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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.

I refer the member to the answer to question S6W-18931 on 21 June 2023. 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/questions-and-answers

The Scottish Cardiac Audit Programme publishes annual data on incidence, cardiac interventions and patient outcomes across Scotland. The most recent reports are available here; Scottish Cardiac Audit Programme report 2023/2024 - Scottish Cardiac Audit Programme (SCAP) - Publications - Public Health Scotland.

The Cancer Strategy for Scotland 2023-2033 and Cancer Action Plan for Scotland 2023 – 2026 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: Publications | diabetes in scotland.

Evidence confirms that substance use can be a potential consequence for those of us who have experienced high levels of trauma and adversity in our lives.

The Scottish Government’s ambition, shared with COSLA, is for anyone who has been affected by trauma to be supported by the trauma-informed and responsive support, care and services they need. These are services built on safe, trusted relationships, which foster recovery, prevent re-traumatisation and help reduce the risk that individuals and/or their families might turn to substance use to cope.

Since 2018, the Scottish Government has invested over £12 million in the National Trauma Transformation Programme (NTTP). The NTTP aims to support all sectors of the workforce, to understand how to adapt the way they work to be trauma-informed. This includes understanding how substances can be a coping strategy for the impact of trauma and embedding the principles of choice, collaboration, empowerment, safety and trust to help improve the life outcomes of those affected.

Diagnostics are central to many clinical pathways, and we are working to define the transformation necessary to deliver sustainable and equitable diagnostic services. Service innovation and redesign, creating additional capacity, and digital technology will be central to this.

All nationally scaled up developments are subject to appropriate evaluation and equalities impact assessments.

Community hospitals are an essential part of the health and social care system, providing a wide range of services. Where possible they should be embedded in local communities and when major service changes are proposed, the Scottish Government seeks assurances that local areas are following the processes outlined in our “Planning with People” guidance.

In the last five years multiple community hospitals have been closed, temporarily closed, or repurposed. As they are independently managed by IJBs, Scottish Government does not hold exact numbers for closures.

Importantly, closures do not always represent a reduction in capacity, in some cases resources are repurposed to support more people in their own homes.

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

All Scottish Government supported PFI and PPP contracts including NPD (Non-Profit Distributing) have been procured by a devolved Scottish authority. The latest published data as at 31 March 2023 relating to (a) the total estimated unitary charge payments associated with these PFI and PPP contracts including NPD from 1997-98 to 2024-25 comprising both (i) expired and (ii) active contracts are contained within the following table.