Chamber and committees

NHS Scotland’s staffing levels are at a record high, following nine years of consecutive growth. This includes record numbers of staff within the nursing and midwifery job family.

Creating new vacancies is an essential part of workforce expansion and are to be expected as we work to rapidly grow our nursing and midwifery workforce. The nursing and midwifery establishment has increased by 7.6% in the last year, or by 4,924.6 whole time equivalent posts. 77% of the nursing and midwifery vacancies reported at September 2021 have been recorded in the last three months, reflecting the extensive range of new posts being created.

We have announced a record £300 million of investment to support Health Boards and their staff over the coming months, as well as over £1 billion of funding through the NHS Recovery Plan. Through these investments, £4.5m of funding is being made available to Health Boards to attract registered nurses from outside Scotland. This is supplemented by an additional £1m to enhance Boards’ capacity for international recruitment, and £1m of recurring funding to fund International Recruitment Lead posts in Boards. We are also investing £11 million over the next 5 years in new recruitment activity and through the recent launch of the National Centre for Workforce Supply, which will coordinate national and international recruitment campaigns and support Health Board recruitment teams.

We have also worked with Boards to take forward a nationally coordinated recruitment campaign for midwives, and will undertake a focused national marketing campaign for the recruitment of Band 5 Nurses early in the new year.

We continue to invest in the domestic supply of nurses and midwives through the long-term growth of funded education programmes. Student nurses and midwives entering funded degree programmes will increase in 2022-23 to a total recommended intake of 4,837. This will be the 10th successive intake, doubling the number of students in the last decade.

For information on Scottish Government action to address nursing vacancies I refer the member to the answer to question S6W-05019 on 5 January 2022.

NHS Lanarkshire is receiving a proportional share of funding allocations for the recruitment of qualified nurses and the enhancement of Health Board recruitment capacity.

NHS Lanarkshire's qualified nursing and midwifery workforce has increased by 28.5% since 2006, exceeding the 12.1% growth across NHS Scotland.

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 draft Budget for 2022-23 provides £40 million in support for bus services as patronage recovers from the COVID-19 pandemic. This is in addition to the continuation of pre COVID bus service support funding of £53.5 million. Where coach operators run registered local bus services they may also be eligible for this support.

We are working with operators to monitor the impact on service levels and changes in vacancy levels. My officials are also in regular contact with the Department for Transport regarding issues about delays to licence applications and driver testing, which have affected recruitment and training.

In addition, officials across the Scottish Government are working with the bus sector to facilitate solutions to workforce issues through the Labour and Skills Shortages Action Plan, and connecting Local Employability Partnerships (LEPs) who are aware of opportunities in their areas with bus service operators (through the Confederation of Passenger Transport (CPT)).

Examples of good practice are being shared across the network of both LEPs and members of CPT to encourage more local level collaboration that matches the needs in each area. For example, all LEPs have been made aware of the successful recruitment fairs run for McGills/Xplore Dundee by Dundee LEP.

Self-isolation can be difficult, but it is essential to protect people and reduce the spread of Coronavirus. The Scottish Government is fully committed to supporting low income workers who have to isolate. That is why we have put aside £100m for increased spending on the Self-Isolation Support Grant to ensure that low income workers won't experience financial hardship as a result of doing the right thing.

Between the start of the scheme and 31 October 2021, 48,810 Grants have been awarded totalling £25.3 million. Eligibility has also widened to allow many more workers to access the support available. Workers earning less than the Real living Wage, living in households whose income is less than 25% above their Universal Credit level or receiving Council Tax Reduction are all eligible if they have to isolate. Additionally, carers of adults who need assistance to isolate and parents or carers of children who are isolating may also be eligible if their caring responsibilities prevent them from working. More information on eligibility including a checker tool is available at Self-Isolation Support Grant (£500) - mygov.scot

Those workers who are not eligible for the Self-Isolation Support Grant may be eligible for an emergency grant from their local authority. Scottish Welfare Fund Crisis Grants are available to all people regardless of their current benefit eligibility. They are specifically designed to provide a safety net when an emergency situation occurs and there is no other way to cover costs.

