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21 January 2025
A cultural change and “brave and bold action” are required to tackle a “public health emergency” created by drug use in Scotland, according to a report sent to MSPs by a people’s panel.
The panellists’ report recognises that progress has been made, but says that further action is needed. It calls for public campaigns to raise awareness of drug harm and drug use, recommends funding should be ring fenced and prioritised on prevention and seeks improvements in information shared between government agencies.
However, the introduction of the Naloxone programme to prevent fatal drug overdoses, and the opening of the safer drug consumption room, The Thistle, are welcomed in the report.
The panel’s report also calls for greater involvement of the third sector and people with lived experience. It concludes that a lack of urgency in responding to drug harm and use reinforces the stigma already associated with these issues.
The creation of the people’s panel, formed of 23 people, was requested by the Cross-Committee on tackling drug deaths and drug harms. Members of the Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee commissioned the panel to gather public views on the question, ‘What does Scotland need to do differently to reduce drug related harms?’. The panel met at the Parliament in October and November 2024.
Over the course of two weekends, members of the panel heard evidence from people with lived experience of drug harms, from academics and researchers, and from stakeholders who work in this area, before developing their report.
The panel’s report will help inform the cross-Committee’s scrutiny of matters related to reducing drug deaths and tackling problem drug use. It’s 19 recommendations cover rights and people’s lived experience, justice, access to treatment, care and support, prevention and harm reduction.
Mairi McIntosh, who was a member of the panel said:
"I found participating in the People's Panel humbling. The team at the Scottish Parliament organised a diverse range of experts and worked hard to lay out the worrying and rapid escalation in drug related deaths and harms in Scotland.
"All the evidence we heard highlighted the urgency for action from the Scottish government to implement brave and lasting change.
"I am hopeful that our report shows that as voices from across Scotland, representing different backgrounds and lives, some directly affected by the issues of drug harm and death and others not, that we want the Scottish government to acknowledge the causes and barriers like stigma and discrimination and realise that we cannot afford to not take bold action now."
Reflecting on the publication of the panel’s findings Audrey Nicoll MSP, Convener of the Criminal Justice Committee said:
“We would like to thank the panel for their focused and determined work in delivering this serious and well considered report.
“Our Committees look forward to thoroughly considering the panel’s findings and putting its report’s recommendations to the Scottish Government.”
Read the report
Read the Panel's report
Case study - Mairi McIntosh, from the Highlands and Islands region, was one of the members of the People's Panel:
"I found participating in the People's Panel humbling. The team at the Scottish Parliament organised a diverse range of experts and worked hard to lay out the worrying and rapid escalation in drug related deaths and harms in Scotland. The wide range of speakers gave us great insight into the data and evidence about the complexity of the issue including the causes, impacts and ways they believed the Scottish government could help. Hearing from those such as Steph McCutcheon about having success with service users through the East Ayrshire Recovery Hub, matches up with what we heard from others about the importance not only of the third sector’s role in local based solutions but how it is imperative those with lived experiences are valued and involved in every stage of the planning and implementing of measures being taken.
"All the evidence we heard highlighted the urgency for action from the Scottish government to implement brave and lasting change. Change needed to seriously reduce the deaths, impacts of harms to individuals, their families and communities and the pressure this puts on health, care, police, justice, other services and the people who are working to help those suffering.
"I feel it would be a poor reflection on our country to allow this issue to further impact some of the most vulnerable groups in our society.
"I am hopeful that our report shows that as voices from across Scotland, representing different backgrounds and lives, some directly affected by the issues of drug harm and death and others not, that we want the Scottish government to acknowledge the causes and barriers like stigma and discrimination and realise that we cannot afford to not take bold action now."
Further background on the panel:
Three Parliament Committees scrutinise the issue of reducing drug deaths and tackling problem drug use. They are the Health, Social Care and Sport Committee, the Criminal Justice Committee and the Social Justice and Social Security Committee.
Find out more information about the Panel's work
Next steps:
The cross-Committee is expected to take evidence from some members of the Panel, and hear the Scottish Government’s view on its recommendations at a meeting on 20 February.
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