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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 17 August 2025
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Displaying 1174 contributions

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Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

The bill’s policy memorandum says:

“The Bill also establishes a timescale to begin treatment of, at most, three weeks after being prescribed it but earlier if practicable. This is in recognition that time delays in receiving treatment impacts on the treatment having a positive effect, as someone can become more unwell in the period between diagnosis and treatment, potentially becoming seriously ill and in a state of trauma. In addition, delays in treatment can lead to scenarios where a person cannot take up the treatment after a period of time passes, for example if they have deteriorated in condition or lost faith that treatment will be provided that will help them.”

I note that the Salvation Army, WithYou and Turning Point have raised concerns about the need for preparatory work to be undertaken before individuals can begin abstinence-focused recovery treatment. Therefore, with regard to how the bill is drafted, is there a way to define that clearly, so that the time in which people enter into the process of preparation would count in relation to that three-week period? Could that be considered?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

Yes.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

That helpfully moves me on to my next question, which is about the unintended consequences of the reporting mechanisms in the bill as it is currently drafted. You just alluded to some, but could you perhaps expand on the point about potentially unintended consequences?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

Thank you.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

Right, okay—that is helpful.

Annemarie Ward, I wonder whether you have any views on the provisions in section 1(5) and (6) in that regard?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

If I am correct in my understanding, the issue is that some treatments can, and should be expected to, begin on the same day, and one should not expect it to become the norm that the process is dragged out to three weeks.

In the case of residential rehab and access, however, it would definitely be expected that the pathway, involving an initial psychosocial assessment and preparation, would start to get under way within that three-week period as an absolute maximum.

I think that I am clear on that—is that right? The three-week deadline is more to do with the residential pathway than, say, the MAT standard approach beginning on day 1, and the latter should not be considered as something that it is fine to kick into the long grass over a three-week period.

I see that the witnesses are nodding. That is fine—perhaps we can adjust the language in the bill in some helpful ways to clarify those differences in approach.

Let us turn to the definition of “treatment”. The explanatory notes to the bill currently state that the bill

“sets out a non-exclusive list of treatments that may be provided”

and that

“Subsection (6) provides that the Scottish Ministers may add to that non-exclusive list by regulations.”

Are witnesses content that the bill’s definition of “treatment” provides suitable flexibility to accommodate evolving best practices in drug and alcohol recovery and to respond to changes in substance use over time?

Perhaps we can start with one of the witnesses in the room, if anyone has a view on that.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

I thank the witnesses for attending today.

I turn to the issue of timescales in the bill. Section 3(1) states that

“treatment described in section 1(3) is to be made available to the patient as soon as reasonably practicable and in any event no later than 3 weeks after the determination is made.”

Some written submissions from stakeholders have queried the three-week timescale after the treatment determination. Some have raised issues around appropriate preparatory work with those who would be attending treatment to ensure that they are stabilised, assessed and so on.

Do the witnesses think that the bill’s requirement that treatment be made available within three weeks allows sufficient flexibility for necessary preparatory steps, such as assessment and stabilisation, to be undertaken? Would that fall within the intent of the bill’s idea of access to treatment being triggered at that point? I am keen for that provision to be clarified. Perhaps Annemarie Ward can start.

12:00  

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

I want to turn to the witnesses in the room to pick up that point. In written correspondence, there has been mention of the fact that, for example, some people might require

“at least 6 weeks of psychosocial interventions and practical organisation.”

Given what has been said, could the drafting be tightened?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

Annemarie, would you like to come back in?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Paul Sweeney

Thank you, all, for coming today. I will turn to the quality of services, service standards and reporting mechanisms. What impact could the implementation of the bill have more broadly on the quality of services and treatment that are provided to people with alcohol and/or drug problems? I am happy to take responses in any order.