Chamber and committees

Public Health Scotland (PHS) follows statistical disclosure control (SDC) when publishing data, including those submitted for their most recent report on statutory-funded residential rehabilitation placements.

PHS applies the SDC to data due to the sensitive nature of the topic, and to reduce the risk of identifying individuals, (especially those from small geographic areas) who in this case were the number of people accessing residential rehabilitation for substance use in River Garden.

The data was therefore suppressed and an asterisk used to denote this in the published report.

The Scottish Government will address the impact of changes to service provision on access and availability to alcohol and drug recovery services by continuing to ensure that the specific needs of women are considered in the design and delivery of services, and that a gendered approach is taken in all new or developing initiatives across the National Mission to reduce deaths and improve lives.

The Scottish Government provided specific funding of around £1.5m per year to Glasgow City Council to support the 218 Service. As a result of that funding relationship, Glasgow informed the Scottish Government of its plans to re-tender the service last year and discussions took place to confirm that the funding would still be available following that exercise.

Glasgow City Council has provided assurances that it worked closely with Turning Point Scotland to support individuals in transitioning to other support arrangements and that other services, including residential placements, are available to support people with similar needs. In particular, it has confirmed that all 218 service residents had moved on from the service as of 31 January 2024 – some residents naturally came to the end of their stay, while others moved back to their own tenancy or to accommodation with support.

Public Health Scotland worked in close consultation with key stakeholders to develop the core minimum dataset, which will form the basis for the monitoring of residential rehabilitation. Early versions of the dataset were shared with the Monitoring, Evaluation and Research Advisory Group (MERAG) and the Residential Rehabilitation Development Working Group (RRDWG), which have representatives from groups such as individuals with experience, families and recovery organisations.

Current residential rehabilitation clients were given the opportunity to complete a survey to provide details of their own experience. Qualitative research was also undertaken with people with lived experience of having accessed residential rehabilitation to explore their experiences of the pathways into, through and out of this form of treatment.

The Residential Rehabilitation Development Working Group defines 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 Scottish Government recognises that diversity of treatment options is important to empower individuals to have more choice and to meet the needs of individuals seeking different types of recovery, and this includes taking a person-centred approach to the duration of treatment.

A breakdown of how funding is allocated to ADPs since 2017 can be found on the Scottish Government website: https://www.gov.scot/publications/alcohol-and-drug-partnerships-funding-allocations/

We have responded to calls for more transparency and accountability by working with Public Health Scotland to track the number of residential rehab placements that have been funded using public money.

PHS and SG have worked collaboratively with stakeholders to establish a core minimum dataset to support the monitoring and evaluation of residential rehab. The first batch of returns for the dataset have now been received from most providers. It is expected that the first extracts from the dataset, including the number of publicly funded residential rehabilitation placements will be published in December 2024.

A greater level of insight and data will be available for publication, including average treatment length and associated outcomes, as the dataset continues to develop and become more mature.

The Scottish Government Residential Rehabilitation Literature Review published 30 May 2022 showed that demonstrating the association between residential rehabilitation and specific outcomes is complicated by the widely varied nature of provision in terms of programme length, treatment philosophy, the provision of throughcare (including preparatory work and aftercare) and quality.

The length of residential rehabilitation treatments varies substantially. This data on individual placements is not currently collated centrally. The Scottish Government have commissioned PHS to establish the necessary data infrastructure to monitor residential rehab in Scotland, and we expect that early extracts to be published in December 2024.

As the dataset continues to develop and becomes more mature, a greater level of insight and data will be available for publication, including treatment length and associated outcomes.

Residential rehabilitation services in Scotland are regulated by appropriate governing bodies independent of the Scottish Government; namely the Care Inspectorate, Healthcare Improvement Scotland or the NHS.

It is the responsibility of these bodies to monitor and ensure that residential rehabilitation services are providing safe, quality support to people in recovery across the country.

The Scottish Government entrusts these bodies to carry out this responsibility diligently, and in line with the qualified levels of clinical expertise that they provide.

The Scottish Government commissioned Scotland Excel to develop a National Commissioning Framework to support the procurement of residential rehabilitation placements. The Framework launched in April 2024 and includes a service specification as part of the contractual arrangement. This service specification was developed in conjunction with the regulators to ensure a minimum level of care provided by each provider on the framework.

To better inform our understanding of residential rehabilitation, we commissioned Public Health Scotland to carry out an evaluation of the Residential Rehabilitation programme, covering the first two years of the National Mission, which will support the development of consistent, evidence-based policy.

By collecting and reviewing robust data, we will be able to increase the evidence base that will help us to best direct financial resource. This improved understanding means that more people will be able to access the treatment type that is right for them at the right time.

The Residential Rehabilitation Development Working Group defines 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 Scottish Government recognises that diversity of treatment options is important to empower individuals to have more choice and to meet the needs of individuals seeking different types of recovery, and this includes taking a person-centred approach to the duration of treatment.

We commissioned The Gate Worldwide to develop and launch a National Directory of Residential Rehab providers. This directory will be announced soon and will include details on standard programme lengths for each provider listed.