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We worked with Healthcare Improvement Scotland (HIS) to facilitate an online learning event in August 2021 to raise awareness of and build confidence amongst health and social care staff in Anticipatory Care Planning for people with neurological conditions.

This was attended by over 280 health and social care professionals working with people affected by neurological conditions, including specialist nurses and Allied Health Professionals.

The event explored how the principles of good Anticipatory Care Planning can be adapted for different neurological conditions, including for purposes much broader than end of life care.

We created a Neurological Anticipatory Care Planning webpage with HIS featuring useful tools for professionals and videos of the webinar presentations: ACP and neurological conditions - ihub | Health and social care improvement in Scotland - Anticipatory Care Planning and Neurological Conditions

I refer the member to the Scottish Government’s second Tackling Child Poverty Delivery Plan which committed to offering up to 500 apprenticeship opportunities across NHS Scotland in 2022/23.

NHS Boards deliver a wide range of employability programmes, following the ‘No One Left Behind’ overarching approach which is place-based, needs-led and person-centred. Programmes delivered in 2022-23 have focused on a wide range of groups, including: young people at risk of long-term unemployment, care leavers, veterans and service leavers, and lone parents over the age of 25.

As committed to in the National Workforce Strategy for Health and Social Care, we have been undertaking a data collection exercise to inform future decisions about workforce investment. This work is being led by the Scottish Cancer Network, which is engaging with local boards and professional representatives.

A final report, including recommendations, will be provided to the National Oncology Taskforce in the first quarter of 2023. The Taskforce is made up of NHS Board Chief Executives and Medical Directors, and will seek national solutions to ensure the longer term resilience of oncology services in Scotland.

We have recruited a multi-disciplinary cross-agency working group, including a broad spectrum of individuals involved in planning and commissioning services, to develop and implement a quality assurance programme for the General Standards for Neurological Care and Support. This has been led by Healthcare Improvement Scotland and will support health and social care providers to identify what they are doing well and where they can improve.

Undertaking this work will identify areas of good practice and improvement across NHS Scotland and help to drive forward better standards of care for people with neurological conditions.

We are also in the process of engaging with local leads in all Scottish health boards and Health & Social Care Partnerships, and exploring with them local priorities and scope for establishing leadership groups and a national practice sharing forum for neurology.

In 2021 we supported the Neurological Alliance of Scotland (NAoS) to produce three new ‘What to Expect’ information guides for carers of people with neurological conditions. These guides include information on carers’ rights under the Carers (Scotland) Act 2016 and comprise:

• What to expect when you are new to caring
• What to expect from advocacy services
• What to expect when planning ahead

The guides were endorsed by the Coalition of Carers and are available at the NAoS website: https://www.scottishneurological.org.uk

We are currently supporting the NAoS to undertake a project in early 2023 to work with carers centres assessing current resources and identifying gaps that still need to be addressed regarding information, training and signposting.

In 2019, we published a Neurological Care and Support – a National Framework for Action 2020-25 , with a vision to ensure everyone with a neurological condition can access the care and support they need to live well, on their own terms.

The aims include improving the provision of co-ordinated health and social care and support, developing sustainable workforce models and ensuring high standards of person-centred care.

Since October 2020 we have we have awarded £2.1 million across three rounds of funding to 35 projects by NHS Boards, Health and Social Care Partnerships and third sector organisations working to achieve better outcomes for people living with neurological conditions.

I refer the member to the Neurological Care And Support: A Framework For Action 2020-2025 – Midpoint Progress Report , which contains details of work to support personalised models of care.

This information is not held centrally. This is a matter for Skills Development Scotland and NHS Boards.

We remain committed to the increasing in the Health and Social Care workforce by 1% over the next 5 years, as outlined within the National Workforce Strategy for Health and Social Care.

NHS Scotland official workforce statistics published on 06 December 2022 show that staffing levels have increased by over 2,800 permanent whole time equivalent in the last year (or 1.8% of the NHS Scotland workforce) – representing 10 consecutive years of staffing growth.

‘A Fairer Scotland for All: An Anti-Racist Employment Strategy was published on 9 December 2022 and sets out the actions the Scottish Government will take and how it will work with employers to help make Scotland’s workplaces more diverse, fair and inclusive.

The strategy will support NHS and other employers to:

• improve their collection of workforce data, including reporting their pay gap, and take action on the findings
• take an anti-racist approach to remove barriers in their recruitment, retention and progression practices to improve representation of workers
• drive cultural, attitudinal and organisational change through building an understanding of the impact of institutional racism and the processes and practices in an organisation that lead to the unfair treatment of people on the basis of race.’

Scottish Ministers are already able to access advice and analysis which allows for the triangulation of workforce intelligence at national level. They are fully supported in this by other agencies and organisations, including NHS Scotland health boards and NHS Education for Scotland, which publishes quarterly official workforce statistics and provides associated analysis on the NHS Scotland workforce.

The Scottish Government also continues to work closely with NHS Boards and Health and Social Care Partnerships to improve workforce planning, including the data and intelligence required to carry this out effectively at a local level.

The Scottish Government has established a Workforce Data Information and Intelligence Improvement Programme to support further improvement in data collation and evidence triangulation. This programme is focused specifically on improving the quality and granularity of existing data sets, alongside considering the requirements for gathering new or different data to support better decision making, workforce and service planning.