Chamber and committees

I refer the member to the answer to question S6W-37406 on 19 May 2025. 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.

The specific information - the number of hours NHS staff have spent on trainee research as part of protected development working time - requested is not gathered or held centrally by Scottish Government. This is a matter for the individual Health Boards.

The Scottish Government is committed to supporting NHS Scotland staff development and career progression. As part of the 2023-24 pay deal, Agenda for Change staff have reaffirmed rights to Protected Learning Time (PLT), ensuring access to essential training - including statutory, mandatory, and profession-specific learning - within working hours. Health Boards are expected to support this through consistent policies, including study leave where appropriate. A national PLT Implementation Group is leading work to ensure all NHS staff have equitable access to high-quality learning opportunities, regardless of role or location.

NHS Research Scotland holds a record of the number of clinical studies that Health Boards participate in each year. These data are held from 2014 to present and indicate a range of study numbers from 1464 to 1711 over this time period.

Noting that clinical studies can be carried out across multiple Health Boards at the same time, Table 1 reports the total number of unique clinical studies per year, and Table 2 reports the number of clinical studies per Health Board per year.

The Scottish Government is committed to supporting everyone to live longer, healthier and more fulfilling lives. That is why, the Scottish Government and COSLA recently jointly published a 10-year Population Health Framework. This Framework sets out a whole system, cross-government and cross-sector approach to improve population health and reduce inequalities with a strong focus on prevention.

The Framework aims to improve Scottish life expectancy whilst reducing the gap between the most deprived 20% of local areas and the national average by 2035. It seeks to complement and build upon ongoing and planned action recognising the need to address structural barriers that limit access to services and support, targeting action to those most in need. The Framework identifies 30 initial actions to be implemented in the first two years, all designed to strengthen the key building blocks of health – the social, economic and environmental factors – which combined have a greater effect on health than individual behaviours and health services alone.

One of these 30 actions, already underway, is the introduction of Marmot Places through the Collaboration for Health Equity in Scotland. Under this initiative, local councils and health boards in Aberdeen City, North Ayrshire and South Lanarkshire are receiving expert advice and practical support from Public Health Scotland and the Institute for Health Equity over a two-year period. This work is designed to embed long-term, whole-system approaches locally to improve health equity. Insights from these areas will be shared via a national learning system to inform and accelerate health equity initiatives across Scotland, supporting local action and contributing to measurable improvements in population health.

The Scottish Government is committed to improving life expectancy and tackling health inequalities across Scotland. The recently published Population Health Framework, a joint publication by the Scottish Government and COSLA, highlights that the circumstances and environments in which people are born, grow up, live, work and age – known as the building blocks of health – are the most influential factors shaping health outcomes.

The Framework’s supporting evidence paper notes that Scotland has experienced a decline in healthy life expectancy – the number of years people can expect to live in good health – alongside a stalling of improvements in mortality rates after decades of steady progress. These trends are associated with several major factors: the UK Government’s austerity policies during the 2010s, Brexit, the COVID-19 pandemic, and the ongoing cost-of-living crisis. Together, these influences have weakened the building blocks of health, widened existing inequalities, and exacerbated Scotland’s longstanding disparities in income, wealth, and power.

In response, the Population Health Framework sets out a whole-system cross-government and cross-sector approach centred on prevention. This approach builds on existing Scottish Government actions, including initiatives on diet and healthy weight, and efforts to tackle child poverty. Through this approach, the Scottish Government aims to raise overall life expectancy while closing the gap between the most deprived 20% of communities and the national average by 2035.

The opening of a Scottish Government office in Warsaw is currently under review given ongoing budget pressures.

Any preparations in relation to the proposals for the opening of a Scottish Government office in Warsaw have been undertaken by officials with the Directorate for Culture and External Affairs as part of normal business.

Whilst Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing are the responsibility NHS Boards. NHS Boards take account of national, regional, and local priorities, and we expect NHS boards to plan and provide safe, effective, and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

To help address recognised workforce pressures, Scottish Government continues to invest heavily in radiology training. Scottish Government is currently funding around 190 specialty training places in clinical radiology, including 78 extra places which have been added since 2014. This enables doctors to train and enter the workforce following completion of training - which takes a minimum of 5 years. Clinical radiology specialty training programmes have been filled at 100% in Scotland from 2014 to 2024, with 230 resident doctors successfully completing training in this period.

To further support a coordinated response to pressures in cancer services, Scottish Government commissioned the National Oncology Coordination Group. This group considers real-time assessments and develops proactive risk mitigation proposals aligned with the strategic aims for cancer. This collaborative approach across NHS Boards in Scotland is ensuring that services can deliver for people with cancer.

The Scottish Government is committed to increasing the availability of safe and effective medicines that people in Scotland would benefit from. The Scottish Medicines Consortium (SMC) assesses the clinical and cost effectiveness of newly licensed medicines on a once for Scotland basis and publishes advice for Health Boards to consider. It is expected that Health Board Area & Drug and Therapeutics Committees (ADTCs) will consider making an SMC recommended medicine, or an equivalent, available on their local or regional formulary for routine prescribing within 90 days of SMC advice being published.

Health Boards are expected to apply common principles and processes in the introduction of newly licensed medicines to facilitate consistency of approach to local decision-making. The decision to prescribe a medicine, and which medicine to prescribe, is entirely for the clinician in charge of a person’s care, having considered their clinical condition, their safety, and any relevant clinical guidance.

The number of Newly Qualified Paramedics (NQPs) who have joined the Scottish Ambulance Service in the North Region since 2023 are as follows:

2023-24 - 35

2024-25 - 48

2025-26 to date - 36