Chamber and committees

The Scottish Government is working closely with NHS Education for Scotland (NES), to identify and deliver training opportunities for health and social care workers in rural and island areas. Through the National Centre for Remote and Rural Health and Care, housed within NES, 30 practitioners have undertaken the MSc in Rural Advanced Practice in 2023 and 2024, supporting career development, increasing equity in education and supporting the sustainability of primary healthcare services. The Centre will continue to develop new rural specific recognised qualifications to address skills gaps and drive innovation.

We are currently funding a dedicated resource in NES to scope the current skills landscape and identify where earn as you learn programmes could be expanded and where further development work is required with the aim of widening the pathways into health and care careers.

The Open University already provides distance learning Nursing degree education, which is accessed by Healthcare Support Workers already employed by NHS Boards, enabling them to train in their local area and continue to work.

Further, work is being explored via the Allied Health Professional and Healthcare Science education reviews’ recommendations and the Nursing and Midwifery Taskforce on how best to diversify the delivery and flexibility of education programmes.

Whilst the Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing requirements are in the first instance the responsibility of the relevant Health Board. As such, recruitment is a matter for Health Boards. The National Health Service Reform (Scotland) Act 2004 has created a duty on Health Boards to co-operate with each other to secure and advance the health of the people of Scotland, enabling the arrangement of travelling consultants

The duty to carry out Island Communities Impact Assessments came into force on 23 December 2020. All ICIAs and decisions not to carry out an ICIA are published by the Scottish Government and are readily available to access online.

While the Scottish Government provides the overarching guidance/framework for patient travel expenses reimbursement, NHS Boards are responsible for developing local policy to best meet the needs to their populations, and for assessing eligibly for financial support and level of that support. The cost of reimbursement is met from Boards’ budgets and all Boards must balance value for money with patient need, ensuring that patients are supported in identifying and accessing available support and that patient care is at the centre of all decisions.

The Scottish Government has committed to a review of the overarching patient travel expenses reimbursement guidance. However, a start date for the review is not confirmed at this time; it is important that the review is considered within the context of wider reform on access to health care.

It is recognised that transport to health is a key enabler to ensure equitable access to healthcare, and work to bring travel/transport and health planning closer together is in progress. This work will include bringing local bodies together at a regional level to consider the options for transport to health. This work will also inform how and when a review of the overarching patient travel expenses reimbursement guidance is taken forward.

As set out in the Agricultural Route Map, the Agri-Environment Climate Scheme (AECS) is expected to continue until at least 2026 to deliver elements of Tier 3 of the new framework until the Elective Support is implemented from 2027.

The Route Map is a living document that sets out the phased transition from legacy Common Agricultural Policy (CAP) support to our new four-tier framework.

We have committed to keep the Route Map updated and will continue to provide more clarity as and when it becomes available following continued co-development with rural partners.

The Scottish Government remain committed to delivering 110,000 affordable homes by 2032 of which at least 10% will be in rural and island areas.

Up to £25 million is also being made available from our affordable housing supply programme budget over the period 2023-2028 in the form of the demand led Affordable Homes for Key Workers Fund. The funding is available to support local authorities and registered social landlords to purchase existing suitable properties in rural and island areas for key workers where there is identified need.

We continue to work closely with partners to deliver the right homes in the right places and it is for local authorities through their Local Housing Strategies and Strategic Housing Investment Plans to identify the type, location, size and tenure of homes required in their areas.

Local authorities, as statutory housing authorities, working with The Empty Homes Partnership continue to tackle empty homes as a priority, bringing more homes back to use as warm, safe and secure permanent housing. Our investment of £3.7 million investment in the Scottish Empty Homes Partnership is making a real difference with almost 11,000 homes returned to use since 2010.

Social landlords (local authorities and housing associations) are responsible for the allocation of social housing. They must develop and publish allocation policies, within a broad legal framework for social housing allocations. Our Social housing allocations in Scotland: practice guide was published in 2019 and provides practical assistance to staff with responsibility for reviewing, monitoring and updating allocation policies and procedures to ensure they comply with current legislation.

The Scottish Government’s approach to the planning and delivery of affordable housing is focussed on providing the right homes in the right places.

We remain committed to delivering 110,000 permanent affordable homes by 2032 with at least 70% for social rent and at least 10% in rural and island areas.

We continue to work closely with partners to deliver the right homes in the right places and it is for local authorities through their Local Housing Strategies and Strategic Housing Investment Plans to identify the type, location, size and tenure of homes required in their areas.

The Scottish Government does not hold a central assessment of Third Sector healthcare provision. We do however recognise the role of the Third sector in areas such as palliative care and published the draft Palliative Care Strategy – Palliative Care Matters for All – for public consultation on 2 October 2024. The consultation will close on 10 January 2025, and the responses will inform the development of the final Strategy, which we aim to publish in 2025.

The Agriculture and Rural Communities (Scotland) Act 2024 requires Scottish Ministers to publish a five-year Rural Support Plan. The plan will build upon for the Vision for Scottish Agriculture and the Agricultural Reform Route Map and outline the phased transition from legacy EU CAP schemes to the new four-tier framework. The 2024 Act sets out the requirements for the plan including for engagement. Meeting these requirements is integral to the operation of the Agricultural Reform Programme, including through the co-development of future support with our rural partners and in the developing secondary legislation that will introduce changes. The Rural Support Plan will collate this information into a single strategic and coherent package, provide programme level input and ensure that the totality of measures is considered. Once the 2024 Act is commenced, the initial plan is intended to be drafted through 2025 and laid in Winter 2025, to reflect the published Route Map. The 2024 Act requires that the plan is laid before the Scottish Parliament, and published.