Chamber and committees

Further to the answer to S6W-24007 on 4 June 2024, Scottish Government officials regularly meet Department for Work and Pensions (DWP) and have reiterated the need for effective co-operation on these matters in order to ensure that any negative impact on people receiving Scottish social security benefits can be mitigated.

The Scottish Government has consistently opposed the Work Capability Assessment reforms as proposed by the previous UK Government, and will continue to call on the current UK Government to choose to protect people's incomes and not implement the proposed changes.

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/written-questions-and-answers.

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.,

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.

The Scottish Government and Public Health Scotland have worked collaboratively with stakeholders to establish an experimental core minimum dataset to support the monitoring and evaluation of the residential rehabilitation programme. It is expected that the first extracts will be published in December 2024, which will allow us to gauge the current status of the research gaps identified in 2022 and address those remaining as appropriate.

Further detail on the research gaps identified in the 2022 literature review can be found in pages 27-30 of the report. The report recommends further research in several areas, including impact on specific demographics and the differences between residential rehabilitation models.

For the development of the national specification for alcohol and drug services, initial engagement has begun with representative groups covering service commissioners, service providers and people who use, have used or could use the services.

We have invited relevant stakeholders to be part of the national specification and overarching guidance reference group which we will continue to engage with during development. This includes stakeholders with lived experience.

No - we have set out a clear definition of what counts as residential rehabilitation and used it consistently since its publication in 2021.

The Scottish Government uses the Residential Rehabilitation Development Working Group definition of residential rehab as "facilities offering programmes which aim to support individuals to attain an alcohol or drug-free lifestyle and to be re-integrated into society, provide intensive psychosocial support and a structured programme of daily activities, and which residents are required to attend over a fixed period of time."

The UK clinical guidelines for alcohol treatment (UKCGAT) will help to influence the national specification and subsequent overarching guidance for alcohol treatment in Scotland through looking to introduce new approaches to treatment and will apply to a broad range of settings including primary care, hospital and justice settings.

The UKCGAT aims to develop a clear consensus on good practice and help services to implement interventions for alcohol use disorders that are recommended by the National Institute for Health and Care Excellence (NICE). The intention is to promote and support consistent good practice and improve the quality-of-service provision, resulting in better outcomes, similarly to the Orange Book supporting treatment for drugs misuse and dependency.