Chamber and committees

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

In line with the Tobacco and Vaping Framework, work is underway to improve the technical infrastructure of the existing register of Tobacco and Nicotine Vapour Product retailers.

Officials are working with Scottish IT developers ePass, selected by the Scottish Government through CivTech Challenge 9, to create and deliver an up-to-date web-based register product. It is expected that this new product will make enforcement easier, will support improvements in data quality, as well as support engagement with retailers and increase the value of registration for retailers. It is expected to launch in Spring this year.

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.

The Scottish Government’s ‘A Fairer Scotland for Older People: framework for action’ contains a dedicated strand focused on activity we are undertaking to ensure people are financially secure and supported as they age.

In addition, we provide funding of £2.2 million, through the Equality and Human Rights Fund, to older people’s organisations and age equality projects. This funding is delivering a range of initiatives that tackles poverty among older people. A copy of the fund’s progress report can be found here Oct 23-Mar 24_E&HR Progress Report and provides details on initiatives we are delivering with this funding.

Our Pension Age Winter Heating Payment supports older people in receipt of relevant benefits to help with the costs of heating. Next winter, we will introduce a universal Pension Age Winter Heating Payment for all pensioner households in Scotland, meaning every pensioner household will receive a minimum of £100 with support towards their energy bills. This universal payment will provide much needed support not available anywhere else in the UK.

Taking a partnership approach, Scottish Government, at both a ministerial and official level, engaged with a broad range of stakeholders during the development of the Addressing Depopulation Action Plan (ADAP). This engagement was led by the-then Minister for Equalities, Migration and Refugees, who was the lead Minister for the development of the ADAP.

The Cabinet Secretary for Rural Affairs, Land Reform and Islands has portfolio responsibility for the Scottish Rural & Islands Youth Parliament (SRIYP), of which the Young Islanders Network are a key member. Ms. Gougeon attended the inaugural SRIYP in November 2023, where delegates worked together to agree a series of priority statements or asks of Scottish Government. These 10 priorities (including housing, transport and skills, education and employment) strongly align with the delivery priorities outlined within the (ADAP).

Ms. Gougeon has met with the SRIYP network twice since November 2023 and remains in close contact with the Network. This includes a parliamentary event in January 2024, where SRIYP delegates were supported to attend with £20k of Scottish Government funding. The group met with relevant Ministers to present their 10 priorities, which were later discussed at a parliamentary debate hosted by Ms. Gougeon and the Deputy First Minister. Following this, an online meeting in November 2024 was hosted, where Ms. Gougeon provided an update to attendees on what action Scottish Government has taken across their 10 priorities.

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).

The Scottish Government does not hold this information centrally.

As of 5 January, over 2.89 million winter vaccines have been delivered, with more than 1.27 million adult flu and over 523,000 child flu vaccines administered, as well as over 1.09 million Covid-19 vaccines administered.

Working with Public Health Scotland (PHS) and Health Boards, those eligible for vaccination have been encouraged through a number of mechanisms this winter, such as:

• Appointment or prompts to book via letters, emails or texts for all eligible citizens, depending on their communication preference, with the flexibility to book an appointment at any clinic in Scotland.
• Clear, updated information on NHS Inform, with particular prominence given to flu.
• Updated flu and Covid information leaflets for eligible citizens, with new content based on insight work and feedback on how previous leaflets could be improved.
• Dedicated updated resources for Health and Social Care Workers, based on insight work and feedback on how they can be improved.
• Public Health Scotland (PHS) has developed a range of tailored resources and promotional materials that have been disseminated through trusted partners, including local NHS Boards and the third sector, that can be used to inform and encourage uptake for all those eligible.

With cases of flu increasing over the Christmas holidays, the Scottish Government, PHS and territorial Health Boards put out a range of communications highlighting the seriousness of flu and advertising how eligible people could access vaccination immediately and easily, notably through drop-in clinics. Boards increased clinic capacity at this time and as a result, between 15 December and 5 January, delivered over 68,000 flu vaccinations, compared to 39,000 over the same three week festive window in 2023-24. Public Health Scotland surveillance information is available here.

The Scottish Government is continuing to work with PHS and territorial Boards on strategies to bring more people forward for their flu vaccine in the coming weeks. Since 26 December, the First Minister has chaired a number of meetings with senior leaders from across the health system in Scotland to support a cohesive and focussed effort to improve vaccine uptake and ensure the system as a whole is able to manage the increased demand typically seen in winter.

The winter Covid vaccine programme closes on 31 January, and PHS are planning additional communications to encourage eligible people to take up their vaccination before the programme ends. Flu vaccination will remain available until 31 March, and continued efforts will be made to encourage those eligible to come forward for their vaccination.