Chamber and committees

The Scottish Government is working closely with NHS Education for Scotland (NES), to identify and deliver training opportunities for health and social care workers in rural and island areas. Through the National Centre for Remote and Rural Health and Care, housed within NES, 30 practitioners have undertaken the MSc in Rural Advanced Practice in 2023 and 2024, supporting career development, increasing equity in education and supporting the sustainability of primary healthcare services. The Centre will continue to develop new rural specific recognised qualifications to address skills gaps and drive innovation.

We are currently funding a dedicated resource in NES to scope the current skills landscape and identify where earn as you learn programmes could be expanded and where further development work is required with the aim of widening the pathways into health and care careers.

The Open University already provides distance learning Nursing degree education, which is accessed by Healthcare Support Workers already employed by NHS Boards, enabling them to train in their local area and continue to work.

Further, work is being explored via the Allied Health Professional and Healthcare Science education reviews’ recommendations and the Nursing and Midwifery Taskforce on how best to diversify the delivery and flexibility of education programmes.

Whilst the Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing requirements are in the first instance the responsibility of the relevant Health Board. As such, recruitment is a matter for Health Boards. The National Health Service Reform (Scotland) Act 2004 has created a duty on Health Boards to co-operate with each other to secure and advance the health of the people of Scotland, enabling the arrangement of travelling consultants

Glasgow City Alcohol and Drug Partnership (ADP) has hosted 12 local community drop in engagement sessions within the Calton and surrounding area focused on allowing local residents the opportunity to raise concerns, ask questions and engage with the project leads. Local residents who use drugs and family members were also included. The drop in sessions were advertised locally via posters, via leaflet drop and via social media. Questions from the sessions informed a Frequently Asked Questions document (available here - SDCF - Frequently asked questions) and Glasgow ADP also created a ‘You Said We did’ document to demonstrate the actions taken following feedback which is shared at all in-person sessions.

These sessions were in addition to several attendances by the ADP at Community Council meetings, local Area Partnership meetings, and Local Engagement Forum meetings.

To allow ongoing community engagement, the ADP have also established the Thistle Community Forum, including local residents, local business, Police Scotland, the Recovery Community and other key stakeholders which will support people to raise concerns and facilitate a coordinated response.

In addition, Glasgow City Council organised 2 additional deep cleans of the surrounding area in response to local residents complaints about the poor state of the streets. The independent evaluation researchers were invited to attend in response to questions about how the impact of the service on the local community would be measured.

Glasgow City ADP will continue to engage with local residents, businesses and their staff in the run up to the opening of the facility and once it is established.

The duty to carry out Island Communities Impact Assessments came into force on 23 December 2020. All ICIAs and decisions not to carry out an ICIA are published by the Scottish Government and are readily available to access online.

While the Scottish Government provides the overarching guidance/framework for patient travel expenses reimbursement, NHS Boards are responsible for developing local policy to best meet the needs to their populations, and for assessing eligibly for financial support and level of that support. The cost of reimbursement is met from Boards’ budgets and all Boards must balance value for money with patient need, ensuring that patients are supported in identifying and accessing available support and that patient care is at the centre of all decisions.

The Scottish Government has committed to a review of the overarching patient travel expenses reimbursement guidance. However, a start date for the review is not confirmed at this time; it is important that the review is considered within the context of wider reform on access to health care.

It is recognised that transport to health is a key enabler to ensure equitable access to healthcare, and work to bring travel/transport and health planning closer together is in progress. This work will include bringing local bodies together at a regional level to consider the options for transport to health. This work will also inform how and when a review of the overarching patient travel expenses reimbursement guidance is taken forward.

The Scottish Government is working closely with key stakeholders, including NHS Scotland and third sector to ensure that health professionals embed conversations about alcohol consumption and the risk it carries in developing a range of cancers, for example through Alcohol Brief Interventions, into their daily practices. The Scottish Government also worked closely with Scottish Health Action on Alcohol Problems (SHAAP) to disseminate SHAAP’s guidance, highlighting the link between alcohol and cancer, to health professionals across Scotland.

Cancer remains a national priority, within the Scottish Government and across NHS Scotland. That is why we published our Cancer Strategy for Scotland 2023-2033 along with an initial three year Cancer Action Plan for Scotland 2023 – 2026 in June 2023.

The Scottish Government conducted an initial survey of residential rehabilitation providers in Scotland and published the results in November 2021. This showed that, at that time, there were 12 reported beds in Highland and 6 in the Western Isles. None were reported in Orkney, Shetland or Grampian.

The Scottish Government recognises that career pathways such as earn-as-you-learn can widen access to health and social care careers, including those who are settled and rooted in our rural and island communities.

That is why, we are funding a dedicated resource within NHS Education for Scotland (NES) to scope the current skills landscape and identify where earn as you learn programmes could be expanded and where further development work is required with the aim of widening the pathways into health and social care careers.

The Rural and Island Workforce Recruitment Strategy will focus on a sustained model of direct support and will take cognisance of broader cross-government work such as the exploration of earn as you learn models to provide a long-term, dynamic and connective approach to support employers to recruit successfully.

Through promoting healthy living by reducing alcohol misuse we can reduce the risk of developing some cancers. The Scottish Government published our Cancer Strategy for Scotland 2023-2033 and initial Cancer Action Plan for Scotland 2023-2026 in June 2023. There are specific actions in the action plan aimed at reducing the consumption of alcohol.

A Public Health Scotland evaluation estimated that our world-leading Minimum Unit Pricing (MUP) policy has saved hundreds of lives, likely averted hundreds of alcohol-attributable hospital admissions and contributed to tackling health inequalities. We introduced an increase to MUP in September 2024.

We have commissioned Public Health Scotland to carry out a review of the evidence on restricting alcohol marketing and advertising. We will progress work in areas where evidence supports further action to address alcohol misuse and improve population health.

The following table provides the number of practices which have held General Medical Services contracts (sometimes called 17J practices due to the relevant clause in the National Health Service (Scotland) Act 1978) in NHS Highland, NHS Western Isles, NHS Orkney, NHS Shetland, and NHS Grampian for each year since 2018.

Table 1 - Practices with General Medical Services contracts