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Under the Social Work (Scotland) Act 1968 local authorities and Health and Social Care Partnerships have a duty to assess the social care support needs of people and decide, in light of that assessment, to arrange suitable services, if required.

While the Scottish Government has overall responsibility for health and social care support policy in Scotland, it is for local Integration Joint Boards (IJBs) to ensure that social care support services are in place to provide their population with the appropriate support in the right place and at the right time.

The Scottish Government do not hold information centrally in relation to the level of support packages provided.

The Scottish Government does not hold data which would answer this question.

However, data up to 2022/23 on Social Care eligibility and waiting times is publicly available at Local Authority level via the following weblink:

Data showing the time waited between referral first contact and completion of a community care assessment service in the final quarter of each financial year can be found in the ‘waiting times new clients’ tab of the Excel workbook which accompanies the publication.

Data showing the time waited between completion of a community care assessment and delivery of a new personal care service in the final quarter of each financial year can be found in the ‘Waiting times new personal care clients’ tab of the Excel workbook which accompanies the publication.

However there are a number of caveats with these data:

• The data return template sent to LAs is aggregate, and only grouped time periods are collected. Therefore it is not possible to calculate an average waiting time - only a distribution of time periods is possible.
• Many local authorities have reported difficulty in providing the information asked for in this data collection and therefore not all data is available for every year.
• Due to the gaps in the Local Authority level data, we cannot effectively aggregate to Health Board. Completeness levels for each LA can be found within the ‘Data completeness’ tab of the Excel workbook which accompanies the publication.

Due to the issues faced in collecting this data from LAs and due to the lack of completeness, this data collection has been paused while we explore alternative methods of obtaining higher quality information on eligibility criteria and the length of time people wait for services. Therefore the most recent data available is for
2022-23.

Health and Social Care Partnerships provide Public Health Scotland with a weekly snapshot of the current demand for Care at Home services. The data includes information on the total number of hours of care that people were waiting to receive, following an assessment of their needs. This information is available via the following weblink:

Please note that the information does not include the reasons why these hours of care were yet to be provided, nor does the Scottish Government hold information on local social care staffing levels.

I refer the member to the answer to question S6W-37715 on 28 May 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.

We know that some patients have waited too long for treatment but we are committed to ensuring patients receive the care they need as quickly as possible and across various specialities we will deliver over 150,000 extra appointments and procedures in the coming year. Surgical procedures, including cataract surgery are subject to the Treatment Time Guarantee.

Whilst PHS data can be used routinely to identify the specialty of treatment, data at a procedure level is unavailable. The records are designed to collect coded information on the procedure that is planned for the patient, however this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, the procedure(s) that was planned may not always reflect the procedure actually performed after the patient was admitted for treatment. The latter is not captured through the national datamart. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail.

Work is ongoing to support local surgical teams to increase efficiency and consequently the number of patients that can be treated across the cataract surgical pathway, in line with the Royal College of Ophthalmologists’ guidelines.

The Scottish Government commissioned the Centre for Sustainable Delivery (CfSD) to support an increase in surgical throughput across cataract only surgical sessions. CfSD’s clinically-led Cataract Specialty Delivery Groups (SDG) promote multidisciplinary team working, and supports local adoption of service improvement programmes.

This short life working group has supported several new and innovative pathway developments, some of which are now being successfully scaled up in a number of sites across hospital eye services, including: high volume cataract surgery in ring-fenced sessions, and delivering one cataract every 30 mins, as per Royal College of Ophthalmologists’ guidelines. In tandem with this, The National Eyecare Workstream is undertaking clinically led peer reviews which supports new and efficient ways of working and shares best practices across the country across a number of ocular sub-specialties, including cataracts.

This information is not held centrally by the Scottish Government. Such work may have been carried out by individual health boards as part of their planning processes.

This information is not held centrally by the Scottish Government.

Public Health Scotland (PHS) uses the national waiting times datamart to collect electronic patient records covering the waits that patients experience waiting for treatment as an inpatient or day-case under the Treatment Time Guarantee.

This data source can be used routinely to identify the specialty of treatment. However, although the records are designed to collect coded information on the procedure that is planned for the patient, this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, the procedure(s) that was planned may not always reflect the procedure actually performed after the patient was admitted for treatment. The latter is not captured through the national datamart. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail.

A delayed discharge occurs when a hospital patient who is clinically ready for discharge from inpatient hospital care continues to occupy a hospital bed beyond the date they are ready for discharge. Information held nationally on delayed discharges can identify the number of people aged 18 and over who were delayed in their discharge from hospital.

People delayed due to a lack of available social care packages can be identified using Delay Reason code 25D – “Awaiting completion of arrangements - in order to live in their own home – awaiting social care support (non-availability of services)”.

Figures from Financial Year 2020-21 to 2024-25 (inclusive) are shown in Table 1.

Table 1: Number of people delayed due to Awaiting completion of arrangements in order to live in their own home, awaiting social care support (non-availability of services) in the financial Years 2020-21 to 2024-25 by Health Board.

I refer the member to the answer to the question S6W-37715 on 28 May 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

In January 2022, the Scottish Government commissioned the Centre for Sustainable Delivery to establish the Scottish National Cataract Short Life Working Group to address current challenges in cataract surgery in Scotland.

This work has led to the publication of 'Improving the Delivery of Cataract Surgery in Scotland: a Blueprint for Success' which will support Boards to deliver high quality, high volume, specialist care.

This Blueprint builds on existing work that has already been done by the National Eyecare Workstream to:

• Embed recommendations from Health Board Ophthalmology Peer Reviews.
• Align with the Royal College of Ophthalmologists guidelines for training lists and high volume service lists.
• Acknowledge different models of service delivery from various sites across NHS Scotland.

Cataract Surgery Standards were published by Healthcare Improvement Scotland in December 2023.

In 2025/26 we have announced over £200 million to reduce waiting lists and help support reduction of delayed discharge. This will contribute to additional ophthalmology procedures, alongside our National Treatment Centre programme which is delivering cataract surgery in NTC Highland and NHS Golden Jubilee University National Hospital.