Chamber and committees

The Scottish Government has supported NHS boards, throughout the year to develop and refine their winter plans for 2012-13. As part of this process, the Scottish Government held a national winter planning meeting and two regional winter planning events with NHS boards to review last years winter and to make preparations for this winter, including discussions on staff cover.

Winter preparations have been discussed with the chairs of all NHS boards at our monthly meetings. The NHS Scotland chief executive has also held discussions with NHS board chief executives.

The Scottish Government issued “Preparing for Winter Guidance” to NHS board chief executives on 16 October 2012.

On 29 November the Scottish Parliament voted in favour of the set-up of a supported workplaces task force.

A review of all Scotland’s supported businesses is currently underway and will conclude by March 2013. It is my intention that the group will be in place in time to consider the findings of the review.

I will make an announcement in Parliament on 18 December to provide details of financial support that will be put in place to help redundant Remploy workers to enter new employment.

At the present time, this scheme will be available only to disabled ex-Remploy workers but should any other supported businesses close during the period of the scheme, I will consider each case on its own merit.

A review of all Scotland’s supported businesses is underway and we hope that this process will assist them to strengthen their long-term viability where necessary.

The position remains that claims still do not provide sufficient detail about the comparator jobs to allow an estimate to be made of the likelihood of the success of the claims or of any financial impact that they may have. Until such time as the claimants identify the comparator(s) upon whom they rely and the contract term which they say is unequal, no consideration can be given to settlement.

The NHS Scotland Central Legal Office and Equal Pay Unit are continuing to monitor the progress of all equal pay claims in NHS Scotland as well as developments relating to NHS equal pay claims elsewhere that may further inform the position. They continue to advise that it is not possible to provide any estimated settlement date at this stage because of the lack of information available.

The number of outstanding equal pay claims is now 10,035, which are broken down by NHS board in the following table. It should be noted that at present the cases are being dealt with on a pan Scotland basis.

As there are no further NHS ‘test’ cases being run in England, NHS Scotland is not awaiting any developments in other part of the United Kingdom. However as the Scottish legal system/Employment Tribunal Office will take account of any Employment Appeal Tribunal (EAT) decision in England, as an EAT decision is binding in the Scottish legal system, the Central Legal Office continue to monitor the position in other parts of the United Kingdom.

No decisions have been taken about changes to children’s services in NHS Lothian, Fife or Borders.

In developing any proposals for change, health boards would be expected to comply fully with CEL 4(2010) on Informing, Engaging and Consulting People in Developing Health and Community Care Services.

The following table shows the numbers of trained staff and senior grade trainees (Whole Time Equivalent) required to run Paediatrics Services in the South East Region.

The numbers of trainees required for each Board are calculated to allow adequate daytime service, out of hours cover, prospective cover for sickness and study leave and an acceptable standard of training and education.

These numbers may be supplemented by junior grade trainees who are not able to work without supervision.

The information shown above is accurate as of 5-12-12, although numbers in post and future predictions will change as staff/trainees notify periods of absence or return from periods out of programme.

Notes

Variation in Lothian trainee figures caused by uncertainty over whether trainee will return after maternity leave working 0.6/0.7/0.8

Numbers may go down in Lothian by up to 2.0 WTE should 2 trainees due to achieve Certificate of Completion of Training (CCT) in February/March 2013 be successful in obtaining consultant posts.

SCOTTISH GOVERNMENT

I refer the member to the answer to question S4W-11487 on 7 December 2012. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.

It is the responsibility of NHS boards to plan and deliver clinical services, including paediatrics. However, in preparing their workforce plans, boards are required to consider relevant local issues and demographic changes and assess the resultant demands and implications for service delivery.

Prior to 2009, the annual decisions in respect of the number of trainee places across Scotland for each specialty, including paediatrics, was based on information submitted to the Scottish Government by boards in respect of projected future medical workforce requirements. Trend information on number of leavers and the age profile of the medical establishment was also factored into national modelling.

Since 2009, the Scottish Government has been working in partnership with NHSScotland to move away from a service delivered by trainee doctors to one which is delivered predominantly by trained doctors.

In 2009, boards were asked to develop models of care to reflect the proposed reduction in trainee doctors under the Reshaping the Medical Workforce Project. They were invited to consider which activities undertaken by trainee doctors were directly service related, were training related and which only a doctor could deliver. Boards were then asked to consider the best way to replace or redesign all of these activities and assess the workload required to be done by doctors, how many and at which grade.

This information was analysed by the National Reshaping Medical Workforce Project Board, supported by the Reshaping Governance Working Group, and informed advice to Ministers in respect of specialty trainee intake for the years 2010 to 2012 and to give indicative numbers for entry in 2013 and 2014. A working assumption of 1% growth per year was applied to most specialties, including paediatrics, on the basis of predictions for future growth (and the subsequent number of trainees required to supply future consultant requirements).

Every year since, the working group has liaised with boards and NHS Education for Scotland on projected future medical workforce requirements and reviewed relevant working assumptions, before submitting its recommendations to the project board, which in turn forwards its advice to ministers. To date, the 1% growth assumption has been considered appropriate and been applied in respect of paediatrics.