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The 2018 GP contract included a programme of service redesign to ensure that arrangements for GP services better met the needs of the whole system and the needs of communities; it makes no new requirements of remote and rural GP practices. The 2018 GP contract is intended to reduce current risks to practice stability and sustainability by addressing some of the key risk factors relating to rising workload, premises and employment of staff. This in turn intended to make the partnership model more attractive to newer generations of GPs.

The Scottish Government established the Remote & Rural Working Group chaired by Professor Sir Lewis Ritchie in response to the concerns of rural GPs about the 2018 contract. The group produced the Shaping the Future Together report in January 2020 and various actions were undertaken as a result.

The first cohort of 52 ScotGEM students graduated in summer 2022 after completing the four year course. Of these, 45 undertook Foundation training in Scotland with 42 completing their required foundation year 2 (FY2) in August 2024; a small number opted to go less than full time. Of those 42 individuals, 10 have chosen GP training and have taken up GPST 1 posts in Scotland, with two of these in the North which contains the areas denoted by the question, as follows:

a) Highland - 2 trainees

b) Western Isle – 0 trainees

c) Orkney – 0 trainees

d) Shetland – 0 trainees

e) Grampian – 0 trainees

One of the key aims of the new palliative care strategy, Palliative Care Matters for All, is that, by 2030, adults and children in Scotland will have more equitable access to well-coordinated, timely and high-quality palliative care, care around dying and bereavement support based on what matters to them, including support for families and carers.

Development of the draft strategy was informed by evidence gathering, guided by a Strategy Steering Group and a number of expert working groups. This included carrying out surveys mapping palliative care delivery across Scotland, including in rural and island communities.

The outputs of this work have given us a clearer picture of the delivery and accessibility of palliative care across Scotland, which has helped to inform the actions set out in the draft strategy.

NHS Near Me continues to be an option for online appointments, where appropriate, for those who wish to and can interact in this way. The service does not require large broadband speeds to work effectively, however patients have the option to test their broadband speed or access a digital hub near their home. Further information can be found at: https://www.nearme.scot/

The Scottish Government fully expects NHS Boards to meet agreed broadband and infrastructure requirements set out in infrastructure standards. To support NHS Boards and the public, The Scottish Government has invested around £1 billion on digital programmes – including Digital Scotland Superfast Broadband (DSSB).

The Scottish Government has not conducted any specific studies to monitor whether the current GP contract has resulted in a widening disparity between remote and rural healthcare provision and urban healthcare provision, however we have well-established reporting arrangements in place at the national level to monitor implementation of the GP contract by HSCPs. These reporting arrangements allow us to gain both quantitative and qualitative information on progress.

The National Performance Framework Quality of Care Experience indicator measures people’s rating of the overall care provided by their general practice over time, including a breakdown by urban/rural classification.

In 2024-25 the Scottish Government has invested £113.5 Million in digital health and care technologies.

The Glasgow 2026 Commonwealth Games will deliver a programme of 10 sports hosted within 4 venues in Glasgow. The programme and location of those sports are still to be finalised but Commonwealth Games Scotland anticipate that approximately 500,000 tickets will be available for sale.

The 2014 Commonwealth Games incorporated a programme of 17 sports across 14 venues in Glasgow, Edinburgh and Carnoustie. A number of those sports were outdoors and free to attend for spectators. Approximately 1.3 million tickets were sold, representing 98% of all tickets available for sale.

The Scottish Government supports the Commonwealth Games Federation’s strategy and the work undertaken by Commonwealth Games Scotland to create a new sustainable model for 2026, which opens up future hosting opportunities to a more diverse range of Commonwealth nations.

The Scottish Government plans to commence the Housing (Cladding Remediation) (Scotland) Act 2024 in its entirety in early 2025.

Funding allocated to the Centre for Sustainable Delivery’s National Elective Co-ordination Unit from the additional £30m for planned care has been used to support collaborative working with Boards to maximise capacity and provide centralised, coordinated, and innovative approaches to waiting times recovery. Specifically, funding has been directed towards the following:

• National Dermatology campaign. This includes patient digitally supported validation; high volume image capture; patient imaging and triage activity.
• National Endoscopy campaign, including validation and activity.
• Minor Operations: management of campaign, waiting lists, booking and clinics in urology and orthopaedics for most challenged health boards.
• Breast see and treat activity for NHS Grampian.

Warmer Homes Scotland remains open for referrals and has an allocated budget of £65m in 2024-25, its highest ever budget level. Anyone that is considering applying to the scheme should contact Home Energy Scotland in the usual way.

The Scottish Government has introduced a waiting process for people who have been accepted onto the Warmer Homes Scotland programme due to the scheme’s success and high levels of demand. This is a necessary step taken to ensure that people who have been identified as eligible for the scheme can still receive assistance.

We understand that some customers will be disappointed with the waiting times. However, our managing agent Warmworks, continues to work hard to minimise the impact of this process, keeping customers informed throughout and making sure they are supported and receive regular communication every step of the way.

Warmer Homes Scotland is a demand-led scheme and it is important that we take the necessary steps to ensure the scheme remains within its allocated budget. In instances where someone has a broken boiler or no heating, Home Energy Scotland will explore with the customer if any suitable alternative crisis funding options exist.