . The distribution methodology for the funding is GAE for All Adult Social Work for 2021-22 and thereafter.

The distributions for 2021-22 will be made as redeterminations of the General Revenue Grant in March 2022. A letter with the full breakdown of allocation by Local Authority will be issued shortly.

Scottish Government is working on delivering a solution at pace for individuals whom have received 2 doses of differing approved vaccines. Clinicians are fully sighted and conversant with recommendations.

From 4 October, fully vaccinated travellers who have received mixed doses of authorised vaccines under the International Travel Regime across the four nations and are returning from non-Red list countries will not be required to self-isolate for 10 days. This is consistent with the approach taken across the UK.

There are many nuanced circumstances regarding how and where vaccinations can be delivered, particularly with international travel and military deployment. We will be updating guidance via NHS Inform and a FAQ to advise that UK vaccines administered abroad to MOD personnel and other UK national stationed abroad will be treated in the same way as those administered elsewhere the UK.

NHS National Services Scotland (NSS) has established a dedicated Quality Resolver Team which leads on resolving errors with COVID-19 vaccination records.

As of 22 September, NSS Resolver group have resolved over 21,000 cases of incorrect vaccination records, with approximately 7717 cases outstanding.