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The Scottish Government does not hold official data on the unregistered workforce. However we do know that there were at least 4,869 Personal Assistants (PA’s) providing social care support to adults who were in receipt of either Self-directed support option 1 or from Independent Living Fund Scotland in 2021.

This data was captured from those Personal Assistants who applied for the Scottish Government Covid-19 thankyou payment which can be found here PA Programme Board Resources - Self Directed Support Scotland | Self Directed Support Scotland (sdsscotland.org.uk) .

A PA Programme Board was established in 2021 with a membership from the public, third sector and organisation’s representing disabilities. A co-produced Work Plan was developed which includes objectives to understand, grow and support the PA workforce including developing better research of this little known workforce.

The Personal Assistant workforce are employed by the person with social care needs or their family. The employer may also use funding from a variety of public sources as well as self-funding, as such there is no locus for SG to mandate the collection of this data. However, there will be an option to count all those non family member PAs from 2024 onwards as this workforce must be PVG checked from that date.

There has been a successful application for a PHD funded by the Scottish Graduate School of Social Science. This position will start in October and will research PA assistance for disabled people, changing labour markets and social care reform. The PA Programme Board will be a collaborative partner with Glasgow University.

The Connecting Scotland programme aims to ensure that people in Scotland have access to digital services by providing them with opportunities to access and utilise devices, connectivity, skills, and support effectively. To date, the Scottish Government has committed over £48m to Connecting Scotland, through the Programme for Government and Winter Package for Social Support.

We use a range of measures to monitor the wellbeing of the workforce taking into account the diverse nature of the workforce operating in a range of roles and geographies, the broad spectrum of wellbeing needs at both a professional and personal level and different reporting arrangements across sectors. Our approach reflects a combination of the following measures; the annual iMatter survey, feedback from local and national staffside and other stakeholder channels, academic research, data collected by regulators and partners and evaluation of nationally-led initiatives. In addition, the Wellbeing Champions Network is now well-established to provide feedback on areas of priority need, and to share best practice across health, social care and social work organisations.

We are continuing to work with leaders across health, social care and social work, as well as hearing directly from staff, to understand where the current pressures are, and what further actions can be taken to mitigate their impact on staff. We are working on a range of local initiatives designed to meet the basic and practical needs of staff, and their teams. This includes access to quiet spaces to support health and wellbeing, and the installation of lockers.

The Scottish Government has established a Workforce Data Information and Intelligence Improvement Programme to support the ambition of the National Workforce Strategy for Health and Social Care in Scotland in achieving its vision of a ‘sustainable skilled workforce with attractive career choices and fair work where all are respected and valued for the work they do’.

This ring-fenced Programme of work focuses specifically on delivering actions which improve Health and Social Care workforce data, information and / or intelligence at national level which will contribute to better decision making, planning and strategy for the Health and Social Care Workforce in Scotland.

This work will be integrated, where appropriate with service delivery plans across the system, working towards a consistent approach to analysing the workforce and workforce data for future planning.

To ensure collaboration with stakeholders the programme is governed by the National Workforce Forum which has cross-sector representation from primary, secondary and social care. Two projects within the Programme are currently live, both governed and actioned by a cross-sector team of key stakeholders, including Project Teams and User Needs groups.

The first project is developing a process for annual workforce projections modelling. High level conclusions from initial projections modelling will be published in early 2023 and include details of assumptions and methodology used in development of the projections model.

This work will be further developed iteratively in response to emerging evidence and data and to capture the complexity of the health and social care workforce and its inter-dependency with financial and service planning.

The second project involves identifying key data links and gaps to address which will improve parity of data collection, design and data quality across the Health and Social Care workforce. User needs assessments of the current workforce data are currently underway across the Health and Care landscape.

The Programme’s medium and longer term plans will involve collaborating with service and financial planners to scope work to better integrate workforce data with service and financial delivery plans for health and social care.

An update on the National Workforce Strategy for Health and Social Care will be published later this year.

Our aims for Digital Skills & Leadership for all staff across Health & Care in Scotland are delivered by the cross-sector Building Digital Skills & Leadership Programme hosted by NHS Education for Scotland.

