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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.

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.

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 /chamber-and-committees/written-questions-and-answers

The Scottish Government has funded free universal NHS-funded eye examinations since 2006, and is committed to maintaining this policy - the only UK nation in which this is the case. The Scottish Government takes the view that this policy is a fundamental feature of ensuring equitable access to NHS eye examinations.

Routinely collected data on the waiting time for a diagnosis of endometriosis are not available.

However, in 2024 Endometriosis UK published a report based on a survey of 4,371 people who received a diagnosis of endometriosis from a medical practitioner or following a diagnostic intervention. The report suggested that the current average waiting time for a endometriosis diagnosis in Scotland is now 8 years and 10 months.

Endometriosis has two stages of diagnosis, a working diagnosis at primary care level and a confirmed diagnosis via laparoscopy at secondary care. Not everyone with endometriosis will want to have a laparoscopy to confirm their diagnosis, particularly if their symptoms can be well managed.

We know that excessively long waits for laparoscopy are not acceptable and we apologise to all patients waiting too long. We are determined to drive improvements in this area and continue to work with NHS boards on a number of actions which will see patients treated as quickly as possible.

We want people to achieve a working diagnosis as soon as possible to enable swift access to appropriate care and treatment.

There are several treatment options to manage the symptoms of endometriosis. These include pain management options and hormonal contraception as well as surgical interventions including laparoscopy. There is no cure for endometriosis. More information can be found on .

As set out in the for NHS Scotland clinicians should consider women’s individual needs in order to determine treatment for example symptoms, aspects of daily living and desire for fertility.

Through the actions set out in our Women’s Health Plan we have taken steps to support both women and health professionals to learn more about endometriosis, the symptoms and treatment options.

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

The NHS Pharmacy First Scotland service is helping people to access the Right Care at the Right Place. It removes the need for unnecessary visits to GPs, Out of Hour services or Emergency Department for everyday self-limiting conditions.

Public Health Scotland (PHS) has reported that that in financial year 2023-24 alone, over 4.7 million Pharmacy First Scotland consultations were undertaken with 95% providing advice on self-care or treatment at the point of contact. PHS also reported that in 2023/24, 32% percent of the Scottish population (1,747,654 people) accessed Pharmacy First Scotland services at least once. PHS reports provide analysis of data at a national level, further aggregation by local area may be available online.

With Patient Group Directions (PGDs) in place for common clinical conditions such as shingles, urinary tract infections, skin conditions, impetigo and hay fever – patients can get prescription treatment without the need for an appointment at their GP practice. In 2023-24, Pharmacy First Scotland consultations using PGDs accounted for 3.8% of the total consultations (181,174) with 84% (154,809) resulting in treatment being provided by the community pharmacist.

I refer the member to the answer to question S6W-33541 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 /chamber-and-committees/written-questions-and-answers

Funding is provided to Network Rail, ScotRail Trains Limited, Scottish Rail Holdings Limited and Caledonian Sleeper to facilitate their ongoing operations. Investment in security measures is determined by the aforementioned parties, using their existing funding streams. British Transport Police operates in these remote areas as part of its responsibilities.

The Scottish Government does not hold this information. Operational decisions on matters such as this are for Police Scotland with oversight from the Scottish Police Authority. You may wish to contact them directly.

This is an operational matter for Police Scotland with oversight from the Scottish Police Authority. You may wish to contact them directly.