Junior doctors: Pay deal agreed?

Industrial action suspended as improved offer to be put to union members

A record 12.4% pay increase for junior doctors and doctors in training for 2023/24 has been agreed with the British Medical Association.

Following discussions with Health Secretary Michael Matheson this afternoon, BMA Scotland have agreed to suspend strike action while they consult their members on this deal. 

Coupled with the pay raise of 4.5% awarded in 2022/23, this amounts to a cumulative increase of 17.5% over two years.

The deal also includes a commitment to future years pay, contract and pay bargaining modernisation.

Health Secretary Michael Matheson said: “Following months of negotiations with BMA Scotland, I am delighted that we have agreed a pay deal for 2023/24 for our Junior Doctors.  BMA have agreed to suspend strike action in Scotland while they consult with their members.

“I hope this investment and the significant commitments we have given around pay and contract reform will show Junior Doctors how much we value them, and that we are determined to ensure that Scotland is the place for Junior Doctors to work and train.

“Some patients may have been contacted to say their treatment has been cancelled. We are working hard with health boards to make sure appointments that can go ahead do, and that any others are rescheduled as soon as possible.”

Next week’s planned Scottish junior doctor industrial action has been suspended after the latest period of intense negotiations ended with BMA Scotland agreeing to put an improved offer from the Scottish Government to its members.

This year, Junior Doctors will receive a pay rise of 12.4%. For the following three financial years, Junior Doctors will receive a guaranteed minimum pay uplift of inflation every year. Over this three-year period, the Scottish Government has committed to negotiate further annual pay rises on top of inflation that must, “make credible progress on the path towards pay restoration”.

In addition, BMA Scotland will enter contract negotiations with the Scottish Government from Autumn 2023 with the aim of improving the working and training conditions of Junior Doctors in Scotland by April 2026.

As part of these negotiations, they will agree a new Pay Review mechanism, the aim of which is to reach a “mutually agreeable path to achieve pay restoration and prevent erosion recurring in the future”.

This mechanism once established should complete the process of restoring Junior Doctor pay and ensure it is protected against any recurrence of pay erosion in the long term.

On this basis, the BMA’s Scottish Junior Doctor Committee (SJDC) yesterday agreed unanimously that it would recommend members accept the offer in a consultative vote in the coming weeks.

Speaking after a full meeting of the committee, where the decision to put the offer to members was made, Dr Chris Smith, chair of SJDC, said: “This has been an intense period of negotiation with the Scottish Government.

“At this stage, our negotiating team feel they have reached the limit of what can be achieved this year and do not think strike action would result in a materially improved offer. As a result, we have agreed to suspend next week’s strikes and put this offer to our members.

“This offer commits the government to working with doctors to restore our pay and prevent pay erosion from occurring in the future.

“This is an unprecedented shift from the Scottish Government, which is a recognition of the huge decline in real terms pay that doctors have experienced over the past fifteen years, and the huge amount of work needed to undo the damage this has caused to the NHS. 

“By agreeing to address the way our pay has been cut, and setting out a clear mechanism for doing so, the Government is making a serious, welcome commitment to ensuring that pay for Junior Doctors in Scotland is restored to a fair level.

“The agreement is clear that the increases above inflation over the next three years must be substantial enough in real terms to make credible progress on the path towards pay restoration.

“We will now deliver wide ranging and comprehensive details of the offer to members over the coming days and will open a fresh consultative vote as soon as we can.

“While we have suspended next week’s strikes, our mandate to strike still has months to run, so all options will remain open. Indeed, regardless of the outcome of the consultative vote, the collective power junior doctors have demonstrated by consistently and powerfully speaking up on behalf of the profession should ensure that we are never again taken for granted as we have been for the last 15 years.”

The Scottish Government says the pay deal represents a £61.3 million investment in Junior Doctor pay – the largest in the last 20 years and the best offer in the UK – and means a doctor at the beginning of their career would receive a salary increase of £3,429 in 2023/24. For those at the end of their training the rise would be £7,111 over the same period. 

City centre grinds to a halt as Scotland marks Royal Coronation

National Service of Thanksgiving and Dedication

Scotland will mark the Coronation of His Majesty King Charles III and Her Majesty Queen Camilla with a series of events in Edinburgh today.

