Seòmar agus comataidhean

The Scottish Government wants to ensure that every child can attain the highest level of health and wellbeing possible.

Between pre-birth and starting school, all children in Scotland are entitled to support from our universal Health Visiting service. In addition, 3- and 4-year-olds are entitled to 1,140 hours of funded early learning and childcare (ELC). We have also invested in targeted early years interventions such as the Family Nurse Partnership, ELC funding for eligible 2-year-olds and perinatal and infant mental health services. This work is underpinned by our Early Child Development Transformational Change Programme which focuses on prevention, better integration of policies, identifying policy and implementation gaps, and building collaboration across the whole system.

The health and wellbeing of school-aged children is also supported by Curriculum for Excellence (CfE). Health and Wellbeing is one of the eight curricular areas in CfE and is one of the three core areas that are the responsibility of all staff in a school. Furthermore, the Scottish Government has invested in the recruitment of School Nurses and School Counsellors, both of whom are able to prevent the escalation of health and wellbeing concerns.

Our work across all child health and wellbeing interventions continues to be guided by ‘Getting it right for every child’ (GIRFEC). GIRFEC is embedded across Scottish Government portfolios and helps to safeguard, support and promote the health and wellbeing of all children and young people.

In January 2022, the Scottish Government commissioned research to understand the outcome of primary care reforms for Scottish people. It commissioned a survey to assess public understanding, perceptions and experiences of primary care in the context of recent reforms and the COVID-19 pandemic. The report can be found here: https://www.gov.scot/publications/public-understanding-perceptions-primary-care-scotland-survey-analysis-report/pages/3/

To strengthen the evidence base on the national context for implementation of primary care multidisciplinary teams, including on patient experience and awareness, we have established a Phased Investment Programme. Through this programme, we will work with a small number of areas using an improvement science approach to demonstrate what a model multidisciplinary team can look like in practice and collect evidence on the impact of Multi-Disciplinary Team working which will then inform and support future long term investment.

There has been no formal review of the provision of sexual health and wellbeing services for young people, however the Scottish Government is committed to ensuring that young people across Scotland have access to these services. In 2023 we published our Sexual Health and Blood Borne Virus (SHBBV) Action Plan, particular attention was paid to young people in the development of the plan. We have allocated multi-year funding to a range of projects to help deliver this goal, details of these projects were published alongside the SHBBV Action Plan.

In June 2021, the Scottish Government published a new professional learning resource for school staff aimed at providing essential learning required to support children and young people’s mental health and wellbeing https://www.cypmh.co.uk/

Education Scotland also offers a comprehensive suite of professional learning resources to support teachers in assessing, monitoring, and enhancing the health and wellbeing of pupils. These include trauma-informed training delivered to over 1,000 practitioners in collaboration with NHS Education for Scotland. Additional Education Scotland resources, such as the Cycle of Wellbeing and Positive Mental Wellbeing guide practitioners in fostering positive change, are also available.

The Inclusion, Wellbeing, and Equalities Professional Learning Framework , launched by Education Scotland in November 2023, further supports educators in building capacity and understanding across the four key themes of Inclusion, Rights and Equalities, Relationships and Wellbeing and Care.

Advanced Nurse Practitioners are employed within a range of settings within Primary Care.

The 2023 General Practice Workforce Survey ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/general-practice-workforce-survey-2023/annual-report/?pageid=10709 ), reports that there are 553.7 whole-time equivalent (WTE) Advanced Nurse Practitioners (ANPs) employed by and working in General Practices.

Alongside this, the ‘Primary Care Improvement Plans - Implementation Progress Summary’ ( https://www.gov.scot/publications/primary-care-improvement-plans-summary-implementation-progress-march-2023/ ) reports that a total of 219.9 WTE ANPs employed by Health Boards within Urgent Care services.

The latest NHS Scotland Workforce data published by NES ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/05-march-2024-workforce/ ) shows that there are 4.8 WTE ANPs employed by the Scottish Ambulance Service, as well as 1.0 WTE ANP employed by NHS 24.

In conjunction with Scottish Government and wider stakeholders, NHS Education for Scotland (NES) are leading the development of a national midwifery career framework, although this is not a formal commissioned piece. The work is being overseen by a steering group, chaired by the Chief Midwifery Officer.

The steering group has already developed a Midwifery Preceptorship Framework to support those starting their career in the midwifery workforce and a Midwifery Development Framework Ecosystem has also been created to underpin the framework activity. A development framework for Level 2-4 Perinatal Healthcare Support Workers is nearing completion with a draft framework for consultation anticipated in April 2024.

In addition, the group will consider career development in Bands 5-9 across the four pillars of practice.

The Scottish Government has delivered the Right Care Right Place campaign during October to November 2023 which outlined the options for those seeking urgent medical care across A&E/999, General Practice and NHS 24 111. The campaign also promoted the self-help guides that are available on NHSInform.scot and messaging relating to multi-disciplinary teams within General Practices.

In addition, NHS 24 has delivered their healthy know-how campaign which promoted the option of contacting a local pharmacist, as well as our regular campaigns as to how best to use NHS services (including primary care) over the winter period.

All patients who access NHS Pharmacy First Scotland do so by self-referral. In some cases though they will have been advised to attend a community pharmacy by NHS24 or another healthcare service.

Public Health Scotland has published data on the number of patients who used NHS Pharmacy First Scotland during its first full year of operation, 2021/22. Between 1 April 2021 and 31 March 2022, twenty-three percent of the Scottish population (1,242,801 people) accessed Pharmacy First Scotland services at least once. This data is not published as a breakdown by Health Board. More information can be found at NHS Pharmacy First Scotland - NHS Pharmacy First Scotland - Publications - Public Health Scotland .

The figures for 2022/2023 and 2023/2024 (up to September 2023) will be published on 16 April and will be available at the same link.

The Scottish Government does not hold information on how many primary care appointments were cancelled in the last two years, broken down by NHS board.

The Scottish Government have recently corresponded with the Scottish Parliament’s Health, Social Care and Sport Committee on this question. See Electronic patient record | Scottish Parliament Website . To support our ambitions set out in the 2021 Strategy - Digital Healthcare Scotland % (digihealthcare.scot) we will be publishing our Delivery Plan for 2024-25 in late April 2024.