Seòmar agus comataidhean

I refer the member to the answer to question S6W-15055 on 21 March 2023. 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 remains engaged with the review process, however, the responsibility for the implementation of the recommendations falls to NHS Highland, working closely with the local community, NHS 24, the Scottish Ambulance Service and other agencies as recommended in Professor Ritchie’s original review.

The Scottish Government is aware that, following the publication of the independent external review, 4 of the recommendations have been delivered in full. These include resolving local provision of urgent care in Glenelg & Arnisdale and Raasay, in-patient hospital provision, workforce capacity and capability for the Scottish Ambulance Service and a Centre of Excellence for learning, education and training has been established.

The review undertaken by Professor Sir Lewis Ritchie was conducted in his capacity as an independent reviewer. The programme of engagement resulted in around 70 meetings with the Board and other key stakeholders. Due to the number of meetings, confidentiality and level of engagement no formal agendas or minutes were taken however progress was captured and fed back to NHS Highland and the relevant community groups. It would not be the place of the Scottish Government to publish these documents due to the nature of the review. However, Professor Ritchie and officials visited Portree again in May and November 2022. Minutes of these meetings are available via the Implementation Group and NHS Highland.

The Scottish Government is aware that Sir Lewis Ritchie intends to undertake further visits to Skye, Lochlash and South West Ross, within the coming 6 months, to engage with clinical colleagues, members of the local community and NHS Highland officials This will likely include virtual meetings as well as in person visits.

I refer the member to the answer to question S6W-15536. on‎ 17 March 2023. Any update of progress of this independent review would require to come from NHS Highland as the responsible agency for implementation.

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 is aware that there is still some substantial work to do to fully implement the recommendations of the review and would continue to encourage NHS Highland and the local communities to work together to achieve this.

In May 2019, the then Cabinet Secretary visited the Isle of Skye, with Sir Lewis Ritchie to undertake a review of progress. Then in May 2022, the current Cabinet Secretary visited the Isle of Skye, for the official opening of the Broadford Hospital. No formal discussions took place at that time, regarding the independent external review of Skye, Lochalsh and South West Ross.

Further meetings with Professor Sir Lewis Ritchie, NHS Highland, elected members of Skye, Lochalsh and South West Ross and the wider public community have built on the recommendations in the original (2018) report. Professor Sir Lewis Ritchie issued his written view of assessment of progress, with further recommendations and qualifications to the respective local Chairs of Implementation of the SLSWR OOH Review Report and NHS Highland Board, following in-person visits to Skye in December 2018 and May 2019 and a virtual assessment of progress in October 2020, during the height of the Covid-19 Pandemic.

The 2025 target date for completion of the full programme represented an ambitious challenge. It was reliant on the timely and positive outcome of a range of factors such as completing public and stakeholder consultation; statutory approval processes; sufficiency of market capacity; supply chain availability and availability of funding, all of which have been significantly impacted by Brexit, the COVID-19 pandemic and the war in Ukraine. As I confirmed to Parliament on 8 February 2023, this has made the 2025 date unachievable.

Transport Scotland is urgently considering a range of different options to provide Ministers advice on the most efficient way in which to dual the remaining sections. Work to determine the most suitable procurement options for these sections is a complex exercise which looks at a number of factors including how the project can be delivered most efficiently by the industry, whilst minimising disruption to road users and helping to support economic recovery post-COVID. This work is expected to conclude in Autumn 2023 and I will provide an update on a new timescale for completion to the Scottish Parliament at that time.