Chamber and committees

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.

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.

As part of the development of the measures outlined in the Pre-budget Fiscal Update, all Portfolios assessed the impact of specific measures relevant to their portfolios. The Scottish Government approach to impact assessments is guided by meeting our statutory duties whilst ensuring our approach is proportionate, noting that a full analysis will continue to be provided annually as part of the Scottish Budget process.

The savings realised from the Health Improvement and Protection budget do not have any impact on, or reduction to, planned spending on diet & healthy weight or effective prescribing and therapeutics.

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.

Regrettably, a start date for the review is not confirmed at this time. It is important that the review of the guidance on patient travel expenses reimbursement is considered within the context of wider reform on access to health care which is already in progress. This will inform both how and when the review is taken forward.

In 2023 we prepared the draft Transport to Health plan and have been engaging with Health Boards, Regional Transport Partnerships and other partners to take forward a range of commitments to improve joined up working on transport to health. The plan will be published this Autumn and a workplan has been agreed.

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.,

Regrettably, a start date for the review is not confirmed at this time. It is important that the review of the guidance on patient travel expenses reimbursement is considered within the context of wider reform on access to health care which is already in progress. This will inform both how and when the review is taken forward.

In 2023 we prepared the draft Transport to Health plan and have been engaging with Health Boards, Regional Transport Partnerships and other partners to take forward a range of commitments to improve joined up working on transport to health. The plan will be published this Autumn and a workplan has been agreed.

The Scottish Government is currently working with representatives from our Residential Rehabilitation Development Working Group to ascertain whether the existing ARBD unit, managed by Penumbra for NHS Lothian, meets the Scottish Government’s definition of a residential rehabilitation service.

We have set out a clear definition of what counts as residential rehabilitation and have used it consistently. We are expecting to receive the appropriate advice on this in due course, after which point we will be able to develop a position on including this type of service under our definition of residential rehabilitation in the future.

This information is not centrally collected. When NHS Scotland treats someone that has suffered harm from a non-surgical cosmetic procedure which has gone wrong, NHS Scotland will not necessarily record that this was the result of that procedure as there is no specific code to record this. This means that it is difficult to assess the cost to NHS Scotland of treating harm or complications that may have been caused.

It is expected that the draft outcomes from the Review, which includes a climate compatibility assessment and other impact assessments, will be consulted on this Autumn, before a final decision can be reached.