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The Scottish Government provides the policies, frameworks and resources for high quality healthcare, and it is for each individual NHS Board to decide how best to utilise funding, to meet local health needs. Over the last five years, the number of Allied Health Professionals (AHP’s) across Scotland have increased by 17.8% including a 20.6% increase in Physiotherapists as at June 2024.

It remains the ambition of the Scottish Government to deliver a National Low Vision Service. This would deliver a range of services to people with visual impairment including both the provision of assistive technology and support for the use of technology already openly available (e.g. applications available for download/use on a smartphone/tablet). The Scottish Government is unable to take this forward at the present time due to financial constraints.

There is no definition of, and thus no data collected for, waiting times for community optometry services, whether urban or rural.

However, we are working closely with the three island Health Boards to resolve some local access issues.

The Scottish Government has not received correspondence with regards waiting times in Aberdeenshire.

There are fourteen Allied Health Professions (AHP) across Scotland and Paramedicine is the only AHP that has a controlled intake target. There are currently no plans to extend this to any other professions within the AHP family, including Speech and Language Therapy.

The Scottish Government has a crucial role in communicating with the public and uses a mix of channels to reach different audiences. This includes digital channels such as social media as well as traditional broadcast, print media and others. Channels are chosen to best meet our communications objectives in the most effective and cost efficient way, and this is regularly reviewed using insight and evaluation.

The Scottish Government’s Communications Division currently has a presence on YouTube, Facebook, Instagram, X and LinkedIn.

Myself and the Minister for Agriculture and Connectivity have not met formally with Friends of the Earth Scotland whilst the fishing industry were present as part of the discussion, since we were appointed to our roles in May 2024.

The Scotch Whisky Regulations 2009, coupled with inclusion in the GI scheme already provides this guarantee and the GI mark is available to be used by producers meeting the specification should they wish.

The following provides details of marketing activity that has run over the preceding five years, to address chronic diseases. Chronic disease is defined in the Scottish Health Survey as any physical illness or mental illness expected to last a year or more. Messaging has not been tailored to target rural communities specifically, however where possible media platforms and channels have been selected and partnerships have been utilised to reach rural communities.

Crohn’s and Colitis

A Crohn’s and Colitis public information campaign ran in March 2023 via stakeholder and community engagement. The campaign aimed to increase awareness of the symptoms of Crohn’s and Colitis, and signpost to trustworthy information to empower and enable the public to seek advice from a healthcare professional.

Community engagement included the distribution of posters to 1,256 community pharmacies, 908 general practices, 256 leisure/community centres and 32 library hubs (for onward distribution to community libraries) throughout Scotland. This included rural areas, the Highlands and Islands.

Campaign resources including a toolkit were sent to over 300 stakeholders, which included Local Authorities and NHS Health Boards.

Women’s Heart Health

To help improve awareness and signs of heart disease and communicate ways of lowering risk, a public information campaign was developed to coincide with national heart month in February 2023 and was activated through community and stakeholder engagement.

Resources highlighted a key stat:istic “heart disease is killing 10 women a day in Scotland” and signposted to NHS Inform for more information on symptoms and actions to take to lower risks.

The campaign was aimed specifically at women and was delivered via community engagement and included the distribution of posters to 1,256 community pharmacies, 908 general practices, 256 leisure/community centres and 32 library hubs (for onward distribution to community libraries) throughout Scotland, this included rural areas, the Highlands and Islands.

A campaign toolkit was also sent digitally to a comprehensive stakeholder list which included Local Authorities and NHS Health Boards.

Cancer

Between April 2020 to date, a number of campaigns have run to support earlier detection of cancer, including Lung cancer, Cervical screening and Detect Cancer Early campaigns. Local press and radio packages were purchased as part of a Scotland wide media plan, to reach rural communities. Press titles included the Ellon Times, Buchan Observer, Berwickshire Advertiser, Ayrshire Post, The Hawick Paper, Banffshire Herald, John 'Groat Journal and radio stations included Radio Borders, Moray Firth Radio, Northsound, Westsound and Tay Radio.

A new burst of the Detect Cancer Early campaign will run in March and includes community radio in a number of rural locations that network radio does not reach, including Argyll FM, Caithness FM, Radio Skye, Radio Wester Ross, Radio Nevis (Fort William) and Shetlands (SIBC). Also included is a content partnership with local publications such as Ellon Times, Buchan Observer, East Fife Mail, Berwickshire Advertiser and Ayrshire Post and Field activity in locations that are more accessible for those living more rurally such as Elgin, Fort William and Stranraer.

Dementia Stigma

The Rethink Dementia campaign launched on 4 September 2024 and ran for 6 weeks in paid-for media. A number of Local Press Titles were purchased as part of the campaign, including:

Community Scotland Zone Newspaper

South Annandale Series

South Ayr Advertiser

South Berwickshire News

South Border Telegraph

South Cumnock Chronicle and Muirkirk Advertiser

South Dumfries Courier

South Eskdale & Lidderdale Advertiser

South Galloway Gazette

South Lanark and Carluke Gazette

South Peeblesshire News

South Southern Reporter

South Stranraer & Wigtown Free Press

South The Hawick Paper

North Angus County Press

North Banffshire Advertiser

North Banffshire Herald

North Banffshire Journal

North The Buchie & Inverurie Herald/ Ellon Times/ Fraserburgh Herald

North Caithness Courier

North Campbeltown Courier & Argyllshire Advertiser

North Deeside & Donside Piper and Herald

North Forres Gazette

North Helensburgh Advertiser

North Highland News Group

North Huntly Express

North Inverness Courier (Fri & Tues)

North Isle of Bute News

North John O'Groat Journal

North Mearns Leader/ Kincardineshire Observer

North Northern Scot

North Northern Times

North Oban Times and West Highland Times

North Ross-shire Journal

North Shetland Times

North Stornoway Gazette

North Strathspey and Badenoch Herald

North The Orcadian - Orkney

North West Highland Free Press

The Rethink Dementia campaign also utilised pharmacies, libraries, GP practices, community centres and sports centres, providing these settings with campaign assets across Scotland including rural communities.

Glasgow Prestwick Airport operates on a commercial basis and at arm’s length from the Scottish Government and Ministers do not intervene in operational matters.

Community organisations in rural areas and elsewhere are uniquely placed to identify and address the issues that keep individuals in their local communities healthy.

A place-based approach is the foundation of Community-Led Local Development (CLLD). Communities are empowered and supported to design and implement the solutions to the challenges and opportunities they identify in their local area, which can include community led health and social care provision.

Through the Communities workstream within the wider Place and Wellbeing programme we are also working with the community and voluntary sector to enhance the capacity of community organisations (in rural areas and elsewhere) to complement the actions of the public sector in keeping people well. As part of the Communities Workstream we are exploring how we can increase the influence of local community organisations in the decisions that impact on the health and wellbeing of their communities.

We have also introduced participation requests as part of the Community Empowerment (Scotland) Act 2015, which provide a mechanism for communities to seek dialogue with public service providers including NHS Health Boards on their own terms and become meaningfully involved in local service delivery.