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The Scottish Government is committed to addressing patient concerns about data privacy in the sharing of medical records across healthcare providers. We provide clear guidance on privacy and confidentiality, promote robust information governance practices, and support the NHS and healthcare providers in implementing appropriate processes to safeguard patient data.

The responsibility for developing data sharing agreements and publishing privacy notices is down to each individual Board. However, NHS Inform provides patients with supportive information to ensure they have an understanding of the holistic approach to data privacy NHS Scotland take. This information can be found here https://www.nhsinform.scot/care-support-and-rights/health-rights/confidentiality-and-data-protection/how-the-nhs-handles-your-personal-health-information/.

In addition to the guidance on Inform, Privacy by design is at the core of the National Information Governance Programme, forming a key part of our Data Strategy to ensure that digital and data-driven practices are developed with privacy safeguards embedded from the outset.

The Scottish Government also engages regularly with patients, the ICO, and citizen interest groups to ensure data-sharing practices respect patients' rights and expectations

Health data is shared, typically in an aggregated and anonymised format, with trusted third parties through trusted research environments known as ‘Safe Havens’. These Safe Havens comprise of a national Safe Haven within Public Health Scotland and four regional Safe Havens associated with NHS Grampian, Greater Glasgow and Clyde, Lothian, and Tayside.

Safe Havens play a crucial role in protecting personal data, providing a secure space, and supporting the secure use of NHS data for researchers to access and analyse healthcare data without compromising individual privacy. Within Safe Havens researchers can work with anonymised or pseudonymised data, reducing the risk of re-identification of individuals. By implementing robust security measures and access controls, Safe Havens ensure that only authorised individuals can interact with the data, and that they can only access the level of data that is appropriate and proportionate.

The existing Scottish Government Records Management Health and Social Care Code of Practice (Scotland) 2024 has guidance on managing health records of people who identify as transgender. This links to guidance from the Medical and Dental Defence Union of Scotland, the General Medical Council and NHS National Services Scotland (NSS). It was recognised in 2020 that it was an area under development, and subsequently the Scottish Government's Chief Statistician issued guidance for public bodies on the collection of data on sex and gender in 2021. The Records Management Code of Practice for Health and Social Care 2024 incorporates the Chief Statistician's guidance along with feedback from stakeholders, providing further guidance to NHS Boards.

Artificial intelligence is already proving itself to be a force for good in our health and social care service, providing a range of healthcare solutions that are transforming services for the better and in a number of cases, saving lives. An example where AI activity is already taking place in rural areas is through the North of Scotland AI Strategy for Health and Social Care.

Neil Gray: Since 2021, we have provided three permanent CT scanners to support core diagnostic imaging capacity within Boards, including a mobile CT pod which is deployed flexibly to Boards that require additional capacity. In addition, one further mobile CT and seven mobile MRI scanners are being used across multiple NHS Boards to provide additional capacity.

In the last 2 years, the Scottish Government has supported the North Imaging Alliance to:

• Test a regional mobile MRI service, hosted within one of the North region boards, with the potential to be used anywhere in the North or across Scotland.
• Provide additional capacity (over and above existing mobile MRI arrangements) to accelerate work on reducing waiting times for MRI.

During 2024-25:

• The regional mobile MRI van is anticipated to remove circa 3,700 patients from waiting lists in the North, participating boards are Grampian, Highland, Orkney, and Tayside.
• 2,408 patients have received scans to date and have been removed from waiting lists
• This has saved NHS Orkney approximately £180k and meant 313 patients were able to receive scans locally rather than having to travel further afield.

Significant additional activity is already underway following the allocation of £30 million funding to target reductions to the national backlogs that built up throughout the pandemic. This includes over 40,000 extra diagnostic procedures.

I refer the member to the answer to the question S6W-33751 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 https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The NHS Scotland Climate Emergency and Sustainability Strategy 2022-26 sets out the approach and actions which will be taken by NHS Scotland, with support from the Scottish Government and working in partnership with others, to respond to the climate emergency and to contribute towards the achievement of the United Nations’ (UN) Sustainable Development Goals (SDGs).

The Strategy emphasises the importance to Health Boards of climate change adaptation, and the need to carry out climate change risk assessments and produce climate change adaptation plans. A recently published report: "NHSScotland Climate Change Risk Assessments and Adaptation Plans: A Summary Report" summarises the assessments that Boards have carried out and their adaptation plans. It includes Boards with rural communities.

The NHS Scotland Climate Emergency and Sustainability Strategy 2022-26 sets out the approach and actions to be taken by NHS Scotland, with support from the Scottish Government and working in partnership with others, to respond to the climate emergency and to contribute towards the achievement of the United Nations’ (UN) Sustainable Development Goals (SDGs). It applies to all NHS Boards in Scotland, including those with rural communities.

The NHS Scotland Annual Climate Emergency & Sustainability Report reports on progress in reducing carbon emissions for all Health Boards in Scotland, including those with rural populations. The latest report was published last year, see: Annual Climate Emergency & Sustainability Report 2024.

The NRAC (resource allocation formula) is an objective measure of the need for health care services across Scotland. The current formula, which was established in 2005, considers the population share of each Board adjusted for the age/sex composition of the population, the relative health needs due to morbidity and life circumstances, and the excess cost of delivering healthcare to rural and remote areas. We have committed to a review of the funding formula. This supports vital work to reduce health inequalities; ensuring that we continue to allocate funding according to the relative need for healthcare in each Board area.

The Scottish Government is committed to improving accessibility for all disabled people, including those with visual and hearing impairments.

Provisions in the Equality Act 2010 require providers of services to the public to make a reasonable adjustment so that disabled people are not placed at a substantial disabled people can access the service or facilities.

A number of actions across national partners, key public bodies and specialist agencies are already underway to enhance the accessibility of public spaces, ranging from culture through to transport.

This includes improving experiences at Visit Scotland spaces through enhanced support, resources, and advice to tourism and events organisations. Historic Environment Scotland also provide assistance through the provision of information in a range of alternative formats, such as large print site information, tactile models, audio tours, sensory tours and scented gardens.

Furthermore, Transport Scotland have taken measures to improve accessibility for pedestrians, including implementing the new dropped kerb scheme, increasing the number of dropped kerbs and tactile paving, providing enhanced support for those with visual impairments.

The Scottish Government will continue to work closely with partners and stakeholders to advance disability equality, ensuring that we effectively mitigate the barriers that affect the daily lives of disabled people