Chamber and committees

The Scottish Government recognises that long waits can have an impact on health and wellbeing. Waiting well | NHS inform on NHS Inform provides patients with information to support their health and wellbeing while waiting for health and social care services. This includes information on physical and mental health, as well as advice about practical issues like money worries.

We know many people are still waiting too long and this is not good enough. We are determined do more and our Budget 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.

The funding has been assigned to specialty areas for the year ahead where it can have the greatest impact against the longest waits. This includes more than £12 million for ophthalmology.

There is an extensive programme of work already in progress to support NHS Boards to reduce waiting times for all planned care procedures, including cataract surgeries.

This year, we have allocated more than £110 million to health boards to help tackle the longest waits for procedures and operations and this includes an investment of more than £12 million for ophthalmology.

The Centre for Sustainable Delivery’s (CfSD) National Eyecare Workstream also works with Scottish Government to support optometrists in the care for patients with cataract. In January 2022, we commissioned CfSD to establish the Scottish National Cataract Short Life Working Group to address current challenges in cataract surgery in Scotland.

This multi-professional group co-developed an agreed set of principles for delivering higher volume cataract surgery in operating theatres on a sustainable basis and assist in future proofing cataract services.

This work has led to the publication of Improving the Delivery of Cataract Surgery in Scotland: a Blueprint for Success which can be accessed here: https://www.nhscfsd.co.uk/media/5sofmknr/cataract-surgery-blueprint-2022.pdf.

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.

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 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.

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.

Under the Patient Rights (Scotland) Act 2011, 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 long-term impacts of the pandemic, as well as acute seasonal pressures and unprecedented levels of inflation across the public sector, has seen the NHS under the most severe pressure in its 77-year existence. This has affected almost all aspects of NHS care, including the number of planned care appointments and procedures the health service has been able to provide.

Our Budget will provide more than £110 million to health boards to increase capacity and address backlogs of treatment as we work towards achieving the 12 week TTG.

We have also committed to clearing all waits in all specialities over 52 weeks by March 2026.

The information requested is not collected by the Scottish Government.

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.

This information is not held centrally by the Scottish Government.