Chamber and committees

As Minister for Equalities, Migration and Refugees, I have portfolio responsibility for older people and this Scottish Government remains committed to delivering access to opportunities and services people need to ensure they are healthy, happy and secure in older age.

We will continue to work closely with the Older People’s Strategic Action Forum to review progress on the 2019 “A Fairer Scotland for Older People: framework for action” to ensure it remains fit for purpose.

The Scottish Government's "A Fairer Scotland for Older People: Framework for Action" outlines the steps we are taking to ensure Older People are healthy, happy and secure. As part of the Framework Scottish Government is working to ensure access to measures to improve community safety and reduce vulnerability to scam callers and other kinds of elder abuse.

We continue to invest in our Detect Cancer Earlier (DCE) Programme, of which public education and empowerment is a key work-stream. We launched a new campaign – Be the Early Bird – in March 2023 to empower those with possible symptoms to act early. This included sharing stories of those that have been diagnosed and successfully treated with ovarian cancer via press and digital channels, to prompt others to take early action.

We will continue to work with the Scottish Cancer Coalition – which Target Ovarian is a member of - as well as the primary care community across NHS Scotland, to raise awareness of possible symptoms. Work is also underway to redesign DCE’s website (getcheckedearly.org) – this will reflect ovarian cancer content, including additional survivor stories and signposting to Target Ovarian for more information.

A high level of CA-125 in the blood can be a sign of cancer, particularly ovarian cancer, the 5 th most common cancer in the UK.

The Royal College of General Practitioner’s curriculum provides detailed sections on the management of gynaecological cancers and management of patients with cancer. All GPs are expected to have competences in the presentation and management of such conditions.

For doctors training to be GPs in Scotland, the current training programme involves 18 months in various hospital posts and 18 months in a GP Practice. During the 18 months in hospital, they may rotate through Obstetrics and Gynaecology where under supervision, trainee doctors will be able to manage, such conditions. In the 18 months they spend in General Practice, the doctors will see and manage patients at all stages of the disease including early presentation.

All GP practices receive funding for protected time consisting of one session a month, (usually within practice time), to allow GPs to maintain and develop their training and skills.

NHS Education for Scotland (NES) are responsible for managing all training provided to doctors in Scotland. NES ensure that all doctors receive high quality training in line with curricula that is set by the relevant Medical Royal College so that they are able to demonstrate that they have met all GMC curricular requirements, in order to practise independently as a GP in the UK.

All GP practices receive funding for protected time consisting of one session a month (usually within practice time) to allow GPs to maintain and develop their training and skills, and those of their practice teams. For GPs after their 3-year training, NES provide educational content related to gastroenterological conditions. There are also Practice-Based Small Group Learning modules (PBSGL) covering cancer and gastroenterology cases.

I refer the member to the answer to question S6W-17503 on 15 May 2023. 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

As at April, for outpatient appointments the median waiting time between referral and appointment is 236 days. The longest waiting time is 448 days.

As at April, the median waiting time from listing to procedure is 81 days and the longest waiting time is 341 days. The service reports that it is now in a position to offer a surgery date that is within 12 weeks of the patient’s decision to go ahead with surgery.

As noted in response to S6W-08055 on 10 May 2022, the concept of elder abuse is very broad. 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) ). The Adult Support and Protection (Scotland) Act 2007 is designed to protect people; aged 16 years and over who are unable to safeguard their own well-being, property, rights or other interests; are at risk of harm; and, because they are affected by disability, mental disorder, illness or physical or mental infirmity, are more vulnerable to being harmed than adults who are not so affected.

While the Scottish Government doesn’t hold information on elder abuse, specifically, it does hold information on adults at risk of harm (or who have been harmed) by age; where an Adult Support and Protection investigation commenced. The figures, along with many data quality issues explained, were published on our website on 9 th May 2023. The release indicated that, in 2021/22, about 40% of those subject to an ASP investigation were over the age of 75 (15% were men and 25% were women). These figures are national estimates due to differing local processes.

In addition, there are a number of data developments aimed at strengthening the information available, including:

• The Scottish Government has developed an improvement plan for adult support and protection which includes reviewing current ASP data to develop more robust, meaningful and comparable data. The review and development of an ASP minimum dataset is being taken forward by The Institute for Research and Innovation in Social Services (IRISS). The minimum dataset will provide a clearer picture of Adult Support and Protection in Scotland.
• 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. However, the new crime system will allow crime stats by victim age, therefore a measure of recorded crimes against older people.
• The Scottish Crime and Justice Survey are developing a new Fraud and Computer Misuse module. This module will help estimate the prevalence of victimisation from these crimes in Scotland for the first time and will allow for a breakdown by age. These new questions will be included in the 2023/24 survey due to go into the field this summer. Users will be kept informed as to when the first results from these questions will be published.
• The Hate Crime and Public Order (Scotland) Act, once in force, will require information about police recorded hate crime and convictions data to be published annually, and with greater detail where known. The Act will – for the first time – introduce new protections against offences aggravated by prejudice towards a person’s age.

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

Scottish Government officials are in the process of providing advice to the new Ministerial team on community eyecare services work, including these short life working groups, and will update stakeholders immediately following the completion of this process.