Chamber and committees

The move to the Preference Informed Allocation (PIA) model was supported by the Medical Schools Council, the British Medical Association and all four UK governments. Medical students were extensively consulted on the changes and their impact, with 66% in favour of the change.

2024 recruitment data shows that 75.42% of applicants to UK Foundation programmes received their first choice of foundation school, an increase from the 2023 cycle (pre-PIA) of 71.02%. This has risen further in 2025 to 83.78%, indicating that more applicants are being allocated to their first choice compared with previous years, an improvement that has continued since PIA was first introduced.

The first year of the PIA process has resulted in more resident foundation doctors wanting to train in Scotland being allocated a place in Scotland and has resulted in a more even and equitable distribution of Foundation doctors across NHS Scotland Boards.

More information about the move to the PIA can be found at the following link: https://foundationprogramme.nhs.uk/resources/foundation-programme-allocation-process-stakeholder-engagement/

The Scottish Government has not carried out modelling of this type.

The Scottish Government appreciates the unique challenges faced by remote, rural and island communities across the country. As such, a Task and Finish Group focussing on supporting sustainability of health services across Scotland has been created. Utilising a population-based planning approach, the Group aims to improve access to safe, quality healthcare for our population.

Working with stakeholders across the Remote, Rural and Island landscape, this Group will determine a framework for a sustainable model of care in these areas, acknowledging the unique challenges faced by patients and Health Boards within these regions.

Guided by the eighty-three recommendations of the 2008 Delivering for Remote and Rural Healthcare Report, and aligning to the principles of the National Clinical Strategy and forthcoming National Clinical Framework, the Group will develop a sustainable operating model for the provision of high-quality, efficient healthcare services, offering parity of care across these communities.

Over the last two months, the Group has facilitated two workshops with a variety of key Remote, Rural and Island stakeholders, including healthcare and policy professionals. Through examination of current ways of working, the Group has identified a number of areas where improvements to service delivery may be possible.

This work forms the basis of the Group’s Remote, Rural and Islands Action Plan, which will be further developed and implemented over the coming months.

The allocation of resources within the Scottish Fire and Rescue Service (SFRS) is an operational matter for the Chief Fire Officer and SFRS Board. There is a Public Sector Framework contract in place for the provision of suitable helicopter services (including for the use of firefighting). This framework was constructed on the basis of estimated levels of use by the various Public Bodies who utilise this contract (including NatureScot, Forestry and Land Scotland (FLS) and SFRS).

Forestry and Land Scotland routinely work with SFRS during wildfire incidents, strategically placing available aircraft and / or helicopter support in the right locations at the right times during wildfire incidents across Scotland. The call-out process, as defined within the framework contract, is followed when helicopter support is required by SFRS and / or FLS.

The Chief Fire Officer has provided assurances to the Scottish Government that fire fighter safety is an absolute priority and that all equipment in place is safe. SFRS remains fully ready and able to respond to any instance of wildfire that occurs across Scotland.

The allocation of resources within the Scottish Fire and Rescue Service (SFRS) is an operational matter for the Chief Fire Officer and SFRS Board.

The SFRS is currently conducting a Service Delivery Review, which aims to ensure that SFRS staff, stations and appliances are matched to operational risk and demand across Scotland. SFRS is now in the final stages of an options appraisal process which will lead to a full public consultation exercise, planned for the summer 2025. Any changes to SFRS station footprint or how SFRS delivers core emergency services is subject to this full public consultation and final decision by the SFRS Board.

Recruitment and retention of Wholetime and On Call firefighters is a matter for the Scottish Fire and Rescue Service (SFRS) Chief Fire Officer and Board.

In common with other fire and rescue services both across the UK and internationally there are recognised challenges to the recruitment and retention of firefighters in rural areas. Scottish Government is supportive of the work that SFRS is doing to enable recruitment in these areas.

SFRS continues to recruit all year round and actively recruit for on call firefighters across local areas by holding community open days and events. Within many areas across Scotland, SFRS has targeted recruitment campaigns on a variety of platforms and many of these highlight the local people who are already helping their community.

The Scottish Government has not received any direct requests from the Scottish Fire and Rescue Service (SFRS) for equipment to deal with wildfires.

The capital budget for SFRS in 2025-26 is £47 million, an increase of £4 million over the previous year to improve facilities for firefighters, and invest in the SFRS asset base across property, fleet, operational equipment and ICT.

This has enabled SFRS to invest in its wildfire strategy which includes provision of equipment such as leaf blowers, brush cutters, all-terrain vehicles, as well as training in subjects such as tactical burning, which is a first for the SFRS. As a result of this investment, additional resources and training, the SFRS are now better equipped and more prepared than ever for responding to wildfires.

SFRS remains fully ready and able to respond to any instance of wildfire that occurs across Scotland.

Directly comparable data is available from Financial Year 2014-2015 onwards corresponding to the introduction of the EDGE clinical research management system across the territorial NHS Boards and this data has been provided in the table below.

Patient recruitment figures by Financial Year are provided for 11/14 territorial NHS Boards. NHS Orkney and NHS Shetland patients are routinely treated as part of the NHS Grampian service and patients from these boards are included in the NHS Grampian recruitment figures below. A similar arrangement exists between NHS Western Isles and NHS Highland and is reflected in the recruitment figures below.

Accessed has been interpreted as patients who have been consented and recruited into a trial.

Drug trials has been interpreted as a Clinical Trial of an Investigative Medicinal Product as defined in the Medicines for Human Use (Clinical Trial) regulations 2004.

This information is not held centrally by the Scottish Government. The information may be held under the National Dental Inspection Programme (NDIP) which is a key function of the Public Dental Service, for which responsibility lies with Health Boards.

The NDIP website holds reports dating back to 2003 and covers information on how many children received an inspection each year. The website also holds some earlier reports from the Scottish Health Boards Epidemiological Programme (SHBDEP), which preceded NDIP.

This information is not held by the Scottish Government. Details regarding the Campbeltown workforce including students on clinical outreach placement will be held by NHS Highland.

The Scottish Government has not undertaken any specific assessment in regards to the impact of a lack of continuity in senior medical staffing on patient care. However, we regularly engage with Boards at official level to ensure they are providing a safe, high-quality service to patients.

In addition, we are progressing the actions within the Mental health and wellbeing: workforce action plan 2023-2025 which seeks to address key workforce challenges. This includes the Mental Health Nursing Review and Psychiatry Recruitment and Retention Working Group, which are due to report shortly. This work has been informed by views from each profession and people with lived and living experience.