Chamber and committees

We are working closely with NHS Grampian on the development of a sustainable plan to support improvements in capacity.

We know that system wide capacity challenges are driving pressure on our Emergency Departments. To address this we have a clear plan to reduce delayed discharges, release acute capacity and bring down A&E waiting times.

The plan will be supported by £200 million targeted investment through the 2025-26 Budget, if approved by parliament, with NHS Grampian receiving a share of this funding. We will focus on shifting the balance of care from acute, to community and will bring about this change by ensuring every A&E department has a frailty unit linked to community re-enablement.

We continue to support and monitor all Health Boards to ensure all possible actions are being taken to support services and safeguard patient safety during the winter period. Planning for this winter builds on the effective measures which have supported our health and social care services in previous years.

My officials and I have been meeting regularly with the leadership of NHS Grampian to progress both immediate steps and a sustainable plan to ease capacity pressures with a focus on improving patient flow through the system, preventing SAS ambulance turnaround delays, and discharging as soon as patients are medically fit.

The National Mission annual report is structured to relate to the six outcomes and six cross-cutting priorities in the National Mission Plan. Outcomes and cross-cutting priorities chapters have the following format: an overview provides context, including data, to understand the scope and purpose of the outcome. Progress set out our activities related to the outcome throughout the reporting period: the projects being delivered across sectors, locally and nationally have been highlighted, including dedicated funding and case studies.

The National Mission annual report finance sections aim to provide greater transparency of National Mission funding. Section 8.3 shows the funding distribution and section 8.4 shows the funding commitment and theme. The reports for financial years 2021-22, 2022-23 and 2023-24 are available at:

National Mission on Drugs: annual report 2023-2024 - gov.scot

National Mission on Drugs: annual report 2022-2023 - gov.scot

National Mission on Drugs: annual report 2021-2022 - gov.scot

The Corra Foundation publish an annual report on projects funded via the National Drugs Mission Funds and are available at:

National Drugs Mission Funds Report 2023-2024

National Drugs Mission Funds Report 2021-2023

Funding allocated to Alcohol and Drug Partnerships (ADPs) is available at: Alcohol and Drug Partnerships: funding allocations - gov.scot

There are a total of 940 Foundation year 2 doctors working across all Health Boards as of 17 December 2024. This number will fluctuate daily due to trainees going out of programme or completing training. Please see the following table for further information.

The Scottish Government does not hold this information. NHS Education for Scotland (NES) are responsible for supporting the education, training and development of Advanced Nurse Practitioners.

The Joint Committee on Vaccination and Immunisation (JCVI) advise flu vaccination for those aged 65 years and over. During the COVID-19 pandemic, Scotland expanded the programme to protect individuals, public services and the NHS. During the COVID-19 pandemic, Scottish Government made a policy decision to expanded the programme to protect individuals, public services and the NHS.

Eligibility criteria for the last three years are set out below.

2024-25:

• Residents in long-stay care homes / facilities
• Those aged 65+
• Those aged 18 to 64 at risk including:
  • clinical at-risk groups as per Green Book Chapter 19 (GBC19)
  • the homeless
  • those experiencing substance misuse
  • asylum seekers in Home Office hotel accommodation
  • prisoners
  • pregnant women
• Frontline health and social care workers
• Non-frontline NHS workers
• Poultry workers & bird keepers
• Unpaid carers and young carers
• Household contacts of the immunosuppressed
• Those aged 6 months to 2 years at clinical risk
• Those aged 2-5 years not yet at school
• Primary & secondary school children

2023-24:

• Residents in long-stay care homes / facilities
• Those aged 50 +
• Those aged 18 to 49 at risk including:
  • clinical at-risk groups as per GBC19
  • the homeless
  • those experiencing substance misuse
  • prisoners
  • pregnant women
• Frontline health and social care workers
• Non-frontline NHS workers
• Poultry workers
• Teachers
• Prison staff
• Unpaid carers and young carers
• Household contacts of the immunosuppressed
• Those aged 6 months to 2 years at clinical risk
• Those aged 2-5 years not yet at school
• Primary & secondary school children

2022-23:

• Residents in long-stay care homes / facilities
• Those aged 50 +
• Those aged 18 to 49 at risk including:
  • clinical at-risk groups as per GBC19
  • the homeless
  • those experiencing substance misuse
  • prisoners
  • pregnant women
• Frontline health and social care workers
• Non-frontline NHS workers
• Teachers
• Prison staff
• Unpaid carers and young carers
• Household contacts of the immunosuppressed
• Those aged 6 months to 2 years at clinical risk
• Those aged 2-5 years not yet at school
• Primary & secondary school children

The Scottish Government recognises that funding will be required to support Boards to make the transition to a reformed maternity and neonatal service. We are continuing to provide transitional funding to Boards, as we have done for NHS GGC and NHS Lothian since 2019, with additional support for NHS Grampian now being included. This funding is focused on supporting Boards through the transition process.

We have been working with the regional implementation leads on development of plans for implementation to include a business case (or equivalent operational financial plan) with costs, with the expectation that a phased transition to the new model will begin in the new year.

To date, we have provided over £30 million of funding to NHS Boards to support implementation of the Best Start recommendations, and we are currently looking at future funding for maternity services in the next financial year.

We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

This year, we have allocated over £450,000 to gynaecology from our £30 million targeted investment in planned care, delivering around 3,500 additional new outpatient appointments.

The 2025-26 Budget, if approved by Parliament, will provide a record £21 billion for Health & Social Care, including a commitment to provide £200 million to help reduce waiting times and address delayed discharge.

The Scottish Government is committed to ensuring those living with endometriosis can access the best possible care and support.

There is now an Endometriosis Care Pathway for NHS Scotland which aims to support healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms. All NHS Boards should be taking steps to implement the pathway.

Most individuals with endometriosis can be managed within secondary care. For patients with more complex symptoms or who need complex surgery, there are three regional specialist endometriosis centres in Aberdeen, Edinburgh and Glasgow that provide multidisciplinary specialist care across Scotland.

To support health care professionals to improve their knowledge and understanding of endometriosis NHS Education for Scotland (NES) has launched an e-learning module on menstrual health available on Turas Learn. It is open to anyone working in NHS Scotland and in particular is aimed at those working in primary care.

Further training resources have also been provided through the Women’s Health Masterclass on endometriosis which provided information on diagnosis, treatment and current research on endometriosis, raising awareness of the Pathway with attendees. The resources from this event are also available on Turas Learn.

The Scottish National Menstrual Health Specialist Network provides healthcare professionals with a special interest in menstrual health a forum for peer support and sharing expert clinical advice and best practice related to menstrual health symptoms and conditions.

More information can be found in the Women’s Health Plan 2021 - 2024 Final Report.

The Endometriosis Care Pathway for NHS Scotland aims to support healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms.

To support health care professionals to improve their knowledge and understanding of endometriosis NHS Education for Scotland (NES) has launched an e-learning module on menstrual health available on Turas Learn. It is open to anyone working in NHS Scotland and in particular is aimed at those working in primary care.

Further training resources have been provided through the Women’s Health Masterclass on endometriosis which provided information on diagnosis, treatment and current research on endometriosis, raising awareness of the Pathway with attendees. The resources from this event are available on Turas Learn.

We are currently working with the Royal College of General Practitioners (RCGP) to develop new training resources on endometriosis, for general practitioners.

Through the Scottish National Menstrual Health Specialist Network healthcare professionals with a special interest in menstrual health have a forum for peer support and sharing expert clinical advice and best practice related to menstrual health symptoms and conditions.

More information can be found in the Women’s Health Plan 2021 - 2024 Final Report.