Chamber and committees

There are three key parts to our national approach to achieving improvements in treatment options and recovery pathways for residential rehabilitation; Investing in a significant increase in the capacity of residential rehabilitation services; Improving pathways into, through and out of rehabilitation services, in particular for those with multiple complex needs; Developing a standardised approach to commissioning residential rehabilitation services.

Scottish Government asked Public Health Scotland (PHS) to investigate the apparent decline in alcohol treatment numbers and PHS will publish their findings on 3 December 2024.

We are continuing to work with partners and stakeholders to develop a national specification for alcohol and drug treatment in Scotland. The national specification will build on the forthcoming UK Clinical Guidelines for Alcohol Treatment which will support the improvement of alcohol treatment in Scotland, mirroring the use of the Orange Book Guidelines for drug treatment.

In 2024-25, £112.9 million is being made available to ADPs. This funding is used to ensure that local services meet the needs of people who experience alcohol and drugs harms.

In 2023-2024, the number of statutory-funded residential rehabilitation placements increased to 938, the majority of which included alcohol use or co-dependency. This shows that we are on track to meet our commitment to 1000 people accessing public funding for residential rehabilitation by 2026.

Scottish Government is working closely with ADPs to ensure further roll-out of Alcohol Harms Groups and Alcohol Death Reviews across Scotland.

The ADP Survey highlights that in addition to the 30% of ADPs with specific Alcohol Harms Groups in place a further third report having other structures in place for informing surveillance. These include multi-agency groups working on wider public health monitoring including drug and alcohol harms and sudden death groups whose remits include both death reviews and suicide reviews.

Several ADPs have indicated that alcohol harm and death review groups are currently in development.

Scottish Government is working in partnership with Alcohol Focus Scotland to ensure that all ADPs in Scotland have agreed processes to review alcohol deaths and build on the learning of the 27% of ADPs already delivering.

Scottish Government is working in partnership with ADPs and local Health Boards to develop a nationwide model for the early detection of alcohol-related liver disease.

This work will build on learning taken from the innovative intelligent Liver Function Testing (iLFT) pilot pioneered by NHS Tayside and Scottish Government through its national Centre for Sustainable Delivery (CfSD) has formed a Specialty Delivery Group for Liver Disease.

The first meeting was held on 6 November 2024 and Early Detection is one of the pathways being prioritised.

The First Minister wrote to Friends of the Earth Scotland on 21 August and again on 25 October to set out his detailed considerations of their allegations and his conclusion that the Code had not been breached.

The application under consideration in these exchanges and as noted above was received on 18 February 2022 and that this application has yet to be determined.

The Scottish Government has no involvement in the decision making on length of residential rehabilitation programmes, it is the responsibility of professionals and clinicians to ensure appropriate guidelines are followed and appropriate training is provided to ensure consistency with these decisions.

The Scottish Government is aware of the report.

The Scottish Government already has in place service level agreements with the Animal and Plant Health Agency and local authorities to ensure farm animal welfare legislation is complied with. In addition, Scottish Government Inspectors from our Rural Payment and Inspections Directorate conduct a number of on farm inspections annually which include the consideration of any livestock present.

The Scottish Government also recognises the challenges faced by local authorities in the current fiscal climate and in line with the Verity House Agreement, we continue to engage with COSLA on resourcing matters.

Scottish Government is working closely with ADPs to ensure further roll-out of Alcohol Harms Groups and Alcohol Death Reviews across Scotland.

We are working in partnership with Alcohol Focus Scotland is ensure that all ADPs in Scotland have structures in place to carry out alcohol death reviews and build on the learning of the 27% of ADPs already delivering these.

The Scottish Government has no plans to undertake a national hedgehog census in Scotland.

Hedgehogs are protected in Scotland under the Wildlife and Countryside (Scotland) Act 1981. Alongside this legal protection, steps are being taken to halt the decline of hedgehogs in our towns and cities including the promotion of green space and green networks.

It is important to recognise that hedgehogs exist in some parts of Scotland where they are a non-native species. In those areas, such as South Uist, work is being done to manage the population through methods such as trapping and translocation.

We are committed to ensuring that people living in Scotland with inflammatory bowel disease (IBD) are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and person-centred.

Significant additional activity is already underway following the allocation of £30 million funding to target reductions to the national backlogs that built up throughout the pandemic. This includes over 40,000 extra diagnostic procedures.

Our Endoscopy and Urology Diagnostic Recovery and Renewal Plan has so far delivered four mobile endoscopy units across Scotland, providing 5-6 additional endoscopy rooms, and a Dyce facility to provide additional endoscopy procedures for NHS Grampian. Additionally, the national endoscopy surveillance framework, introduced in February 2022, has been implemented in all Health Boards.

We have also funded the Modernising Patient Pathways Programme (MPPP) with a specific workstream continuing to promote improvements in IBD care which is being taken forward through the MPPPs National Gastroenterology Speciality Delivery Group (SDG). They have developed a national IBD pathway for NHS Scotland which is due to be published imminently.

In addition, the Gastroenterology SDG is developing a lower gastrointestinal pathway which will provide primary care guidance about testing and diagnosis for people with IBD and Coeliac Disease in Scotland.