Just days after SNP MSP Kate Forbes brought Raasay residents and NHS Scotland officials together to discuss healthcare issues on the island her Labour counterpart has again made her views known.
Earlier this year Rhoda Grant visited Raasay to talk with locals about the situation and said she had now received a reply from NHS Highland’s Chief Executive, Elaine Mead, to questions raised by residents.
She said: "I am concerned that out-of-hours health care on Raasay is increasingly being handed over to the community, leaving residents, who are not medical experts, making difficult decisions.
"There are a number of confusing and perplexing answers. For instance, the community nurse should deal only with people aged 16 and over due to training and registration, although that is countered by NHS Highland saying that the “nurse always sees” children but may need to refer them for treatment to the GP or hospital.
"Then, when it comes to medical incidents out-of-hours, first aiders and community first responders are being named as providing additional support. The health authority is now saying that first responders could be trained to a higher level but I know some on the island are concerned about this due to the difficult decisions that may need to be made when someone falls ill.
"The island is developing economically and socially, witnessed by the fact that a new distillery is being built. The presence of a nurse, in the evenings and at weekends, would provide reassurance and security both for residents and visitors, especially in the absence of an easily accessible GP. Raasay is in a very vulnerable situation and I am anxious that the health care needs of islanders are not being met.
"I am also disappointed that the health authority appears unwilling to advertise the 24/7 nursing post again. NHS Highland says that it was done in the past and failed to find a suitable candidate.
"I believe nurse practitioners, who could fill the roles of a community and practice nurse as well as those of a paramedic, could lead the way in delivering rural health care.
The MSP added: "I am still waiting for a reply from Humza Yousaf, Minister for Transport and the Islands, who has already visited the island and offered to take up the issue after being briefed on the case, plus Fergus Ewing, in his role as Cabinet Secretary for Rural Economy and Connectivity and on the issue of sustaining and developing Raasay, as well as the Cabinet Secretary for Health, Shona Robison."