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The Scottish Government commissioned NHS Education for Scotland (NES) to establish the Centre for Workforce Supply (CWS) in November 2021 to support workforce capacity across NHS Scotland and to ensure it has the right people, in the right place at the right time. The CWS works collaboratively with health boards, Health and Social Care Partnerships and other key stakeholders to support the implementation of innovative workforce initiatives which help tackle priority supply challenges. Over the next year, CWS will be leading work connecting with health boards such as Public Health Scotland, and NHS Grampian, with a view to understanding how population health, service demand, and workforce supply data, can be used more effectively in workforce planning.

NES have a range of resources and training programmes in place to support rural practitioners across Scotland including increasing the opportunities to train in rural Scotland, the GP Rural Fellowship and the new GMC Rural and Remote Health (unscheduled and urgent care) Credential.

We also commissioned the National Centre for Remote and Rural Health and Care (NCRRHC) in 2023, again delivered by NES. The purpose of NCRRHC is to co-ordinate work to improve remote, rural and island healthcare recruitment and retention; to increase access to training; and to develop new models of service delivery, which are focused on improved outcomes for rural and island communities.

Further, the Scottish Government has convened a Remote, Rural and Islands Task and Finish Group which is developing a framework and sustainable operating model to plan sustainable services for rural and island communities, which will include workforce considerations such as recruitment, retention and training.

The Scottish Government is committed to delivering equitable and sustainable healthcare services across NHS Scotland through a comprehensive reform agenda. This includes a renewed approach for planning for NHS Scotland to ensure that appropriate clinically led planning for services is undertaken at a level which is best aligned to the size of population who make use of those services, and that this is undertaken in a collaborative and coherent way, with appropriate national leadership. These initiatives aim to deliver the highest quality outcomes for Scotland's population, ensuring healthcare services are equitable, effective, and future-proofed.

As part of this broader NHS reform, work is currently underway to develop and implement target operating models for NHS Scotland’s oncology services. These models are designed to ensure the delivery of excellent care that is equitably accessible to everyone across Scotland, regardless of their geographic location.

In addressing disparities in cardiology services, the Scottish Government’s Heart Disease Action Plan (2021) outlines specific actions to ensure timely and equitable access to diagnosis, treatment, and care for all individuals with suspected heart disease. Building on this, in 2024, we collaborated with clinicians across Scotland to establish agreed care pathways for cardiology. Combined with data from the Scottish Cardiac Audit Programme, these pathways will help identify priority areas for improvement and drive meaningful change in heart disease care delivery.

An NHS Board-led working group has also been convened to develop a framework for safe, quality and sustainable healthcare services across our rural and island communities. This work aims to develop a balanced model, with services provided as local as possible and specialised as necessary in order to ensure equity of outcomes.

I refer the Member to the answers given in questions S6W-33618 and S6W-33681 on 27 January 2025. In addition, I also refer the member to the General Ophthalmic Services Statement which is available at: https://www.eyes.nhs.scot/media/1765/statement-of-gos-remuneration-and-cpd-allowances-241023.pdf

The Scottish Government provides an additional fee to practices for the provision of domiciliary care to eligible patients.

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

Women’s Health is key priority for this government which is why Scotland was the first country in the UK to publish an ambitious Women’s Health Plan in August 2021. Timely access to gynaecology services will remain a priority as we continue to develop our Women’s Health Plan.

The Budget we set out on 4 December 2024 will throw the weight of the government behind performance improvements with almost £200 million to reduce waiting lists and help support reduction of delayed discharge. By March 2026, we expect no one to be waiting longer than 12 months for a new outpatient, inpatient treatment or day case treatment.

We have already invested £30 million to reduce waiting lists that built up throughout the pandemic. This funding is being targeted at a series of national and local plans to reduce backlogs by maximising the use of local and national resources across Scotland. As part of this, we have allocated additional funding to Gynaecology services which we expect to deliver around 3,500 new outpatient appointments.

Public Health Scotland publishes annual data on NHS eye examination on their website at: https://publichealthscotland.scot/publications/ophthalmic-workload-statistics/ophthalmic-workload-statistics-statistics-as-at-year-ending-31-march-2024/.

Figure 5b of that report provides data on referrals from community optometry to the hospital eye service.

Through implementation of the Women’s Health Plan we have established an NHS Board Women’s Health Lead Network with a Lead in every NHS Board. The Network enables the Leads to identify both common and local challenges and exchange ideas on innovation and best practice, along with discussions on progress to implement the Women’s Health Plan.

We have a clinical Menopause Specialists Network, which enables clinicians across Scotland with an interest in menopause care to share initiatives and good practice and discuss emerging challenges encouraging consistency of advice which can then be shared with local primary care teams.

We also established a National Menstrual Health Clinical Network to provide clinicians across Scotland with access to peer support, consistent expert clinical advice and facilitate further learning opportunities.

Further information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.

This year we invested £30m which is driving targeted action to address the longest delays. This will see around 24,000 New Outpatient Appointments and Inpatient/ Day-Case procedures as well as over 40,000 diagnostic procedures. The funding has included diagnostic services in NHS Grampian, NHS Shetland and NHS Orkney.

The Communities Mental Health and Wellbeing Fund for Adults is distributed in all 32 local authority areas of Scotland by Third Sector Interface (TSI) organisations who, working in collaboration with other local partners, are responsible for determining and allocating the funding to local community initiatives which support mental health and wellbeing.

TSIs are provided with overarching national guidance for the Fund, which is set by the Scottish Government in consultation with TSIs and the Fund’s National Oversight Group prior to each funding round.

The guidance sets out the broad parameters for how funding should be allocated to community organisations, including criteria around who can apply and what type of project can be funded; in line with the Fund’s aim to tackle mental health inequalities and benefit grassroots groups. The guidance is reviewed annually based on feedback and evidence emerging from monitoring and reporting on the Fund, which is collated by the Scottish Government.

Crucially, it is designed to be flexible in order to allow local partnership groups to identify their own priorities for spend within the terms set out and in line with their local partnership plans.

The list of successful applicants for Year 3 of the Communities Mental Health and Wellbeing Fund for Adults was published in November 2024. This provides details of the local authority where the organisation is based, the name of the project and the amount of funding awarded by the local This Sector Interface.

The list of successful applicants can be found within the following link.

Communities Mental Health and Wellbeing Fund for Adults Projects awarded funding Year 3 - 2023/2024

Year 4 of the Communities Mental Health and Wellbeing Fund for Adults opened for applications on or before 30 September 2024 and is well under way. Third Sector Interfaces will submit their End of Year reports in Spring 2025. A full list of the successful applicants will be published thereafter.

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