Current status: Answered by Neil Gray on 1 October 2025
To ask the Scottish Government which NHS boards have exercised their discretion to return vaccination delivery responsibility to rural GPs.
Since 2022, Health Boards have been responsible for delivering Scotland’s vaccination programmes. The Scottish Government has always recognised that there may be circumstances (eg, in remote and rural places) were some vaccination services need to be delivered by General Practice. It is important that such flexibility exists to ensure that vaccination is as readily accessible to people as possible, regardless of local geography or other situations. However, it is not the case that Health Boards can do so on a discretionary basis.
Through an Options Appraisal process put in place by the Scottish Government, Health Boards must demonstrate a clear and evidenced need for particular vaccination services to be delivered by General Practice. Scottish Ministers must agree such proposals. A small number of discrete cases have been approved, including one practice within NHS Borders and several practices within Argyll and Bute Health and Social Care Partnership (HSCP). In each instance these have been approved in response to specific circumstances to support access to vaccination. Approval has also been given for Highland HSCP to establish a mixed model of vaccine delivery, that will include some GP practices in the area delivering some vaccination services. Highland HSCP are developing their mixed model, and the Scottish Government, along with Public Health Scotland (PHS), are working closely with them to ensure a safe and accessible service.