Chamber and committees

The Scottish Government regularly reviews performance data from the Scottish Ambulance Service which includes data on response times across the country.

This information is normally reviewed weekly, however, given the current pressures being experienced we are receiving twice daily sit reps from the Service on performance.

Like all areas of Scotland, and indeed throughout the UK, we are aware that some patients are experiencing delays in response times from the ambulance service. This is why we have already taken significant action both prior to and since the pandemic to input measures to ensure our Ambulance service has the full resources and range of support in place to deliver services.

We announced an additional package of support for the Service, backed by an additional £20 million of investment, which will help increase capacity and improve response times and staff wellbeing, including assistance from over 100 military personnel.

We have also previously taken action to help with the situation, including an additional investment of £20m as part of the £1bn NHS Recovery Plan. This investment comes from continued involvement with the SAS Demand and Capacity programme which this Government has been involved in since its inception in 2019. It will deliver almost 300 additional Ambulance Service staff by April 2022.

This breaks down as 69 staff in the North of Scotland, 139 in West of Scotland and 88 in the East of Scotland. The additional staff are a mixture of paramedics, newly qualified paramedics (NQPs) and technicians. Extra ambulances and vehicles will also be introduced over the coming months, including two in Edinburgh.

This government has seen an 87.7% increase in consultant oncologists and we’ve increased consultant radiologists by 57.4% (September 2006 – June 2021). We recognise the immense pressure our NHS workforce has been under in response to the pandemic and we are working to provide a sustainable workforce. The National Cancer Plan is backed by £114.5 million and has the potential to provide significant financial support to address cancer workforce shortages.

As part of the work of the National Cancer Recovery Group (NCRG), we are currently carrying out an exercise to identify workforce requirements to help inform wider planning discussions. This will look at roles specifically related to cancer.

Fully vaccinated means that it has been at least 14 days since your final dose of an approved COVID-19 vaccine. To count as fully vaccinated, you must have been vaccinated in either:

1. The UK, including part of a UK vaccine rollout overseas - with an NHS approved vaccine.

2. An EU member state – with a vaccine approved by the European Medicines Agency (EMA).

3. Iceland, Liechtenstein, Norway, Switzerland, Andorra, Monaco, San Marino or Vatican City - with a vaccine approved by the EMA or the Swiss vaccination programme

4. The USA – with a vaccine authorised by the Food and Drug Administration (FDA)

If you’ve not been vaccinated in one of these countries, with an approved vaccine, you should follow the rules for someone who has not been fully vaccinated.

If you live in Scotland and you've received your first, second or both vaccine doses outside of Scotland but in the Common Travel Area, you can get your coronavirus vaccination status via the normal process as records should transfer over to the Scottish system: Get a record of your coronavirus (COVID-19) vaccination status | The coronavirus (COVID-19) vaccine (nhsinform.scot) . If your data is not showing you should phone the COVID-19 Vaccination Status Helpline on 0808 196 8565.

If you have moved to/from Scotland during the vaccine process and only had 1 dose here it is possible to request proof of the single dose you received in Scotland through the normal process. You will need to request proof of your other dose from the country you received it in.

If you received both doses in another Common Travel Area country, you'll need to request your vaccination status from that country.

If you received 1 or both doses in an international country you will need to request proof of those vaccines from that country.

The information requested is not held centrally by the Scottish Government and would require to be obtained directly from Health Boards.

All pandemic PPE procurement undertaken by public sector organisations has been conducted in line with the relevant public procurement legislation and policy. In addition, direct awards have taken place using procedures outlined in Regulation 33 within the Public Contract (Scotland) Regulation 2015.

Information on contracts awarded by the Scottish Government for PPE was included in the answers to PQs S6W-02211 and S6W-02212 on 28 September 2021.

Information on contracts let by other national public sector organisations is a matter for those bodies.

The Procurement (Scotland) Regulations require all public bodies to publish an award notice for all regulated procurements no later than thirty days after the award of the contract. These can be found on the Public Contracts Scotland website: www.publiccontractsscotland.gov.uk

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 COVID pandemic has inevitably affected A&E attendance and the pressure is being felt across the UK. While Scotland continues to have the best performing A&E in the whole of the UK, our NHS staff are facing unprecedented pressures as they work tirelessly and consistently to respond to the pandemic whilst continuing to provide vital treatment and optimal patient care.

Demand on NHS Highland services has been, and continues to be challenged. This is largely due to limited bed capacity due to staffing pressures, and an increase in attendances to A&E by those who are much sicker and require higher levels of care.

We are in daily contact with NHS Highland and continue to support improvement work within the Board and the Health & Social Care Partnerships to minimise delays for patients no matter where they are in the system. We also invested an additional £12 million in the summer to support improvements, NHS Highland has used its allocation to increase capacity in community hospitals.

Additionally, to help alleviate pressures across the whole system we announced a substantial new investment of over £300 million in hospital and community care to support the NHS and social care system over winter. The new funding will support a range of measures to maximise capacity in hospitals and primary care, reduce delayed discharges, improve pay for social care staff, and ensure those in the community who need support receive effective and responsive care, helping to improve waiting times for people attending A&E.

The Vaccination Transformation Programme (VTP) is funded via the Primary Care Improvement Fund, which began in 2018 and will have provided £250 million to health boards up to the end of financial year 2022. The extended flu programme and COVID-19 vaccination programme (including boosters) are outside the scope of this fund, however work to deliver these programmes has helped to build Health Board capacity to vaccinate and complete the VTP.

While elective surgery has not halted in NHS Greater Glasgow and Clyde, there have been reductions in the number of elective surgeries being carried out in order to focus on cancer and other urgent cases.

The scale-down of elective routine surgery is under weekly review, and an increase in sessions is planned from week beginning 18 October; however, this will be dependent on staffing levels and COVID patient numbers.

Officials meet with NHS Greater Glasgow & Clyde’s (NHS GG&C) Cancer Team on a weekly basis to ensure every urgent suspicion of cancer (USC) patient is moving timeously through their pathway. These discussions are based on management information, not in the public domain.

The majority of cancer treatments have continued throughout the pandemic. Where changes have been made to a patient’s treatment plan, due to COVID, the decision is made jointly with the clinical team and patient.

NHS GG&C treated 97.1% of cancer patients within 31 days of a decision to treat being made in Q2 2021. Latest statistics are available via:

https://publichealthscotland.scot/publications/cancer-waiting-times/cancer-waiting-times-1-april-to-30-june-2021/

We recognise the extreme pressure facing the Scottish Ambulance Service due to the Covid-19 pandemic, and our thanks go out to the paramedics, technicians and wider ambulance staff for the continued work they are doing in exceptionally challenging circumstances.

Last month, the Scottish Government announced an additional package of support for the Scottish Ambulance Service, backed by an additional £20 million, which will help increase capacity and improve response times and staff wellbeing.

On 7 September 2021, the Scottish Government published the 2021/22 Programme for Government which confirmed that the Scottish Government will start work on a detailed prospectus for an independent Scotland. The Scottish Government is now determining how this work will proceed and the resourcing it requires, as we do for delivering all commitments in the Programme for Government. It is the role of the civil service to support delivery across the full range of Government commitments.