Chamber and committees

The role of the Scottish Government is to provide policies, frameworks and resources to NHS Boards in order that they can deliver services that meet the needs of their local population. NHS Boards are responsible for deciding the distribution of funding that they receive from the Scottish Government across the services they manage, including the funding of cataract activity.

This year, as part of our additional £110 million investment to help NHS Boards tackle the longest waits for procedures and operations, more than £12 million has been ring-fenced for ophthalmology.

Under the Patient Rights (Scotland) Act 2011 (legislation.gov.uk), an eligible patient is to start to receive agreed treatment within the 12-week Treatment Time Guarantee (TTG). Health Boards must take all reasonable steps to ensure they comply with this legislative guarantee.

However, the pandemic has seen the NHS under the most severe pressure in its 77-year existence. Pausing of non-urgent activity has inevitably led to a build-up of both the number of patients waiting for treatment as well as increasing the length of wait for patients.

We know many people are still waiting too long and this is not good enough. We are determined do more and our Budget which will provide a record £21.7 billion for health and social care, with more than £110 million allocated to health boards to help tackle the longest waits for procedures and operations. This includes more than £12 million for ophthalmology.

This funding means 213,000 more appointments will be delivered this year than in 2024-25, exceeding our Programme for Government target of delivering 150,000 extra appointments by more than 60,000. By March 2026, we expect no-one to wait longer than 12 months for a new outpatient appointment, inpatient treatment or day case treatment.

The Scottish Government commissioned Centre for Sustainable Delivery (CfSD) is working with NHS Boards to ensure that they are able to continually identify new ways to increase capacity, and to respond to demand through service innovation and redesign.

In January 2022, Scottish Government commissioned CfSD to establish the Scottish National Cataract Short Life Working Group. This multi-professional group developed a 'Blueprint for Success' to deliver higher volume cataract surgery in operating theatres across Scotland; the aim being to deliver a minimum of 8 procedures per core 4-hour session or a minimum of one procedure every 30 minutes. The adoption of these minimum standards to deliver higher volume activity will reduce variation and waiting times for planned care across NHS Scotland.

The Blueprint for Success can be accessed here: https://www.nhscfsd.co.uk/media/5sofmknr/cataract-surgery-blueprint-2022.pdf

Furthermore, our additional investment of £110 million in 2025-26 has been targeted to specialty areas and NHS Boards where it can have the greatest impact against the longest waits, including for ophthalmology.

Finally, Our National Treatment Centres (NTC) programme provides additional protected elective capacity and infrastructure for ophthalmic activity. NTC capacity is a national resource and allocations are based on the latest Waiting Times management information available to Scottish Government at the time of decision. This approach ensures the NTCs are targeting the longest waiting patients that meet the clinical criteria for NTCs and allocations of activity have been determined on this basis.

As outlined in the Mental Health in Primary and Community Care Progress Report (Dec 2024), we remain committed to delivering increased mental health and wellbeing workforce capacity in general practice when it is feasible to do so. As the member will be aware, the Emergency Budget review meant that recruitment of additional roles was paused. We are prioritising investment to maintain mental health capacity in primary care through Action 15 of the Mental Health Strategy 2017-2027 and the Primary Care Improvement Fund.

The Mental Health in Primary and Community Care Progress Report also sets out what is needed to improve access to support, assessments and treatment from general practice. It contains a range of actions, including improving access to adult mental health treatment – expanding the NHS 24 Mental Health Hub, by December 2025, to provide access to digitally enabled psychological interventions and therapies for people who may benefit from early treatments.

This is in the context of wider support for general practice: the Scottish Government has already allocated over £1.3 billion to primary medical services this year with a further £56 million on course for pay rises and to provide new preventative services.

This follows an increase of £59.6 million last year to meet the Review Body on Doctors' and Dentists' Remuneration recommendations and to cover population growth as well as a further £13.6 million to help GP practices meet the costs of inflationary pressures and deliver local enhanced services.

The information requested could only be obtained at disproportionate cost. The reason for this is that to locate and retrieve that information we would need to conduct a search of all correspondence received by the Scottish Government.

The Scottish Government does not hold this information.

