Chamber and committees

Third sector organisations are vital in delivering services to those affected by drugs and alcohol, and their families. The majority of available National Mission funding is allocated to alcohol and drugs partnerships who have local arrangements to support third sector organisations. Scottish Government also fund third sector organisations directly including through the Corra Foundation funds which values £65m over 5 years, and via SG managed grants.

As funding is distributed through these various channels, throughout the year at both local and national level, the total available to third sector organisations is subject to factors such as grant funding applications and local decision making.

The Scottish Government is providing support to primary care services in their implementation of Medication Assisted Treatment (MAT) Standard 7 through three routes:

The first is through our ringfencing £30m as set out in our Cross Government Plan, over the course of 3 years, from the Scottish Government’s Enhanced Services Allocation to NHS territorial Boards, from April 2023, in order to accelerate the adoption of Enhanced Services for drug services across Scotland. Local areas will be asked to prioritise use of this funding to improve outcomes for people who use drugs.

The second is through our commissioning Public Health Scotland to consider and develop a reference suite of best practice models that should provide local areas with guidance on how they might adapt primary care delivery to integrate drugs services in a way that suits local needs. The material will be derived from a critical examination of international and domestic experience of drug service provision in primary care settings, including through direct consultation with delivery partners on the ground and with our Drugs Policy Clinical Advisory Group, providing insight into a breadth of applicable scenarios and solutions.

The third is through targeted support and intervention from Public Health Scotland’s MAT Implementation Support Team (MIST), who work closely with local areas to evaluate and progress implementation across the range of MAT Standards 1-10.

The timeline for MAT standard 7 ‘Primary Care’ has not been amended this year – it remains at full implementation to be completed by April 2025 as per the 2022 National Benchmarking report published by Public Health Scotland.

The MAT Implementation Support Team (MIST team) within Public Health Scotland provide support to local areas to engage with their primary care providers and will continue to do so.

The Scottish Government has not fully assessed the level of awareness of MAT standard 7 among healthcare professionals working in primary care settings. Local services are being supported to implement the MAT standards by the MAT Implementation Support Team (MIST) which includes healthcare professionals with experience in primary care.

The National Mission benefits from the expertise of a Clinical Advisory Group of healthcare professionals and the implementation of the standards is also supported by NHS Healthcare Improvement Scotland (HIS) which has primary care professionals on its MAT team.

Given the involvement of this support for implementing the standards and through their ongoing engagement with services all healthcare professionals working in primary care settings that have contractual arrangements in place to provide medication assisted treatment should be aware of MAT standard 7.

In January 2023, in the Cross-Government Plan published by the Scottish Government included a commitment to ring-fence £30 million of the funding available to General Practice to encourage more primary care providers to take on Enhance Service provision to support people impacted by drugs.

The Scottish Government is aware of this drug, to date there have been two detections in Scotland that we have been made aware of through the Welsh WEDINOS programme.

Public Health Scotland, through their Rapid Action Drug Alerts and Response (RADAR) programme, are continuing to monitor this situation. Currently xylazine is not routinely screened for in police or post-mortem toxicology throughout the UK, but we will keep this under review and future decisions around adding this to toxicology screening in Scotland would be made by the RADAR pathology and toxicology network.

The Advisory Council on the Misuse of Drugs (ACMD, the UK Government’s drug advisory body) New Psychoactive Substance committee are also monitoring the availability of this substance and are conducting an evidence review which will also inform action in Scotland. Public Health Scotland continue to lead on the ongoing development of RADAR which provides essential and real-time data on drug trends and harms to ensure a quick response to what is happening on the ground, including providing vital public health alerts, such as they issued around nitazenes in January 2023.

No consideration has been given to a moratorium on the creation of bus stop bypasses. Local authorities are responsible for management of local roads and paths and the Scottish Government has no authority to make such a mandate.

The Scottish Government has provided funding and technical assistance to local authorities to design and deliver projects through the Spaces for People, Places for Everyone and National Cycle Network programmes that are delivered by Sustrans Scotland, and a small number of these projects contain bus stop bypasses.

Consultation was undertaken prior to publishing design guidance on bus stop bypasses in the updated ‘Cycling by Design’ document in 2021, and considered impacts on those walking and wheeling as they interact with cycling infrastructure. The consultation included representation from the Mobility and Access Committee for Scotland, Guide Dogs Scotland, Royal National Institute of Blind People, Spinal Injuries Scotland, Living Streets, Cycling UK and Cycling Without Age.

To inform the design guidance further, Transport Scotland commissioned Living Streets in 2021 to investigate issues of inclusion where bus stop bypasses have been introduced, primarily to accommodate cycle facilities. The study has visited sites across the UK, photographing, measuring and recording behaviours of pedestrian and cyclists, and has analysed footage using fixed cameras. The study has also included a literature review, and consultation with a wide range of user groups including disabled people and others who are most at risk. The study is due to report late summer 2023.

Transport Scotland commissioned Living Streets in 2021 to investigate issues of inclusion where bus stop bypasses are introduced, primarily to accommodate cycle facilities. The study has visited sites across the UK, photographing, measuring and recording behaviours of pedestrians and cyclists, and has analysed footage using fixed cameras. The study has also included a literature review, and consultation with a wide range of user groups including disabled people and others who are most affected. The study is due to report late summer 2023.

The updated ‘Cycling by Design’ document was published in 2021 and provides guidance for cycling infrastructure design on all roads, streets and paths in Scotland. It includes design guidance for incorporating cycle facilities past bus stops, with bus stop bypasses as one option. A series of training sessions on the guidance has been undertaken throughout 2022 and early 2023, with attendance by the majority of local authorities.

To inform the design guidance further, Transport Scotland commissioned Living Streets in 2021 to investigate issues of inclusion where bus stop bypasses have been introduced, primarily to accommodate cycle facilities. The study is due to report late summer 2023.