Seòmar agus comataidhean

The focus of Scottish Government remains on pandemic response and supporting the NHS and its entire workforce through this challenging winter and beyond. The wellbeing of the entire workforce of the NHS is a key priority which is why, in the current financial year, the Scottish Government has made over £12 million available to support the wellbeing of the workforce.

The Cabinet Secretary for Health and Social Care meets regularly with representatives from BMA Scotland, and other trade unions, to discuss and agree actions to support the entire NHS workforce. The next meeting between the Cabinet Secretary and the BMA will take place on 10th January. In addition there is a regular tripartite forum with Scottish Government, BMA and NHS employers which has a focus on all aspects of junior doctors working lives, and agrees and implements actions to improve these.

Through this group several important actions have been implemented including abolishing junior doctors working more than seven days in a row, and ensuring no junior doctors works for seven night shifts in a row.

We have agreed with BMA Scotland that we will work through this group to explore how we can implement the recommendations contained within the Junior Doctors - 48-hour Maximum Working Week (Without Averaging): Expert Working Group Report. This group will also consider the recommendations in the BMA report Supporting Junior Doctor Wellbeing – Now and for the Future .

The Scottish Government’s commitment to the early diagnosis of cancer is reflected in our £44m Detect Cancer Early (DCE) Programme, which adopts a whole-systems approach to diagnosing and treating cancer as early as possible – ranging from screening and public awareness campaigns to diagnostics and data. The NHS Recovery Plan, published August 2021, commits an additional £20m for the Programme.

In terms of data, Scotland already publishes a range of quality data-sets which include blood cancers. Some examples of these are our quarterly published Cancer Waiting Times data which includes lymphomas, our annually published Cancer Mortality data which has blood and lymphatic cancers included, and our annually published Cancer Survival stats which includes blood cancers.

In addition to this, the National Cancer Data Group is an established advisory group containing relevant clinicians and stakeholders, and meets regularly in order to seek improvements in data collection to, in turn, improve cancer outcomes in Scotland.

Our officials are currently in discussion with the Blood Cancer Alliance to arrange a meeting early this year, to explore how further improved outcomes for patients diagnosed with blood cancers can be achieved.

Following the urgent roundtable meeting I chaired on 4 November, I met with partners and representatives from across the sector on 8 December. The key outcomes were a focus on training and prevention, with the Violence Reduction Unit supporting Police Scotland and Night Time Economy Partners to continue to roll out bystander training to raise awareness for staff to help keep people safe.

Police Scotland’s Strategic Gold Command continues to monitor the situation, and are working closely with third sector and partner organisations, looking into further protective and preventative measures to combat drink spiking, including a public awareness campaign focused on bystanders and perpetrators. We want people to report if they see something suspicious and to step in if they think someone may be at risk or see someone behaving suspiciously.

I would encourage anyone who believes they have had their drink spiked or been assaulted in this way to contact Police Scotland on 101 or in an emergency 999.

The Scottish Government notes the updated National Institute for Health and Care Excellence (NICE) guidance on sapropterin published September 2021 following a resubmission by its manufacturer Biomarin. The Scottish Medicines Consortium (SMC) previously considered sapropterin (Kuvan) in August 2018 and the medicine was not recommended for use in NHSScotland because the submitting company’s justification of the treatment’s cost in relation to its health benefits was not sufficient and in addition the company did not present a sufficiently robust clinical and economic analysis to gain acceptance by SMC. The submitting company (BioMarin) has not been in contact with SMC regarding a resubmission for this medicine.

The first generic version of sapropterin has received a Marketing Authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA). To support ensuring best value for NHSScotland, NSS National Procurement will shortly be tendering for the future supply of sapropterin to NHS Scotland.

Given the launch of the first generic, we are currently considering how best to provide advice to Health Boards on whether sapropterin should be made available for routine use in NHSScotland, based on the latest available evidence.

