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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.

Funding for Community Eyecare (formerly General Ophthalmic Services) is published annually in the Scottish Budget and supports the expansion of community optometry services. Figures for the last five years, including annual movements are summarised in the following table.

Public Health Scotland publishes annual data on NHS eye examination on their website at:

Tables 6.1 and 6.2 provide data at Scotland, Health Board and Health and Social Care Partnership level outlining that, apart from the COVID-19 impacted years, increasing numbers of people are having a free NHS-funded eye examination.

In addition, the NHS Inform and Eyes.NHS.Scot websites have content relevant to the provision of NHS funded eye examinations in Scotland.

I wrote to the Economy and Fair Work Committee on 25 June 2024 to confirm that a market testing exercise for Glasgow Prestwick Airport was underway. Scottish Ministers’ longstanding position is that the airport should be returned to the private sector at the appropriate time and opportunity. This must be to an organisation with the commitment and capability to operate businesses directly relevant to GPA.

Any decision to sell GPA must represent value for money for taxpayers and be informed by what is right for the long-term success of the business and its contribution to the local and Scottish economy.

The process is ongoing and I will update Parliament when a significant development has been made.

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.

The Scottish Government is committed to supporting and enabling people to be more physically active. Mean sedentary time at work is monitored through data gathered from the annual Scottish Health Survey. The Scottish Government work closely with Public Health Scotland, The Physical Activity for Health Research Centre (PAHRC), and other experts to understand the latest research on the negative health impacts of sedentary behaviour.

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.

NHS Boards will allocate funding for local mental health services from the overall funds provided to them by the Scottish Government. Boards have responsibility for working with their partners to ensure local budget decisions deliver local and national priorities, including for mental health.

The 2025-26 draft budget provides record total investment in health and social care services of £21 billion – and includes £16.2 billion for health boards, representing a 3% cash uplift.

NHS Scotland expenditure on mental health is published annually in arrears in the Scottish Health Service Costs book by Public Health Scotland. Latest available data is for 2022-23 and can be found here: . Data for 2023-24 is expected early in 2025.

The Scottish Government has overall responsibility for health and social care support policy in Scotland and has published clear social care standards setting out what people should expect when using health, social care or social work services in Scotland. Whereas it is local authorities and Health and Social Care Partnerships (HSCPs) who have the statutory responsibility to ensure that these standards are upheld and that social care support services are commissioned and available to provide people with the appropriate social care support in the right place and at the right time.

As set out in the Programme for Government 2023-24, the Scottish Government has committed £3,03m in 2023-26 to progressing the National Centre for Remote and Rural Health and Care, which launched in October 2023.

The Centre will focus initially on Primary Care and community services priorities in Phase 1 as an initial proof of concept, with scoping work being carried out during the first 2 years of the Centre to lay the ground for expansion to include the wider rural healthcare workforce and Social Care in due course.

The Scottish Government continues to work closely with partners to support older people on a range of issues related to age equality. This includes delivering actions set out in the Strategic Action Framework, A Fairer Scotland for Older People. We also launched a new £3.8m Social Isolation and Loneliness Fund on 8 March 2023 which funds 53 projects supporting people at risk of social isolation and loneliness.

In relation to your question about initiatives to prevent social isolation in Aberdeenshire, I would refer you the written answer to your question S6W-33671 on 31 January 2025 where this response is covered.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at /chamber-and-committees/written-questions-and-answers

I wrote to the Economy and Fair Work Committee on 25 June 2024 to confirm that a market testing exercise for Glasgow Prestwick Airport was underway. Scottish Ministers’ longstanding position is that the airport should be returned to the private sector at the appropriate time and opportunity. This must be to an organisation with the commitment and capability to operate businesses directly relevant to GPA.

Any decision to sell GPA must represent value for money for taxpayers and be informed by what is right for the long-term success of the business and its contribution to the local and Scottish economy.

The process is ongoing and I will update Parliament when a significant development has been made.