The King, accompanied by The Queen, will be presented with the Honours of Scotland – Scotland’s crown jewels – at a National Service of Thanksgiving and Dedication at St Giles’ Cathedral.

The service will be preceded by a ‘People’s Procession’ of 100 people representing different aspects of Scottish life, which will travel from Edinburgh Castle to St Giles’ Cathedral, and the Royal Procession, which will travel to the Cathedral from the Palace of Holyroodhouse.

Public opportunities will be available along the Royal Mile to view the procession, and the accompanying military bands and escorts.

The St Giles’ Service will be followed by a 21-Gun Salute fired from Edinburgh Castle and a flypast down the Royal Mile by the RAF Red Arrows.



The First Minister, Humza Yousaf, who is a republican, said: “Scotland will mark the visit of The King and Queen this week with a series of events to celebrate the Coronation, and I’m looking forward to representing the people of Scotland at today’s historic service at St Giles’ Cathedral.

“Those who wish to be involved will be able to follow TV or radio coverage of the proceedings, or view events in person along the Royal Mile. Space will be limited and a number of roads in the area will be closed, so I strongly encourage anyone attending to arrive early, use public transport if possible, and come prepared for whatever the weather may hold.”

Lord Lieutenant Robert Aldridge said: “The eyes of the world will be upon us once again as we mark the Coronation of His Majesty King Charles III and Her Majesty Queen Camilla. I’m quite sure it will be another proud day for the Capital.

“Given the scale and significance of these ceremonial events, we have to be prepared for disruption across the city, but particularly in the Old Town. We’re working with our partners to manage this as best we can and to keep residents, businesses and visitors updated on the events.

“For those who wish to enjoy the Royal and People’s Processions, I urge you to please plan ahead and keep an eye on our website and social media channels for the latest advice and guidance.”

For the most up-to-date information, visit:

City Council’s dedicated webpages

www.gov.scot and 

www.royal.uk.

The @edintravel traffic information team will be monitoring the city’s roads, sharing the latest information on disruption and diversions on Twitter.

See also Lothian Buses and Edinburgh Trams.

Scotland’s Health Secretary marks 75th anniversary of the NHS

Staff thanked for their efforts and dedication

Health Secretary Michael Matheson has paid tribute to the staff who have helped deliver the NHS throughout its 75 year existence.

Mr Matheson praised the extraordinary efforts of those involved with the service, particularly in the recent years of the pandemic. He also expressed his gratitude to those whose spirit of innovation has helped the NHS adapt over the years.

He said: “We are fortunate beyond words to have a National Health Service free at the point of need for every single one of us. Looking around the globe, it is clear that what we accept as a basic human right is not enjoyed by the majority of the world’s population.

“On this day, the 75th anniversary of our NHS, I cannot express enough how grateful I am to the people who have delivered this extraordinary service through all these years.

Working in the NHS has not always been easy – particularly during the covid pandemic, but along with their colleagues in social care, NHS staff worked in tremendously difficult circumstances to care for those who needed them. Together they saved countless lives and their contribution will never be forgotten.

“From the world’s first ‘test tube baby’, through to robotic surgery, and then vaccinations and treatments for Covid-19 being rolled out at incredible pace – our health service has always been ready to adapt to new technologies and scientific developments.

“That spirit of innovation will be ever more crucial in the years to come, as the NHS and social care face new and different challenges, and it’s something we are determined to harness here in Scotland.

“With the continued support of people across the country, and the unwavering dedication of NHS staff, I have no doubt the NHS will be celebrating many more anniversaries in the years to come.”

Record pay award for NHS workers

Biggest pay uplift since devolution for senior medical and dental staff

The Scottish Government has accepted the 6% pay increase for senior NHS staff recommended by the independent Doctors and Dentists Pay Review Body (DDRB). 

The award will mean NHS Scotland senior medical and dental staff, general medical practitioners and general dental practitioners will receive a 6% pay increase for this year, backdated to 1 April 2023.

For a consultant this means a rise of £5,488 at the bottom of the pay scale and £7,292 at the top.

Health Secretary Michael Matheson said: “The NHS has faced substantial challenges over the last few years, and staff have been working tirelessly to continue to provide care while under increased pressure. 

“This award demonstrates the value we have for all our senior medical and dental staff and the invaluable contribution they make.

