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20 February 2019

(S5O-02885) Rural Clinics

7. Stewart Stevenson (Banffshire and Buchan Coast) (SNP): To ask the Scottish Government what it is doing to ensure that its commitment to develop rural clinics aligns with the needs of NHS boards and clinicians. (S5O-02885)

The Cabinet Secretary for Health and Sport (Jeane Freeman): We are committed to ensuring that healthcare services provide high-quality sustainable care for patients across communities, including those in rural areas. Integration authorities are responsible for planning local services in line with national policies and local priorities, and they have a statutory duty to consult partners, stakeholders and professional groups as part of their strategic commissioning process.

The memorandum of understanding that was published alongside the new general practitioner contract is clear that primary care redesign needs to be safe, effective and accessible to all and agreed with local clinical professionals. That should help to ensure that, across the country but particularly in remote and rural areas, the services that are redesigned as part of our overall primary care reform—for which there is additional resource—meet the particular needs of local communities, and that that is done through consultation, which is a statutory responsibility on health and social care partnerships.

Stewart Stevenson: The cabinet secretary will be aware that, in many rural communities, access to carers is important and access to transport is relatively limited. In light of that, will the cabinet secretary encourage the integration services to take those factors into account when designing the new way in which rural clinics are operated and offered?

Jeane Freeman: I am happy to give Mr Stevenson that commitment. I know from my experience in my constituency that, in a rural area, it is possible to look at a map and think that it is not that far from A to B when actually it takes a great deal longer than it perhaps would take in a central belt location. I am happy to give the member a commitment that I will ensure that our integration authorities take those factors into account wherever they commission and plan services.

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