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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.

Throughout NHS Scotland, patients who require urgent or emergency surgery will always be given clinical priority as determined by the clinicians involved in their treatment and care.

In the event that a patient requires transport to an appropriate facility for treatment, there are several resources available including the Scottish Ambulance Service’s patient transport service for scheduled care, or emergency ambulance for life threatening incidents. Scotland’s rural communities are also supported by air assets from the Scottish Ambulance Service (helicopters in Inverness and Glasgow), Scottish Charity Air Ambulance (helicopters in Aberdeen and Perth) and HM Coastguard helicopters based at Prestwick, Inverness, Stornoway and Sumburgh in Shetland.

The National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006, as amended, do not require community optometry practices to be accessible for disabled people. However, the majority of practices are accessible. Where they are not, the Scottish Government provides an additional fee to practices for the provision of domiciliary care to eligible patients.

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 have a number of initiatives already in place to attract healthcare professionals to rural areas, including Aberdeenshire.

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 the question S6W-33527 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 is not aware of any workforce shortages in community optometry. NHS Scotland commissioned and published a National Ophthalmic Workforce Review report in May 2023 which is available at:

The Scottish Government is working with Higher Education Institutions to deliver a new UK-leading Master's optometry undergraduate degree. This will support all optometry graduates from 2029 to have the opportunity to qualify with Independent Prescribing.

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

The Scottish Government published our along with an initial three year in June 2023. Over a 10-year period, our strategic aim is to improve cancer survival and provide excellent, equitably accessible care.

The strategy and plan have a focus on reducing inequities in access to cancer care and cancer outcomes. This means treatment and care will be equally good wherever anyone lives and whoever they are. Actions to tackle inequalities are incorporated into other ambitions in the action plan.

The Scottish Government is looking to improve our understanding of the experience of people with cancer living in rural and island communities. Examples include an independent evaluation of their access to cancer care services, and a research programme on rural healthcare funded by the Chief Scientist Office.