It is for Integration Joint Boards (IJBs) to govern, plan and resource adult palliative care in their areas, using the delegated budgets under their control, to meet the needs of their local populations.

Evidence gathered to support the development of the draft palliative care strategy shows that, for people living and dying at home, general practitioners (GPs) and district nurses have important and valued roles providing ongoing relationships, care of the whole person and family, broad expertise and coordination of care. These relationships are particularly important in rural and island communities. The actions set out in the draft palliative care strategy seeks to support IJBs ensure equitable access to palliative care in their areas.

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.

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.

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.

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

Through the actions set out in our Women’s Health Plan we have taken steps to support both women and health professionals to learn more about endometriosis, the symptoms and treatment options to support earlier identification and minimise time to diagnosis.

The NHS Inform endometriosis page acknowledges the importance of emotional support and provides links to local peer-to-peer support groups.

There are also national helplines including 111, Breathing Space and The Samaritans.

In addition, we have also funded Endometriosis UK to produce a booklet and two webinars on self-management tips for managing endometriosis pain.

Endometriosis UK also operate a free, confidential helpline run by trained volunteers who have a personal experience of endometriosis. Endometriosis UK have also expanded their helpline provision by launching a new nurse-led helpline on 28 January 2025

Endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so. We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

The Scottish Government continues to support community pharmacies, including rural pharmacies, by delivering the largest ever increase to funding two years in a row. This has delivered 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. Both of these measures help support rural pharmacies by ensuring they are not disadvantaged because of their location.

When community pharmacies close or transfer ownership this is a business decision taken by the community pharmacy owner. The Scottish Government has not undertaken an impact assessment on closures. Health Boards are the bodies responsible for ensuring that there is adequate provision of NHS pharmaceutical services within their area.

Information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.

As we move into the next phase of the Women’s Health Plan, we will consider how best to monitor and evaluate progress over time, which includes engagement with women who have lived experience of endometriosis.

As set out in the Women’s Health Plan, we know that there is a lack of data on women’s health – including endometriosis. Improving data has been one of the key priorities of the first phase of the women’s health plan, to understand the data that are available, the gaps and how we might address them.

The recently published data landscape review sets out a range of publicly available data on the health of women in Scotland and highlights where there are gaps which need to be addressed, including endometriosis. This is just the start of our work to improve women’s health data. Further work will be undertaken to explore the data sources and gaps in more detail.

The following provides details of marketing activity that has run over the preceding five years, to address chronic diseases. Chronic disease is defined in the Scottish Health Survey as any physical illness or mental illness expected to last a year or more. Messaging has not been tailored to target rural communities specifically, however where possible media platforms and channels have been selected and partnerships have been utilised to reach rural communities.

Crohn’s and Colitis

A Crohn’s and Colitis public information campaign ran in March 2023 via stakeholder and community engagement. The campaign aimed to increase awareness of the symptoms of Crohn’s and Colitis, and signpost to trustworthy information to empower and enable the public to seek advice from a healthcare professional.

Community engagement included the distribution of posters to 1,256 community pharmacies, 908 general practices, 256 leisure/community centres and 32 library hubs (for onward distribution to community libraries) throughout Scotland. This included rural areas, the Highlands and Islands.

Campaign resources including a toolkit were sent to over 300 stakeholders, which included Local Authorities and NHS Health Boards.

Women’s Heart Health

To help improve awareness and signs of heart disease and communicate ways of lowering risk, a public information campaign was developed to coincide with national heart month in February 2023 and was activated through community and stakeholder engagement.

Resources highlighted a key stat:istic “heart disease is killing 10 women a day in Scotland” and signposted to NHS Inform for more information on symptoms and actions to take to lower risks.

The campaign was aimed specifically at women and was delivered via community engagement and included the distribution of posters to 1,256 community pharmacies, 908 general practices, 256 leisure/community centres and 32 library hubs (for onward distribution to community libraries) throughout Scotland, this included rural areas, the Highlands and Islands.

A campaign toolkit was also sent digitally to a comprehensive stakeholder list which included Local Authorities and NHS Health Boards.

Cancer

Between April 2020 to date, a number of campaigns have run to support earlier detection of cancer, including Lung cancer, Cervical screening and Detect Cancer Early campaigns. Local press and radio packages were purchased as part of a Scotland wide media plan, to reach rural communities. Press titles included the Ellon Times, Buchan Observer, Berwickshire Advertiser, Ayrshire Post, The Hawick Paper, Banffshire Herald, John 'Groat Journal and radio stations included Radio Borders, Moray Firth Radio, Northsound, Westsound and Tay Radio.

A new burst of the Detect Cancer Early campaign will run in March and includes community radio in a number of rural locations that network radio does not reach, including Argyll FM, Caithness FM, Radio Skye, Radio Wester Ross, Radio Nevis (Fort William) and Shetlands (SIBC). Also included is a content partnership with local publications such as Ellon Times, Buchan Observer, East Fife Mail, Berwickshire Advertiser and Ayrshire Post and Field activity in locations that are more accessible for those living more rurally such as Elgin, Fort William and Stranraer.

Dementia Stigma

The Rethink Dementia campaign launched on 4 September 2024 and ran for 6 weeks in paid-for media. A number of Local Press Titles were purchased as part of the campaign, including:

Community Scotland Zone Newspaper

South Annandale Series

South Ayr Advertiser

South Berwickshire News

South Border Telegraph

South Cumnock Chronicle and Muirkirk Advertiser

South Dumfries Courier

South Eskdale & Lidderdale Advertiser

South Galloway Gazette

South Lanark and Carluke Gazette

South Peeblesshire News

South Southern Reporter

South Stranraer & Wigtown Free Press

South The Hawick Paper

North Angus County Press

North Banffshire Advertiser

North Banffshire Herald

North Banffshire Journal

North The Buchie & Inverurie Herald/ Ellon Times/ Fraserburgh Herald

North Caithness Courier

North Campbeltown Courier & Argyllshire Advertiser

North Deeside & Donside Piper and Herald

North Forres Gazette

North Helensburgh Advertiser

North Highland News Group

North Huntly Express

North Inverness Courier (Fri & Tues)

North Isle of Bute News

North John O'Groat Journal

North Mearns Leader/ Kincardineshire Observer

North Northern Scot

North Northern Times

North Oban Times and West Highland Times

North Ross-shire Journal

North Shetland Times

North Stornoway Gazette

North Strathspey and Badenoch Herald

North The Orcadian - Orkney

North West Highland Free Press

The Rethink Dementia campaign also utilised pharmacies, libraries, GP practices, community centres and sports centres, providing these settings with campaign assets across Scotland including rural communities.

This information is provided in Glasgow Prestwick Airport’s annual accounts.

Glasgow Prestwick Airport has published annual accounts for each year since the shareholding was acquired by Scottish Ministers. It is a statutory requirement that these are laid in Parliament.

Scottish Ministers do not hold a breakdown of revenue that details revenues derived from any category of customer at Glasgow Prestwick Airport.