Alcohol death reviews are a valuable practice for Alcohol and Drug Partnerships to undertake in order to gain a deeper and more detailed understanding of the circumstances surrounding alcohol-specific deaths. To assess to what extent the people who have died were in touch with local services, what interventions had taken place, whether there is an identifiable profile of the people who are suffering an alcohol-specific death and whether there are lessons that can be learned, changes or improvements that can be made to services to prevent future deaths in the local area.

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.

We have asked Public Health Scotland (PHS) to investigate the reasons behind the apparent 40% reduction in the number of people accessing specialist alcohol treatment services. We will use this information to better understand the reasons for treatment number decline and how we can improve and better support alcohol treatment services in Scotland.

Seven improvement works were re-scheduled in the Highland Council Area. One set of repair works was re-scheduled in the Highland Council Area. All programmed works for the period in question have been completed.

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 Scottish Government has no plans to ban the installation of uPVC windows in conservation areas.

Following extensive consultation, and taking account of the need to address the cost and climate crises, new permitted development rights (PDR) were introduced in May this year. These PDR allow for (amongst other things) the alteration or replacement of windows without the need to apply for planning permission. The measures strike an appropriate balance between allowing owners/occupiers to improve the environmental performance of their properties whilst safeguarding the overall character and appearance of the historic environment.

Reflecting the importance of conservation areas, PDR for the alteration/replacement of windows on buildings in such areas, are subject to prior approval arrangements in some cases where the windows are located on the building’s front elevation or side elevation fronting a road. This enables planning authorities to consider the design and external appearance of proposed replacement windows

The new PDR do not apply in World Heritage Sites, and they do not remove any need for listed building consent. Additionally, planning authorities have the power to use an Article 4 direction to restrict PDR in certain locations should they consider that appropriate.

Under the Land Reform (Scotland) Act 2003 (LRSA) there is a right of responsible non-motorised access to land throughout Scotland with few exceptions. The rights and responsibilities of land managers and those exercising access rights are set out in the Scottish Outdoor Access Code, also approved by the Scottish Parliament.

The Scottish Government is clear that the countryside is a living and working environment and that there is a need to balance the right of the land manager to conduct their activities with the upholding of access rights. I will continue to co-develop future support with our industry and partners to ensure that together we deliver on the outcomes of the Vision for Agriculture.

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.

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.