Chamber and committees

In order to provide high quality services to all patients NHS Scotland plans and delivers some services on a national or regional basis. This is particularly the case for highly specialist treatments and those with low numbers of cases.

We have convened an NHS Board-led working group which is working to develop a framework for delivery of health services in rural and island areas and considering how best to deliver the right care in the right place

The group will develop a model with services provided as local as possible and specialised as necessary in order to ensure equity of outcomes. As part of the work, the group will seek to define what the "core services" are that should be provided locally, balancing these with the need for specialised care which may be provided outside the local area where clinically appropriate.

The Scottish Government's Transport to Health delivery plan aims to ensure access to healthcare facilities is fully considered within regional and local planning, including planning for our rural communities.

The Scottish Government considers the varying needs of all parts of our population when developing plans and strategies, including the needs of people living in rural and island areas. We recognise that our rural and island communities have specific, place-based needs when it comes to the effective delivery of public services, including healthcare.

That is why we have established an NHS Board-led working group which is considering ways to improve delivery of safe, quality and sustainable healthcare services across rural and island Scotland.

More broadly, work is underway to develop a systematic approach to mainstreaming rural policy, the Rural Assessment Toolkit, which will support identifying and addressing the needs of rural communities and economies in our work.

Under the Islands Act 2018, the Scottish Government has a duty to consider issues that affect island communities in the development and delivery of all policies, strategies and services. We are also working with island communities and local authorities to develop a new National Islands Plan to be published later this year.

These workstreams support our endeavours to meaningfully improve outcomes for our rural and island communities across portfolios.

The requested information on what percentage of healthcare staff currently working in rural areas are locum staff, broken down by NHS board is not centrally held.

Under General Ophthalmic Services arrangements in Scotland, all community optometry practices are required to have a range of equipment (including a digital retinal imaging equipment) to support the early detection of eye disease.

The SCONe project (https://clinical-sciences.ed.ac.uk/ophthalmology/scone) is a collaboration between the University of Edinburgh, Glasgow Caledonian University and the Royal College of Surgeons, Edinburgh. It brings together the retinal images taken during an NHS eye examination with other routinely-collected healthcare data within Scotland’s NHS National Safe Haven. The first aim of SCONe is to analyse these images in order to evaluate changes in the macula and age-related macula degeneration.

I refer the member to the answer to the question S6W-33638 on 27 January 2025. 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

This information is not held centrally by the Scottish Government. We would advise the Member to contact relevant Health Boards for this data.

Health Boards received core capital funding of £453 million as part of their 2025-26 budget allocation from the Scottish Government, which is an increase of £139 million on 2024-25. This will be primarily focussed on delivering improvements to existing facilities and upgrading medical equipment. It will also allow the plans to complete the Baird Family Hospital and ANCHOR Cancer Centre in Aberdeen and for plans to replace the Belford Hospital in Fort William to be taken forward.

In the last 5 years, the Scottish Government have successfully delivered facilities that support remote and rural healthcare such as Badenoch and Strathspey Community Hospital and Broadford Hospital in Skye. There has been substantial investment in national treatment centres which serve all of Scotland, including the NTC Highland which is located in Inverness.

Telemedicine can describe a range of different digital solutions to support consultations and engagement with the NHS. As a result, it is not possible for the Scottish Government to set out a conclusive percentage.

We have already invested £30 million to reduce waiting lists that built up throughout the pandemic. This funding is being targeted at a series of national and local plans to reduce backlogs by maximising the use of local and national resources across Scotland. As part of this, we have allocated additional funding to Gynaecology services which we expect to deliver around 3,500 new outpatient appointments.

The Budget we set out on 4 December 2024 will throw the weight of the government behind performance improvements with almost £200 million to reduce waiting lists and help support reduction of delayed discharge. By March 2026, we expect no one to be waiting longer than 12 months for a new outpatient, inpatient treatment or day case treatment.

With regards to the average wait times across all boards compared with waiting times in rural areas such as Aberdeenshire, this information requested is not held centrally by the Scottish Government the member may wish to contact NHS Grampian directly for information.

This year we invested £30m which is driving targeted action to address the longest delays. This will see around 24,000 New Outpatient Appointments and Inpatient/ Day-Case procedures as well as over 40,000 diagnostic procedures. The funding has included diagnostic services in NHS Grampian, NHS Shetland and NHS Orkney.