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Recruitment, training and deployment of firefighters are Operational decisions for the SFRS board and chief officer. The Scottish Fire and Rescue Service (SFRS) has provided assurance that at no point was there ever no firefighter cover for any area in Scotland. SFRS ensure that at any time a fire appliance is not available the nearest available appliance is mobilised to ensure every emergency is attended to.

In common with all parts of the UK and beyond, there are challenges with recruitment and retention of on-call firefighters in remote and rural areas in Scotland. SFRS has established a National On Call Leadership Forum which is identifying and driving improvements in recruitment.

11 projects are being funding through the Islands Programme this financial year. These include a new visitor centre and electric vehicle charging points at Old Man of Storr, nine ‘Island Pit Stops’ at Arran and Cumbrae with better facilities for visitors, a new nursery at Kirkwall to replace an existing building earmarked for demolition and improvement of critical sea front infrastructure at Tobermory. The 11 projects funded by the 2022-23 Islands Programme are:

1. Island Community Halls Digital Hubs, £100,000. Coll, Iona, Islay and Tiree.

2. Tobermory Seawall and Railings Improvements, £250,000. Mull.

3. Ionad Hiort – RIBA Stage 4 design fees, £167,000. Lewis. Comhairle nan Eilean Siar

4. Community Facilities Programme – Uist, £347,781. Berneray, North Uist, Eriskay.

5. Old Surgery Housing Enablement, £72,000. Eigg.

6. The Old Man of Storr, £440,000. Skye.

7. Regeneration of Millport Town Hall – phase 2, £509,450. Cumbrae.

8. Island Pit Stops, £540,000. Arran and Cumbrae.

9. New Kirkwall Nursery, £1,500,000. Mainland Orkney.

10. Aald Skul Enterprise Development £88,095. Mainland Shetland.

11. Papa Stour Kirk Development £252,505. Papa Stour. Shetland Islands Council.

The Remote and Rural General Practice Working Group was created in 2018 to support the implementation of the GP Contract in remote and rural areas. It met between 2018 and 2022. In 2020, the Group put forward recommendations to Ministers which are contained within its Shaping the Future Together Report. The Group last met on the 9 th June 2022 and agreed to bring the Group to an end.

The Scottish Government is committed to supporting and developing rural general practice and primary care. In terms of planned developments, The Scottish Government is working to develop a Remote and Rural workforce recruitment strategy by the end of 2024. This will support employers to ensure that the Health and Social Care needs of people who live in remote and rural communities are met. In addition, The Scottish Government’s Programme for Government 2021-22 included a commitment to create a centre of excellence for rural and remote medicine and social care, with scoping work starting in 2021-22. The Scottish Government has been working closely with NHS Education Scotland (NES) over recent months to carry out extensive scoping and consultation with stakeholders. NES has submitted a business case for the Centre. The Scottish Government is evaluating the business case and considering next steps.

We are already taking forward a range of initiatives to support recruitment and retention of workforce in rural General Practice. The Golden Hello scheme offers a one-off bursary of £10,000 to every GP taking up an eligible post in a remote and rural area. Furthermore, ScotGEM is a four-year graduate-entry medical degree which began in 2018, with a focus on rural medicine and healthcare improvement, supporting graduates to choose careers in general practice. The Scottish Government is also supporting an initiative by the four rural boards in the north of Scotland, NHS Shetland, NHS Orkney, NHS Highland and NHS Western Isles who have piloted an innovative recruitment campaign called Rediscover The Joy (RTJ). RTJ aims to recruit experienced GPs to provide support for remote and rural practices.

The Scottish Government published a summary of progress towards implementation of the 2018 GMS Contract and its associated Memorandum of Understanding (MoU) in June 2022:

Primary care improvement plans: summary of implementation progress - March 2022 - gov.scot (www.gov.scot)

As the publication sets out, there are now 3,220 whole time equivalent (WTE) healthcare professionals, such as pharmacists, mental health workers and physiotherapists, recruited into multi-disciplinary teams supporting general practice teams. Of this total, nearly 700 are working in areas with remote and rural communities.

