Transplant patients can experience a variety of emotions following their transplant and as a result the Scottish Government recognises the importance of psychological and emotional support. In order to better understand patients’ experiences, the Scottish Government carried out a patient survey on organ transplant aftercare and support between September and December 2023, receiving 569 responses from patients in Scotland, including 192 from those who had received a kidney transplant. The survey asked about patients’ experience of psychological and emotional support both before and after transplant; about the sources of such support; about patients’ preference for where to receive this support; and about whether they had any further comments about what would have improved their experience.

The Scottish Government is currently analysing the responses to the survey with the intention of publishing the analysis by the end of the year. Working with the Scottish Donation and Transplant Group, which brings together key stakeholders, and NHS National Services Division as commissioners, the Scottish Government will consider whether further actions might need to be taken in this area and how best to ensure patients get what they need.

The Scottish Government recognises the importance of access to interdependent services, including those provided by allied health professionals such as physiotherapists, in order to optimise kidney transplant outcomes.

Under the Scottish Government’s Donation and Transplantation Plan: 2021-2026, a working group on transplant recipient aftercare has been set up. Access to physiotherapy services, which are generally provided when needed both via the Transplant Units themselves and by referring centres, has not so far been identified as an issue of particular concern for chronic kidney disease patients who have received a transplant in Scotland. We will continue to monitor the situation closely including by means of the working group.

With regards to the recruitment of staff, the Scottish Government’s role is to set policies and frameworks at a national level broadly to ensure sufficient workforce supply. Health Boards are autonomous institutions and as such, are responsible for their own recruitment activity taking into account, retention, absence rates and budgets when making decisions.

Whilst it is hoped that all graduates are able to join the NHS within their trained field upon graduation, this is not always possible as vacancies can fluctuate across NHS Scotland boards and by specialism.

The Scottish Government has been engaging with Health Boards regarding their current position in relation to job offers and supply. Health Boards remain committed to maximising opportunities for new qualified nurses to find employment

Current targets for nursing and midwifery controlled funded places have been set for 3 years. Prior to that, targets for controlled places were set annually. The multi-year targets were set in 2022 after extensive engagement with key stakeholders. Those stakeholders included NHS Boards, NHS Board Planners, NHS Education for Scotland (NES), Council of Deans Health Scotland, Scottish Executive Nurse Directors, RCN, RCM, Unite, Unison and internal Scottish Government policy teams.

A multi-year intake was agreed to provide stability across partners including higher education institutions.

Both quantitative and qualitative data were considered when arriving at the controlled intake targets for each student group. A modelling exercise was carried out by NES to support decision-making and this information was made available to all stakeholders ahead of the engagement process. Stakeholders were also invited to share their own data in advance as well as being invited to discuss their insights on vacancies, establishment figures and clinical placement capacity.

The Scottish Government does not provide universities with planning assumptions for neonatal nurse places as these are decided within NHS Boards in order to match the resource requirements in the Board and training needs of their staff.

In line with the actions set out in the Scottish Government’s Donation and Transplantation Plan: 2021-2026 , a short-life working group has been set up to consider the issue of “timely transplantation” and to discuss perceived barriers to pre-emptive living donor kidney transplant and timely listing for deceased donor transplant. The group is currently gathering data and will report at the December 2024 meeting of the Scottish Donation and Transplant Group, which brings together key stakeholders.

In addition, as part of the Living Donation Scotland initiative, link nephrologists from each Renal Unit meet at an annual living donation event supported by the Scottish Government. A key objective is to work with nephrology colleagues to document transplant suitability on all electronic patient records in their patient groups so the multi-disciplinary team is aware of the individual pathway and progress, and this is now supported by the Renal Education and Choices at Home (REACH Transplant) nurses in each Renal Unit.

Drinking water quality is regulated by the Drinking Water Quality Regulator. The Scottish Environment Protection Agency monitors the water environment by assessing water quality and quantity.

Both regulators publish information on their websites about the compliance of drinking water quality and environmental water quality on their websites at https://dwqr.scot/public-water-supply/national-water-quality/ and https://www.sepa.org.uk/environment/water/

The Scottish Government’s Donation and Transplantation Plan: 2021-2026 sets out a number of actions designed to help reduce waiting lists for a kidney transplant. This includes the use of novel technologies, which offer the opportunity to allow transplant units to use more “marginal” organs that may previously have been declined, by means of closer joint working between transplant units, and through work to increase living kidney donation.

Working through the Scottish Donation and Transplant Group, which brings together key stakeholders, and by means of NHS National Services Division's commissioning planning, we will to continue to monitor organ utilisation to encourage good practice. In addition, the Scottish Government and NHS Boards continue to raise awareness about organ donation in order to help increase numbers of deceased organ donors, for example during Organ and Tissue Donation Week, which will take place in September 2024.

I refer the member to the answer to S6W-26620 on 25 April 2024 for information on the progress of installing CSO monitors.

Overflow data is being published on Scottish Water’s website at https://www.scottishwater.co.uk/Your-Home/Your-Waste-Water/Overflow-Event-Data . As new monitors are installed, more information will become available in line with commitments under the Improving Urban Waters Routemap.

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 does not hold data on how many whole-time equivalent GPs have (a) been employed and (b) retired or left the profession, in each year since 2019.

Data on the GP Workforce is published annually by NHS Education for Scotland in the General Practice Workforce Survey report and includes the whole time equivalent number of GPs in Scotland.

Data on the Whole-Time Equivalent GP Workforce is published annually by NHS Education for Scotland (NES) in the General Practice Workforce Survey report . As of March 2023 the estimated WTE number of GPs (excluding GP registrars/specialist trainees) was 3,478.4, where 1 WTE is defined as 8 contracted sessions per week.

GP headcount is published by NES through the General Practitioner Headcount report. In September 2023 there were 5,168 Headcount GPs in Scotland (including GP Registrars on placement in general practice).

NES are due to publish results from the 2024 General Practice Workforce Survey and the 2024 General Practitioner Headcount data later this year.