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In January 2022, the Scottish Government commissioned the Centre for Sustainable Delivery to establish the Scottish National Cataract Short Life Working Group to address current challenges in cataract surgery in Scotland.

This work has led to the publication of 'Improving the Delivery of Cataract Surgery in Scotland: a Blueprint for Success' which will support Boards to deliver high quality, high volume, specialist care.

This Blueprint builds on existing work that has already been done by the National Eyecare Workstream to:

• Embed recommendations from Health Board Ophthalmology Peer Reviews.
• Align with the Royal College of Ophthalmologists guidelines for training lists and high volume service lists.
• Acknowledge different models of service delivery from various sites across NHS Scotland.

Cataract Surgery Standards were published by Healthcare Improvement Scotland in December 2023. Cataract surgery standards – Healthcare Improvement Scotland

In 2025/26 we have announced over £200 million to reduce waiting lists and help support reduction of delayed discharge. This will contribute to additional ophthalmology procedures, alongside our National Treatment Centre programme which is delivering cataract surgery in NTC Highland and NHS Golden Jubilee University National Hospital.

We know that some patients have waited too long for treatment but we are committed to ensuring patients receive the care they need as quickly as possible and across various specialities we will deliver over 150,000 extra appointments and procedures in the coming year. Surgical procedures, including cataract surgery are subject to the Treatment Time Guarantee.

Whilst PHS data can be used routinely to identify the specialty of treatment, data at a procedure level is unavailable. The records are designed to collect coded information on the procedure that is planned for the patient, however this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, the procedure(s) that was planned may not always reflect the procedure actually performed after the patient was admitted for treatment. The latter is not captured through the national datamart. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail.

Work is ongoing to support local surgical teams to increase efficiency and consequently the number of patients that can be treated across the cataract surgical pathway, in line with the Royal College of Ophthalmologists’ guidelines.

The Scottish Government commissioned the Centre for Sustainable Delivery (CfSD) to support an increase in surgical throughput across cataract only surgical sessions. CfSD’s clinically-led Cataract Specialty Delivery Groups (SDG) promote multidisciplinary team working, and supports local adoption of service improvement programmes.

This short life working group has supported several new and innovative pathway developments, some of which are now being successfully scaled up in a number of sites across hospital eye services, including: high volume cataract surgery in ring-fenced sessions, and delivering one cataract every 30 mins, as per Royal College of Ophthalmologists’ guidelines. In tandem with this, The National Eyecare Workstream is undertaking clinically led peer reviews which supports new and efficient ways of working and shares best practices across the country across a number of ocular sub-specialties, including cataracts.

Responsibility for publishing data and intelligence on the social service sector in Scotland was delegated to the Scottish Social Services Council (SSSC) in 2001 by Scottish Ministers under the Regulation of Care Scotland Act 2001.

Reports on sector vacancy rates, including breakdowns by local authority and ‘hard to fill posts’, between 2018 and 2023 can be found on SSSC’s website here:

Vacancies reports | Scottish Social Services Workforce Data

Please note SSSC is working to provide more current data to workforce planners and now publishes data on social worker-filled posts and vacancies every six months which can be found here:

Social worker filled posts and vacancies six-monthly survey at June 2024 | Scottish Social Services Workforce Data

Since 2007 we have completed ten major trunk road upgrades, including on the A830, A82, A9, and A96, improving the safety and reliability of these routes for roads users across the Highlands, Islands and beyond.

We opened new stations at Conon Bridge and Inverness Airport, and our investment in Scotland’s Railway has allowed for improved frequency and journey times on the Highland Mainline and between Inverness and Aberdeen.

Orkney and Shetland residents receive a 30% discount on ferry fares, while Road Equivalent Tariff saves passengers around £25 million per year in total.

Over 57,000 young people across the Highlands and Islands have benefited from free bus travel, with more than 9.2 million journeys made since the Under 22’s scheme launched.

Transport provision has improved, and will continue to improve, as we introduce new vessels to our ferry networks, and deliver further upgrades to key trunk roads and public transport infrastructure.

Scotland’s wildfire strategy is led by the Scottish Fire and Rescue Service (SFRS) to help keep communities safe and to limit the effects of wildfires on the environment.

SFRS carry out community engagement as well as work to increase awareness through news releases and social media. The expenditure on public safety awareness therefore includes staff hours, delivering school talks, engaging with landowners and the cost of the materials themselves. The Scottish Government does not, therefore, hold data on SFRS’ expenditure.

The Scottish Wildfire Forum brings together a range of practitioners to tackle issues concerning wildfire preparedness. The Scottish Government is itself a member of the Forum, but membership includes NatureScot, Scottish Forestry, the Cairngorms National Park Authority and Highland Council.

When Scotland is at a high threat of wildfires, the Scottish Fire and Rescue Service (SFRS) work in partnership with the Scottish Wildfire Forum, to alert the public and partners to the threat of wildfires by issuing “Wildfire Danger Assessments”.

SFRS issue alerts through their social media channels, their website and local media outlets, and request assistance from Local Authorities across Scotland to share safety messaging to seek engagement with as many members of the public as possible.

Recruitment and retention of Wholetime and On Call firefighters is a matter for the Scottish Fire and Rescue Service (SFRS) Chief Fire Officer and Board.

Terms and Conditions and pay of all firefighters are negotiated on a UK wide basis under a well-established collective bargaining process. Through this process there is a new nationally agreed pay banding system which offers far more flexibility in the contracts SFRS can offer to Retained Firefighters which SFRS hope will allow people who may not previously have been able to provide the requisite commitment to contribute to protecting their communities whilst maintaining a better work/life balance.

The Scottish Government has not received any direct requests from the Scottish Fire and Rescue Service (SFRS) for equipment to deal with wildfires.

The capital budget for SFRS in 2025-26 is £47 million, an increase of £4 million over the previous year to improve facilities for firefighters, and invest in the SFRS asset base across property, fleet, operational equipment and ICT.

This has enabled SFRS to invest in its wildfire strategy which includes provision of equipment such as leaf blowers, brush cutters, all-terrain vehicles, as well as training in subjects such as tactical burning, which is a first for the SFRS. As a result of this investment, additional resources and training, the SFRS are now better equipped and more prepared than ever for responding to wildfires.

SFRS remains fully ready and able to respond to any instance of wildfire that occurs across Scotland.