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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.

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.

With regards to the average wait times across all boards compared with waiting times in rural areas such as Aberdeenshire, this information requested is not held centrally by the Scottish Government the member may wish to contact NHS Grampian directly for information.

This is an operational matter for Police Scotland with oversight from the Scottish Police Authority. You may wish to contact them directly.

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.

Through implementation of the Women’s Health Plan we have established an NHS Board Women’s Health Lead Network with a Lead in every NHS Board. The Network enables the Leads to identify both common and local challenges and exchange ideas on innovation and best practice, along with discussions on progress to implement the Women’s Health Plan.

We have a clinical Menopause Specialists Network, which enables clinicians across Scotland with an interest in menopause care to share initiatives and good practice and discuss emerging challenges encouraging consistency of advice which can then be shared with local primary care teams.

We also established a National Menstrual Health Clinical Network to provide clinicians across Scotland with access to peer support, consistent expert clinical advice and facilitate further learning opportunities.

Further information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.

It is the responsibility of the Scottish Ambulance Service to ensure that response times are as quick as possible, regardless of geography.

The Scottish Ambulance Service completed a full review of Demand and Capacity across Scotland at the end of 2019 which involved looking at demand data and resources to predict current and future demand and map out the levels of staff and vehicles required across different parts of Scotland. The outcome of the review saw an increase in resourcing and staffing in both urban and rural areas across Scotland.

Within our 24/25 Programme for Government we committed to working across the four nations on banning the sale of single use vapes (SUV) as well as the UK Tobacco and Vapes Bill.

SUV’s have been linked to a rapid increase in the number of young people vaping, particularly due to their low price. The SUV ban will be implemented from 1 June 2025 in line with the rest of the UK.

If passed the Tobacco and Vapes Bill, will restrict the promotion, advertisement and brand sharing of vapes.

Our Scotland-wide ‘Take Hold’ marketing campaign educated parents, carers and children about the dangers of vaping and increased the awareness of the harms and risks of nicotine addiction. It also contained a school toolkit.

We continue to work with Young Scot to support young people to understand the risks of using tobacco and nicotine products, and raise awareness of available cessation services and avenues to support young people to stop smoking/vaping.

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.

Routinely collected data on the waiting time for a diagnosis of endometriosis are not available.

However, in 2024 Endometriosis UK published a report based on a survey of 4,371 people who received a diagnosis of endometriosis from a medical practitioner or following a diagnostic intervention. The report suggested that the current average waiting time for a endometriosis diagnosis in Scotland is now 8 years and 10 months.

Endometriosis has two stages of diagnosis, a working diagnosis at primary care level and a confirmed diagnosis via laparoscopy at secondary care. Not everyone with endometriosis will want to have a laparoscopy to confirm their diagnosis, particularly if their symptoms can be well managed.

We know that excessively long waits for laparoscopy are not acceptable and we apologise to all patients waiting too long. We are determined to drive improvements in this area and continue to work with NHS boards on a number of actions which will see patients treated as quickly as possible.

We want people to achieve a working diagnosis as soon as possible to enable swift access to appropriate care and treatment.

There are several treatment options to manage the symptoms of endometriosis. These include pain management options and hormonal contraception as well as surgical interventions including laparoscopy. There is no cure for endometriosis. More information can be found on NHS Inform.

As set out in the Endometriosis Care Pathway for NHS Scotland clinicians should consider women’s individual needs in order to determine treatment for example symptoms, aspects of daily living and desire for fertility.

Through the actions set out in our Women’s Health Plan we have taken steps to support both women and health professionals to learn more about endometriosis, the symptoms and treatment options.

Further information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.

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.

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.

Healthcare support workers in Scotland, by agreement from their employers, can enrol on the HNC in Healthcare Practice at their local college and can then progress to the nursing degree programme currently provided by the Open University, enabling them to remain in the workforce in their local Board area whilst studying. The Scottish Government provides a salary backfill payment to employers to compensate for time away from the workplace for both the Open University and HNC programmes.