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The Public Health Scotland interim monitoring report on statutory-funded residential rehabilitation placements does not gather data on the number of successfully completed rehabilitation placements.

We have responded to calls for more transparency and accountability commissioning Public Health Scotland to develop a National Core Minimum Dataset that will provide data not only on the number of publicly funded placements but also with time will publish insights on outcomes from placements in Residential Rehab.

This will provide the Scottish Government with a clear line of sight on how residential rehab funding is being spent across the country and help to further the evidence base for this treatment model.

Supported Businesses make an important contribution to the Scottish economy. Not only through the goods and services they deliver, but also by providing meaningful employment, training, and social support for those who may otherwise be excluded from the workplace.

The following information is derived from the supported business suppliers included in Scottish national framework agreement for goods and services that was reserved for supported businesses. This framework was open to the whole of the public sector in Scotland, charities and third sector. The contract ran from 2018 to 2023.

A total of seventy-six contracts have been awarded to the supported businesses on this framework by the Scottish Government (including its agency organisations) over the last five calendar years.

Supported Businesses make an important contribution to the Scottish economy. Not only through the goods and services they deliver, but also by providing meaningful employment, training, and social support for those who may otherwise be excluded from the workplace.

The following information is derived from the supported business suppliers included in Scottish national framework agreement for goods and services that was reserved for supported businesses. This framework was open to the whole of the public sector in Scotland, charities and third sector. The contract ran from 2018 to 2023.

A total of 277 contracts have been awarded to the supported businesses on this framework by public bodies over the last five calendar years.

Public Health Scotland’s baseline report on the residential rehabilitation programme, published in February, outlines the complexities in evaluating shorter programmes within the context of wider residential rehabilitation.

As noted on Page 12 of the report, discussion as to whether two-week or four-week placements are best included or excluded from the total number of publicly funded residential rehab placements remains ongoing. The argument for including them is that they are publicly funded placements. The argument for excluding them is that there has been some evidence in previous reports such as the 2020 Residential Rehabilitation Working Group report which suggests that positive outcomes are more likely with longer placements.

However, all placements for residential rehab are assessed on an individual needs basis, and so we cannot assume that longer programmes necessarily constitute a comprehensive rehabilitation experience in general. It is ultimately for professionals and clinicians to make the decision locally as to whether a shorter programme is as effective for the individuals involved.

The Scottish Government published a capacity mapping report in 2021 which found that residential rehabilitation provision was disproportionally located around the Central Belt.

We acted on this by announcing the second round of the Residential Rehabilitation Rapid Capacity Programme in 2022, with a specific priority to support new or expanded residential rehabilitation facilities which were regional or would accept placements on a national level.

Over £14 million was made available to support the successful projects, which included the expansion of CrossReach’s service in Inverness (with outreach support to the Highlands and Islands), the extension and refurbishment of the Maxie Richards Foundation’s service in Tighnabruaich, and the creation of a new national residential rehab service in Aberdeenshire by Phoenix Futures.

These projects are progressing well and we expect all to be operational by the end of the year.

The Public Health Scotland’s Interim monitoring report on statutory-funded residential rehabilitation placements published on 18 July 2024, shows that during the period between October 2023 and March 2024 estimated costs for 33 placements to Ward 5 was £495,396 – averaging at £15,012 per placement.

The Scottish Government have allocated a £5 million uplift in funding to Alcohol and Drug Partnerships (ADPs) based on the National Resource Allocation Formula, for funding of residential rehabilitation placements and distribution of this fund at ADP and Health Board level is a local decision.

Public Health Scotland’s (PHS) most recent report confirmed that 461 statutory-funded placements were approved in the second half of the 2023-24 financial year alone, with 938 placements approved for the year overall. This indicates that we are already on track to meet our commitment of 1000 people accessing statutory-funded residential rehab in 2026 (an increase of 300%).

While the PHS statistics indicate welcome progress, we recognise the scale of the challenge that we continue to face and are determined to do more.

We are working with ADPs to aid the development of clear pathways into residential rehabilitation across the country, and the establishment of pathway development clusters by Healthcare Improvement Scotland has resulted in 29/30 ADPs publishing their pathways. This will help facilitate a further increase to statutory funded placements and support our aim of meeting the final target before the end of the National Mission in March 2026.

Public Health Scotland worked in close consultation with key stakeholders to develop the core minimum dataset, which will form the basis for the monitoring of residential rehabilitation. Early versions of the dataset were shared with the Monitoring, Evaluation and Research Advisory Group (MERAG) and the Residential Rehabilitation Development Working Group (RRDWG), which have representatives from groups such as individuals with experience, families and recovery organisations.

Current residential rehabilitation clients were given the opportunity to complete a survey to provide details of their own experience. Qualitative research was also undertaken with people with lived experience of having accessed residential rehabilitation to explore their experiences of the pathways into, through and out of this form of treatment.

The Scottish Government is committed to equality in agriculture, which is set out in the Agricultural Reform Route Map and in our 2023-2024 Programme for Government.

In line with the 2023-2024 Programme for Government, we are co-developing a gender strategy for agriculture. The strategy will be developed in partnership with women living and working in agriculture and through a ministerial roundtable with stakeholders. The results of these discussions will inform the development of the strategy and any future legislative needs. We are also continuing to fund training opportunities for women, new entrants, and young farmers as part of increasing business resilience, just transition, and equality of opportunity for all.

We will to bring forward a consultation on how trust law interacts with the pre-emptive right to buy for tenant farmers within the next year. This will draw on the views of the Tenant Farming Advisory Forum.

The Scottish Government remains committed to supporting everyone living and working in Scottish agriculture and empowering them to play their role in making our Vision for Agriculture a reality.

A breakdown of how funding is allocated to ADPs since 2017 can be found on the Scottish Government website: https://www.gov.scot/publications/alcohol-and-drug-partnerships-funding-allocations/