The Communities Mental Health and Wellbeing Fund for Adults is distributed in all 32 local authority areas of Scotland by Third Sector Interface (TSI) organisations who, working in collaboration with other local partners, are responsible for determining and allocating the funding to local community initiatives which support mental health and wellbeing.

TSIs are provided with overarching national guidance for the Fund, which is set by the Scottish Government in consultation with TSIs and the Fund’s National Oversight Group prior to each funding round.

The guidance sets out the broad parameters for how funding should be allocated to community organisations, including criteria around who can apply and what type of project can be funded; in line with the Fund’s aim to tackle mental health inequalities and benefit grassroots groups. The guidance is reviewed annually based on feedback and evidence emerging from monitoring and reporting on the Fund, which is collated by the Scottish Government.

Crucially, it is designed to be flexible in order to allow local partnership groups to identify their own priorities for spend within the terms set out and in line with their local partnership plans.

The requirement for Directors of companies registered in the United Kingdom to prepare and publish annual audited financial statements, subject to certain exemptions, arises from the Companies Act 2006 and not from contractual conditions.

The Scottish Government’s role is to set the strategic policy for the NHS in Scotland, NHS Boards are responsible for service delivery. All Health Boards should consider patient transport needs when they plan and deliver services.

On 30 October, the Scottish Government published the Transport to Health delivery plan which sets out commitments against transport and healthcare across the work of Health and Social Care and Transport Scotland. The plan was informed by the 2019 Transport to health and social care report prepared by the Mobility and Access Committee for Scotland (MACS) on behalf of Ministers.

As set out in the plan, we will continue to use the NHS annual delivery plans to re-emphasise the need for Health Boards to consider patient access as part of the care pathway and reflecting the opportunity that is emerging for reducing the number of patient journeys through alternative options.

Public Health Scotland publishes annual data on NHS eye examination on their website at: https://publichealthscotland.scot/publications/ophthalmic-workload-statistics/ophthalmic-workload-statistics-statistics-as-at-year-ending-31-march-2024/

The NHS Pharmacy First Scotland service is helping people to access the Right Care at the Right Place. It removes the need for unnecessary visits to GPs, Out of Hour services or Emergency Department for everyday self-limiting conditions.

Public Health Scotland (PHS) has reported that that in financial year 2023-24 alone, over 4.7 million Pharmacy First Scotland consultations were undertaken with 95% providing advice on self-care or treatment at the point of contact. PHS also reported that in 2023/24, 32% percent of the Scottish population (1,747,654 people) accessed Pharmacy First Scotland services at least once. PHS reports provide analysis of data at a national level, further aggregation by local area may be available online.

With Patient Group Directions (PGDs) in place for common clinical conditions such as shingles, urinary tract infections, skin conditions, impetigo and hay fever – patients can get prescription treatment without the need for an appointment at their GP practice. In 2023-24, Pharmacy First Scotland consultations using PGDs accounted for 3.8% of the total consultations (181,174) with 84% (154,809) resulting in treatment being provided by the community pharmacist.

The Scottish Government are determined to tackle poverty and reduce health inequalities in Scotland - continuing to take wide ranging action to deliver improved outcomes for families and individuals across the country and to address the root causes of inequality.

The Health and Care Experience Survey and the National Performance Framework both provide Scottish Government with evidence to support the monitoring of inequalities and outcomes across Scotland, including rural areas.

The Scottish Government has committed to publish a plan setting out how all parts of the Scottish Government are delivering for Scotland’s rural mainland communities, by the end of the current Parliament. This is underpinned by the evidence compiled on Rural Scotland, Rural Scotland Data Dashboard: Overview - gov.scot which was published on 21 December 2023. In addition, the Scottish Islands Data dashboard was published on 5 December 2023.

The Plan will cover a range of key areas, including health and social care.

Officials engage with Health Boards and HSCPs on a regular basis to review health outcomes.

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 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.

Whilst Firearms fees is a reserved matter, the Scottish Government is supportive of this recent increase in contributing towards full cost recovery for Firearms Licensing in Scotland. Police Scotland and stakeholders representing Scottish certificate holders were engaged in the 2022 consultation on the Firearms Fee review.

This is the first increase in Firearms Licensing Fees since 2015 and although these increases will cost those in rural communities more than urban areas due to the nature of rural life in Scotland, the impact on the rural economy is still uncertain. I understand the UK Government have committed to reviewing the licensing fees annually with comprehensive reviews every 3 years. These reviews will involve the Fees Working Group which consists of key stakeholders such as Police Scotland and shooting organisations representing Scottish interests.

I would suggest if people or organisations have concerns, these should be raised at the UKG Fees Working Group, to ensure the voices of all those affected are heard.

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.