Chamber and committees

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 are aware of two alcohol death reviews that have been conducted since 2020. These were completed by the Borders Alcohol and Drug Partnership and NHS Fife.

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 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.

It is the responsibility of the bodies responding to Public Health Scotland to ensure that reporting of residential rehabilitation placements meets this definition.

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.

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 are working with regulators and providers to develop and publish a series of “Principles for Residential Rehabilitation” to support regulatory bodies with their evaluation of RR providers, and to empower individuals to understand what they should expect from a stay in residential rehab, including pre-rehab support and appropriate aftercare.

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."