Chamber and committees

In June 2022, an outline business case for the replacement of Lochgelly health centre was submitted to the Scottish Government. However, it did not progress to full business case stage and no formal approval to proceed to construction has been provided. In December 2023, all health boards were instructed to pause projects not already in construction due to budget constraints. This included the Lochgelly project, which was therefore not taken forward under previous arrangements.

The Scottish Government is now taking forward a whole-system NHS infrastructure plan to inform future investment priorities. As part of this, a primary care infrastructure investment programme, announced in the Infrastructure Delivery Pipeline (13 January 2026), has identified an initial tranche of 12 priority areas, including Cowdenbeath and Lochgelly.

The programme is focused on areas rather than a fixed number of individual medical centres, the scale and configuration of facilities in each area will be determined through detailed service planning. The inclusion of Cowdenbeath and Lochgelly within this programme supersedes the previous standalone Lochgelly Medical Centre proposal. It may be helpful to clarify that ‘Cowdenbeath’, as referenced in the Infrastructure Delivery Plan, is used in the context of the Scottish Parliament constituency geography, rather than indicating a specific facility such as Cowdenbeath Health Centre. The pilot programme reflects a broader place-based approach, encompassing Cowdenbeath, Lochgelly and surrounding communities. No decision has been taken at this stage on whether elements within priority areas, such as Cowdenbeath and Lochgelly, will be progressed as single or separate projects.

Work is already underway to develop a standardised approach to delivery across the programme, alongside the development of a revenue funding model led by the Scottish Government and the Scottish Futures Trust. This includes consideration of a Scottish variant of the Mutual Investment Model.

Ministers are expected to take decisions on programme priorities and the preferred funding approach during the course of next year, with a further announcement to follow. On current assumptions, construction is expected to begin from around 2031. Funding will be considered as part of these wider decisions.

Whilst the March 2026 target was not met, sustained progress continues to be made and waiting lists continue to fall in Scotland, with new outpatient waits over a year decreasing for 11 consecutive months and inpatient and daycase waits reducing for 15 months in a row.

We are determined to continue to build on this substantial progress and the focus remains on maintaining this trajectory and building on progress to eliminate the longest waits as quickly as possible to ensure people receive the treatment they need.

The Scottish Government has commissioned the sub national structures to develop a clear and deliverable plan to eradicate all long weeks over 52 weeks as soon as possible, including the prioritisation of those who have been waiting over 78 and 104 weeks.

The final list of items to be covered by the legislation will be determined by consultation and engagement.

The Scottish Government supports the development of integrated smart ticketing across bus and rail, including in the Strathclyde area, as part of its wider commitment to improving public transport.

As set out in the Smart, Digital, Integrated Ticketing and Payments Delivery Strategy (2024), the Scottish Government’s vision is To increase the use of sustainable public transport by providing smart and integrated ticketing, payment, and journey planning data enhancements, contributing to a healthier, fairer and more prosperous Scotland.

In the Strathclyde area, multi-modal flexi-tickets, including one-day capped tickets based on the zones travel will take place in, are already available through Strathclyde Partnership for Transport (SPT). These are available to download onto any compatible smartcard and covers travel by ScotRail, Subway and most buses in the SPT area.

At the national level, the National Smart Ticketing Advisory Board (NSTAB), established in 2023, brings together operators, local transport authorities and passenger representatives to provide strategic advice to Ministers on smart ticketing, including the technological standard for smart ticketing.

NSTAB will also support improvements to smart ticketing and progression for development of options for a new national integrated ticketing system, reflecting passengers’ desire for integrated contactless payment and digital ticketing. Its first recommendations were laid before Scottish Ministers in October 2025, in the form of the STAR (Standards and Technology Advisory Report), which was approved at a strategic level by Ministers in January 2026.

The delivery of a Scotland wide integrated ticketing system is, however, dependent on future funding allocation and any legislation that may be required.

A business case was submitted to the Scottish Government requesting funding for the provision of MRI services at Dr Gray’s Hospital under the National Treatment Centre (NTC) programme. The Business case process was subsequently paused in line with the decision in early 2024, due to capital funding constraints to pause all new capital infrastructure projects that were not already under construction including NTC projects.

The Scottish Government is working with all Health Boards to develop a Whole System Infrastructure Plan (WSIP), which will identify investment priorities across NHS Scotland. Projects previously paused, such as the MRI scanner at Dr Gray’s, will be considered within this process, with priorities determined through a national strategic assessment of the NHS estate and linked to capital funding availability. Ministers are expected to decide priorities next year, once this process concludes.

Investment in ferry services to Europe from Scotland will be released once a full assessment of proposals for any such routes has been completed.

The Scottish Government commissioned the Scottish School of Primary Care to undertake an independent evaluation of the Golden Hello initiative for GPs. The evaluation was published in March 2026: https://www.sspc.ac.uk/media/Media_1254907_smxx.pdf.

The Golden Hello initiative does not currently apply to dentists or consultants. Any future expansion and improvement plans for Golden Hellos will be set out in due course.

The Scottish Government does not hold this information. Golden Hello payments are issued to eligible GPs by NHS Territorial Health Boards.

NHS Boards are not required to inform the Scottish Government of the number of Golden Hello payments that are made to eligible GPs. NHS Boards are responsible for all contractual arrangements with their GP practices. As a result, the Scottish Government does not routinely monitor these arrangements.

The Golden Hello initiative does not currently apply to dentists or consultants.

I refer the member to the answer to question S7W-00174 on 5 June 2026. 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

There is currently no fully established national clinical pathway for Ehlers–Danlos syndromes (EDS) or hypermobility spectrum disorders (HSD) specifically commissioned by NHS Scotland.

Clinical pathways, including any dedicated pathways for EDS or HSD, can be developed by individual NHS boards under established clinical governance arrangements, informed by clinical evidence, service needs and local population need.

Where proposals are put forward for pathway development, these are considered through established, clinically led processes by NHS and relevant national delivery partners.