Chamber and committees

The Scottish Government is committed to ensure everyone with a neurological condition has timely access to care and services in all regions of Scotland. That is why we published a Neurological Care and Support – a National Framework for Action in December 2019 . We are investing £4.5 million of funding to implement the Framework’s aims and commitments. The aims include improving the provision of co-ordinated health and social care and support, developing sustainable workforce models and ensuring high standards of person-centred care.

Since 2015, the Scottish Government provides £2.4 million annually to improve specialist nursing services. NHS Boards make the decision on where to prioritise this funding based on local need. NHS Boards are expected to ensure that patients, including those who require epilepsy services, have access to a range of professionals to provide the appropriate management of their condition.

The Scottish Government launched its NHS Recovery Plan on the 25 August, which sets out our key headline ambitions and actions to be developed and delivered now and over the next 5 years. The plan is backed by more than £1 billion of investment over the next five years.

By the end of this year, we will publish a National Workforce Strategy that supports the delivery of the NHS Recovery Plan , specifically its key workforce targets. The strategy will set out the strategic framework through which we will design, develop and deliver training programmes in partnership with NHS National Education Scotland and the NHS Academy, offering new routes into the NHS, and broadening opportunities. In addition, it will provide NHS Boards a framework for assessing nationally the role of Clinical Nurse Specialists (CNS). The NHS will gain additional 500 Advance Nurse Practitioners (ANP) over the next five years and we will be working closely with neurology services to identify areas of need for both ANPs and CNS capacity to better meet patient need.

A recent report published by the Chief Nursing Officer Directorate made a number recommendations regarding CNS roles. This work is being taken forward in Neurology (and epilepsy specifically) by a group with representation from Chief Nursing Officer Directorate, NHS Education Scotland, Centre for Sustainability Delivery as well as strong Epilepsy CNS Representation.

The impact of addressing the COVID-19 pandemic has meant that many health and social care services had to be suspended or reduced in scope and scale. This has affected almost all aspects of NHS care. Addressing the backlog of care, while continuing to meet the ongoing urgent health and care needs of the country, is a priority for this Government.

The Centre for Sustainable Delivery continues to work closely with Neurology services in all Health Boards. In particular work on Active Clinical Referral Triage aims to ensure patients who require appointments most urgently are seen as soon as possible, while those who may not benefit from a Consultant appointment are returned to the GP with advice and guidance; and Discharge Patient Initiated Review aims to avoid unnecessary return appointments, again supporting access for those patient who need to be seen in a timely manner.