To ask the Scottish Executive what plans it has to review the use of methadone by the NHS.
Decisions on the type of treatment to prescribe are for individual clinicians, in discussion with their clients and in line with national and local guidelines.
Any review of methadone would be part of the continual review of the Scottish Government’s national strategy the Road to Recovery. This long term strategy, its impact and success requires review from both within and out with Government.
I refer the member to the answer to question S4W-00789 on 24 June 2011. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at:
http://www.scottish.parliament.uk/Apps2/MAQASearch/QAndMSearch.aspx.
In order to do this effectively and sustainably the Scottish Government established the Drugs Strategy Delivery Commission (DSDC) in 2009 to give expert advice on the impact and progress of the strategy.
In addition to the work of the DSDC, we recognise that the Strategy is a product of political consensus and so it was right that the Scottish Government requested and led a parliamentary debate in September 2010, to hear the challenge and consensus of all political parties. Additionally briefing in parliament from the, then, Minister for Community Safety, Fergus Ewing MSP, was offered to all MSPs, as well as individual briefings for all party leaders, in March 2011.
The Scottish Government also has a national indicator to decrease the number of estimated problem drug users in Scotland by 2011, and 2009-10 prevalence estimates which will be reported in December this year.
In 2009 we committed to a HEAT target that states that by March 2013, 90 per cent of clients will wait no longer than 3 weeks from referral received to appropriate drug or alcohol treatment that supports their recovery. We are well on our way to achieving this target. In June 2011 we reported that approximately 94% of clients offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral. And that approximately 96% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed.
The Scottish Government has invested significant resources to enhance the Scottish Drugs Misuse Database (SDMD) to include the collection of follow-up and outcomes based information from clients as they progress through their treatment pathway.
The analysis and reporting of this information (expected by December 2012) will provide us with some key answers to the numbers of people in drug treatment in Scotland (by treatment type); and provide an opportunity for additional analysis which will inform our understandings of people’s journeys through drug treatment (for particular cohort groups), the effectiveness of different types of treatment (including length of time) and the outcomes that individuals are achieving (e.g. around accommodation, family, employment/training, drug use and offending).
So far from the SDMD we note that since 2007 more and more people are coming in to treatment (35,430 recorded entries into treatment, 2007-08 – 2009-10).
The Scottish Government remains committed to providing Parliament with regular updates on the implementation and impact of Road to Recovery for the review and challenge of MSPs. We want to continue to work with parties across the Parliament to build on and reinforce the consensus this important approach.