Chamber and committees

A delayed discharge occurs when a hospital patient (aged 18 or over) who is clinically ready for discharge from inpatient hospital care continues to occupy a hospital bed beyond the date they are ready for discharge. Public Health Scotland hold data relating to people aged 18 and over affected by delayed discharge.

Data for August 2024 is not yet available as it is due to be published on 1 October 2024. Therefore Table 1 presents the total number of people aged 18 or over who faced a period of delay, for any reason, in NHS Western Isles between 1 January and 31 July 2024.

Table 1: Number of people1 who faced a period of delay in NHS Western Isles hospitals in the period 1 January 2024 to 31 July 2024, by age group.

Every life lost to alcohol is a tragedy and the recent alcohol specific deaths statistics published by the National Records of Scotland is a stark reminder of the challenge we continue to face in tackling alcohol harm across Scotland.

The Scottish Government continues to prevent alcohol harm including continuing and increasing the minimum unit price of alcohol. Minimum unit pricing has been estimated to have saved hundreds of lives since it was first implemented in 2018 and the steps taken by this Government are expected to continue and increase the positive health effects of the policy. The Cabinet Secretary for Health and Social Care has also set out the next steps for progressing work on alcohol marketing, which also seeks to develop further preventative approaches to reducing alcohol harm.

To support people already drinking at hazardous and harmful levels the Scottish Government provided record investment to ADPs in the 2024-2025 financial year. In addition to this we are currently developing a national treatment specification for alcohol treatment in Scotland which will look to build on the work of the forthcoming UK Clinical Guidelines for Alcohol Treatment. The Scottish Government also supports innovation to develop best practice on tackling alcohol harm including projects such as the Managed Alcohol Programme and the Primary Care Alcohol Nurse Outreach Service which has recently been embedded into mainstream services in Glasgow City ADP.

The then Minister for Public Health, Sport and Wellbeing issued a letter to Alcohol and Drug Partnerships (ADPs) supporting the release of Alcohol Focus Scotland’s guidance on undertaking alcohol death reviews on 24 September 2020. The letter asked that ADPs undertake an alcohol death review every three years.

The National Mission was established to improve and save lives of people impacted by drugs. However, given that many of the improvements to services, such as residential rehabilitation, included as part of the Mission are integrated for both alcohol and drugs, the work of the Mission has always been helping save and improve the lives of people impacted by alcohol as well. There is also a significant cohort of people whose lives have been impacted by both alcohol and drugs.

We remain firmly committed to tackling the twin crises of climate change and biodiversity loss across Scotland. However, we are also taking on very significant additional financial pressure following decisions made at a UK level, and the Finance Secretary has been clear that painful choices have had to be made. The Scottish Government will work with local authorities to understand and, where feasible within depleted resources, mitigate the impacts of this situation.

The number of Modern Apprenticeship starts for floorcovering in the last 5 years are as follows;

No changes have been made to the National Mission.

The National Mission was established to improve and save lives of people impacted by drugs. However, many service improvements supported by the Mission, such as residential rehabilitation, addressing stigma and improving the workforce, address both alcohol and drug issues. Meaning the work of the National Mission has consistently saved and improved the lives of people impacted by alcohol as well as drugs.

NHS boards, local authorities and local Alcohol and Drug Partnerships are long standing partners in our work on harmful alcohol and drug use and they have recognised that many aspects of the National Mission are bringing benefit to people impacted by both drugs and alcohol.,

The Scottish Government is currently working with representatives from our Residential Rehabilitation Development Working Group to ascertain whether the existing ARBD unit, managed by Penumbra for NHS Lothian, meets the Scottish Government’s definition of a residential rehabilitation service.

We have set out a clear definition of what counts as residential rehabilitation and have used it consistently. We are expecting to receive the appropriate advice on this in due course, after which point we will be able to develop a position on including this type of service under our definition of residential rehabilitation in the future.

It is expected that the draft outcomes from the Review, which includes a climate compatibility assessment and other impact assessments, will be consulted on this Autumn, before a final decision can be reached.