Chamber and committees

The requested information on how much has been spent on providing (a) staff bank cover and (b) agency staff cover by NHS board since March 2014 can be found on the following link: NHSScotland workforce | Turas Data Intelligence (Bank and Agency) tab.

I refer the member to the answer to question S6W-10578 on 27 September 2022. 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

As you will know our hospitals, particularly across the central belt, are under significant pressure due to the direct and indirect consequences of the pandemic which is impacting on A&E performance.

We recognise the good work underway in each of our Health Boards to implement performance improvement measures. Although NHS Tayside is of a comparable size to some of the other central belt Health Boards, there are substantial differences between the Boards, particularly in terms of geography and population demographics.

NHS Tayside is regularly one of the higher performing mainland Health Boards, with well-established processes and models of care. Through our new National Urgent and Unscheduled Care Collaborative we are actively encouraging the sharing of learning and good practice between Health Boards. To help facilitate this, we are hosting a learning event on 19 October where representatives from all of Scotland’s Health Boards will participate.

It is important that NHS Boards can call on additional staffing when required, in order to deal with the exigencies of the service. It is for NHS Boards to decide when the additional support represented by agency staffing is required but the Scottish Government is clear that Boards should always make use of NHS bank staff as a first choice and the majority of additional staffing needs are met through NHS Scotland’s well established bank system. These act as, de facto, in house agencies. We have over 35,000 nurses registered on NHS Scotland Staff Banks. It would not be appropriate for the Scottish Government to establish a commercial agency. Combined spending on all agency staff (medical and nursing) remains less than 1% of the overall NHS Scotland budget.

The requested information on how many shifts have been provided by (a) staff bank and (b) agencies in each NHS board area in each of the last 10 years is not held centrally.

Information on the total hours worked by Nursing and Midwifery bank and agency staff by NHS board since March 2012 can be found on the following link: NHSScotland workforce | Turas Data Intelligence (Bank and Agency) tab, change measure to 'hours worked'.

This information is not held by the Scottish Government. Pay for directly employed staff would depend on a number of variables like the Banding of the nurse, the length of the shift and whether the shift takes place at night or over the weekend when an unsocial hours premium would apply.

It is important that NHS Boards can call on additional staffing when required, in order to deal with the exigencies of the service. It is for NHS Boards to decide when the additional support represented by agency staffing is required but the Scottish Government is clear that Boards should always make use of NHS bank staff as a first choice and the majority of additional staffing needs are met through NHS Scotland’s well established bank system. These act as, de facto, in house agencies. We have over 35,000 nurses registered on NHS Scotland Staff Banks. It would not be appropriate for the Scottish Government to establish a commercial agency. Combined spending on all agency staff (medical and nursing) remains less than 1% of the overall NHS Scotland budget.

Rates of food insecurity, at household level, have been measured by the Family Resources Survey (FRS) since 2019.

The data for Scotland show that, in 2019-2020, 75% of children lived in households that were food secure; 10% lived in households that were marginally secure. The remaining 15% lived in households that were food insecure (8% ‘low’ food security and 7% 'very low' food security).

Due to the impact of COVID-19 on data collection, the quality of the data from the latest FRS (2020/2021) did not meet official statistics standards. The 2019-2020 survey is, therefore, the latest valid measure.

The Scottish Health Survey (SHeS) has also measured food insecurity rates for individual adults since 2017; the data are not directly comparable to the FRS. The rate of food insecurity for SHeS respondents from households with children was 11% in 2017-2018, and 12% in 2018-2019.

Scottish Ministers remain fully committed to a health service that provides timely, quality care, is free at the point of contact and true to the founding principles of the NHS. The creation of a National Care Service will bring social care in to parity of esteem with healthcare and end the postcode lottery of care provision to ensure that everyone can get the care they need across the country.

Our publicly owned and operated NHS in Scotland makes very limited use of the independent sector for targeted services and to supplement capacity, where necessary. Over the last 10 years, use of the independent sector by NHS Scotland has consistently represented less than 1% of total frontline spend, with spend in 2020-21 being just 0.5% of the total frontline health budget. This compares to 6.8% and 0.8% for NHS England and NHS Wales, respectively. Further detail on spend with independent providers for NHS Scotland is available in Health Boards’ accounts which are published annually on each Health Board’s website.

Social Care services are commissioned by Local Authorities and the information requested would require to be requested from them.

The number of deaths where malnutrition was the underlying cause in any death over the past 10 years is as follows (TABLE 1):