It should, however, be noted that it is not expected that all GP practices in Scotland will take up these NHS Board provided services. As service delivery models are designed specifically according to local population needs, there are variations in approach across the country.

The next progress update will be published in summer 2023.

We are also actively incentivising remote and rural General Practice in several ways. The Golden Hello scheme offers a one-off bursary of £10,000 to every GP taking up an eligible post in a remote and rural area.

Furthermore, ScotGEM is a four-year graduate-entry medical degree which began in 2018, with a focus on rural medicine and healthcare improvement, supporting graduates to choose careers in general practice. Students on the ScotGEM course are offered a 'return of service' bursary, a grant worth up to £16,000 in total, in exchange for working in NHS Scotland for up to four years. 70 places will be offered on the course from 2022-23 onwards, following an increase of 15 places in line with the recent PfG commitment.

The Scottish Government is also working closely with partners including the Scottish Rural Medicine Collaborative (SRMC) to find solutions for remote and rural GP recruitment. The four rural boards in the north of Scotland have piloted an innovative recruitment campaign called Rediscover The Joy (RTJ). RTJ aims to recruit experienced GPs to provide support for remote and rural practices and, to date, this has been an initiative run in NHS Shetland, Orkney, Highland and Western Isles.

Annual budgets continue to be set through the annual parliamentary budget Bill process and the annual budget will be based on the latest fiscal information to support our priorities across Scotland.

The Scottish Government remains committed to supporting islands investment and will continue to review this as part of that annual budget process.

As outlined in the response to question S6W-10712 , £300,000 had been allocated to the delivery of the Islands Bond in the 2022-23 Financial Year. This funding will support the delivery of projects that will, in turn, influence the development of our Addressing Depopulation Action Plan.

The Islands Bond was a capital funding commitment. In this context, it is important to highlight that our capital allocations have been significantly restrained as result of the UK Government’s own spending review. The impact of this is that the Scottish Government received £175 million less than we had expected. The capital allocations that Scottish Government are receiving are flat, and will fall over the course of the next few years. As such, we must prioritise as best we can within that context.

However, it is important to understand that the Islands Bond was not the sole intervention aimed at supporting our island communities. This financial year, the Scottish Government has announced a £4.45 million funding package to help improve infrastructure on Scotland’s islands.

This capital investment is supporting all six island local authorities to fund the improvement, creation or safeguarding of locally developed infrastructure projects that align with the Strategic Objectives of the National Islands Plan.

The largest single award for 2022-23 will support a major new nursery development on mainland Orkney, benefitting all of Orkney’s islands. This project is linked to population retention and growth, whilst also addressing child poverty and providing practical training opportunities for employment in an industry facing severe shortages locally.

NatureScot, as custodians of the castle are in the process of negotiating a private sale and the castle estate is under offer. Private sale comes on the back of previous attempts to secure a sustainable future via other routes, including Community Asset Transfer under the provisions of the Community Empowerment (Scotland) Act 2015. NatureScot are actively engaged with the Isle of Rum Community Trust (IRCT), as part of sale process.

The Patient Travel Guidance is a substantial exercise for the Scottish Government and NHS Boards and, regrettably, a start date is not confirmed at this time. This important piece of work requires prioritisation alongside our ongoing response to Covid and recovery of services and will be taken forward as soon as possible.

With the exception of two additional MSPs being invited to the Taskforce meeting on 29 September 2022, there has been no changes to the recent core attendee list.

I agreed at the last Taskforce meeting on 29 September to increase the frequency of meetings to three times per year, the next Taskforce meeting will be held January 2023, after the medium term proposals have been announced. In relation to the suggestion to appoint an independent chair I put it to the Taskforce members for discussion and it was agreed at the meeting I would chair the Taskforce meetings going forward.

The A83 preliminary ground investigation site works are now complete. The data from this will inform the design of both the medium and long term solutions.