Chamber and committees

The Scottish Government provides the policies, frameworks and resources for high quality healthcare, and it is for each individual NHS Board to decide how best to utilise funding, to meet local health needs. Over the last five years, the number of Allied Health Professionals (AHP’s) across Scotland have increased by 17.8% including a 20.6% increase in Physiotherapists as at June 2024.

There is no definition of, and thus no data collected for, waiting times for community optometry services, whether urban or rural.

However, we are working closely with the three island Health Boards to resolve some local access issues.

The Scottish Government has not received correspondence with regards waiting times in Aberdeenshire.

The Scottish Government does not hold data on satisfaction rates on the provision of palliative care services across Scotland.

However, to inform the development of the draft strategy on palliative care, we carried out surveys mapping palliative care delivery across Scotland. These indicated that ways of working and reporting on general palliative care and specialist palliative care services varied by NHS Board areas.

Further to this, we also looked at research studies exploring lived experiences of palliative care, and we commissioned Healthcare Improvement Scotland (HIS) to gather views from people in Scotland with experience of palliative care or caring for someone who has received palliative care. This included gathering views from people in rural and island communities.

The outcomes of all of these pieces of work are available at www.gov.scot/publications/palliative-care-strategy-palliative-care-matters/

The Scottish Government works in partnership across Health and Social Care organisations to ensure a consistent strategic approach to improving the vital digital and data skills for continuing staff development and service transformation. The provision of specific training for managing and accessing digital medical records in accordance with the Health & Social Care Records Management Code Of Practice that can be found at https://www.gov.scot/publications/records-management-code-practice-health-social-care/is the responsibility for NHS Boards as employers.

It remains the ambition of the Scottish Government to deliver a National Low Vision Service. This would deliver a range of services to people with visual impairment including both the provision of assistive technology and support for the use of technology already openly available (e.g. applications available for download/use on a smartphone/tablet). The Scottish Government is unable to take this forward at the present time due to financial constraints.

I refer the member to the answer to the question S6W-26919 on 30 April 2024. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The Scottish Government is committed to ensuring that women across Scotland have timely access to reproductive health services. Work continues on the actions set out in the Women’s Health Plan 2021 and the Sexual Health and Blood Borne Virus (SHBBV) Action Plan 2023-26 to ensure that anyone accessing contraception, or deciding to terminate their pregnancy, is provided with fully accessible and person-centred pathways, with information provided to allow for informed decisions to be made about their own sexual and reproductive health.

As part of the SHBBV Action Plan, the Scottish Government has committed to visiting all 14 Health Boards. During these visits the Scottish Government will be recognising the challenges that Boards are facing and the good practice being delivered. This time will also be used to explore areas for collaboration between Boards, both nationally and regionally, especially within rural areas. Officials’ visit to NHS Grampian is scheduled for May 2025.

The evaluation of early medical abortion at home (EMAH) in Scotland was published in March 2023, demonstrating high levels of effectiveness of EMAH, but noting some variations in service delivery across the country. The Scottish Government has taken various actions forward with the Scottish Abortion Care Providers network following this to improve and increase consistency of EMAH services for women across Scotland, and particularly in rural areas, including by providing improved patient information.

An updated medical abortion approval was signed in December 2024, allowing women to take abortion medication in residential or temporary accommodation if clinically appropriate, particularly benefitting patients who may live significant distances from hospitals or clinics.

The Scottish Government is working with Health Boards and Public Health Scotland to monitor access to services, including analysis of annual statistics. As part of the commitment to ensure services are accessible to all, officials regularly discuss barriers to these reproductive health services with Health Boards, including NHS Grampian, to inform possible improvements to services for patients in rural locations.

Early intervention, including diagnosis, for visual impairments largely takes place in community optometry practices following patient presentation to the service.

Scottish Government is currently taking forward work to respond to the findings of the Independent Review of Audiology. In addressing the Review’s recommendations, audiology has been designated a clinical priority area, with improvement work being progressed through the National Planning and Delivery Board arrangements, led by the Chief Operating Officer – NHS Scotland.

The Scottish Government recognise that people in rural areas can experience particular challenges in relation to their mental health and wellbeing.

Decisions around the provision of mental health services is a local responsibility, planned by Integrated Joint Boards and delivered through a mixture of NHS, local authority and third sector organisations. Mental Health services will vary depending the local population needs and will be guided by clinical decision making.

While we expect service decisions to be taken locally, we have invested £66 million in our Communities Mental Health and Wellbeing Fund for adults since 2021. The Fund has a strong focus on prevention and early intervention and prioritises a range of ‘at risk’ groups including those people disadvantaged by geographical location (particularly remote and rural areas) with over 900 awards being made to community projects supporting people disadvantaged by geographical location (including rural areas) since its inception.

Initial diagnosis of visual impairments largely takes place in community optometry practices following patient presentation to the service. We are not aware of access concerns to the service at this time.

There is currently no community provision for audiology in Scotland. Diagnosis is performed within secondary care settings and typically on referral from wider health networks and services. Consideration of audiology capacity – within existing NHS hospital services – is being taken forward in response to the findings of the Independent Review of Audiology. In addressing the Review’s recommendations, audiology has been designated a clinical priority area, with improvement work being progressed through the National Planning and Delivery Board arrangements, led by the Chief Operating Officer – NHS Scotland.