The Scottish Government remains committed to transparency on this important issue. Since the last update to Parliament on 15 September, I can confirm that:

• As was the case in September, no invasive cervical cancer has been detected in any individuals who were written to over the summer on this issue and who have subsequently attended either for screening or gynaecological exam.
• Work in reviewing exclusions has continued to be prioritise based on risk, and in early autumn, an audit of all records where an obstetric hysterectomy has been performed was carried out. All individuals identified as either having been or likely to have been wrongfully excluded have now been contacted and re-instated in the screening programme or invited for examination as required.
• Work is ongoing to review the remaining exclusions; the NHS is committed to completing this as quickly as possible, and I will update Parliament on progress in due course.
• Dr Karin Denton is a consultant pathologist with North Bristol NHS Trust and leads the laboratory service for Cervical Screening in the South West of England. She has been appointed to chair the Healthcare Improvement Scotland review of the systems and processes of exclusions in the cervical screening programme. It is anticipated that the review findings will be published in autumn 2022.

We engaged with a range of stakeholders to inform the development of the draft Framework for Pain Management Service Delivery including the people with lived experience who were members of the National Advisory Committee for Chronic Pain (NACCP).

The structure and membership of the Committee was reviewed in 2020 in order to increase representation of people with lived experience and other key groups with an interest in improving care and support for people with chronic pain. As set out in the updated Terms of Reference, the Committee is advisory in nature, and members were encouraged to seek consensus in providing advice. The Committee met in its new format in February and May 2021 with all members invited to attend these meetings. Members were also asked to provide feedback and responses a number of other relevant request between meetings.

All members of the Committee had the opportunity to freely share their views on the priorities for improving pain management support which were used to inform the development of the draft Framework. Lived experience members of the Committee were provided with additional support in their role in a number of ways including: meetings to gather the views of a wider cohort of people with chronic pain via the Chronic Pain Patient Reference Group; being offered the choice to participate in capacity building sessions; and being offered the opportunity to directly share a summary of the views of people with chronic pain both in advance with officials and during Committee meetings as part of dedicated agenda items. We have also carried out a Scotland-wide survey to better understand the priorities of people with chronic pain and increase the range of voices involved.

All members of the Committee had access to the same information and resources throughout the development of the Framework, and were provided with a draft version in advance of the launch of the public consultation.

As communicated to the Committee previously, we are currently reviewing existing stakeholder engagement processes and structures, including the NACCP, to ensure that they are fit for purpose and can meaningfully support the future delivery and implementation of the Framework once the current public consultation has been completed.

I refer the member to the answer to question S6W-05156 on 10 January 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

I refer the member to the answer to question S6W-05156 on 10 January 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 are aware, our NHS is currently facing the most difficult circumstances in its history due to the ongoing COVID-19 pandemic. This is exacerbated at present due to the potential risk posed by the Omicron variant to our healthcare system. This means Health Boards are having to make very difficult decisions about prioritising care, and I know this has an impact on everyone who is waiting for support for their health at this time.

We recognise that this includes people experiencing chronic pain, and that is why we are providing funding to enhance the capacity of pain management care through the Chronic Pain Winter Support Fund. We will shortly announce the outcome of this funding call. The projects we fund will boost the support available for people with chronic pain at the national and local level to help them maintain their health and wellbeing over the months ahead.

This year the Scottish Government has made £12m available to support the wellbeing of the pharmacist workforce. That includes £8m from the NHS Recovery Plan to provide ongoing wellbeing support for the workforce – alongside an extra £4m to provide further support to address winter pressures.

The funding supports the 24/7 National Wellbeing Helpline, our National Wellbeing Hub, Coaching for Wellbeing and the Workforce Specialist Service, alongside tailored psychological interventions for staff, providing individualised wellbeing support focusing on people’s physical and emotional needs.

The Chief Pharmaceutical Officer for Scotland in a joint letter, issued 8 December, with the leaders from the pharmacy sector, including the Royal Pharmaceutical Society (Scotland), has written to all pharmacy teams outlining the range of wellbeing support available to pharmacy teams and encouraging them to access these resources for support when needed.