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The quarterly statistics covering the period to end June 2023 are planned to be published on 12 September. The quarterly statistics for the period including to end August are expected to be published in December.

NHS Education for Scotland (NES) are responsible for managing all training provided to doctors in Scotland. NES ensure that all doctors receive high quality training in line with curricula that is set by the relevant Medical Royal College so that they are able to demonstrate that they have met all GMC curricular requirements, in order to practise independently as a GP in the UK.

The General Practice Specialty Training (GPST) programme lasts for 3 years with trainees typically spending 18 months in General Practice and 18 months in secondary care i.e. hospital settings.

All GP practices receive funding for protected time consisting of one session a month (usually within practice time) to allow GPs to maintain and develop their training and skills, and those of their practice teams.

Training currently provided to GPs on the diagnosis and treatment of UTIs include:

1. Educational activities during the first year of training under most GP Speciality Trainees (GPSTs), such as: tutorials, case based discussions, post consultation prescribing checks and referral reviews that are undertaken by their GP educational supervisors.

2. Management of UTI’s (uncomplicated lower UTI’s in females) in primary care also occurs through the Scottish Pharmacy First initiative. https://www.nss.nhs.scot/publications/pharmacy-first-scotland-urinary-tract-infection-uti/ .

3. The RCGP ‘Being a General Practitioner’ Curriculum Guide ( https://www.rcgp.org.uk/mrcgp-exams/gp-curriculum/clinical-topic-guides#kidney ) section on Kidney and Urology includes: Urinary tract infections in children and in adults including lower urinary tract infection, pyelonephritis and persistent/recurrent infection There are questions based on this clinical topic guide within the Applied Knowledge Test (AKT) and Simulated Consultation Assessment (SCA- OSCE style exam) which form essential components of the MRCGP exam.

4. SIGN 160: “Management of suspected bacterial lower urinary tract infection in adult women. A national clinical guideline. September 2020” is a readily available resource for all GPs in Scotland.

5. All GP practices receive an annual prescribing report which focusses on antibiotic prescribing and review of current guidelines on management of UTI’s in primary care. Each Health board has its own guidance - see below:

https://www.clinicalguidelines.scot.nhs.uk/nhsggc-guidelines/nhsggc-guidelines/emergency-medicine/diagnosis-treatment-and-management-of-uti-in-children-rhc-glasgow/

https://handbook.ggcmedicines.org.uk/guidelines/infections/urinary-tract-infections-utis/

6. Evaluation of the impact of Scottish Reduction in Antimicrobial Prescribing (ScRAP) programme on GP Practice management of patients with suspected UTI – is an example of initiatives regularly offered to GP practices to review their antibiotic prescribing. GPs through annual appraisal have to demonstrate annual QI initiatives and many include antibiotic prescribing in UTI’s and compliance with local and national guidelines.

7. Common reference sources used by GPs (GP notebook, NICE CKS guidelines, BNF, BMJ best practice) all have comprehensive sections on management of UTI in adults and children.

The Scottish Intercollegiate Guidelines Network (SIGN) is part of Healthcare Improvement Scotland (HIS) who operate independently of the Scottish Government, Health Boards and Integration Authorities with responsibility for updating SIGN guidelines.

Guidelines on management of suspected UTIs were developed by (SIGN) in September 2020 and the Scottish Government expects all NHS healthcare workers in Scotland to follow best practice when providing care for people with UTIs.

These support clinicians to provide advice to patients and carers on appropriate treatment, risks and lifestyle and behaviour issues which can support management and prevention of UTIs. The guideline also includes the diagnosis and management of recurrent UTIs in these groups.

SIGN guidance is bespoke to Scotland. In NHSScotland, where there is no SIGN guideline on a particular topic, healthcare professionals would be expected to look for another high quality, evidence-based guideline e.g from the National Institute for Health and Care Excellence (NICE).

The Scottish Government does not hold this information centrally. The funding and commissioning of specialist and general palliative and end of life care services, including workforce planning and allocating resources for staffing, is a matter for Integration Joint Boards. A wide range of specialist and generalist staff in hospitals, care homes, primary care, social care, hospices and the third sector, will be involved in providing palliative care to people and their families.

An underlying principle of the new National Strategy for Palliative and End of Life Care for Scotland being developed will be equitable and timely access to palliative care as needed, by each person of any age, living with any illness, in all places.

The Strategy Steering Group has established a number of working groups to address priorities, including a Workforce, Education, Training and Resources Working Group, to support the workforce and ensure care is delivered by a multi-disciplinary and multi-agency workforce that is trained, skilled, valued and supported.

A consultation on the Bill’s proposals ran from 29 August 2022 to 5 December 22, where a wide range of views were received. On 22 June 2023, the Scottish Government published the Agriculture Bill - Analysis of Consultation Responses which details the findings of this extended engagement.

As is convention, following consultation on proposed legislation, Ministers are considering the views received to inform a new Agriculture Bill which will be introduced in 2023. In turn, Parliament will consider the proposals and provide further comment on draft proposals, accordingly.

The Scottish Government do not currently have plans to add a section on chronic UTIs to NHS inform at this time. The NHS 24 Clinical Change Governance Group (CCGG) routinely assess new and updated clinical guidelines to ensure the clinical content on NHS inform is underpinned as far as possible with current clinical evidence. The group will continue to consider what improvements are required regarding information on UTIs based on any new evidence or changes to clinical guidelines or pathways that arise.

NHS inform does advise that if acute symptoms do not improve, get worse, or come back after initial treatment, the patient should return to their GP for further advice. Thereafter the GP should follow relevant clinical guidelines that outline how to treat and manage chronic UTIs for individual patients.

As set out in the Tackling Child Poverty Delivery Plan: Progress Report 2022-23 , the Scottish Government has reviewed existing evidence and engaged with stakeholders in order to understand the challenges to be addressed through a Parental Transition Fund.

This has informed exploration of what support it is possible to deliver using powers available to the Scottish Government, however as a result of the devolved settlement and the Scottish Government’s powers, along with the interaction with reserved tax and benefits, it is not possible to deliver the Parental Transition Fund as originally envisaged.

The Scottish Government remain fully committed to delivering on the ambition of the Parental Transition Fund and to tackling the financial insecurity faced by families when parents and carers enter employment. Working together with partners, we will continue to take action to improve uptake of existing supports and to further strengthen the help available through devolved employability services. Through these actions we will leverage existing investment to tackle child poverty by supporting more parents and carers into sustainable fair work.

The Scottish Government is able to confirm that the ScotRail Peak Fares Removal Pilot will operate between 2 October 2023 and 29 March 2024 in a move which will make rail travel more affordable and accessible over the pilot period and encourage modal shift from private car to rail.

This trial is an exciting and unique opportunity to encourage more people to choose a safe, reliable, and green form of public transport. We know that there is much to be done in encouraging people back to rail if we are to achieve our net zero targets.

The Scottish Government will consider carefully the impact of the pilot and the long-term sustainability of such a proposition before committing to any reinstatement of the pilot after 29 March 2024.

During the pilot, ScotRail will ensure that all fares and products set and controlled by it which are valid in the off peak are valid to travel all day.

On 22 June 2023, the Scottish Government published the Agriculture Bill - Analysis of Consultation Responses which details the findings of this extended engagement and total number that attend the events.