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Scottish Government sets the strategic direction for the NHS in Scotland, operational matters including staffing and the recruitment is the responsibility of health boards as autonomous institutions.

Decisions will depend on the service needs of each board taking account of national, regional and local priorities, and we expect NHS boards to plan and provide safe, effective and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

The NHS Scotland Operational Improvement Plan, set out the actions Scottish Government have identified to improve NHS Scotland delivery.

This will primarily be driven through reform of NHS Scotland care delivery such as, increasing capacity by optimising national and regional working across Health Board boundaries, reducing waiting lists and targeting investment into the system where it can be most effective. This includes targeted funding for extra recruitment, with assurance provided to Health Boards on recurring funding.

Whilst the Scottish Government sets the strategic direction for the NHS in Scotland, operational matters including staffing and the recruitment is the responsibility of health boards as autonomous institutions.

Decisions will depend on the service needs of each board taking account of national, regional and local priorities, and we expect NHS boards to plan and provide safe, effective and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

Scottish Government recognises that throughout their career, employees, including radiologists and oncologists, will face differing demands on their time and energies at home as well as at work which may lead to them leaving the workforce below the age of 50.

The national ‘Supporting Work Life Balance’ workforce policies to provide staff with a range of flexible working options to help them to balance their lifestyle whilst maintaining and promoting the best possible service to our patients and service users.

Further, Scottish Government are supporting staff throughout the NHS, including radiologists and oncologists, through funding of over £2.5m annually to support staff wellbeing. Evidence shows that positive wellbeing enhances staff retention and engagement, which in turn raises standards of patient safety and quality of care.

This funding provides our workforce with access to psychological interventions and therapies, self-service resources through the National Wellbeing Hub and the National Wellbeing Helpline delivered by NHS 24. Registered staff also have access to confidential mental health services through the Workforce Specialist Service (WSS).

Over the last ten years we have increased the Consultant Radiologist workforce by 27.7% (from 304.5 WTE as of March 2015 to 388.9 WTE as of March 2025).

Scottish Government is committed to supporting NHS staff, including radiologists, through the provision of over £2.5 million in annual funding dedicated to staff wellbeing initiatives. This funding provides our workforce with access to psychological interventions and therapies, self-service resources through the National Wellbeing Hub and the National Wellbeing Helpline delivered by NHS 24. Registered staff also have access to confidential mental health services through the Workforce Specialist Service (WSS).

These resources play a vital role in helping the workforce manage mental health challenges, supporting their return to work and enhancing the quality of care they can provide.

Whilst Scottish Ministers are responsible for determining the strategic policy of the NHS in Scotland, NHS Boards are responsible for delivering their services, including making decisions to outsource NHS contracts to the independent sector where appropriate to meet the Board’s needs.

We have expanded the Clinical Oncology and Medical Oncology specialty training programmes since 2014. The Scottish Government is working directly with NHS Education for Scotland (NES) to increase supply into Clinical and Medical Oncology and promote these options as an attractive career choice by future applicants.

Further, we have been expanding Internal Medicine Training (IMT) numbers, for example, which is a pre-requisite for various higher specialties including Clinical and Medical Oncology. This will increase front-end supply into several higher-level specialties including Oncology. The IMT programme has filled at 100% for the past five years.

Health and safety legislation applies to all employers across the UK without exception and is a reserved matter under the authority of the UK Parliament.

It is an employer’s duty to protect the health, safety and welfare of their staff and where death or injuries at work occur, there are a range of reserved offences which can be used to hold employers to account, if they are found to be criminally liable.

The Health and Safety Executive states one factor that Scotland’s higher workplace death rate is in part due to more workers in high-risk industries.

The Scottish Government promotes workplace health and safety through its Fair Work policy and supports initiatives like Healthy Working Lives, a Public Health Scotland programme offering resources and training to improve workplace wellbeing.

The Scottish Government has launched the Cardiovascular Disease (CVD) Risk Factors programme to improve CVD outcomes with an aim to ‘reduce avoidable CVD death by 20% in 20 years’. The focus is on improving the identification and management of key risk factors which are; high blood pressure, high cholesterol, raised blood sugars, obesity and smoking.

We have also established a new GP enhanced service from the 2025-26 Reform Fund to support 100,000 patients who are at risk of developing CVD.

Our Population Health Framework, soon to be published in partnership with COSLA, will support the creation of environments that positively supports health and wellbeing. It will focus on prevention and tackling the building blocks of health—including good early years and education, fair work and income, healthy places, equitable healthcare, and the broader social and economic drivers of ill health.

Clinical radiology specialty training programmes have been filled at 100% in Scotland from 2014 to 2024, with 230 resident doctors successfully completing the training in this period.

The Scottish Government continues to invest heavily in radiology training. We are currently funding around 190 specialty training places in clinical radiology, including 78 extra places which have been added since 2014, based on modelling and future workforce need.

The Scottish Government’s Cardiovascular Disease (CVD) Risk Factors programme aims to reduce avoidable CVD death by 20% in 20 years. The focus is on improving the identification and management of key risk factors which are; high blood pressure, high cholesterol, raised blood sugars, obesity and smoking.

A key principle of the programme is to extend cardiovascular disease prevention efforts to those we know are at highest risk and particularly underserved by existing models of care.

We have also established a new GP enhanced service from the 2025-26 Reform Fund to support 100,000 patients who are at risk of developing CVD.

The Safe Delivery of Care in acute settings maternity inspections were introduced to ensure that all service users in maternity services receive the highest standard of care, as well as to identify opportunities for learning for all NHS Boards. NHS Boards are expected to address the requirements identified by Healthcare Improvement Scotland during inspections as a priority and within the timescales set out in their Improvement Action Plan. We expect that all NHS Boards will consider the findings in these reports and my officials continue to work with maternity service leaders to ensure that the findings are communicated effectively and to identify any national level actions required to improve care.

We remain committed to continuous improvement in maternity services across Scotland. As part of this, we have commissioned Healthcare Improvement Scotland to develop a set of maternity standards designed to drive improvements in care at a local level, expected to publish in Spring 2026. In parallel, our Scottish Patient Safety Perinatal Improvement Programme continues to work with maternity services across Scotland to drive improvements in care for mothers and babies.

As part of our’ Best Start’ Programme we published the new Pathway of Maternity Care in February 2025. This Pathway illustrates compassionate, individualised, person-centred core maternity care that all women and their babies should receive.