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Medicines reach community pharmacies, hospitals, GP practices through a supply chain that is privately operated on a UK-wide basis, from manufacturers in the UK and overseas to wholesale warehouses and distributors. The NHS itself does not have a significant logistical role in the supply chain for medicines.

The supply of medicines, including medicines shortages, is a reserved matter and therefore the responsibility of the UK Government’s Department of Health and Social Care. The Scottish Government works closely with the UK Government on all related medicines supply issues and there are well-established and robust processes in place to communicate, address and mitigate any risks to patients as result of any medicines supply issues that occur.

The Scottish Government and NHS Scotland National Procurement have regular engagement with key stakeholders including Health Boards and Community Pharmacy Scotland on any medicines supply related issues to ensure the provision of medicines for patients in both primary and secondary care settings across Scotland.

We will continue to expand NHS Pharmacy First Scotland so that a wider range of health conditions are covered. This will further transfer the care of common clinical conditions to community pharmacy, removing the need for visits to GPs, Out of Hours services or Emergency Departments for everyday self-limiting conditions. In doing so, we will consult NHS24 and health boards to identify the priority conditions the service could cover in all community pharmacies in Scotland.

Through the Pharmacy First Plus element of the service, pharmacists who are qualified independent prescribers (IPs) can already go a step further than standard Pharmacy First, going beyond the approved list of products and the Patient Group Directions (PGDs) in place, to prescribe a wider range of products in response to patients' symptoms and conditions.

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/

Tables 6.1 and 6.2 provide data at Scotland, Health Board and Health and Social Care Partnership level outlining that, apart from the COVID-19 impacted years, increasing numbers of people are having a free NHS-funded eye examination.

In addition, the NHS Inform and Eyes.NHS.Scot websites have content relevant to the provision of NHS funded eye examinations in Scotland.

I wrote to the Economy and Fair Work Committee on 25 June 2024 to confirm that a market testing exercise for Glasgow Prestwick Airport was underway. Scottish Ministers’ longstanding position is that the airport should be returned to the private sector at the appropriate time and opportunity. This must be to an organisation with the commitment and capability to operate businesses directly relevant to GPA.

Any decision to sell GPA must represent value for money for taxpayers and be informed by what is right for the long-term success of the business and its contribution to the local and Scottish economy.

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.

Since October 2022, Scottish Government has funded the third sector organisation RNID to deliver its ‘Near You’ scheme in partnership with the NHS. The service provides hearing aid maintenance and support, access to information and advice as well as early detection and prevention. The scheme is currently operational across 5 hub areas – Greater Glasgow and Clyde, Scottish Borders, Shetland, Lothians and Fife and is facilitated by locally recruited staff and trained volunteers.

Partnerships provide domiciliary care in care homes as well as forging links with other third sector organisations to maximise attendance and support provided. Regular monitoring of this service is undertaken to assess demand and savings including in clinical hours and patient travel.

The Scottish Government expects all NHS Boards to provide maternity services that are delivered as close to home as practicable and to offer a full range of birth place options within their region. Service planning and delivery is the responsibility of NHS Boards and it is important that these services are safe, sustainable and meet the needs of local populations.

At a national level, we continue to take forward work to address the challenges faced by maternity services in rural and island NHS Board areas. We are improving the delivery of maternity services in rural areas through initiatives such as implementation of The Best Start and the introduction of continuity of carer; the development of community hubs, and the increased use of Near Me, that allows for remote consultations and appointments where appropriate. We particularly recognise the importance of patient transport and this remains a priority for the Scottish Perinatal Network (SPN), with work commencing to develop guidance on Remote & Rural Intrapartum Transfers. In addition, we continue to support work in Grampian to return obstetric maternity services to Dr Gray's Hospital.

I wrote to the Economy and Fair Work Committee on 25 June 2024 to confirm that a market testing exercise for Glasgow Prestwick Airport was underway. Scottish Ministers’ longstanding position is that the airport should be returned to the private sector at the appropriate time and opportunity. This must be to an organisation with the commitment and capability to operate businesses directly relevant to GPA.

Any decision to sell GPA must represent value for money for taxpayers and be informed by what is right for the long-term success of the business and its contribution to the local and Scottish economy.

The process is ongoing and I will update Parliament when a significant development has been made.