Chamber and committees

A clinical refresh of the Scottish Referral Guidelines for Suspected Cancer has been completed with revised guidance published in January 2019. The Guidelines support primary care clinicians in ensuring those with symptoms suspicious of cancer are put on the right pathway at the right time, including possible skin cancers.

In December 2021, the Scottish Government published a refreshed Framework for Effective Cancer Management. This Framework provides NHS Cancer Teams with the tools to effectively manage USC patients from the point of referral to first treatment to improve patient experience and cancer waiting times. Tailored support will be provided to all NHS Boards to ensure the eight key elements are embedded, where relevant, across cancer pathways and specialties, including dermatology.

The Centre for Sustainable Delivery (CfSD) is working with a number of Health Boards to implement the Digital Dermatology app, which allows patients to interact with a clinician at a time convenient to them, without having to attend hospital. This will support dermatology teams in conducting more virtual appointments. CfSD also supports a Dermatology Pathways app and website which provides clinically validated pathway information to GPs and other health professionals for many of the most common skin conditions, with the aim of supporting access for patients who most need treatment in the most appropriate care setting. As part of this, CfSD is working with the British Association of Dermatologists to increase the number of pathways covered by this approach.

Public Health Scotland (PHS) publishes quarterly statistics relating to the waits patients experience for new outpatient appointments and inpatient or day case admission at specialty and health board level using the links below.

https://beta.isdscotland.org/find-publications-and-data/healthcare-resources/waiting-times/

The latest statistics were published on 30 th November 2021 and the following tables will be of interest.

New outpatient appointments (tab: 1.4 Table):

https://www.publichealthscotland.scot/media/10563/newop_nov21.xlsx

Inpatient or day case admission (tab: 2.4 Table):

https://www.publichealthscotland.scot/media/10487/ipdc_nov21.xlsx

The statistics published in the tables above include additions to the waiting list and not referrals as the national data captures only those referrals that lead to a patient being added to the waiting list for an appointment or admission.

The Scottish Government is not considering the introduction of sanctions for any contractor which breaches its NHS contract at present. The National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009, set out the provision of NHS pharmaceutical services and requirements for those entered on the Boards Pharmaceutical List.

The Achieving Excellence in Pharmaceutical Care strategy, published in 2017, commits the Scottish Government to review contractual arrangements and as such may consider the introduction of sanctions as part of any future strategy framework.

The community pharmacy network is a vital part of the primary care team. The Scottish Government continues to work with Community Pharmacy Scotland and other partners to ensure not only the stability of the network but also that a balance is maintained across the whole pharmacy workforce in the hospital, community, and GP practice sectors.

The Chief Pharmaceutical Officer has committed to putting together a workforce forum which will meet in early 2022. The forum will look at the workforce challenges and bring together stakeholders from pharmacy education and pharmacy service provision to set a strategic workforce plan for the profession.

There are no plans to introduce protected learning time at present. It is a decision for employers to allow staff time to study for additional qualifications.

To support delivery of the Community Pharmacy First Plus service, Community Pharmacist contractors receive backfill (up to £5750) to release community pharmacists to undertake their IP qualification (5 days face to face teaching + 12 days Period of Learning in Practice), clinical skills training (4 days) and also access to a maximum of 3 sessions at a CCC Teach and Treat Training Hub (backfill up to £750).

The pharmacy profession and provision of pharmaceutical care is regulated by the General Pharmaceutical Council, who assure and improve standards of care for people using pharmacy services. The Achieving Excellence in Pharmaceutical Care strategy, published in 2017, setting out the priorities, commitments, and actions for improving and integrating NHS pharmaceutical care in Scotland up to 2022. The strategy sets the direction for how pharmaceutical care would be delivered in Scotland and the crucial contribution of pharmacists and pharmacy technicians, working together with other health and social care practitioners, to improve the health of the population and impact on health outcomes.

All NHS Boards across Scotland have the option of referring patients to the NHS Centre for Integrative Care (CIC) for services not available locally.

It is for individual NHS Boards to decide what complementary and alternative medicines/therapies they make available based on the needs of their resident populations and in line with national guidance.

The CIC is a facility owned and operated by NHS Greater Glasgow and Clyde (NHS GGC), offering people with long term conditions a range of services, including complementary, holistic and homeopathic treatments. It is the responsibility of NHS GGC to manage access to their services.

The Scottish Government recognises that Complementary and Alternative Medicines Services (CAMS), may offer relief to some people suffering from a wide variety of conditions.

It is for individual NHS Boards to decide what complementary and alternative medicines/therapies they make available based on the needs of their resident populations and in line with national guidance.

The NHS Centre for Integrative Care (CIC) is a facility owned, operated and funded by NHS Greater Glasgow and Clyde (NHS GGC). It offers people with long term conditions a range of services, including complementary, holistic and homeopathic treatments. Most patients referred to the centre are experiencing chronic pain, chronic low energy, and/or chronic low mood or anxiety.

For information on Scottish Government action to address nursing vacancies I refer the member to the answer to question S6W-05019 on 5 January 2022.

NHS Lanarkshire is receiving a proportional share of funding allocations for the recruitment of qualified nurses and the enhancement of Health Board recruitment capacity.

NHS Lanarkshire's qualified nursing and midwifery workforce has increased by 28.5% since 2006, exceeding the 12.1% growth across NHS Scotland.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The NHS Centre for Integrative Care (CIC) is a facility that all NHS Boards across Scotland have the option of referring patients to for services not available locally.

The Scottish Government is providing £12.4 billion for frontline NHS boards, which is a £327 million (3.2%) increase. This is the first step to ensuring that frontline funding - which directly supports patient services - increases by at least £2.5 billion by 2026-27.

Over 50% of frontline spend will go towards community health services, delivering on our commitment to increase primary care funding by 25% over this Parliament, providing more care for people in a place and way that meets their needs.