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The Scottish Government recognises the need for active measures to improve retention across the health and social care workforce, which is essential to ensure confidence in longer-term modelling of a sustainable future medical workforce to meet future clinical service demand.

One of the 11 ambitions in the Cancer Strategy is for a Sustainable and Skilled Workforce with actions under 5 pillars. There are six actions being taken forward under ‘nurture’ to aid retention of staff.

For example, retiring employees who wish to continue in employment that is suitable to them and the service are supported by the Retire and Return provisions in the NHSScotland Retirement Policy . In addition, the NHSScotland Flexible work location policy and NHSScotland Flexible work pattern policy 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, supporting retention.

The Scottish Government (SG) has funded the creation of 68 additional training places in clinical radiology since 2014 in line with recommendations made by the Scottish Shape of Training Transition Group (SSoTTG). The number of funded posts in clinical oncology has also increased by 15 over the same period. These additional posts, and indeed all training posts for trainee doctors, are funded in full by SG. This approach is referenced in the Royal College of Radiologists 2023 workforce census report:

“In Scotland and Northern Ireland, the statutory education body provides funding for the full training place, with health boards and trusts paying on-call or any additional payments”.

The patient data stolen during this incident was contained within the NHS D&G IT infrastructure. The vast majority of data related to people who are currently registered as NHS Dumfries and Galloway patients. However, some people currently registered as patients elsewhere will also have interacted with NHS Dumfries and Galloway in recent years, for example receiving treatment while travelling or on holiday, and it is possible that information relating to them may also have been stolen.

In addition, data controlled by National Records of Scotland was also stolen. I refer the member to the answer to question S6W-27770 on 22 May 2024 for more information. 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/questions-and-answers .

The investigation into this attack is on-going, and will take several more months to conclude, as such it is not currently possible to determine.

Patient data is typically held on the IT infrastructure of the Health Board delivering, or having previously delivered, the individuals care. This can include data initially generated by other Health Boards or health and care organisations that is transferred to the NHS Dumfries & Galloway (e.g. referral letters) in order for them to deliver the best quality care.

Only data held on the NHS Dumfries and Galloway IT infrastructure was stolen during this cyber-attack.

Patient data is typically held on the IT infrastructure of the Health Board delivering, or having previously delivered, the individuals care. This can include data initially generated by other Health Boards or health and care organisations that is transferred to the NHS Dumfries & Galloway (e.g. referral letters) in order for them to deliver the best quality care.

Only data held on the NHS Dumfries and Galloway IT infrastructure was stolen during this cyber-attack.

The National Cancer Medicines Advisory Group (NCMAG) will review the use of Anastrozole, Tamoxifen and Raloxifene as a preventative treatments for post-menopausal women at a moderate or high risk of breast cancer at a rescheduled meeting in Autumn 2024.

In anticipation of potential NCMAG advice, Scottish Government is considering how these drugs may fit in to a chemoprevention care pathway within NHS Scotland, including patient identification and monitoring.

The Scottish Government prepared its draft Transport to Health Plan in 2023, we are continuing to engage with the relevant partners on the commitments contained within the plan. It is expected that the plan will be published by September 2024.

The Scottish Government prepared its draft Transport to Health Plan in 2023, we are currently engaging with the relevant partners on the commitments contained within the plan. It is expected that the plan will be finalised by the end of September 2024. We do not intend to publish the draft plan while it is still being developed.

Whilst the Transport (Scotland) Act was implemented in 2019, sections 120 and 121 required secondary legislation to be enacted. This secondary legislation was enacted and came into effect on 1 October 2023.

We expect reports from Health Boards in Winter 2024. Assessments will be made once these reports are received.