Chamber and committees

The Scottish Government has not received correspondence with regards workforce retention issues in community optometry. Health Boards are legally responsible for the provision of community optometry services in their area. As such, we would advise the Member to contact relevant Health Boards (such as NHS Grampian) on this matter.

With regards data on the geographic distribution of community optometry practices, this information is not held centrally by the Scottish Government. We would advise the Member to contact Health Boards where appropriate for this data. With regards community optometry services, Health Boards are legally responsible for the provision of these in their area.

The funding model for community optometry services is entirely demand-led and directly funded by the Scottish Government. Patients are entitled to receive a community optometry service in whichever Health Board they choose.

The Scottish Government has a number of incentives already in place, amongst which is the Scottish Distant Island Allowance (SDIA), an addition to salary which supports staff with the costs of travelling to and from the mainland. NHS staff who work in the majority of Scotland’s islands are eligible to receive SDIA.

There is also the Scottish Government funded ‘Golden Hello’ scheme, administered by NHS Scotland Boards, which provides up to £10,000 to every GP taking up an eligible post in a rural area.

To attract dentists to rural areas we have made available a range of grants and allowances including the recruitment and retention allowance, which allows new trainee dentists practicing in eligible areas, to qualify for a ‘Golden Hello’ payment of up to £37,500 in the first three years of practice.

Furthermore, to support GPs to develop the skills required to work in rural areas, NHS Education for Scotland (NES) offers the Rural GP Fellowship. The fellowship provides qualified GPs with direct experience of working in rural and island areas across rural and island Health Boards, with the fellowship lasting a full year.

ScotGEM offers a unique four-year programme tailored to meet the current and future needs of NHS Scotland with a focus on rural medicine, healthcare improvement and developing interest in General Practice. ScotGEM students are eligible to apply for and receive a ‘Return of Service’ bursary of £4,000 per annum which commits them to working for NHS Scotland for the corresponding number of years following graduation. In addition to the return of service bursary, the Scottish Government pays the tuition fees for eligible students, offering an attractive package for potential applicants.

In addition to the Scottish Government funded incentives, staff being recruited to posts in rural and island areas may also be eligible for relocation expenses, the decision to offer relocation expenses lies solely with boards.

Health boards are expected to offer vaccination in a way that best suits the needs of their communities, using a patient-centred approach, as set out in Public Health Scotland’s (PHS) 5-year Vaccination and Immunisation Framework and Delivery Plan.

This plan states that boards should “ensure availability of a range of flexible, responsive, and good-quality immunisation services that meet the needs of all communities, including our rural and island communities”.

The Scottish Government continues to fund Scottish Ambulance Service mobile vaccination units. These are available to every Health Board to deliver across all vaccination programmes and are to be used to reach under-served communities, including those in rural areas.

Boards also offer flu and COVID-19 vaccinations to housebound patients at home on request. Details on how to arrange this are included in the vaccination appointment letter.

Lastly, there is the option for rural health boards to explore the use of Community Treatment and Care services to support vaccination programmes in rural communities.

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.

The requested information on how many vacancies for (a) GP's there currently are in rural areas is not centrally held. However this information is available by health board and can be found on the following link:

General Practice Workforce Survey 2024 | Turas Data Intelligence

The requested information on how many vacancies for (b) nurses and (c) allied health professionals there currently are in rural areas is not centrally held. However this information is available by health board and can be found on the following link: NHS Scotland workforce | Turas Data Intelligence

It is for the Chief Constable, working with the working with the Scottish Police Authority, to determine how to allocate its budget to meet policing priorities including any safeguards any criminality arising from protests. In 2025-26, the Scottish Government will increase police funding to £1.62 billion to support police capacity and capability. This includes almost £57 million in additional resource funding – an increase of 4% compared to 2024-25 published budget.

Women’s Health is key priority for this government which is why Scotland was the first country in the UK to publish an ambitious Women’s Health Plan in August 2021. Timely access to gynaecology services will remain a priority as we continue to develop our Women’s Health Plan.

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.

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.

I refer the Member to the answers given in questions S6W-33618 and S6W-33681 on 27 January 2025. In addition, I also refer the member to the General Ophthalmic Services Statement which is available at: https://www.eyes.nhs.scot/media/1765/statement-of-gos-remuneration-and-cpd-allowances-241023.pdf

The Scottish Government provides an additional fee to practices for the provision of domiciliary care to eligible patients.

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