Seòmar agus comataidhean

One of the key aims of the National Mission is to improve and save lives by ensuring that every individual has access to, and choice in the type of recovery and treatment they need. In response to the Changing Lives report published by the Drug Deaths Taskforce, the Scottish Government published a Cross Government Plan which sets out examples of how we are improving alcohol and drug services to make them more flexible, convenient, accessible and easier to navigate.

For example, we are supporting local areas further develop their assertive outreach programmes both through the implementation of the MAT standards and in other ways such as the Primary Care Alcohol Nurse Outreach Service (PCANOS), which embeds specialist harm reduction services within Deep End GP practices and supports patients in engaging with and navigating treatment services.

We are also investing in residential rehabilitation to ensure people can access help when they need it and have established an Expert Group to recommend improvements for crisis management and stabilisation.

In addition, we sponsor a number of third sector organisations which offer convenient and accessible technology-based help, advice and treatment for people with problematic drinking, for example, Scottish Families Affected by Alcohol and Drugs and We Are With You, who also provide a live web chat services which have improved engagement for many people.

We are also supporting the UK Government in developing the clinical guidelines for alcohol treatment, which were published for public consultation on 16 October 2023. The guidelines encourage more flexible and convenient interventions by using digital technologies when appropriate.

We are aware that stigma can act as a barrier preventing people from seeking treatment. This is why we are taking actions to reduce the stigma around alcohol misuse.

For example, last year we ran a national campaign to increase people’s awareness that a drug or alcohol problem is a health condition, which requires help and support and not judgement. We also referenced stigma on the NHS Inform website , which reinforces the message that a drug or alcohol problem is a health condition requiring help.

In addition, we published a cross-government Stigma Action Plan , aimed at tackling the stigma of substance use. We are working with a range of partners and stakeholders to co-design the next phase on the details of the actions outlined in the plan.

We also welcome the ‘See Beyond, see the lives’ campaign , which recognises the importance of supporting the families of people with problem substance use, who are often stigmatised and excluded from support, despite experiencing harms in their own right. In delivering the actions in our stigma action plan we will work with families to ensure that we can tackle the specific types of stigma that they experience both in accessing services and support and in daily life.

Moreover, we are planning to ensure treatment standards for alcohol, informed by the UK-wide clinical guidelines, will introduce new approaches to treatment, including non-stigmatising service delivery.

The Scottish Government provides funding to support our local Alcohol and Drug Partnerships (ADPs) who are responsible for the design and delivery of treatment and recovery pathways at the local level. They ensure a full range of recovery services are available such as aftercare, detox, residential rehabilitation and psychosocial treatments.

In 2022-23, £106.8 million was made available to ADPs, and nationally there is ongoing work including the expansion of our residential rehabilitation capacity by 50% by the end of the current Parliament and the UK Alcohol Treatment Guidelines which are currently out for public consultation until 8 December 2023.

Scottish Government also provides funding towards specific projects that support those with alcohol dependency, such as the Managed Alcohol Programme pilot being delivered by Simon Community Scotland in Glasgow.

The draft national Good Food Nation Plan is currently in the final stages of preparation and will be published shortly.

The National Centre for Remote and Rural Health and Care launched at the beginning of October, and is currently focused on delivering a programme of work designed to improve the capability of rural, remote and island primary care and community services, and support the improvement and retention of a more highly skilled rural health workforce.

The Centre will be delivered by NHS Education Scotland and is backed by £3m until 2026. The Centre, will be both virtual and local to ensure its availability to all communities, and will provide a resource to support Health Boards and Health and Social Care partnerships in their responsibilities and drive essential improvements in sustainability.

The Scottish Government seeks to support the adoption of innovative aquaculture practices and recognises the role which legislative frameworks and other incentives play in fostering innovation. A recent example is the reduction of SEPA’s CAR licence fees by 50% for sites which plan to utilise innovative waste capture technologies.

The potential for a Scottish marine aquaculture innovation site was explored by the previous Aquaculture Industry Leadership Group. The Scottish Government remains open to discussing the purpose and aims of a marine innovation site further with stakeholders.

Scottish Government supports the use of digital solutions to overcome barriers to treatment for those impacted by problematic use of alcohol, such as the use of Near Me video appointments and With You’s online wechat service. However, we recognise these must be applied appropriately, with adequate training for staff and ensuring online safety and safeguarding for service users.

The recently published consultation on United Kingdom alcohol treatment guidelines which are expected to come into effect in 2024, highlight the need to consider digital practices and implement them carefully. The consultation will run until 8 December 2023: UK clinical guidelines for alcohol treatment - GOV.UK (www.gov.uk) .

The Aqua Nor Conference in Trondheim was a fantastic opportunity to showcase the innovation, technology and research of Scottish aquaculture to an international audience.

A new Consenting Task Group has been formed to take forward and pilot key recommendations from last year’s independent review of aquaculture regulation. Good progress is being made to inform a new process for managing fish farm applications and the group is working towards piloting new arrangements which will be deployed in two local authority areas later this year.

On Scottish Government’s approach to aquaculture innovation, I refer the member to the answer to question S6W-22256 on 31 October 2023.

All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I recently chaired a series of meetings of a Priority (previously known as Vulnerable) Energy Consumers Working Group to consider the key principles and practicalities of delivering a social energy tariff. The work of the group has informed the Scottish Government’s representation to the UK Government ahead of its Autumn Statement. We are continuing to call for additional and meaningful support to be delivered to those who need it the most including the urgent introduction of a social tariff mechanism.

In addition, I have met with the UK Government Minister for Energy Consumers and Affordability three times and advocated for a social tariff targeted at consumers living under vulnerable circumstances, including high energy users that use medical equipment at home.

Scottish Government has outlined the importance of a person-centred approach to treatment in it’s alcohol and drug treatment strategy, Rights, Respect, Recovery . By developing recovery oriented systems of care and creating services that are trauma informed, the root causes of problematic alcohol and/or drug use can be identified and supported.

We recognise the many drivers behind problematic use of drugs and alcohol, and the importance of working together to address the underlying causes, providing support to those affected to live full and healthy lives.

We are tackling this by ensuring a holistic approach and strengthening links between work on poverty, structural inequality, education, children and young people and work on alcohol and drug policy.