In addition, support can be provided via the Local Self-Isolation Support Service which is a proactive outbound call service operated by local authorities. The service calls people who are self-isolating, and who are happy to pass on their details. This service helps with support to access food, medication, and other essentials, whilst also signposting to further advice services. Help can be provided by contacting The National Assistance Helpline on 0800 111 4000 which anyone can contact, and operates between 09.00 to 17.00 every weekday.

(a) There are no current plans to change the value of the SISG. It is not intended to be a direct replacement for lost income but remains reflective of the financial impact on workers who have to isolate. For most people who qualify for the Grant, £500 will be more than they would normally earn during that period.

(b) We have committed to making sure that eligibility for the Grant aligns with the public health policy on isolation. In particular during times of uncertainty or when a new variant such as Omicron arose, it is important to make sure that low income workers can follow the public health guidance without having to worry about being worse off as a result. Since the Grant began, it has facilitated both local and national changes in health policy such as extending eligibility as part of a local secondary contract tracing exercise and widening access in Omicron cases. Our approach is to continue to ensure that the grant will be available should it be needed.

Claims of bullying behaviour by civil servants are untrue. All members of the National Advisory Committee for Chronic Pain (NACCP) are free to make whatever contribution they wish to discussions.

All committee members are required to abide by the behaviours set out in the Terms of Reference, including the values of respect and mutual collaboration to agree recommendations to help improve care for people with chronic pain. If these behaviours and values were not met, this would be taken very seriously and addressed.

As at December 2021 four representatives of the Chronic Pain Patient Reference Group attending the NACCP had written to officials to resign their positions. Two resignations took place in June 2021, with one in each of October and November 2021. It would not be appropriate to divulge the specific reasons cited by each individual, however I am clear that officials acted on the relevant feedback provided.

For example, as a result we are currently reviewing existing stakeholder engagement processes and structures around our work on chronic pain, including the role of the NACCP. The outcome of this work is intended to ensure meaningful engagement to support the future delivery and implementation of the Framework for Pain Management Service Delivery following completion of the current public consultation.

According to Rape Crisis Scotland, as of October 2020 and December 2021 waiting list times for each centre were as follows:

Police Scotland collate missing persons statistics and have provided information from the legacy National Missing Person Database and the current National Missing Person Application which is used to record data on missing people.

Prior to 2016 missing persons incidents recorded by the Police Scotland were recorded and broken down by police divisional areas not by individual local authorities. From 2016 Police Scotland has been recording and reporting both missing persons incidents and missing persons episodes.

A missing person incident is an instance where Police Scotland receive a call reporting a missing person and the incident is logged on the command and control system (STORM). A missing person episode is when someone is reported missing to Police Scotland and a police investigation is then initiated and recorded.

Therefore, depending on the circumstances, a missing person incident may or may not become a missing person episode, such as when someone is reported missing and found quickly without the need for a full investigation.

The information the member has asked for can be broken down as follows:

Missing Person Incidents recorded in each police division from 2010.

a) Since 2019 the Scottish Government has increased legal aid fees by 8% with a further 5% committed to in early 2022. This is a total rise of 13% set against a backdrop of difficult public finances and compares well to public sector pay increases. The 5% plus 5% increases are part of an over £20m package of support for legal aid providers, in the context of the COVID pandemic. This included a £9m grant fund, payments for which were completed in September 2021 and £1m for legal aid trainees over this and next year.

The legal aid Fund is demand-led and is not cash limited. The report of the Independent Review of Legal Aid, published in 2018, found that Scotland’s legal aid system benchmarked well against other countries. The report set a long-term vision for reform. The Scottish Government has committed to bring forward reforms, including a Legal Aid Reform Bill, during this parliament.

b) With reference to pay comparisons, legal aid providers are private firms. Salaries and terms and conditions are a matter for each business. However, we are committed to the future sustainability of the legal aid system. We continue to be open to discussion and to consider evidence of gaps in the workforce and supporting diversity in the profession. The levers to assist with recruitment which the Scottish Government has undertaken includes £1m of funding over this year and next to support the costs of employing trainee solicitors.