“It’s crucial that we continue to not only recruit and build our future NHS workforce, but also retain expertise within and this award will mean our staff remain the best paid in the UK – and an overall minimum increase of 10.5% over the past two years.

“We continue to negotiate with BMA Scotland Junior Doctors Committee and hope reach a separate pay settlement for 2023/24 for junior doctors soon.”

The 6% pay uplift will be applied to all senior NHS Medical and Dental staffing grades.

The Scottish Government, BMA Scotland and other relevant bodies all participated and provided evidence to the DDRB to allow them to make their independent recommendations.  

This year’s award builds on the 4.5% pay uplift awarded in 2022.  This means staff have received a minimum 10.5% pay increase over the last two years which equates to a £9,428 rise for a new Consultant, and £12,528 for a Consultant at the top of their pay scale.

Further investment in cancer support services

£9 million extension of partnership to help patients

A partnership to support cancer patients and their families to deal with the financial, emotional and physical health effects of the disease is to be extended with a further investment of £9 million.

The programme looks to ensure that everyone affected by cancer in Scotland has access to a specialist key support worker. This means clinicians have more time to offer direct medical and clinical support to patients.

Over the next three years, it is anticipated there will be a gradual increase in access to the service, with a minimum of 14,000 new cancer diagnoses accessing it each year.

The Scottish Government has been working in partnership with Macmillan Cancer Support to improve the service offered to those affected by cancer through the Transforming Cancer Care Programme (TCC). This partnership – the first of its kind in the UK – began under the 2016 Cancer Strategy and has seen £18 million invested to date.

The Scottish Government has agreed to continue the partnership and provide an additional three years of funding for the Improving the Cancer Journey services. Each partner will invest an additional £4.5 million.

Making the announcement ahead of a visit to NHS Forth Valley to celebrate the NHS 75th anniversary, First Minister Humza Yousaf said: ““Our recently published Cancer Strategy and Action Plan places an emphasis on person-centred care for all and supporting the mental health of cancer patients and their families.

“We have committed to launch the final Improving the Cancer Journey service, in partnership with Macmillan, over the next three years. We will also commit to spreading this successful model to all areas in Scotland over the coming year.

“This will see an additional £9 million of joint investment and ensure that everyone diagnosed with cancer in Scotland has access to a key support worker. It will be of great benefit to patients while also easing pressure on the NHS by freeing up clinicians.”

Janice Preston, Head of Partnerships at Macmillan Cancer Support in Scotland, said: “The Macmillan Improving the Cancer Journey (ICJ) Services are available for anyone affected by cancer.

“By the end of 2024, everyone in Scotland who needs support will have the chance to talk to an ICJ practitioner who will help individuals to identify their needs and access expert support, from benefits advice to emotional support – whatever they might need.

“This is a unique service for people affected by cancer that helps to reduce pressure on the NHS and is making a really positive difference to people living with cancer and their families. Since 2014, these vital, non-medical services have already helped over 18,500 people and this money will mean they can keep on transforming cancer support across Scotland.

“We are excited that, through our partnership with the Scottish Government, another £9 million is being made available to ensure people can continue to get this help for another three years.”

The roll out of the Improving the Cancer Journey model to every Health & Social Care Partnership follows 4 key principles:

o    100% of adults diagnosed with cancer, within agreed criteria, will be invited or referred to an ICJ service to speak to a specialist practitioner.

o    An ICJ practitioner with the service user will complete a Holistic Needs Assessment (HNA) and generate a care plan to meet the needs identified.

o    Local community assets will be identified and utilised to support the service user in meeting their needs.

o    The service user will be followed up by the ICJ practitioner in the community to monitor progress with agreed actions.

Encouraging Fair Work

New conditions placed on public sector grants

Applicants for public sector grants must support better pay and conditions for workers in order to qualify, under new strengthened criteria which has come into force.

From today, organisations will need to demonstrate they pay at least the real Living Wage and provide channels for workers to have an effective voice, as a condition of the application.

The requirement forms part of the Bute House Agreement, a plan to work together with the Scottish Green Party to build a fairer and more equal economy.

This applies to organisations receiving public sector grants, and limited exceptions may be applied to ensure the measure remains proportionate.