This Programme that has funding in place until June 2023 has been incorporated into Priority Four of the ‘Care in the Digital Age: delivery plan 2022 to 2023’ that was published on 8 November 2022. Details of this programme within the delivery plan can be found on the Scottish Government website at:

Care in the Digital Age: delivery plan 2022 to 2023 - Digital Skills & Leadership

We recognise that the opportunities offered by digital are continually evolving and we need to continually explore those opportunities to transform our services for patients and service users. Our further plans for Digital Skills & Leadership will be outlined as part of an update of the delivery plan by April 2023 taking account of the budget available for 23/24 and further opportunities to support and accelerate reform.

I refer the member to the Scottish Government’s publications webpage. You can find the framework here: Acute Oncology Service (AOS) in NHS Scotland: principles - gov.scot (www.gov.scot)

63% of respondents for whom health was a relevant concern told us that their ability to access health services was much better or a little better after receiving support from Connecting Scotland. 36% of respondents told us that their ability to access health services hadn’t changed and 1.4% said that access was worse or much worse.

If this result was reflected across the entire Connecting Scotland cohort of over 60000 people receiving devices, we could estimate that around 38,000 of those would have experienced some improvement in accessing healthcare services.

Overall this result indicates a positive impact of Connecting Scotland support on people’s ability to access the health services they need. It may be that respondents who felt there had been ‘no change’ in this respect already had a routine means of accessing the healthcare services non-digital channels (e.g. ordering repeat prescriptions over the phone). With more and more digitisation of healthcare service touchpoints being implemented in order to create efficiencies and save money it is likely that the numbers of people using their Connecting Scotland device and internet connection for this purpose will show an increase with time.

Here are some of the things that Connecting Scotland users have told us about how it has benefited them to use their device and internet connection to access health services:

“Allowing very important near me medical calls”

“Being able to access health services much easier, including managing appointments and medicines.”

“It has allowed us to do more things and stayed connected to appointments within the NHS, so I've been able to attend my hospital appointments via the tablet and it allows me to see things on a bigger screen than a small mobile phone (I have bad vision).”

(Aggregated survey data for phases 1 and 2 of Connecting Scotland. There were 1174 responses overall for whom access to health services was relevant.)

As outlined to the member in parliamentary question S6W-13453 on 26 January 2023, the national framework for acute oncology services has been published. The framework lays out the agreed key principles that underpin an effective Acute Oncology Service (AOS) in NHS Scotland and outlines the clinical standards and proposed outcome measures against which services can be developed and monitored.

In addition, we have committed to increasing the acute oncology workforce as outlined in the National Workforce Strategy for Health and Social Care.

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

To date, the NHSScotland ‘Once for Scotland’ Workforce Policies Programme has refreshed the following PIN policies and process:

• Attendance
• Bullying and Harassment
• Capability
• Conduct
• Grievance
• Workforce Policies Investigation Process

These were launched on 1 March 2020.

In addition, the NHSScotland Whistleblowing Policy that includes the National Whistleblowing Standards was published in April 2021.

Following a pause due to the pandemic, the ‘Once for Scotland’ Workforce Policies programme of work has formally restarted.

The objective of the Once for Scotland Workforce Policies Programme is to produce refreshed, simple, standardised and person centred policies that are:

• accessible on an innovative digital solution;
• dynamic and interactive with staff and managers at the centre of policy and digital development;
• national standard for employment practice in NHSScotland.

This programme of work has and will continue to be progressed in partnership with representation from NHSScotland employers, trade unions and the Scottish Government using a dynamic and interactive engagement process involving all key stakeholders.

The Programme Board, that also has representation from the Scottish Government, Employers and trade unions, oversee and drive this work, supported by policy and digital development groups. The Programme Board reports to the Scottish Workforce and Governance Committee.

I refer the member to the Scottish Governments National Workforce Strategy for Health and Social Care, where we committed to developing a Remote and Rural Workforce Recruitment Strategy for Health and Social Care by the end of 2024. An update on the National Workforce Strategy for Health and Social Care will be published later this year.