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Challenges in delivering healthcare vary across Scotland due to population needs, as a result there is not a one-size fits all solution.

Work is already underway to progress reforms to ensure long-term sustainability, reduce health inequalities, deliver services closer to home, further harness the benefits of digital technology, and improve population health outcomes in Scotland.

To support sustainability of acute health services within remote, rural and island communities, we have convened an NHS Board-led working group which is working to develop a framework for delivery of health services in rural and island areas and considering how best to deliver the right care in the right place.

This group will determine a framework for the delivery of sustainable care for our rural and island communities, supporting effective local decision making while allowing service design and delivery to be adapted to place-specific needs and circumstances.

The Scottish Government published our Cancer Strategy for Scotland 2023-2033 along with an initial three year Cancer Action Plan for Scotland 2023 – 2026 in June 2023. Over a 10-year period, our strategic aim is to improve cancer survival and provide excellent, equitably accessible care.

The strategy and plan have a focus on reducing inequities in access to cancer care and cancer outcomes. This means treatment and care will be equally good wherever anyone lives and whoever they are. Actions to tackle inequalities are incorporated into other ambitions in the action plan.

The Scottish Government is looking to improve our understanding of the experience of people with cancer living in rural and island communities. Examples include an independent evaluation of their access to cancer care services, and a research programme on rural healthcare funded by the Chief Scientist Office.

The Scottish Government is committed to developing a sustainable health and social care system that ensures people get the right care, at the right time, in the right place.

Our vision is for ‘a Scotland where people live longer, healthy and fulfilling lives.’ is supported by four key areas of work: improving population health, a focus on prevention and early intervention, providing quality services, and maximising access, all underpinned by a person-centred approach.

The majority of health boards across Scotland have all, or some of their constituent population in a rural area. Health Boards and Health and Social Care Partnerships take account of the diverse needs of their populations and plan their service provision according to that need.

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

I refer the member to the answer to the question S6W-33527 on 27 January 2025. 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

The Scottish Government does not hold information on how many GP practices in rural areas have closed in each of the last five years. NHS Boards are responsible for managing their contracts with GP practices and determining, with Health & Social Care Partnerships, whether to replace any practices that have closed.

Funding is provided to Network Rail, ScotRail Trains Limited, Scottish Rail Holdings Limited and Caledonian Sleeper to facilitate their ongoing operations. Investment in security measures is determined by the aforementioned parties, using their existing funding streams. British Transport Police operates in these remote areas as part of its responsibilities.

Women’s Health is key priority for this government which is why Scotland was the first country in the UK to publish an ambitious Women’s Health Plan in August 2021. Timely access to gynaecology services will remain a priority as we continue to develop our Women’s Health Plan.

The Budget we set out on 4 December 2024 will throw the weight of the government behind performance improvements with almost £200 million to reduce waiting lists and help support reduction of delayed discharge. By March 2026, we expect no one to be waiting longer than 12 months for a new outpatient, inpatient treatment or day case treatment.

We have already invested £30 million to reduce waiting lists that built up throughout the pandemic. This funding is being targeted at a series of national and local plans to reduce backlogs by maximising the use of local and national resources across Scotland. As part of this, we have allocated additional funding to Gynaecology services which we expect to deliver around 3,500 new outpatient appointments.

I refer the Member to the answers given in questions S6W-33618 and S6W-33681 on 27 January 2025. In addition, I also refer the member to the General Ophthalmic Services Statement which is available at: https://www.eyes.nhs.scot/media/1765/statement-of-gos-remuneration-and-cpd-allowances-241023.pdf

The Scottish Government provides an additional fee to practices for the provision of domiciliary care to eligible patients.

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

Teams within General Practice, local community pharmacies and optometry practices frequently work together to support their patients. Other primary care providers can and do refer patients to community optometry services. Community optometry is the accepted first point of contact for any eye related issues.

Policy development was taken forward to determine which courses were available. It was concluded that, due to a number of factors, that it would not be taken further, not least due to the inhibitions of the current devolution settlement.