Chamber and committees

The data below shows that 1083 Foundation Year 2 doctors have returned to training in Scotland since 2020.

The number of established training places in each specialty is determined by anticipated future demand and workforce need for consultants and General Practitioners rather than foundation programme numbers.

While resident doctors are eligible to apply to specialty training after completing foundation training, other career routes are available and many choose deferred application or alternative routes including periods in locally employed doctor roles or periods of travel alongside options to develop their skills and experience through SAS grade roles. Data shows a trend of increasing proportions of Foundation Year 2 doctors delaying NHS specialty training in the whole of the UK and in Scotland. However, of all the cohorts from 2017 to 2021, only 8% of Foundation Year 2 doctors did not receive any offer of a training post after applying in the same year they completed foundation training.

There is no evidence to show that the reduction in Foundation Year 2 doctors entering specialty training has had an impact on the availability of medical professionals. Progression data from the General Medical Council shows that 90% of trainees have obtained a specialty training post in the UK within three years of completing the Foundation Programme.

Recruitment to specialty training is undertaken on a UK-wide basis and managed by NES in Scotland. The number of posts advertised by NES each year is determined by two factors: (i) individuals who have vacated their post and whose posts are therefore available for new applicants for apply for, and (ii) whether any additional posts have been created.

The Scottish Shape of Training Transition Group – membership of which includes the Scottish Government, NHS Education for Scotland, British Medical Association, Academy of Medical Royal Colleges and various Health Board representatives including regional workforce planners – undertakes an annual review of medical training establishments and makes recommendations to Scottish Ministers on the need to create additional training places in order to meet increased demand and future anticipated consultant need.

A copy of a table which shows how many NHS specialty training places have been available in each of the last 10 years, broken down by speciality, has been placed in the Scottish Parliament Information Centre (Bib. Number 65598).

Details are as follows:

UK data from the General Medical Council (GMC) shows that the reported trend of Foundation Year 2 doctors delaying NHS specialty training in Scotland is similar to the trend in the UK as a whole. There are a number of possible (and complex) explanations for this trend but progression data from the GMC shows that 90% of trainees have obtained a specialty training post in the UK within three years of completing the Foundation Programme.

The distribution of doctors in training is managed by NHS Education for Scotland (NES). This has traditionally worked within a distribution model of 50:25:15:10 for the West, South East, North and East respectively.

Aligning to Scottish Government commitments, which include the remote and rural and island initiatives, NES have been reviewing alignment to population health data, consultant and GP vacancies and an increased need for generalism. This review is leading to a redistribution of where doctors train recognising the changing locations and demographics of our population.

The overall cost of training Foundation Year 2 doctors from August 2023 to July 2024 was £56,590,177.

The allocation of medical specialty training places is made annually to ensure it meets the needs of the healthcare workforce, recognising that completion of specialty training can take a minimum of 3 to 8 years depending on the specialty. This process is overseen by a group of senior representatives from the Scottish Government, NHS Education for Scotland, professional bodies, and Health Boards. Based on workforce data and service demands, the group makes recommendations to Scottish Ministers regarding any changes needed, including the potential expansion of training places in specific specialties.