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The Scottish Government’s role is to set the strategic policy for the NHS in Scotland, NHS Boards are responsible for service delivery. All Health Boards should consider patient transport needs when they plan and deliver services.

On 30 October, the Scottish Government published the Transport to Health delivery plan which sets out commitments against transport and healthcare across the work of Health and Social Care and Transport Scotland. The plan was informed by the 2019 Transport to health and social care report prepared by the Mobility and Access Committee for Scotland (MACS) on behalf of Ministers.

As set out in the plan, we will continue to use the NHS annual delivery plans to re-emphasise the need for Health Boards to consider patient access as part of the care pathway and reflecting the opportunity that is emerging for reducing the number of patient journeys through alternative options.

All referrals to the hospital eye service from community optometry are electronic and enable the attachment of retinal images and other examination results to aid the triaging of the patients. In addition, since the initial onset of the COVID-19 pandemic, the Scottish Government has facilitated the use of technology to support remote consultations under General Ophthalmic Services which is likely to be of particular benefit to patients living in rural areas. The cloud-based national Electronic Patient Record is also being used by community optometrists providing the Community Glaucoma Service - an important technological initiative supporting safe and high quality care.

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.

The Home Energy Scotland (HES) Grant and Loan Scheme offers a rural uplift to households in remote rural and island areas, as well off-gas accessible rural areas, in recognition of the higher installation costs often faced by these households. The uplift is automatically applied to qualifying applications at application stage, where the value of measures applied for is greater than standard grant amounts.

The following table shows the number of applications received where at least one measure qualified for the rural uplift, and how many applications were fully paid in the 2024 calendar year.

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)

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.

The Scottish Government have a number of initiatives already in place to attract healthcare professionals to rural areas, including Aberdeenshire.

On 30 October, the Scottish Government published the Transport to Health delivery plan which sets out commitments against transport and healthcare across the work of Health and Social Care and Transport Scotland. The plan was informed by the 2019 Transport to health and social care report prepared by the Mobility and Access Committee for Scotland (MACS) on behalf of Ministers.

As set out in the plan, we will support Regional Transport Partnerships to develop their own plans around Transport to Health. An example of this will be continuing to support the work of the Health and Transport Action Plan led by NESTRANS and partners in Aberdeenshire.

Transport Scotland have included Transport to Health as one of seven thematic workstreams in their approach for delivery of the Accessible Travel Framework.

Through the National Centre for Remote and Rural Health and Care, housed within NHS Education for Scotland, the Scottish Government are supporting the health workforce in rural and island areas.

A detailed programme of monthly rural specific training sessions are being delivered for multi-disciplinary rural practitioners online to ensure access for the widest group of rural practitioners across Scotland.

New rural specific training programmes are being developed and delivered to support the specific needs of the remote and rural Primary Care and community services workforce. Current programmes of work include focused support and training for remote and rural dispensing practices, new resources being developed to support Primary Care professionals to become trainers within the community and Primary Care Practice settings for Advanced Nurse, Pharmacy, and Practice Nurse Practitioners.

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.