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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.

The National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006, as amended, do not require community optometry practices to be accessible for disabled people. However, the majority of practices are accessible. Where they are not, the Scottish Government provides an additional fee to practices for the provision of domiciliary care to eligible patients.

As well as a sight test, a routine NHS eye examination in Scotland provides a comprehensive eye health assessment, tailored to meet the needs of the patient. This helps with early detection of a range of sight-threatening conditions and some general medical conditions.

Where the optometrist suspects the patient has a sight-threatening condition, where clinically appropriate they will refer the patient to the hospital eye services. Data on such referrals can be found in the Public Health Scotland report referred to in answer to question S6W-33638 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

I refer the member to the answer to the question S6W-33681 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

There are therefore no financial barriers to receiving optometry services.

Throughout NHS Scotland, patients who require urgent or emergency surgery will always be given clinical priority as determined by the clinicians involved in their treatment and care.

In the event that a patient requires transport to an appropriate facility for treatment, there are several resources available including the Scottish Ambulance Service’s patient transport service for scheduled care, or emergency ambulance for life threatening incidents. Scotland’s rural communities are also supported by air assets from the Scottish Ambulance Service (helicopters in Inverness and Glasgow), Scottish Charity Air Ambulance (helicopters in Aberdeen and Perth) and HM Coastguard helicopters based at Prestwick, Inverness, Stornoway and Sumburgh in Shetland.

I refer the member to the answer to question S6W-33541 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

Telemedicine can describe a range of different digital solutions to support consultations and engagement with the NHS. As a result, it is not possible for the Scottish Government to set out a conclusive percentage.

NHS Board’s baseline revenue allocations are set out annually in the Scottish Budget, as published on the Scottish Government’s website. In addition, resource and capital spending limits are reported in Board’s annual accounts, which are published on their websites.

The Scottish Government allocates funding to territorial NHS Boards based on the NRAC formula. The NRAC formula takes into account factors in addition to population levels, including excess costs of delivering healthcare in remote and rural areas.

Since 2006-07, baseline funding for health and social care has increased by 120% in cash terms and 37% in real terms.

Since 2012-13, over £3.5 billion of additional funding has been committed to those NHS Boards below their NRAC parity levels, ensuring all Boards remain within 0.6% of parity.

More information on the NRAC formula is available at: Resource Allocation Formula in Scotland - Finance - Data & intelligence from PHS (isdscotland.org)

Health Boards received core capital funding of £453 million as part of their 2025-26 budget allocation from the Scottish Government, which is an increase of £139 million on 2024-25. This will be primarily focussed on delivering improvements to existing facilities and upgrading medical equipment. It will also allow the plans to complete the Baird Family Hospital and ANCHOR Cancer Centre in Aberdeen and for plans to replace the Belford Hospital in Fort William to be taken forward.

In the last 5 years, the Scottish Government have successfully delivered facilities that support remote and rural healthcare such as Badenoch and Strathspey Community Hospital and Broadford Hospital in Skye. There has been substantial investment in national treatment centres which serve all of Scotland, including the NTC Highland which is located in Inverness.

The Scottish Government considers the varying needs of all parts of our population when developing plans and strategies, including the needs of people living in rural and island areas. We recognise that our rural and island communities have specific, place-based needs when it comes to the effective delivery of public services, including healthcare.

That is why we have established an NHS Board-led working group which is considering ways to improve delivery of safe, quality and sustainable healthcare services across rural and island Scotland.

More broadly, work is underway to develop a systematic approach to mainstreaming rural policy, the Rural Assessment Toolkit, which will support identifying and addressing the needs of rural communities and economies in our work.

Under the Islands Act 2018, the Scottish Government has a duty to consider issues that affect island communities in the development and delivery of all policies, strategies and services. We are also working with island communities and local authorities to develop a new National Islands Plan to be published later this year.

These workstreams support our endeavours to meaningfully improve outcomes for our rural and island communities across portfolios.