Wellbeing Economy and Fair Work Secretary Neil Gray said: “Public sector funding should be used for the wider benefits needed in a wellbeing economy, such as the promotion of fair work – including the creation of more high quality, well paid jobs. This in turn will support stronger businesses, and vibrant, healthy communities.

“By extending the reach of our Fair Work First criteria – which has already been applied to some £4 billion of public funds since 2019 – we can better tackle the cost crisis, poverty and social inequalities.”

Green Skills, Circular Economy and Biodiversity Minister Lorna Slater said: “While this is essential to improving worker experience, research has also shown businesses with stronger employee voice and representation perform better and are more productive.    

“We will work with employers, workers and trade unions connected to organisations applying for a public sector grant to ensure we are continuing to improve terms and conditions, worker wellbeing and to develop progressive and fairer workplaces.”

Tackling the environmental impact of disposable vapes

Zero Waste Scotland delivers Government-commissioned review

Up to 26 million disposable vapes were consumed and thrown away in Scotland in the last year, of which an estimated 10 per cent were littered and more than half were incorrectly disposed of, according to a new report.

The Scottish Government commissioned Zero Waste Scotland to carry out a review of the environmental impact of single use vapes and potential policy options for addressing the problems that they cause.

The review estimates that in the year ending January 2023, there were 543,000 vapers in Scotland – of which 51,000 (9%) were under 16 and 78,000 (14%) were under 18. Most under 18 e-cigarette users prefer single use vapes.

Environmental impacts highlighted by the review include the waste impact of littering; risks associated with unsafe disposal of their contents; and greenhouse gas emissions and water consumption generated in their manufacture.

Total emissions associated with disposable vapes in 2022 are estimated to have been up to 4,292 tonnes CO2e – the equivalent of around 2,100 cars on Scotland’s roads. The lithium batteries used in the most popular disposable vapes could be recharged up to 500 times if the product design allowed.

Lorna Slater, Minister for Circular Economy, Green Skills and Biodiversity said: “This report shows that single use vapes have become a big problem – for our environment, local communities and young people.

“I will take action and will engage with those affected, including young people, over the coming months, with a view to setting out a way forward in the Autumn.

Single use vapes are an issue across the UK, so I have invited Ministers from the other UK governments to meet to discuss the findings of the report and what we can do in response.

“Those who sell single use vapes are already required to take them back for safe disposal, or contribute to the cost of recycling, but this is clearly not happening as it should. I will therefore write to the UK Minister responsible to share our findings and to ask what they will do to ensure these obligations are met.”

The report shortlists nine potential measures to address environmental impacts of single use e-cigarettes, including a ban on sales, regulations to set certain design criteria, and charges to encourage behaviour change or producer fees to offset the environmental costs, such as a levy based on recycling rates. The report assesses the potential of each option for reducing environmental impact and the benefits of multiple measures in combination.

Iain Gulland, Chief Executive, Zero Waste Scotland said: “Any form of littering is unacceptable – it damages the environment, economy, and is a blight on the areas where we live, work, and socialise.

“Single use vapes are made up of components which, unless disposed of safely and responsibly, can last on our planet for years and years. And the sight of them, discarded on our streets, is becoming far too common.

“This is why Zero Waste Scotland was happy to lead on this important report. Tackling our throwaway culture is a priority for us and we will continue to work with the Scottish Government in highlighting the huge impact that littering these items has on the environment.”

Zero Waste Scotland report

Strengthening the safety net

Action plan to ensure Scottish Welfare Fund reaches those in most need

Improvements to the way crisis support is delivered in Scotland are set out in a plan published yesterday.

The Scottish Welfare Fund provides a vital safety net which has paid out more than £380 million in emergency funds to more than half a million households over the last ten years.

The plan sets out 22 commitments to help the Fund better address unmet need and make decisions more consistent across the country. Actions include a simplified application form, clearer guidance and better promotion to those who may not currently be being reached, including older people.

Improved guidance on referrals to wider services such as debt and welfare advice will also aim to help people with their finances so they can avoid future crisis.  

Social Justice Secretary Shirley-Anne Somerville said: “Ten years on from the introduction of the Scottish Welfare Fund, it is time to make improvements to ensure it continues to provide lifeline support. These actions will help to ensure that no matter where people live, they can access support they are eligible for in their time of need.

