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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 17 March 2026
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Displaying 1194 contributions

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Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

Mr Balfour asked who is responsible. Ultimately, it is me—of course it is me. I need to make sure that that information is available and is disseminated properly, and I need to do that in partnership with others.

Mr Balfour mentioned health boards and alcohol and drug partnerships. When it comes to, for example, the expectations around the delivery of the MAT standards, we need to ensure that the information is consistent, that the services are co-ordinated and that colleagues across the health service—Mr Balfour’s question pertained to this—are aware of them. Ultimately, that falls to me.

We are constantly driving to ensure that improvements are made. I hope that panel members, service users and medical professionals will recognise that improvements have been made, but there is more to do. The figures from last year demonstrate that. Too many people are still dying. The rapid action drug alerts and response statistics from the past quarter indicate a slightly more positive picture, but we cannot be complacent. I am certainly not, and if Christina McKelvie were here, she would say the same thing. We need to drive harder to ensure that there is consistency across the country and across all services.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

Yes. In short, I am happy to consider that. There are pretty clear pathways available for people who are seeking any form of medical support or advice. You mentioned 111, which is a route into primary care. There are various routes, but I recognise that a single point of contact, which we are deploying in other areas of the health service such as in cancer support, is something for us to consider. I am happy to take that away and consider whether we could do something in a more streamlined way so that, if that is not possible, people still have greater clarity about where they can access services. There should be no confusion. People should know that they can go through 111 or the mental health support that is available through NHS 24, which colleagues will be aware of, as well as taking the obvious route to access support and treatment through general practice.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

I absolutely recognise that, as we heard again from members of the people’s panel today, many of the MAT standards are directed towards opioid dependency. However, many of the standards are applicable to people regardless of their substance dependency. In particular, those that relate to access to mental health support and treatment are in place regardless of the type of dependency.

I recognise in my written response that we need to look at what we can do to provide medicated assisted treatment that goes beyond opioids. Colleagues have had questions about the fact that, as the people’s panel observed, we are seeing a growing level of polysubstance use and, in certain parts of the country, a growing level of use of cocaine, benzodiazepines and other drugs including nitazenes. Clearly, we need to ensure that we are responding to the use of those drugs, too, and that is part of our consideration.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

We accept that there needs to be improvement, as I said in my written evidence. In the evidence from the people’s panel, we heard that, although the services exist, we need to explore, with regard to co-ordination and consistency, why they are not being referred to. We will work with the court service and other statutory organisations to ensure that there is awareness of the services that are available and that they are referring people to those pathways. Every encounter should be utilised as an opportunity to ensure that people are made aware of the support that is available to them and to encourage uptake of that support. We will explore that further and see what more can be done to ensure that the recommendation can be fulfilled.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

Yes. I heard that evidence. I can reflect on the situation in my constituency; I know that the local support cafe is looking to work much more closely with the justice system so that there is a supportive element through somebody’s release from custody and they go into a supportive environment that means that they are supported in the community in a much better way. I know that that is being considered more widely. I heard that from the panel this morning, and we are absolutely looking to do better on it.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

First of all, services absolutely should be doing that. Mr Doris raises a very challenging case in his constituency, and I pay tribute to him for trying to ensure that co-ordination is provided. He suggests that it has not been and that, as we have discussed in response to previous questions about referrals between statutory bodies and community and voluntary organisations, there should be better co-ordination.

As he was speaking, I was thinking about what the Thistle is seeking to provide. It is a safe space for drug consumption, but it is also part of a pathway for people to be able to get access to services—that was a critical part of the Lord Advocate being willing to provide her letter of comfort—because there are statutory services within it, including housing, social work and various other services.

The evidence that is coming through from the Thistle’s early work is that people are able to engage with those statutory services in a way that has not been seen before. The Thistle is speaking to people who services have not spoken to before. The early evidence suggests that the intention in relation to that pathway, which was critical to the Lord Advocate’s willingness to provide her letter of comfort, is working. However, we have more work to do—I have already acknowledged that—to make sure that there is more joined-up communication between services and that referral pathways are being put in place.

The specific example that Mr Doris gave relates to the need to make sure that there is co-ordination and that every organisation seeks to provide a supportive environment to resolve issues. That should be what we all expect to take place.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

Absolutely. I would welcome that.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

We support alcohol and drug partnerships to deliver some of those services. Obviously, our health services are there to deliver, and we have provided increased funding to our health boards and our local authority partners to ensure that they are providing services.

We have already referenced the support that is provided through the Corra Foundation to ensure that community and voluntary organisations are able to respond. The organisations in the community and voluntary sector are trusted and have a wide reach—they can reach much deeper into communities than statutory services can—and the role that they play has to be acknowledged. I certainly acknowledge that, and my commitment to funding those community organisations is clear.

If there are examples of where we need to do more in local areas, or if there is more that we need to do at a national level, I want to hear about that. We would always consider funding for services where the evidence is clear that they are helping to meet a particular demand.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

There is not a huge amount of greater detail that I can go into. The work that the improvement hubs will deliver is obvious, but I note that Healthcare Improvement Scotland’s co-ordinating role and its work on ensuring that the pathways are working well are well established, too. As I have said, I do not have a huge amount of detail that I can go into or anything that I can go into in any greater depth—I do not know whether Laura Zeballos or Maggie Page wishes to add anything.

Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 20 February 2025

Neil Gray

I thank Ms Haughey for raising the issue and the people’s panel for its work on illuminating this as an issue that needs to be addressed. I heard the gentleman on the previous panel make the point that he had not been aware of the naloxone programme but that, when he did become aware of it, he wanted to be involved. That speaks volumes about not just the powerful effect of the naloxone roll-out itself, but the need to ensure that we are not complacent and think that everybody has an understanding of the roll-out, as colleagues around the table do, and the fact that it has gone to various statutory organisations as well as others.

We will consider what more we can do to have an awareness-raising campaign and what might be effective in that respect, and I am happy to come back to the committee with our consideration of how that could work. The very illumination of the issue through the work of the people’s panel will be helpful, as will, I hope, our discussion here. I believe that all of us around the table have agency in being able to raise awareness. Mr Sweeney and the convener said that they had gone through training—indeed, Mr Sweeney was able to say how quick that training was. If we use our own agency as local leaders, that will be just as important as any Government or Public Health Scotland-led campaign in this space.