Details on how many drones are in operation in NHS Scotland would require to be requested from NHS Boards.

The Scottish Government does not hold this information.

Public Health Scotland (PHS) uses the national waiting times data mart to collect electronic patient records covering the waits that patients experience waiting for treatment as an inpatient or day case under the Treatment Time Guarantee. This data source can be used routinely to identify the specialty of treatment. However, although the records are designed to collect coded information on the procedure that is planned for the patient, this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, for patients who have completed their wait the procedures that was planned may not always reflect the procedure actually performed after they were admitted for treatment. The latter is not captured through the national data mart. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail.

More detailed information on the procedures that is planned or undertaken for a patient will be held locally by NHS boards.

The Scottish Government and its partners already collect and publish evidence on the outcomes of disabled people. However, we recognise that there are some areas where additional data publication would be valuable. The Data Collection and Measurement section of the recently published National Transitions to Adulthood Strategy outlines the Scottish Government’s actions to address these gaps.

As part of this commitment, we will conduct an audit of existing data collected and published on disabled children and young people. This audit will identify gaps in the data currently published on disabled young people, including instances where data is collected but not published. The findings will inform discussions on priorities for future evidence gathering to support better planning for transitions.

Officials will also engage with UK-wide developments on guidance on disability data collection and harmonisation. This will include considering where and how Scottish Government may adopt revised approaches, where appropriate.

In addition, the Scottish Government is continuing to provide funding to Association for Real Change (ARC) Scotland through financial year 2025-26. Part of this funding will support ARC Scotland to maintain and continually improve the Compass tools; to promote the wider implementation of Compass and to publish anonymised evaluation reports with the data generated.

The Scottish Government has outlined a number of actions that will be undertaken to improve data collection – both qualitative and quantitative - in the recently published National Transitions to Adulthood Strategy. The intention is to utilise this data to:

• build a more accurate picture across Scotland of the number of young disabled people;
• have a better understanding of the experiences and outcomes of young disabled people who are making the transition to adulthood;
• focus on making the right improvements at a national and local level; and
• report and monitor progress.

The Scottish Government is already providing funding to Association for Real Change (ARC) Scotland who have developed Compass in response to the identified need to improve how we collect and use information from people with lived experience to better inform decisions about practice, commissioning and policy.

The development of a Children’s Services Plan requires planning partnerships to use available data and intelligence to undertake a multi-agency joint strategic needs assessment to identify the needs of children, young people and families living in that area, and inform service planning. This joint strategic needs assessment should be used to inform service planning and local strategic commissioning processes for the Children’s Services Plan, with specific consideration of the needs of young people as they move between receipt of children’s and adult services.

As set out in the strategy, there is also an action to deliver an enhanced offer of practical support to Children’s Services Planning Partnership Strategic Leads as they begin to develop their 2026-2029 Strategic Plans. This will include a joint workshop with Children’s Service Planning Partnership Strategic Leads and the Integration Joint Board Strategic Planning and Performance Officers Group focused on best practice for transitions between children’s and adult services as well as the role of planning and commissioning in transitions.

The Scottish Government is also progressing work to improve the equality evidence base more broadly which will support these intentions. This includes:

• developing the Equality Evidence Finder data platform, which will present available intersectional data on young disabled people;
• continuing to improve the availability of disability data through specific actions outlined in the Equality Evidence Strategy 2023-2025; and
• undertaking a Disability Evidence Review to support the delivery of the Disability Equality Plan. This Evidence Review will be finalised in partnership with Disabled People’s Organisations and will include intersectional evidence on disabled young people where possible.

Scotland’s Census also enables intersectional analysis of data on disabled young people, supporting a deeper understanding of experiences and outcomes across a range of policy areas at national and local levels.

The Scottish Government plan to publish the first progress report on the National Transitions to Adulthood Strategy by the end of 2026.

From 2022 to date, £50 million of the Just Transition Fund has been allocated as capital grants. In addition, £25 million was allocated in financial transactions to the Scottish National Investment Bank to be invested on a commercial basis in line with the Bank’s Investment Strategy and its mission, including support for a just transition. A further £1.5 million in financial transitions was allocated to Social Investment Scotland to deliver the Social Enterprise Just Transition Fund.