“The current financial pressures facing many households and the hardship that brings has shone a spotlight on the need for such emergency funds, and as the independent review of the fund made clear in March, the inadequacy of UK Government welfare has contributed to increased demand.

“The publication of this plan demonstrates the Scottish Government’s dedication to strengthening our social security system and working to best meet the requirements of people in Scotland.”

The Scottish Welfare Fund Action Plan published in June 2023

Scotland’s fallen heroes remembered on the Somme

Veterans Minister attends commemorations

The role played by professional footballers, and the many others who served at the Battle of the Somme, has been marked at a ceremony in France.

Veterans Minister Graeme Dey took part in a wreath-laying ceremony at the McCrae’s Battalion Cairn in Contalmaison, as part of the memorial events to mark the first day of the Battle of the Somme (1st July 1916).

Representatives from clubs including Heart of Midlothian, Hibernian, Falkirk, Dunfermline, and Raith Rovers regularly attend the annual event.

Mr Dey said: “At the start of WW1 a campaign was launched against professional footballers who were labelled ‘shirkers’ and ‘cowards’ who were happy to stay at home while better men risked their lives at the front.

“The players who joined McCrae’s Battalion proved the critics wrong and demonstrated incredible bravery.  Indeed, many of them made the ultimate sacrifice. They went from being called shirkers and cowards to become known as ‘Edinburgh’s finest – Scotland’s Sporting Battalion’.

“Today we honour the bravery of those young men and all those who fought and died on the Somme.”

During his visit Mr Dey also met with the Mayor of Arras, Frédérique Leturque, as part of the Scottish Government’s European engagement work, which aims to strengthen ties with priority EU countries and their regions.

The 1,350 strong McCrae’s Battalion, led by Sir George McCrae, was formed in Edinburgh and included volunteers from Heart of Midlothian, Raith Rovers, Falkirk, Dunfermline, Hibernian, St Bernard’s and East Fife.

In all around 75 clubs (of all levels) provided volunteers along with many other athletes and football supporters most notably of Hearts and Hibernian.

The Battle of the Somme eventually lasted for 141 days. Some 20,000 soldiers were killed in the initial assault on 1 July 2016 with a further 37,000 wounded.

A new deal with local government

Verity House Agreement signed by First Minister and COSLA President

A landmark agreement to forge a stronger partnership between local and national government has been signed by First Minister Humza Yousaf and COSLA President Shona Morrison.

The Verity House Agreement sets out principles for working together to empower local communities, tackle poverty, transform the economy and provide high-quality public services.

It includes commitments to:

  • agree a new Fiscal Framework governing how local authorities’ funding is allocated, reducing ring-fencing and giving them greater control over their budgets to meet local needs
  • regularly review councils’ powers and funding, with the expectation that services will be delivered at a local level unless agreed otherwise
  • incorporate the European Charter of Local Self-Government into Scots Law
  • reform public services, building on the partnership working established during the pandemic recovery
  • develop a framework for collecting and sharing evidence to ensure progress is maintained

The First Minister said: “Today we have committed to build a stronger relationship with local government, with mutual trust and respect at its core.

“The Verity House Agreement is based on the idea that councils know best how to serve the people in their communities. By giving them greater flexibility over how they use their budgets and regularly reviewing their powers and funding, we can empower them to put that knowledge into practice – whether that’s to tackle poverty, transform our economy to deliver net zero, or to provide the high quality public services on which we all rely.  

“This is just the start of the process, and we look forward to working further with COSLA and councils in the interests of the people of Scotland.”

Councillor Morrison said: “Signing the Verity House Agreement today at COSLA’s offices is a clear signal that both parties want to reset the relationship between central and local government in Scotland. 

“This agreement is about creating a new way of working as a partnership of equals – discussing key issues as early as possible and using our collective expertise to deliver for communities across Scotland.

“Scottish local government is the sphere of government closest to the people of Scotland and delivers a range of essential services that impact on people’s everyday lives and livelihoods – from education to improving health; from social care to the fabric of our communities.

“When national and local government work together to tackle shared priorities, the result will be better outcomes for the people of Scotland. This is ultimately what councils seek to achieve every day of every year – better local outcomes for the people we serve, enabling everyone to live well locally.”