Chamber and committees

The Scottish Government continue to support all community pharmacy contractors, including rural pharmacies in Scotland by delivering the largest ever increase to funding for two years in a row. This settlement will deliver a total of £422 million in guaranteed funding for community pharmacies across Scotland in this financial year.

In addition, there is a Guaranteed Minimum Target Income for essential small pharmacies, most of which are rural, and a pharmaceutical needs weighting payment which acknowledges both demographics and deprivation associated with a patient’s postcode. This helps support rural pharmacies by ensuring they are not disadvantaged because of their location. In our strategy for pharmaceutical care in Scotland ‘Achieving Excellence in Pharmaceutical Care’ (2017) we committed to enhancing access to pharmaceutical care in rural communities, which included use of Attend Anywhere for pharmacist clinics, and use of Near Me to support access to and the delivery of pharmaceutical care in rural communities.

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.

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.

Our 2018 Diet and Healthy Weight Delivery Plan set out ambitious and wide-ranging action to deliver our vision for a Scotland where everyone eats well and has a healthy weight. We are taking forward a range of action across five key outcomes: giving children the best start in life; creating a healthier food environment; better access to weight management services; leadership and reducing health inequalities.

We continue to support convenience stores to increase the accessibility of fruit and vegetables in more deprived areas and support businesses to reformulate their products to make them healthier.

We have maintained funding to community food networks, enabling them to increase access to affordable, healthier food to their communities and to promote the health benefits of nutrition and physical activity.

The Scottish Government is committed to supporting the health and wellbeing of our children and young people. All food and drink served in schools must comply with the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations 2020 which are designed to provide children and young people with an appropriate amount of energy and nutrients to support their health growth and development.

In addition, food and health education is a key part of Curriculum for Excellence helping to ensure that our children and young people are provided with the skills and knowledge they need to make positive food choices that benefit their health now and in the future. To further support this holistic approach, more children than ever before are being offered balanced and nutritious free school meals as a result of our free school meal expansion programme.

The Scottish Government recognises the importance of ensuring that women in rural areas are able to access cervical and breast screening services.

The breast screening programme operates from six centres across Scotland and is supported by 21 mobile units to allow screening to be delivered more locally to minimise travel and distance as barriers for attendance. The latest statistics released by Public Health Scotland (PHS) show that for the breast screening programme, the NHS Health Boards which include the highest level of rural areas saw above-average uptake in Scotland, and also met Healthcare Improvement Scotland’s acceptable uptake standard of 70% for the three-year period 2020-23.

The Scottish Government supports women to access the cervical screening programme by funding GPs to deliver it in their communities. As with breast screening, the latest PHS statistics for cervical screening also show a higher than average uptake in NHS Health Boards that have the highest level of rural areas.

To strengthen the delivery of comprehensive, sustainable and accessible services, the Scottish Government is developing a Route Map for Primary Care to further enhance sustainability of Primary Care, aligned to wider reform of Health and Social Care. This encompasses evaluation of both how the Primary Care system operates currently, including across rural areas, and how it will operate in the context of wider reforms. Under a shared vision for Health and Social Care, the Route Map will set the strategic direction for Primary Care as a whole.

In addition to this, the Scottish Government has annually made £1m available through our Inequalities Fund. Boards are allocated funding for use in developing local initiatives taking into consideration specific barriers for individuals. For example, NHS Highland’s partnered with the North’s Scottish Breast Screening Service to deliver telephone reminders targeted at individuals invited to take part in screening for the first time. During the initiative's second year, uptake among individuals living in 'Remote Small Towns', 'Accessible Rural Areas' & 'Remote Rural Areas' (all categories within the Scottish Urban Rural Classification), was statistically significantly higher among those who were contacted relative to those who were not contacted.

The Scotch Whisky Regulations 2009, coupled with inclusion in the GI scheme already provides this guarantee and the GI mark is available to be used by producers meeting the specification should they wish.

Ministers and officials have met 26 times with the SWA since 24 January 2024. Officials have a close and collaborative working relationship across the SWA and have regular informal engagement on areas of mutual interest.

Scotland’s DRS was due to launch in March 2024 and we would have been enjoying the benefits of a DRS now if the previous UK Government had agreed a full Internal Market Act exclusion to our scheme.

The Scottish Government continues to engage with businesses regarding Scotland’s Circular Economy and the implementation of Extended Producer Responsibility schemes, including the Deposit Return Scheme (DRS).

In 2023, following a significant amount of engagement with businesses, including small-scale drinks producers, we amended DRS Regulations so that any product with fewer than 5,000 units on the market may be registered as a low volume product. As part of the development of the 3 nations scheme our officials shared the experience of developing the Scottish Scheme and due to this low volume products will be exempt from most of the requirements of the deposit return schemes across the UK.

Draft regulations recently notified to the WTO confirmed that glass will no longer be included in Scotland’s scheme. Because spirits are normally packaged in glass bottles, this means that the majority of distillers and small-scale spirits producers will be out of scope of DRS when it launches in October 2027.

The Scotch Whisky Regulations 2009 set out requirements for the marketing and labelling of whisky alongside the Food Labelling (Scotland) Amendment Regulations 1989 and The Spirit Drinks Regulations 2008. This is enforced by the relevant food authority in the UK or port health authority. The protection Scotch Whisky has under the GI scheme and associated legislation is certified and enforced by HMRC. The Licensing (Scotland) Act 2005 also sets out additional regulations on the display and promotion of alcohol, which are enforced by the relevant local authority.

Furthermore, retained EU Regulation 110/2008, amended by the Agricultural Products, Food and Drink (Amendment etc.) (EU Exit) Regulations 2020 as well as Regulation 2019/787, amended by the Agricultural Products, Food and Drink (Amendment etc.) (EU Exit) Regulations 2020 (SI 2020/1637) and the Agricultural Products, Food and Drink (Amendment) (EU Exit) Regulations 2020 continue to apply to the definition, description, presentation, labelling and the protection of GIs for spirit drinks.

The Schools (Health Promotion and Nutrition( (Scotland) Act 2007 makes health promotion a central purpose of schooling and places duties on all education authority and grant aided schools including those in rural communities. A school is health promoting if it provides activities and an environment which promote the physical, social, mental and emotional health and wellbeing of pupils in attendance at the school.

It is up to local authorities and schools to choose which policies, initiatives and programmes they put in place to meet these duties recognising they are best placed to decide what will best serve local needs, priorities and circumstances.

Guidance was developed to support schools as they take action to meet their duties under the 2007 Act.

Health and wellbeing is an integral part of Curriculum for Excellence, helping to ensure that children and young people are provide with the skills, knowledge and experience they need to take responsibility for their health and wellbeing as they grow into adulthood. Children and young people should know where to go to get relevant support and help them make informed decisions about their health.

The Scottish Government has invested over £29m of Community Led Local Development (CLLD) funding in our rural communities since the closure of the LEADER programme in December 2021, delivering over 1000 grassroots community-led projects across rural and island Scotland in partnership with rural organisations. A place-based approach is the foundation of CLLD. Communities are empowered and supported to design and implement the solutions to the challenges and opportunities they identify in their local area, which may include community led health and social care provision. We have invested £11.4m so far in our rural and island communities to support CLLD and similar initiatives in 2024-25. A further £9m for CLLD was announced in the indicative 2025-26 budget, subject to the passing of the Budget Bill.