Chamber and committees

NHS Boards and IJBs have a statutory duty to involve people and communities in the planning and development of care services. Revised joint guidance with COSLA, Planning with People, supports Health Boards, local authorities and IJBs in engaging with local communities on the health and social care services they provide. Planning with People sets out actions that should be taken when changes to services are being considered, and emphasises that community engagement and active participation of people is essential.

The Scottish Government will invest over a billion pounds (£1,148 million) in 2025-26 in the Rural Affairs, Land Reform and Islands (RALRI) budget to support Scottish farmers, crofters, land managers, islands and rural communities.

We continue to directly support Scottish farmers, crofters and land managers by providing over £660 million, including by maintaining our direct payments to the sector and in ensuring support for those farming and crofting in our upland and most challenging areas of Scotland through the £65.5 million Less Favoured Area Support Scheme (LFASS). The 2025-26 budget includes returning £20 million to support transformation and reform in Scotland’s farming and food production industry, as pledged to the sector.

Our Vision for Scottish Agriculture states that farming, crofting and land management will continue to play an important role in maintaining thriving rural and island communities and this is further reaffirmed in the Agriculture and Rural Communities (Scotland) Act 2024 objective of enabling rural communities to thrive.

The Scottish Government have no plans to review the criteria for trunk roads. The extents of trunk road network was last considered in 2008 by the first Strategic Transport Projects Review with no changes noted.

The second Strategic Transport Projects Review, published in 2022, considered local roads to be “out of scope” unless they provided direct access to a major port or airport; linked to a nationally significant National Planning Framework 4 (NPF4) development site; or where a local road intersected a trunk road where bus priority or active travel measures where proposed. None of these criteria applied to the A890.

The number of applications that the Energy Consents Unit (ECU) has received from Scottish and Southern Electricity Networks (SSEN) over the last ten years, including those which have been referred to the Planning & Environmental Appeals Division (DPEA) for a public inquiry, and instances in which Scottish Ministers have agreed with the DPEA’s recommendations, are as follows:

The Scottish Government is committed to improving connectivity in rural areas and are considering alternative models of public transport delivery.

The second Strategic Transport Projects Review recommends that pilot schemes, involving demand responsive transport and Mobility as a Service (MaaS) draw on innovative solutions, international best practice, and smart technologies. Following the successful completion and evaluation of our £2 million MaaS Investment Fund - of which the evaluation report can be found on the Transport Scotland website. Transport Scotland continues to work with MaaS Scotland and the Regional Transport Partnerships (RTPs) to build on this work to develop innovative, digital data driven solutions to provide better access to flexible transport options.

The 2025-26 Scottish Budget includes £188.7 million for a range of active and sustainable travel measures to make it easier for people to walk, wheel or cycle on everyday journeys and access resilient and efficient bus services. Funding of £167,000 is being provided in 2024-25 to enable CTA Scotland to provide support for community transport groups that already exist, renew those that have lapsed and support the formation of others where there are currently none.

There are Scottish Government funds available which Regional Transport Partnerships (RTPs) and Local Authorities can use to tailor their approach to sustainable travel provision in rural areas. These include the People and Place Programme and the Bus Infrastructure Fund. Through the Transport (Scotland) Act 2019, we have given local authorities powers on partnership working, franchising and to run their own bus services. We want all local transport authorities to be able to improve all of the bus services within their areas.

The Scottish Government does not hold this information. Whether VAT applies to a visitor levy is a decision for the UK Government.

The Scottish Government is clear that any local authority thinking of introducing a Visitor Levy needs to consider the potential VAT implications that it would have for relevant businesses in their area.

The adoption of the recommendations contained in the Independent External Review of Skye, Lochalsh and South West Ross Out Of Hours Services is the responsibility of NHS Highland. The recommendations were fully accepted by NHS Highland following the publication of the report in 2018.

The requested information is not held by the Scottish Government.

The delivery of round-the-clock urgent care at Portree Hospital is the responsibility of NHS Highland. However, the Scottish Government is assured that 24/7 urgent care was restored at Portree Hospital on 16 August 2024.

Health boards such as NHS Highland are autonomous institutions responsible for their own recruitment, employment and deployment of staff.

The Scottish Government supports Boards in these matters through the setting of policies and frameworks at a national level, with initiatives across rural and islands health boards including:

• Scottish Government funding for ScotGEM, a unique four-year programme tailored to meet the current and future needs of NHS Scotland with a focus on rural medicine, healthcare improvement and developing interest in General Practice. ScotGEM students are eligible to apply for and receive a ‘Return of Service’ bursary of £4,000 per annum which commits them to working for NHS Scotland for the corresponding number of years following graduation. The Scottish Government also pays the tuition fees for eligible students, offering an attractive package for potential applicants.
• A range of grants and allowances including the recruitment and retention allowance, which allows new trainee dentists practicing in eligible areas, to qualify for a ‘Golden Hello’ payment of up to £37,500 in the first three years of practice.
• Delivery of a Rural GP Fellowship by NHS Education for Scotland (NES). The fellowship provides qualified GPs with direct experience of working in rural and island areas for a year, including two fellowship posts in Skye.
• Going forward, in collaboration with NES’ Centre for Workforce Supply and National Centre for Remote and Rural Health and Care, the Scottish Government will be developing a sustained model of direct support that will provide the long-term whole-system approach which is necessary to provide rural and island employers the help they need to recruit successfully. To improve attraction, this includes supporting employers to design roles that fit their organisations’ needs, ensure that job adverts speak to the right audience and helping employers in welcoming new recruits and providing effective pastoral support.