A 'One Health' approach to tackling AMR was adopted in Scotland in 2016 and acknowledges that the health of humans, animals and the environment are interconnected. Antimicrobial use and spread of infection in humans, animals and the environment contribute to the development of resistant infections. It should be noted that this report was produced during the COVID-19 pandemic which has had a profound impact on healthcare services and citizens of all ages in Scotland. Tackling AMR, which has been described as a slow-burning pandemic, remains vitally important. Sustained action to preserve antibiotics and reduce drug resistant infections is crucial to secure the future delivery of healthcare through and beyond the COVID-19 pandemic.