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We recognise the significant pressure on Orthopaedic Waiting Times, and actions to address this are being considered within the wider context of planned care recovery.

We are working closely with Boards to finalise planned care activity plans, including for orthopaedics, for 2022-23, which will be critical to stabilising and improving our health and social care system in the medium term.

The National Treatment Centre (NTC) Programme will deliver the single biggest increase in protected planned care capacity ever created in NHSScotland. The network of 10 NTCs, will deliver capacity for over 40,000 additional planned procedures and diagnostic care across 12 specialities. Within next 18 months, NTCs will open in NHS Fife, NHS Forth Valley, NHS Highland and at NHS Golden Jubilee specialising in orthopaedic surgery. On 13 April, we also announced £1.8m of funding to purchase a private hospital in Ayrshire (Carrick Glen) to be developed into a new National Treatment Centre specialising in orthopaedics.

As well as significant investment in new infrastructure, the new NHSScotland Centre for Sustainable Delivery is also leading work to explore new and innovative ideas to reduce In Patient / Day Case and Outpatient waiting times. Examples include:

• The rollout of Active Clinical Referral Triage, to provide patients with information about non-surgical interventions and self-management options;
• Patient Initiated Reviews, enabling patients to be escalated if their condition deteriorates and reduces routine appointments while supporting patients in a safe and clinically appropriate manner; and
• Enhanced Recovery after Surgery pathways, designed to support patients achieve faster recovery after surgery.

Discussions are also progressing with the Centre for Sustainable Delivery to build clinical leadership across all specialties to help innovate and drive productive opportunities to support the recovery of planned care.

The Skills Action Plan for Rural Scotland (SAPRS) is a joint initiative supported by Skills Development Scotland, Scottish Government, Plan stakeholders and partners.

I refer to the response I gave on 7 March 2022 (S6W-06724). An evaluation of the SAPRS is currently underway; it will be published in Summer 2022.

This evaluation will help inform what future action is needed to drive forward co-ordination and delivery of skills for rural Scotland.

The Scottish Government has made a general commitment to providing 24 hour digital access to services through asynchronous communication (generally recognised as the ability to 'chat' with services any time, when an instant response is not required, such as via email and online) through its Digital Health & Care Strategy ‘Care in the Digital Age’. In delivering on that commitment we are currently exploring how GP practices can be supported, recognising a number of individual practices have already commenced offering such services to their patients. Discovery work is now underway to develop a national approach that enables a consistent approach for the people of Scotland. A national steering group is overseeing this development and has established a ‘pathfinder’ approach to better understand the level of demand, market maturity and benefits and impact before seeking to agree a national approach to GP DACS in Scotland. To date, the project has captured insights from both clinical and non-clinical users in order to inform a set of requirements which it is intended will lead to the development of an outline business case.

The Scottish Government is committed to ensuring that all people living in Scotland with long-term conditions, including those waiting for orthopaedic surgery, are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put the person at the centre of their care. Information, including self-help, is available on NHS inform, and individual Health Boards are offering helpful advice to patients on topics such as weight loss, exercise and financial support.

Additionally, the Scottish Government will continue to engage with organisations such as Versus Arthritis regarding how best to jointly support patients living with orthopaedic conditions. This will be an ongoing process requiring essential collaboration with patients, carers, and service providers, including the third sector and clinicians.

Anyone experiencing long term effects following vaccination should speak to their GP or clinician involved in their care. They should expect an equal level of care for their condition to those with similar conditions not caused by vaccination. Those experiencing side effects from the vaccination can report these using the MHRA yellow card scheme.

The Genetic Laboratory Major Service review considered the workforce requirements for our future genomics capabilities in NHS Scotland. A link to the report is available here:https://www.nss.nhs.scot/specialist-healthcare/specialist-services/genetic-and-molecular-pathology-laboratories/

In line with the recommendations from the Major Service Review, the NSD Transformation Team will consider the workforce planning requirements to implement the recommendations from the report in developing the action plan.

Over the coming months we will be expanding the membership of our Scottish Genomics Leadership Group(SGLG) and relevant work stream to include a wider pool of stakeholders than those currently on the SGLG. This expanded structure will consider the recommendations from the Major Service Review as well as considerations for further genomics expansion.

One of the workstreams will lead on workforce planning and will be done in partnership with relevant Trade Union representatives.

The Scottish Government does not hold the information requested. The various charges that such crimes could be prosecuted under do not allow for the age of the abused to be determined.

This information is not held centrally.

SEEMiS or local authorities may be able to provide this information if you contact them directly.

The Scottish Government regularly consult with trade unions on matters impacting the workforce, in line with our partnership agreement, and have notified them of enhanced recruitment controls being put in place. We remain committed to making the best and most efficient use of our resources.

The Chief Executive of NHS Scotland and Director-General Health and Social Care put in place a temporary pause on filling vacancies not currently advertised within Health and Social Care Directorates from 4 April 2022. The pause will remain in place for no longer than necessary, while consideration is given to the future pandemic response.