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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 5 May 2021
  6. Current session: 12 May 2021 to 28 August 2025
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Displaying 2298 contributions

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Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

It is a potential consequence at the moment. If someone has been told that they are the right fit and their circumstances mean that residential rehab is the right approach for them but they are on a waiting list for months or years, do not get into residential rehab and then overdose—as in the example that I gave—or die through further complications, their family is, at the moment, entitled to take a civil action against a health board or other authority.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

The additional spend on its own is important, but, to go back to the very first point that was made by Ms Whitham, we are dealing with a unique situation here. In the past, we have increased the budget for drug and alcohol rehabilitation, and we have also reduced it, and things are getting marginally better, if at all. Therefore, it is not just about budgeting but about the legal framework, this right being enshrined in law, and reporting. None of those things would be improved or enhanced by adding to the budget alone. In the round, the bill provides a number of mechanisms to deal with this unique problem that we have not looked at so far, and it could make a big difference.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

Once the budget uplift is enshrined in law, the Government will accept it going forward. To go back to Mr Harvie’s point, the Government would have to introduce primary legislation to take away the right.

The bill would send a very strong signal and indication that this is an area that we should be focusing on. Although it is not a small amount of money, it is not an unachievable budget uplift for an area that every party leader, politician and representative in the Parliament agrees needs to be tackled. We are talking about spending an extra £38 million in Scotland to deal with an issue that is uniquely bad in Scotland. That is not to say that people do not die in other parts of the UK or across the world from drug and alcohol misuse, but more of them die here every year. There are historical reasons for that, as well as reasons related to developing drugs, which Ms Harper discussed, but it is our national shame. If we cannot deal with it through this bill and with an increased budget, I am not sure that we will ever truly tackle the issue and get those numbers down, preventing people from losing their lives and their families from being left distraught over the loss of a loved one.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

“Repeal” is the word that I was looking for during the past 10 minutes—apologies that I did not find it as quickly as you did, convener.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

It certainly is not.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

The capital cost of the increased residential rehab provision will already be covered by the Government in the national mission. In drafting the bill, I have taken the Scottish Government’s ambition to increase the number of residential rehab beds as being delivered. Therefore, the uplift in the drug and alcohol budget that would be required under the bill does not need to account for that increase in beds, because that is already in process and is happening up to March 2026. I agree that the costs of that provision are significant, but the Government has already committed to meeting them. Therefore, the bill looks at spending over and above that.

That is why one of the submissions to the Finance and Public Administration Committee said that I had understated the capital costs. I had not understated them; the costs are already being met through the Scottish Government’s ambitions to increase the availability of those beds in residential rehab. We did not need to double count the cost of that provision in the financial memorandum for the bill.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

That is hugely important. As I said in my opening statement, drug and alcohol deaths are, sadly, far more prevalent in our most deprived communities than in our least deprived communities. There is particular mention in the financial memorandum of a process that we would go through and funding that would be allocated to make people aware of their rights, should the bill be passed by the Parliament. That would be important.

The bill has been drafted by front-line experts. I am the person who will take the bill through the Parliament, because that has to be done by an MSP, but I have to pay special credit to Annemarie Ward from Faces & Voices of Recovery UK and Steven Wishart, who drafted the bill and have been the driving force behind the change that they hope it will elicit.

From discussions with front-line experts, I know that they are aware of what is happening in the Parliament, and they are aware of the possibilities should the bill progress and become law. Therefore, there is already awareness out there in communities and among front-line experts who deal with people with drug and alcohol addiction issues.

Beyond that, there is a financial element in the financial memorandum that would allow us to make it clear to people, particularly those in the most-deprived communities, that the new law would help and support them.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

It absolutely seeks to level the playing field, because, as the committee heard in evidence, too many people who are being recommended for a number of the treatment options that are set out in the bill are not receiving that treatment. We have introduced the bill to enshrine that right in law because, at the moment, people who are seeking that help are not receiving it.

With regard to the concern that that might move resources away from other areas in the health budget, as I said, there is a range of funding projections for the bill, from £28.5 million to £38 million, and I have been very clear that the uplift in funding for drug and alcohol treatment should come from the Scottish Government central fund. In my note to the Finance and Public Administration Committee, I suggested where I believe that that money can come from—by reducing the civil service head count in Scotland. I know that the Scottish Government is looking at that.

In my view, the bill would not take money away from other drug and alcohol services or from other health services. I have found the funds in other areas of Scottish Government funding so as to address the concern that Ms Whitham expresses about the need to not take the focus or funding away from other areas of healthcare in Scotland.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

I do not think so, and I can point to a number of ideas to support that view.

First, the budget required for the bill would represent a significant uplift. There would be an increase from £28.5 million to £38 million, which again shows that the bill would be adding something, not taking from other areas.

The bill would also be important in helping those in third sector organisations who work with people with addictions, because they would be able to see that an individual with whom they were working, and who needed one of the treatments listed in section 1(5), would get it. If the treatment was agreed by the medical professional, workers would know that the support would go to that individual and that they would not have to worry about someone such as Liam being put on a waiting list for four months and then taking an overdose and dying while on it. I think that the bill would help with the work that they are doing, and they would know that those individuals would be guaranteed the care that was deemed appropriate for them.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 27 May 2025

Douglas Ross

The patient comes in and can discuss the options that they believe are right for them. The clinician—the medical professional—can say, “I agree with you and I recommend you for it,” “I disagree, and maybe another option is the correct one,” or, “No treatment is the correct option for you.”