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Residential rehabilitation services in Scotland are regulated by appropriate governing bodies independent of the Scottish Government; namely the Care Inspectorate, Healthcare Improvement Scotland or the NHS.

It is the responsibility of these bodies to monitor and ensure that residential rehabilitation services are providing safe, quality support to people in recovery across the country.

The Scottish Government are working with regulators and providers to develop and publish a series of “Principles for Residential Rehabilitation” to support regulatory bodies with their evaluation of RR providers, and to empower individuals to understand what they should expect from a stay in residential rehab, including pre-rehab support and appropriate aftercare.

A Ministerial Working Group, chaired by myself, has been set up to support the Scottish Government in considering the Grenfell Inquiry Phase 2 Report and how its 58 recommendations could apply in a Scottish context. Where necessary, we will take further action to address building safety.

The Scottish Government will consider each recommendation and its supporting evidence in order to prepare a response on the matters for which it has responsibility. A report will be prepared by Spring 2025.

Engagement with Ministers in the UK Government, Welsh Government and Northern Ireland Assembly will take place throughout this process.

The Residential Rehabilitation Development Working Group defines residential rehab as facilities offering programmes which aim to support individuals to attain an alcohol or drug-free lifestyle and to be re-integrated into society, provide intensive psychosocial support and a structured programme of daily activities, and which residents are required to attend over a fixed period of time.

The Scottish Government recognises that diversity of treatment options is important to empower individuals to have more choice and to meet the needs of individuals seeking different types of recovery, and this includes taking a person-centred approach to the duration of treatment.

It is the responsibility of the bodies responding to Public Health Scotland to ensure that reporting of residential rehabilitation placements meets this definition.

The UK clinical guidelines for alcohol treatment (UKCGAT) will help to influence the national specification and subsequent overarching guidance for alcohol treatment in Scotland through looking to introduce new approaches to treatment and will apply to a broad range of settings including primary care, hospital and justice settings.

The UKCGAT aims to develop a clear consensus on good practice and help services to implement interventions for alcohol use disorders that are recommended by the National Institute for Health and Care Excellence (NICE). The intention is to promote and support consistent good practice and improve the quality-of-service provision, resulting in better outcomes, similarly to the Orange Book supporting treatment for drugs misuse and dependency.

Every life lost to alcohol is a tragedy and the recent alcohol specific deaths statistics published by the National Records of Scotland is a stark reminder of the challenge we continue to face in tackling alcohol harm across Scotland.

The Scottish Government continues to prevent alcohol harm including continuing and increasing the minimum unit price of alcohol. Minimum unit pricing has been estimated to have saved hundreds of lives since it was first implemented in 2018 and the steps taken by this Government are expected to continue and increase the positive health effects of the policy. The Cabinet Secretary for Health and Social Care has also set out the next steps for progressing work on alcohol marketing, which also seeks to develop further preventative approaches to reducing alcohol harm.

To support people already drinking at hazardous and harmful levels the Scottish Government provided record investment to ADPs in the 2024-2025 financial year. In addition to this we are currently developing a national treatment specification for alcohol treatment in Scotland which will look to build on the work of the forthcoming UK Clinical Guidelines for Alcohol Treatment. The Scottish Government also supports innovation to develop best practice on tackling alcohol harm including projects such as the Managed Alcohol Programme and the Primary Care Alcohol Nurse Outreach Service which has recently been embedded into mainstream services in Glasgow City ADP.

For the development of the national specification for alcohol and drug services, initial engagement has begun with representative groups covering service commissioners, service providers and people who use, have used or could use the services.

We have invited relevant stakeholders to be part of the national specification and overarching guidance reference group which we will continue to engage with during development. This includes stakeholders with lived experience.

No - we have set out a clear definition of what counts as residential rehabilitation and used it consistently since its publication in 2021.

The Scottish Government uses the Residential Rehabilitation Development Working Group definition of residential rehab as "facilities offering programmes which aim to support individuals to attain an alcohol or drug-free lifestyle and to be re-integrated into society, provide intensive psychosocial support and a structured programme of daily activities, and which residents are required to attend over a fixed period of time."

The Scottish Government and Public Health Scotland have worked collaboratively with stakeholders to establish an experimental core minimum dataset to support the monitoring and evaluation of the residential rehabilitation programme. It is expected that the first extracts will be published in December 2024, which will allow us to gauge the current status of the research gaps identified in 2022 and address those remaining as appropriate.

Further detail on the research gaps identified in the 2022 literature review can be found in pages 27-30 of the report. The report recommends further research in several areas, including impact on specific demographics and the differences between residential rehabilitation models.

The ChargePlace Scotland (CPS) operator, SWARCO Smart Charging, introduced the STRIPE payment system in April 2024. Transport Scotland were made aware of technical issues during the introduction period which affected some CPS customers. In line with agreed incident management procedures, the issues were investigated by the CPS operator and actions outlined for their swift resolution. On 27 June 2024, Transport Scotland met with the CPS operator to discuss the effectiveness of the actions and to ensure no other issues had been reported. There have been no further reports of issues relating to the STRIPE implementation. CPS has not been contacted by any customers requesting compensation to-date.