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NHS National Procurement has confirmed that arrangements have been made to make Ronapreve available in Scottish Hospitals.

Commissioning guidance was issued to Health Boards on 17 September, and work is ongoing to ensure that Ronapreve can be administered as quickly as possible where clinically appropriate.

We remain on track to increase the number of GPs working in Scotland by at least 800 by 2027. We have taken a number of actions, including increasing the number of medical places at universities, and taking steps to encourage medical graduates to choose general practice. To that end, between 2015-16 and 2021-22 the Scottish Government will have increased the annual intake of medical places in Scottish universities from 848 to 1117 (269 places, a 32% increase). The majority of these new places are focused on general practice.

By increasing the amount of undergraduate curriculum that is delivered in general practice to 25%. We are confident increased exposure to general practice will encourage more students to train as GPs. With an increase of 89 GPs in 2019/20 we are now confident we are starting to see the positive impact of these actions.

Number of GPs working in Scotland since 2017

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.

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

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.

Ambulances are not single-crewed other than in exceptional circumstances, such as short notice unplanned staff absences, and every effort is made to double crew ambulances through rostered and relief staff, overtime or our bank staff.

Unfortunately as a result of COVID-19 there has been occasions where single crewing has had to be used as a result of late notice staff abstractions, however we are continuing to work with the Scottish Ambulance Service to reduce this where possible.

The following table outlines the number of single crew shifts, not ambulances each year since 2017/18.

The Scottish Government recognises vaccines approved for use in the UK regardless of where they were administered to determine whether a person has completed their primary dose or whether they require additional doses to be fully vaccinated.

Those who have been vaccinated out-with the Common Travel Area (CTA) should obtain proof of their vaccination status from the country they received their vaccination. For domestic certification purposes, we will accept proof of vaccination from across the UK and Crown Dependencies as well as from members of the EU Digital Covid Certificate Scheme.

For those who have proof of vaccination status from out with the CTA and the EU, domestic certification rules for international visitors will align with current border rules. Visitors from international countries out-with the CTA and EU scheme will require to provide the same proof of vaccination status that is accepted for entry to the UK.

Those who have received a final dose of a UK approved vaccine in Canada at least 14 days before travel are currently recognised as fully vaccinated and can use their proof of vaccination for domestic certification purposes. More information on this can be found at: Coronavirus (COVID-19): international travel and managed isolation (quarantine) - gov.scot (www.gov.scot) .

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.

As of 12 October 2021, 36 projects have been awarded funding through the Green Jobs Fund (GJF). This amounts to £8,944,969 of funding across 18 different local authority areas. The total number of jobs to be created from this first allocation of funding is expected to be 517.8 FTE. A second GJF funding allocation round will take place later this year.

The following table shows the breakdown of current awards by local authority, detailing the amounts awarded, the number of awards made and the number of jobs expected to be created in each local authority as a result of the funding allocated.

The Scottish Government encourages essential workers, along with the wider adult population and secondary school-aged pupils, to participate in regular asymptomatic testing irrespective of their vaccination status.

The Scottish Government’s asymptomatic workplace testing programmes provide free test kits to a wide range of public, private and third-sector businesses and organisations. Different testing regimens are employed as appropriate to the setting. Most workplaces offering regular asymptomatic testing use twice-weekly testing with lateral flow devices. Weekly polymerase chain reaction (PCR) testing is offered to specific cohorts of staff, including Scottish Prison Service staff and health and social care staff working with clinically vulnerable patients.