Chamber and committees

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.

I last met with the Royal College of Nursing on 1 October 2021, where we discussed a range of issues.

The Scottish Government’s position on nursing and midwifery vacancies is set out in my responses to the Member's associated questions: S6W-02826 and S6W-02827 on 21 September 2021.

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

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.

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.

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.

Table 1 highlights data from UCAS showing both the number of applications and number of accepted applicants to pre-registration nursing programmes from 2007 to 2020. Figures for 2021 have not yet been published yet.

Table 1

Applications and acceptances to nursing at Scottish providers by year

Source: UCAS

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.

Due to the importance of the autumn/winter vaccines, some health boards are utilising Community Nursing Teams.

This will particularly be for those patients who are on their current caseloads and are housebound. Community Nurses are also supporting vaccinations in care homes, not only to those on caseload but to help support delivery to this priority group. Community Nurses are also undertaking additional shifts in vaccination clinic settings.

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.

The Framework represents a range of skills required for major transformation programme support including programme management and governance setup as opposed to social care delivery experience. The Framework was established specifically in recognition of the need for such services on an occasional basis and is available for use by all UK public bodies. It sought to address the understandable lack of such specialist internal resources due to the temporary nature of such a requirement. Calling off from the Framework provides access to a range of skill sets, and levels and areas of specialism drawn from a team of resources as opposed to reliance on single individuals.