Chamber and committees

We recognise long waits are unacceptable and I apologise to all patients waiting too long for treatment. 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.

Work is ongoing to support local surgical teams to increase efficiency and consequently the number of patients that can be treated across the cataract surgical pathway, in line with the Royal College of Ophthalmologists guidelines.

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.

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.

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 information requested is not collected by the Scottish Government.

The information requested is not held centrally by the Scottish Government. More detailed information on cancellations and rescheduled appointments will be held locally by NHS boards.

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.

The exact number of facilities in Scotland that can perform cataract surgery is not centrally held. Table 1 lists NHS hospitals in Scotland where cataract procedures were performed in 2024, as recorded in either the inpatient or outpatient datasets.

Please note that this is not an exhaustive list of all locations in Scotland where cataract procedures are performed. Only locations where procedures were both carried out and recorded are included. Some National Treatment Centres may not appear in the table if they do not have a unique location code or if they operate as extensions of existing locations.

Information on procedures paid for privately, either by the patient or a private insurer, with no NHS involvement, is not available to Public Health Scotland.

Table 1: NHS hospitals where cataract procedures were performed in 2024.

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.

This information is not held centrally by the Scottish Government.