Seòmar agus comataidhean

I refer the member to the answer to question S6W-38143 on 13 June 2025.

Following extensive stakeholder engagement and data review, we published the first optimal cancer diagnostic pathways on lung, head & neck and colorectal cancers. Prioritisation of the next optimal diagnostic pathways to be developed in the subsequent Cancer Action Plan(s) will be based on data and stakeholder engagement.

A clinical review of the Scottish Referral Guidelines for Suspected Cancer has just concluded to help ensure the right person is on the right pathway at the right time. For the first time, the review has ensured the inclusion of a nationally agreed non-specific symptoms referral guideline, as well as an update to the guidance for urgent referral for suspected brain tumours. Publication of the reviewed guidelines is expected this month.

The National Headache Pathway was published by the Centre for Sustainable Delivery, has been developed to support the assessment, diagnosis and management of primary headache disorders. This includes the red flag symptoms that indicate the need for urgent and/or emergency assessment to exclude a secondary cause, such as a brain tumours.

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

Spending on additional support for learning by local authorities reached a record high of over £1bn in 2023-24

We have continued to invest £15m per year since 2019-20 and provide over £11m of funding, to directly support pupils with complex additional support needs and services to children and families.

The 2025-26 budget sets out a further £29m of additional investment, specifically for ASN for local and national programmes to support the recruitment and retention of the ASN workforce.

We are also providing £186.5m to councils this year to restore teacher numbers to 2023 levels and maximise the number of teaching posts available.

Scottish Government and COSLA work in partnership on additional support needs through the Additional Support for Learning Project Board. The new Education and Childcare Assurance Board provides a further opportunity for jointly agreeing priorities and joint working in this context.

The Scottish Government works closely with Local Authorities on the delivery of the renewal programme and use of the funding through the annual reporting process and the quarterly network meetings referenced in S6W-38037. As agreed with COSLA at the start of the funding programme in 2021, Local Authorities are not required to report any such issues.

Local Authorities have the statutory responsibility for education therefore the Scottish Government does not hold this information centrally. Local authorities may hold this information.

As part of the Scottish Government’s commitment to invest in access to school counselling services, since 2021 local authorities have reported on key measures of their service delivery. A summary of these reports can be found at: Access to counsellors in secondary schools and children and young people’s community mental health services – summary reports - gov.scot (www.gov.scot)

We have established the National Oncology Coordination Group to provide a coordinated and collaborative response to immediate and foreseeable service pressures. This group provides rapid real-time assessment of highest risk services and proactively develops risk mitigation proposals, in line with the overall strategic aim for cancer. Officials also meet with Boards’ Cancer Management Teams monthly to identify immediate challenges, explore solutions and share best practice.

The Scottish Government has mobilised an ambitious Oncology Transformation Programme and are working closely with NHS Board and regional leaders from across the country to address longer-term pressures. We have also committed to further funding for Chemotherapy and Acute Oncology services using a phased approach to ensure we build a sustainable workforce. The funding will reach up to £10 million per annum and will support increased regional working, workforce recruitment and maximise capacity across the existing workforce. £6.6 million has been provided in 2025-26 and will support NHS Boards to develop sustainable plans.

The Scottish Government is committed to reducing delayed discharges and addressing the variation in delays across the country and this remains a priority for this Government. However, it is important to reflect that 97% of all discharges happen without delay.

The latest published delayed discharge figures show some progress in reducing the number of people delayed, and we continue to work to drive that number down further. Statistics show that during April 2025, on average 1,854 people were delayed in hospital each day, 3% fewer than in April 2024, the lowest level since October 2023, and a 9% reduction from the peak in October 2024.

The progress comes off the back off intensive work that is being done on a whole system basis, with Health and Social Care Partnerships, the National Health Service, Local Government and community and voluntary sector partners – to ensure that capacity is there to support them.

Furthermore, our budget for 2025-26 set out a clear plan to reduce waiting times, delayed discharges and improve hospital flow, supported by £200 million in targeted investment. Underpinning this is the NHS Scotland Operational Improvement Plan which was published on the 31st of March this year. This is a plan to improve access to treatment, shift the balance of care from acute services to the community, and improve access to health and social care services through digital and technological innovation and prevention.

I am confident that this improvement can continue, delivering better outcomes for patients so that they are cared for in the right setting and hospital beds are there for those who need them.

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

Whilst graduates can apply to join the NHS and care providers in their local area upon graduation, vacancies can fluctuate geographically each year. Alongside this, staff turnover can also vary, making recruitment of newly qualified nurses more challenging in individual health board areas. Such variations can be difficult to predict on occasion.

The Scottish Government is not aware of any evidence which suggests that significant numbers of graduate nurses are unable to secure permanent positions at this point.

Scottish Government recognises that diagnosing brain cancer can be challenging as symptoms are wide-ranging and often vague, contributing to presentations in emergency settings. We continue to work with primary care to improve the earlier diagnosis of brain cancers.

A clinical review of the Scottish Referral Guidelines for Suspected Cancer has just concluded to help ensure the right person is on the right pathway at the right time. For the first time, the review has ensured the inclusion of a nationally agreed non-specific symptoms referral guideline, as well as an update to the guidance for urgent referral for suspected brain tumours. Publication of the reviewed guidelines is expected this month.

A new primary care cancer education platform, Gateway C, was launched in April 2024. Gateway C provides tailored information to support earlier cancer diagnosis and enable effective decision-making. This platform is accessible to all primary care clinicians and includes a brain tumour course specifically aimed at assisting the effective assessment and management of patients with a potential brain tumour.

A new National Headache Pathway has also been published by the Centre for Sustainable Delivery. This pathway, based on presentation at General Practice, clearly lists red flag symptoms that indicate the need for urgent and/or emergency assessment to exclude a secondary cause, such as a brain tumour.

The medicines regulatory body, the MHRA, has issued regulatory action on labelling of topical steroids with their potencies, so that prescribers and patients can have informed discussions about the length of treatment of these products and associated risks and benefits.

Statistics on the class sizes of P1 to P3 pupils are published in the pupil census supplementary statistics, available on the Scottish Government website at:

https://www.gov.scot/publications/pupil-census-supplementary-statistics/