Chamber and committees

As set out in the Once for Scotland Rehabilitation Approach, good rehabilitation happens when health care, social care, leisure and third and independent sectors work together to support individuals to access the right kind of rehabilitation for them, at the right time.

The Approach describes the standards expected of NHS Boards and Health and Social Care Partnerships, working together with these partners, to develop and deliver community-based rehabilitation services using their collective resources. We also encourage and support self-management to help improve individuals’ functional abilities and live well with long-term conditions.

This data is not held centrally by the Scottish Government.

Various Attention Deficit Hyperactivity Disorder (ADHD) medicines continue to experience limited and intermittent supply issues. We are aware that market data has indicated that some of these issues will continue beyond May 2024 into the Summer.

As the pricing and supply of medicines is a reserved matter for the UK Government, we continue to engage with them to find a lasting solution on minimising the impact of these medicine shortages on patients and their families.

The Chief Pharmaceutical Officer (CPO) sits on the UK Government’s Medicine Shortages Response Group (MSRG). The CPO continues to raise the issue of ADHD medicine shortages and has urged the UK Government to consider alternative solutions, if possible, for medicines with continuous and intermittent supply issues. There was general agreement that the situation wasn’t improving, and that the UK medicine supply team would consider what further could be done, including organising a meeting with the manufacturers to seek further solutions. We hope to be in a position to update on this further in due course.

For anyone who experiences difficulties in obtaining their prescribed ADHD medication, I encourage them to discuss this with their specialist, who should be able to review their circumstances and prescribe an alternative treatment if appropriate until stock supplies are stabilised.

On 1 March 2024, the Cabinet Secretary for Health confirmed the implementation of the Agenda for Change Review Recommendations including the implementation of a consistent approach to Protected Learning Time across all NHS Scotland Boards. This includes the completion of statutory, mandatory and profession specific mandatory training within working hours, including for Nurses. These changes took effect from 1st April 2024

The Scottish Government presented to the Scottish Workforce and Staff Governance Committee (SWAG) on further work in relation to Protected Learning Time, on 23 April. Following this, it is the intention that SWAG will convene a sub-group to oversee delivery of work to map time requirements for statutory, core mandatory and professional mandatory training.

The Scottish Government does not hold the detail of this funding. Local decisions on how to allocate funding is the responsibility of NHS Boards.

The 2024-25 Budget provides funding of over £19.5 billion for NHS recovery, health and social care – giving our NHS a real terms uplift and providing over £14.2 billion investment in our NHS Boards.

This Budget continues to support prevention and early intervention which is critical to addressing system challenges and longer term reform, with key investment including:

• Supporting investment in excess of £10 billion for the NHS paybill to support the workforce including Allied Health Professionals and which has rewarded NHS staff in recent years during the cost of living crisis. The budget for the NHS workforce is not allocated by workforce group.
• £2 billion for social care and integration, an additional £1 billion compared to 2021-22 spend. This delivers on our Programme for Government commitment to increase social care spending by 25% over this Parliament two years ahead of our original target.
• Over £2.1bn for primary care, which includes funding for Allied Health Professionals, to improve preventative care in the community, supporting the development of multidisciplinary teams in general practice, sustaining NHS dental care through enhanced fees and continuing free eye examinations.
• Supporting spend in excess of £1.3 billion to support mental health services, with £290.2 million direct investment – more than doubled since 2020/21 - enabling record numbers of staff in providing more varied support and services to a larger number of people than ever before.
• Sustaining increased funding to address the twin public health emergencies of drugs deaths and the harms from alcohol, by maintaining our commitment to provide an additional £250 million funding over the life of this parliament to address the drugs death emergency.
• Protecting those most at risk with increased investment of over 55% for our routine childhood and adult vaccination programmes.

The Prince of Wales Nursing Cadet Scheme has been successfully piloted in NHS Lanarkshire and NHS Tayside, with evaluations demonstrating positive experiences for both participants and NHS placement staff. Learning and good practice from these pilots has been shared with health boards.

The role of the Nursing Cadet Scheme is being considered by the Nursing and Midwifery Taskforce in anticipation of the Taskforce providing recommendations on, inter alia , opportunities for attracting new entrants into nursing and midwifery careers, to support in building a sustainable and attractive workforce for the future.

We recognise the financial challenges faced by all students, including nursing and midwifery students, and know that this has been exacerbated by the current cost of living crisis.

At this juncture, there are no definitive plans to increase the student nurse bursary, however, following the publication of the Royal College of Nursing’s (RCN) report ‘Nursing Student Finance: the true cost of becoming a nurse’ improvements have been made in response to the recommendations within the report surrounding student clinical placement expenses (which include travel and accommodation costs). Those improvements were taken forward in collaboration with the RCN and further work is planned to review the full package of support for those in receipt of the nursing, midwifery and paramedic student bursary. This work will be taken forward in conjunction with the Nursing and Midwifery Taskforce, which will shortly be making recommendations about the education and development of students and the existing workforce as part of its’ wider remit to make Scotland the best place to be a nurse or midwife.

The Scottish Government package of support for Scottish student nurses and midwives is at its highest level and remains the highest level of support available to nursing and midwifery students across the UK. The annual £10,000 bursary is non-means tested and non-repayable. Eligible pre-registration students also receive free tuition and funding for placement expenses – this includes travel and where appropriate accommodation expenses. Furthermore, uniforms, disclosure checks and health checks are also provided.

Students may also choose to explore registering with the Bank of healthcare workers at local NHS Boards which can provide a variety of paid opportunities, indeed many already take this up to supplement their income and experience. Whilst Bank work does not provide guaranteed work, it allows NHS Boards to offer students employment as and/or when the need arises in their local area. Once a student is registered with the Bank some Boards may also offer students a part time fixed term contract at a maximum of 15 hours per week. The opportunities which are available will vary between Boards, depending on their current and future requirements.

Our prevention agenda has seen the implementation of various strategies, addressing the fundamental drivers of inequality; encouraging early intervention and support; and promoting environments that support healthy lifestyles.

This has included tackling some of the root socioeconomic drivers of heath inequalities with the allocation of around £3 billion a year to a range of actions to tackle poverty and mitigate the impacts of the cost-of-living-crisis. We are also delivering Community Link Workers and Welfare Rights Advisors to offer advice on housing, social security and employability issues within GP practices across our rural and deprived communities.

To support and encourage positive health behaviours SG has continued to take forward a range of actions. This includes the implementation and subsequent expansion of Minimum Alcohol Pricing to reduce drinking at harmful levels by setting a floor price for each unit of alcohol. We are tackling the adverse effects of smoking through our Tobacco and Vaping Framework. We continue work to ensure that everyone eats well and has a healthy diet through our Diet and Healthy Weight Delivery Plan, we are currently consulting on a set of proposed regulations to restrict promotions of less healthy food and drink.

The Scottish Government remains committed to our ambition to improve the health of our population and tackle health inequalities. We know that to achieve this we must focus on preventing illness and promoting wellbeing and tackling some of the wider determinants of health. Going forward, we will build on this progress and continue to prioritise prevention as a key component of our wider healthcare strategy.

As set out in answer S6W-26380 on 16 April 2024, the Nursing and Midwifery Taskforce has held four ministerial led meetings in April, July, December 2023 and March 2024. The Taskforce has also held two official led meetings in June 2023 and March 2024.