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The first cohort of 52 ScotGEM students graduated in summer 2022 after completing the four year course. Of these, 45 undertook Foundation training in Scotland with 42 completing their required foundation year 2 (FY2) in August 2024; a small number opted to go less than full time. Of those 42 individuals, 10 have chosen GP training and have taken up GPST 1 posts in Scotland, with two of these in the North which contains the areas denoted by the question, as follows:

a) Highland - 2 trainees

b) Western Isle – 0 trainees

c) Orkney – 0 trainees

d) Shetland – 0 trainees

e) Grampian – 0 trainees

The Scottish Government continues to work closely with partners including Higher Education Institutions, Health Boards, Skills Development Scotland, and the Scottish Funding Council on skills development, employability and widening access to NHS Scotland careers. As part of this work part time, distance learning and earn as you learn models of education, which may benefit rural and island areas, are currently being explored by the Allied Health Professions (AHP) advisory group that oversees the implementation of the AHP Education and Workforce Policy Review recommendations.

The Scottish Government, in collaboration with the Centre for Workforce Supply and the National Centre for Remote and Rural Health and Care is developing a model of sustained ongoing direct support for employers across health, social care, social work and children’s services in rural and island areas to overcome barriers to recruitment and retention The direct support model will consist of three key elements including a Rural and Island Recruitment Forum, a Living Library and a Recruitment Toolkit.

The 2018 GP contract included a programme of service redesign to ensure that arrangements for GP services better met the needs of the whole system and the needs of communities; it makes no new requirements of remote and rural GP practices. The 2018 GP contract is intended to reduce current risks to practice stability and sustainability by addressing some of the key risk factors relating to rising workload, premises and employment of staff. This in turn intended to make the partnership model more attractive to newer generations of GPs.

The Scottish Government established the Remote & Rural Working Group chaired by Professor Sir Lewis Ritchie in response to the concerns of rural GPs about the 2018 contract. The group produced the Shaping the Future Together report in January 2020 and various actions were undertaken as a result.

NHS Near Me continues to be an option for online appointments, where appropriate, for those who wish to and can interact in this way. The service does not require large broadband speeds to work effectively, however patients have the option to test their broadband speed or access a digital hub near their home. Further information can be found at: https://www.nearme.scot/

The Scottish Government fully expects NHS Boards to meet agreed broadband and infrastructure requirements set out in infrastructure standards. To support NHS Boards and the public, The Scottish Government has invested around £1 billion on digital programmes – including Digital Scotland Superfast Broadband (DSSB).

In 2024-25 the Scottish Government has invested £113.5 Million in digital health and care technologies.

The Scottish Government is aware of the unique needs of our rural and islands communities, and that these needs vary significantly from place to place. We recognise that there is no “one size fits all” approach which will work for every community, and that harnessing the local knowledge of staff working within these areas can play an important role in improving healthcare outcomes.

That is why the work of the NHS Scotland remote, rural and islands task and finish group that we have convened is being led by representatives from across our rural and island Health Boards.

The group is working to develop a framework for sustainable delivery of healthcare services in rural and island communities. We aim to develop a model with services provided as local as possible and specialised as necessary in order to ensure equity of outcomes. The leadership, collaboration and innovation that our rural and island Board representatives are bringing to this group will ensure this work meets the needs of the communities they serve.

One of the key aims of the new palliative care strategy, Palliative Care Matters for All, is that, by 2030, adults and children in Scotland will have more equitable access to well-coordinated, timely and high-quality palliative care, care around dying and bereavement support based on what matters to them, including support for families and carers.

Development of the draft strategy was informed by evidence gathering, guided by a Strategy Steering Group and a number of expert working groups. This included carrying out surveys mapping palliative care delivery across Scotland, including in rural and island communities.

The outputs of this work have given us a clearer picture of the delivery and accessibility of palliative care across Scotland, which has helped to inform the actions set out in the draft strategy.

The Scottish Government has not conducted any specific studies to monitor whether the current GP contract has resulted in a widening disparity between remote and rural healthcare provision and urban healthcare provision, however we have well-established reporting arrangements in place at the national level to monitor implementation of the GP contract by HSCPs. These reporting arrangements allow us to gain both quantitative and qualitative information on progress.

The National Performance Framework Quality of Care Experience indicator measures people’s rating of the overall care provided by their general practice over time, including a breakdown by urban/rural classification.

The Scottish Government will announce its spending plans for 2025-26 in its budget, on 4 December, with more detailed consideration of portfolio spend priorities, including the Monitor Farm Programme, being taken shortly thereafter.

The information requested is not held centrally and is a matter for the Health Boards referred to in the question.