Chamber and committees

The Scottish Government have not received reports of any extended delays for patients contacting NHS 24. We monitor NHS 24’s performance closely and remain satisfied that it continues to meet its statutory and clinical obligations.

NHS 24 has taken significant steps to improve performance, including increasing staffing levels to 1,556.9 WTE (2,199 headcount) as of March 2025 – an increase of 48.3% over the past decade. The service has also revised its key performance indicators to better capture unmet demand and identify risks where callers may have made multiple unsuccessful attempts to access 111.

The Scottish Government remains committed to supporting NHS 24’s efforts to improve service delivery and ensure that the 111 service continues to meet the needs of the public.

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 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.

I understand that the Royal College of Ophthalmologists has recently written to Stephen Kinnock MP, Minister of State for Care, calling for a review into the use and oversight of independent sector providers for NHS-funded cataract surgery in NHS England.

NHS Scotland continues to make best use of existing NHS resources and capacity. Our National Treatment Centres (NTC) programme provides additional protected elective capacity and infrastructure for ophthalmic activity and a number of Health Boards also have additional cataract slots at Golden Jubilee National Hospital.

While NHS Scotland makes limited use of the independent sector, in certain circumstances limited use of alternative providers, including independent sector providers, may be required in response to capacity constraints.

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.

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 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.

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 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.