Chamber and committees

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.

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

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.

I refer the member to the answer to the question S6W-33695 on 27 January 2025.

In addition, the Scottish Government has not received correspondence with regards access to community optometry services for children living in rural and remote areas.

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

I refer the member to the answer to the question S6W-33681 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

There are therefore no financial barriers to receiving optometry services.

The National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006, as amended, do not require community optometry practices to be accessible for disabled people. However, the majority of practices are accessible. Where they are not, the Scottish Government provides an additional fee to practices for the provision of domiciliary care to eligible patients.

All referrals to the hospital eye service from community optometry are electronic and enable the attachment of retinal images and other examination results to aid the triaging of the patients. In addition, since the initial onset of the COVID-19 pandemic, the Scottish Government has facilitated the use of technology to support remote consultations under General Ophthalmic Services which is likely to be of particular benefit to patients living in rural areas. The cloud-based national Electronic Patient Record is also being used by community optometrists providing the Community Glaucoma Service - an important technological initiative supporting safe and high quality care.

As well as a sight test, a routine NHS eye examination in Scotland provides a comprehensive eye health assessment, tailored to meet the needs of the patient. This helps with early detection of a range of sight-threatening conditions and some general medical conditions.

Where the optometrist suspects the patient has a sight-threatening condition, where clinically appropriate they will refer the patient to the hospital eye services. Data on such referrals can be found in the Public Health Scotland report referred to in answer to 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

Through the National Centre for Remote and Rural Health and Care, housed within NHS Education for Scotland, the Scottish Government are supporting the health workforce in rural and island areas.

A detailed programme of monthly rural specific training sessions are being delivered for multi-disciplinary rural practitioners online to ensure access for the widest group of rural practitioners across Scotland.

New rural specific training programmes are being developed and delivered to support the specific needs of the remote and rural Primary Care and community services workforce. Current programmes of work include focused support and training for remote and rural dispensing practices, new resources being developed to support Primary Care professionals to become trainers within the community and Primary Care Practice settings for Advanced Nurse, Pharmacy, and Practice Nurse Practitioners.

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.