Seòmar agus comataidhean

I refer the member to the answer to question S6W-23323 on‎ 11 December 2023. 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

The Scottish Government is committed to working with NHS Boards to deliver our ambition to protect, stabilise and recover planned care. This includes maximising theatre productivity, optimising capacity and regional working.

Regional cancer networks have undertaken, and continue to undertake, improvement work to reduce ovarian cancer surgery waits. This improvement work includes increasing surgery provision and regional support.

The Scottish Cancer Network will be establishing a new National Ovarian Cancer Clinical Network, which will work to ensure equity of access to treatment for all women with ovarian cancer in Scotland.

The Scottish Government’s position has been, and remains, focussed on the ‘whole cancer pathway’ which is why the 62-day standard is in place. This covers the period from an urgent suspicion of cancer (USC) referral from a primary care clinician to the start of treatment for Scotland’s most common cancers, including ovarian cancer.

The latest published statistics (July-September 2023) show the median time for an ovarian cancer patient from USC referral to first treatment is 51 days. Once a decision to treat is made, the median wait for treatment is 12 days for ovarian cancer patients.

Scottish Government officials meet with Boards’ Cancer Management Teams fortnightly (monthly for Island Boards) to ensure patients are moving timeously through these pathways and are treated as quickly as possible. Where cancer pathway challenges are identified, innovative solutions are explored and best practice shared from other areas.

We are investing £40 million over five years to support cancer services, with £10 million provided to Boards in 2023-24 alone.

The Scottish Government wants cancer patients to be treated as close to home as clinically appropriate. However, as treatments for some cancers become more complex and expensive, it becomes impossible to deliver them in every location.

Cancer services require a highly specialised workforce. In order to ensure the future sustainability of our services, we published our ten-year Cancer Strategy in which we have committed to modelling cancer workforce requirements and continue to grow the number of training places to expand our workforce.

As part of the Scottish Government’s work to develop a sustainable healthcare workforce, we continue to look for opportunities to increase levels of recruitment and retention of healthcare staff in rural areas and will develop a Rural Workforce Recruitment Strategy by the end of 2024. This will support employers to ensure that the health and social care needs of people, including women with ovarian cancer who live in rural communities, are met.

The Scottish Government has listened to concerns that independent hospices have about the recruitment and retention of staff, and will continue to do so.

As Integration Joint Boards (IJBs) are responsible for the governance, planning, and resourcing of adult palliative care services, including hospices, using the integrated budget under their control, we will continue to work with Chief Officers to support longer term sustainable planning and commissioning for the hospice sector, and will work jointly to develop a national guidance framework to support and improve consistency of local planning and commissioning.

This is a matter for each territorial NHS Board. The information requested is not held centrally.

Care and support for people with long COVID is being provided across the full range of services delivered by our NHS. This includes assessment in a setting close to home by local primary care teams, and referral to community-based rehabilitation services or secondary care settings for further investigation of specific complications where clinically appropriate.

The Scottish Government remains committed to ensuring that everyone who needs it can access seamless, timely and high-quality palliative care.

We have appointed a National Clinical Lead for Palliative and End of Life Care to drive this, supported by a Clinical and Practice Advisory Group and a wide-reaching Strategy Steering Group.

The Steering Group is currently reviewing the information and evidence we have and need to develop the strategy, including mapping services and support across Scotland.

This is a matter for NHS Greater Glasgow and Clyde. The information requested is not held centrally.

The Scottish Government remains committed to ensuring that everyone who needs it can access seamless, timely and high-quality palliative care.

We are currently developing a new National Strategy for Palliative and End of Life Care for Scotland. As part of this work, we are reviewing the information and evidence we have, and need, to develop the strategy. This includes gathering data on current and projected needs for palliative care at a population level, mapping governance, services and support across Scotland, and building on our understanding of people’s experiences of palliative and end of life care.

The outputs of this work will give us a clearer picture of the delivery and accessibility of palliative care across Scotland, and will inform a new strategy that reflects what really matters to people experiencing serious illness, dying and bereavement.

As the Deputy First Minister set out in her Budget Statement on 19 December 2023, the financial position across Scottish Government is extremely challenging and work is ongoing to identify measures to address the continued challenges in 2024-25 and beyond.

Integration Joint Boards are responsible for the governance, planning, and resourcing of adult palliative care services, including hospices, using the integrated budget under their control. We will therefore continue to work with Integration Joint Boards and independent hospices to explore solutions and options for longer term sustainable planning and commissioning for the independent hospice sector.