Chamber and committees

The Scottish Government is committed to ensuring that people living in Scotland with musculoskeletal conditions can access the best possible care and support.

While there are no current plans to develop a musculoskeletal digital pathway, the government has commissioned the Centre for Sustainable Delivery (CfSD) to oversee a Rheumatology Specialty Delivery Group. This group includes multidisciplinary representatives from all Health Boards providing rheumatology services.

Scottish Government officials and the CfSD national planned care team meet monthly with the Chief Operating Officer and Acute Directors from all mainland Health Boards to assess performance and delivery across all Planned Care specialities, including rheumatology. For island Health Boards, these meetings typically take place every two months.

The Scottish Government continues to identify opportunities to remove unnecessary duplication across the public bodies landscape.

In July 2024, public bodies were asked to provide information to identify opportunities for delivering services in alternative ways and to increase efficiencies across corporate functions. A report of the findings from this commission was published on 15 November 2024, and can be found at Public Bodies Expenditure: Supplementary Report of Data Commission - gov.scot.

A key strand of the Public Service Reform (PSR) programme is to improve the efficiency and effectiveness of our public services for the people of Scotland. As part of this, we continue to engage with public bodies to progress the programme and deliver long term fiscal sustainability.

Four Scottish Government civil servants are working on delivering the actions set out in the Artificial intelligence strategy: trustworthy, ethical and inclusive.

(a) The Scottish Government engages with the General Medical Council (GMC) on its regulatory functions as a matter of routine. Many of those operational discussions will have touched upon issues relating to physician associates and anaesthesia associates since the decision was taken that the GMC would be their regulator. The answer to FOI requests 202400422610 and 202400441146, published on the Scottish Government website, provides information on written communications between the Scottish Government and the GMC.

Surgical Care Practitioners, also a Medical Associate Profession, are not regulated by the GMC.

(b) The GMC has no functions in respect of the design of services in NHS Scotland. Health Boards are responsible for determining the services appropriate to the needs of their local populations, and the skills mix necessary to ensure their delivery.

The Scottish Government is supportive of a gradual and carefully managed expansion of physician associate (PA) and anaesthesia associate (AA) roles, underpinned by robust evidence of the benefit that can be derived from these roles in specific settings and contexts.

In order to achieve this, we have established a national Programme Board to advise on key aspects of the roles and NHS Scotland’s approach to their deployment. This work builds on action already undertaken to introduce statutory regulation of the roles which we consider is vital for patient safety. GMC regulation has, for the first time, introduced UK-wide standards for education, training and professional practice with meaningful consequences when these are not met.

Physician Associates (PAs) are a long-established profession within the NHS Scotland workforce. The Scottish Government continues to engage regularly with the PA profession, including through dialogue with the Scottish Physician Associate Network which is represented on our national Medical Associate Professionals Programme Board. The Scottish PA Network also participates in the national MAPs Stakeholder Group, with a representative from the network acting as co-chair of the Group.

The Scottish Government is progressing the Public Sector Reform Programme to ensure public services are sustainable, efficient and effective. Our work in this area is expected to save up to £280 million over a two year period by the end of 2024-25.

We have already streamlined the public sector landscape by reducing the number of Scottish public bodies under our control from 199 in 2007 to 131 as at 1 December 2024.

Accountable Officers for all public bodies have a personal responsibility for the propriety and regularity of the finances under their stewardship and for the economic, efficient and effective use of all related resources. This includes being personally answerable to Parliament for the exercise of their functions. This is set out in the Public Finance and Accountability (Scotland) Act 2000 and the Scottish Public Finance Manual.

The Medical Associate Professionals (MAPs) Programme Board meets on a quarterly basis to discuss and advise on matters regarding the deployment of MAPs across NHS Scotland. The Board will next meet on 3 April 2025. Papers for the Programme Board can be viewed at https://learn.nes.nhs.scot/77069.

The information requested on how many (a) physician associate and (b) other medical associate profession roles there are in NHS Scotland can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHS Scotland workforce | Turas Data Intelligence.

The Scottish Government does not hold this information. Decisions regarding the employment of individual members of staff are a matter for each NHS Scotland Board.