Chamber and committees

The Programme for Government (PfG) 2021 commits to expanding medical school places by at least 100 per annum over this lifetime of this Parliament and doubling the number of widening access places. The medical undergraduate intake for 2022-23 has been set at 1317, of which it is anticipated that 1,239 students will be Scots/UK/ROI or Gibraltar and 78 will be international including EU. This intake represents an increase of 200 places above the 2021/22 intake target of 1,117 thereby delivering the first two tranches of the PfG commitment.

The Scottish Government is committed to growing the number of Scottish domiciled students studying medicine at Scottish universities as a policy priority through widening access and other targeted interventions. Places reserved for widening access students are being increased by 30 (bringing the total to 90) and pre-medical entry places are being increased by 20 (bringing the total to 70 places) in 2022-23.

Intake targets for 2023-24 and 2024-25 have not yet been set but will be considered in light of the PfG commitment.

As postgraduate medical students do not form part of the controlled medical school intake the Scottish Government is unable to respond.

Universities are independent, autonomous institutions responsible for their own selection procedures and offers, with intake numbers and the breakdown of these a decision for each individual medical schools.

Attrition rates vary each year across all degree programmes, it is therefore not possible to predict attrition rates for future cohorts. However, we have observed that course completion rates for pre-registration nursing programmes have been steadily improving year-on-year, and we anticipate that this trend will continue.

We are currently working with the NHS to consider a national occupational health improvement strategy for Scotland.

While this work is carried out, we continue to complement the wellbeing support available at a local level through our national wellbeing resources. These include the National Wellbeing Hub, a 24/7 National Wellbeing Helpline, confidential mental health treatment through the Workforce Specialist Service and funding for additional local psychological support.

We are also providing further support for practical measures to aid rest and recuperation alongside additional resources such as Coaching for Wellbeing and grief and bereavement support.

Before we made the decision to lift remaining legal measures and close the Highest Risk list, we and our clinical advisers carefully considered the impact on people who are immunosuppressed or immunocompromised. There is strong evidence to show that the vaccine is offering significant protection and preventing the majority of people whose immune systems are suppressed or compromised from becoming severely ill if they are infected with COVID-19.

We know that the degree of protection offered by the vaccines wanes over time, which is why booster vaccinations are needed to maintain the best protection against COVID-19 for those at highest risk of the severe effects of the virus. Second booster appointments for people with suppressed immune systems have already started.

However, we are also aware that for some of this group, it is not possible to mount a full immune response due to their medication, treatment or health condition.

Many immunosuppressed or immunocompromised individuals lived with and managed the risk posed by other diseases and infections before the COVID-19 pandemic, and will continue to be advised by their GP and specialist clinical team, who best know their individual circumstances, on how to reduce their risk of infection from both COVID-19 and other viruses. We’ve also made new treatments available to those who are eligible for them who will benefit the most – including some people who are immunocompromised or immunosuppressed .

Whilst there is no legal definition of elder abuse, the World Health Organisation has defined it as ‘a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person' ( Elder abuse (who.int) ). They note this can cover several types of violence, including but not limited to physical, sexual, psychological and financial abuse or neglect.

In general the Scottish Government does not hold information centrally on levels of elder abuse, as the Official Statistics on police recorded crime and criminal proceedings do not include details on whether the victim was an older person, or their relationship to the perpetrator. Police Scotland are in the process of introducing a new system to record crime, which once fully operational may allow for more detailed analysis within Scotland’s recorded crime statistics (including victim age for each type of crime committed). Going forward, statisticians will keep users of crime statistics informed of developments, as the new system rolls out during 2022 and 2023.

Some information on the age of victims and their relationship to perpetrators is available from topic based Official Statistics, including for example police recorded Domestic Abuse and Homicide. In 2020-21, victims of domestic abuse aged 60 and over had a rate of 12 incidents per 10,000 population (compared to 119 incidents for all ages). This has remained broadly stable over the past five years. Between 2016-17 and 2020-21 there were 36 victims of homicide in Scotland aged 60 or over. Of these, over two-thirds (69% or 25 victims) were known to the perpetrator (including partners or ex-partners, relatives and acquaintances). Furthermore the Scottish Crime and Justice Survey (SCJS) can provide estimates of some measures by age, however this only covers adults living in private households and excludes other settings such as care homes. In 2019/20, 6.9% of those aged 60 and over experienced crime in Scotland (including those not reported to the police), compared to 11.9% for all aged 16 plus. The victimisation rate for those aged over 60 has shown no change since 2014/15.

Some data is also available from the Care Inspectorate, which operates a complaints procedure for registered care services. For example in 2019/20 there were 35 upheld complaints about protection of people in care homes for older people. Further information on this process is provided in Care Inspectorate reports Complaints Annual Report 2019-20 final 12012021 (1).pdf (careinspectorate.com) and their published board papers (June 2021) Board_1706202_Final_Published.pdf (careinspectorate.com) .

The Scottish Budget for 2022-23 confirms funding of £4 million to deliver the Young Patients Family Fund.

The Young Patients Family Fund provides valuable financial support to eligible visitors of inpatients up to the age of 18. There are currently no plans to extend eligibility for outpatient treatment.

The Young Patients Family Fund provides valuable financial support to eligible visitors of inpatients up to the age of 18 who are being treated in Scotland.

We recognise it is not possible to deliver all services and treatments in all locations. That is why, where patients are required to travel we already expect boards to take a patient centred approach and to have in place arrangements to allow and support people to receive treatment elsewhere. In addition, financial support for travel is available for patients and authorised escorts attending hospital appointments, in line with eligibility criteria and medical requirements.