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The Scottish Government expects and relies on our Integrated Joint Boards and Health Boards to plan and deliver services to meet the needs of local populations. Local planning is expected to take account of the particular needs of these populations, and decisions on the provision of services will be based on ensuring fair and equitable access to services wherever this is possible.

The Scottish Government works with territorial Health Boards to ensure services meet the needs of local populations. NHS Boards set out service delivery in annually produced Delivery Plans, reviewed and discussed with the Scottish Government. These plans describe how Boards will deliver services to meet the needs of their own communities, including the particular needs of rural areas, with a focus on fair and equitable access to services.

At the national level, a Board-led working group has been convened to develop a framework for safe, quality and sustainable healthcare services across our rural and island communities.

In an assessment of ways to overcome the challenges of rurality, submitted by Alcohol and Drug Partnerships in several rural areas to Public Health Scotland, a number of collaborative and innovative actions were described.

These included:

• Increased use of non-statutory services, informal local networks and peers to engage and support people, thus freeing up capacity to deliver rapid access and ensuring that staff can work at highest level within their banding
• Utilising generic primary and secondary care staff and settings to deliver care for example when weather disrupts usual access
• Development of more generic pathways for all drugs and alcohol referrals (given in many places the same staff deal with these issues)
• Some areas now have formal arrangements with other Health Boards to utilise 82 guidelines (Shetland and NHS Grampian), and to share expertise (Western Isles and Borders)

National Records of Scotland publish annual accredited official statistics on drug-related deaths in Scotland. The latest release, covering 2023, is available at . The accompanying data file provides a more comprehensive breakdown of the statistics, including by both NHS board area and local authority area.

The Scottish Government publishes a quarterly report to provide an indication of current trends in suspected drug deaths in Scotland. The data in this report is operational information from Police Scotland who compile figures on the basis of reports from police officers attending scenes of death. This is management information and not subject to the same level of validation and quality assurance as Official Statistics. The latest release, covering July to September 2024, is available at . The accompanying data file provides a more comprehensive breakdown of the figures, including by Police Division.

The Scottish Government remains fully committed to reducing drug deaths and harms. Through the National Mission we are seeing success across a wide range of actions designed to save lives and reduce harms. The total funding proposed for alcohol and drugs, including health board baseline funding, is over £150 million in 2025-26. This includes maintaining £112 million funding for Alcohol and Drug Partnerships, continuing to fund grassroots organisations through £13m via the Corra Foundation, and supporting a wide range of activity - including supporting residential rehabilitation.

I refer the member to the answer to the question S6W-33748 on 29 January 2025. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at /chamber-and-committees/written-questions-and-answers

Through our vision for ‘a Scotland where people live longer, healthy and fulfilling lives we are focused on improving the health of the population. Small and medium enterprises (SMEs) are the lifeblood of the Scottish economy and so we want to create an economy that prioritises the wellbeing of staff and employees of SMEs.

The Scottish Government supports the Healthy Working Lives (HWL) initiative, hosted by Public Health Scotland, which offers a range of materials to support employers on all aspects of work-related health promotion and ill health prevention, return to work and workplace safety.

The Scottish Government funds Working Health Services Scotland (WHSS), a service delivered by individual territorial health boards that provides occupational health advice and support for people who are self-employed or working in companies with 250 or less employees and have a health condition or injury which they feel is impacting on their work. This service is coordinated by Salus Occupational health, safety and return to work services (NHS Lanarkshire), who work in partnership with all 14 NHS Health boards delivering the service, including coverage across rural areas.

Standard metrics particularly related to social media management include reach (how many people were reached), engagement (how many people engaged with the content) and or follower growth (how many people have chosen to associate with and regularly receive content from the account) among target audiences.

Social media related activities undertaken by the Scottish Government encompass abroad set of teams and workstreams. A significant proportion of the management of Scottish Government accounts on social media platforms and the production of organic content, is managed by internal teams.

The current Acceptable Use of IT Policy does not explicitly apply to Members and their staff, though all Parliament IT account holders are bound by the SPCB's Use of Resources Policy which states that resources, including IT resources, are provided to support parliamentary duties and must not be used to any significant extent for any other purposes.  A revised Acceptable Use of IT policy which will apply to Members and their staff is currently being developed for approval by the SPCB.

The SPCB strongly advises that all Members and their staff, whether paid or voluntary, complete GDPR training. Each Member, as the data controller, is ultimately responsible for their staff's compliance with UK GDPR and the SPCB provide a variety of resources to help ensure Members are well placed to meet their responsibilities.

The Scottish Cardiac Audit Programme publishes annual data on incidence, cardiac interventions and patient outcomes across Scotland. The most recent reports are available here; .

The and have a focus on reducing inequities in access to cancer care and cancer outcomes.

The Scottish Government is looking to improve our understanding of outcomes of people with cancer living in rural and island communities. Examples include an independent evaluation of their experiences accessing cancer services, and a research programme on rural healthcare funded by the Chief Scientist Office.

The Scottish Diabetes Survey (SDS) collates data extracted from SCI-Diabetes database submitted by all 14 NHS boards and provides an annual summary of key issues and trends in diabetes care and treatment across Scotland. A link to the survey can be found at: .