The original basis for our National Treatment Centres (NTC) programme was to provide additional protected elective capacity and infrastructure to meet the needs of the elderly population. We opened two new NTCs in Fife and Highland in Spring 2023, while the NTC-Golden Jubilee Surgical Centre opened in August 2024 and the phased opening of NTC Forth Valley began in October 2024.

Since opening, NTC-Highland has provided hip and knee replacement surgery and cataract surgery for patients throughout NHS Highland, NHS Grampian and NHS Tayside. In 2025-26, capacity will also be provided to patients in NHS Shetland.

The NHS Golden Jubilee also continues to provide some key elective services to all Health Boards, including those with patients who live in remote and rural areas. This includes capacity for endoscopy, radiology, ophthalmology, general surgery, colorectal surgery and orthopaedic surgery.

In parallel with this, a number of ophthalmic surgeons are now undertaking sequential bilateral cataract surgery, particularly in remote and rural areas, to prevent patients having to travel twice for surgical intervention. This enables both cataract surgeries to be performed on the same day, one after the other, and ensures patient focussed holistic care is delivered. This also contributes to the net zero ambition of Scottish Government.

Finally, the Budget we set out on 4 December 2024 will deliver 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 want to make progress on improving our NHS, but to do that, Parliament must approve our Budget Bill which will drive the long-term and lasting improvements that we all want to see.

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.

Under General Ophthalmic Services arrangements in Scotland, all community optometry practices are required to have a range of equipment (including a digital retinal imaging equipment) to support the early detection of eye disease.

The SCONe project (https://clinical-sciences.ed.ac.uk/ophthalmology/scone) is a collaboration between the University of Edinburgh, Glasgow Caledonian University and the Royal College of Surgeons, Edinburgh. It brings together the retinal images taken during an NHS eye examination with other routinely-collected healthcare data within Scotland’s NHS National Safe Haven. The first aim of SCONe is to analyse these images in order to evaluate changes in the macula and age-related macula degeneration.

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-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 https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

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 https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I refer the member to the answer to the question S6W-33638 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 https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

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 funding model for community optometry services is entirely demand-led and directly funded by the Scottish Government. Patients are entitled to receive a community optometry service in whichever Health Board they choose.

With regards data on the geographic distribution of community optometry practices, this information is not held centrally by the Scottish Government. We would advise the Member to contact Health Boards where appropriate for this data. With regards community optometry services, Health Boards are legally responsible for the provision of these in their area.