The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 773 contributions
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
I think that everyone in the room recognises that serious and organised crime is very harmful to our communities and is insidious. It is in every level of society, including places where people do not think that it will be. Although it would be for the Cabinet Secretary for Justice and Home Affairs to comment on the police’s funding situation and look at the issue across Government, I would seek to make sure that the police are resourced to respond in the areas that I am responsible for.
We need to recognise situations where we can interrupt county lines activity and, where we can, take vast quantities of drugs off our street by interrupting those gangs. We must also recognise when our police in Scotland can work with UK serious and organised crime professionals, and indeed those across Europe and beyond.
As the minister responsible for drugs and alcohol policy, I need to be aware of where the harms transfer to when supplies are interrupted. In my experience, when a huge quantity of substances is taken off the streets, we end up with harm being diverted to a different area. There is a dual aspect to that. I absolutely support the Cabinet Secretary for Justice and Home Affairs and colleagues in making sure that the police are resourced, but I also think about the unintended consequences.
13:30Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
That is an interesting question. There are a few parts to the issue. The smoking ban plays a part in terms of smoking indoors, but the Misuse of Drugs Act 1971 prevents people from supporting the consumption of smokable substances. That shows how outdated it might be, because that was based on thinking about opium.
We know that there will be a challenge with how the consumption facility will operate, because more and more people are using crack cocaine and freebasing it. That will not be able to happen in the facility as it stands, but we also know that a lot of people are injecting cocaine. People who are injecting it would be able to do that in the facility.
I ask Suzanne Millar to say whether she has anything to add to that.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
There are some complexities with regard to how broadening the firefighters’ role would operate in practice. We will consider the SFRS’s proposal on firefighters carrying naloxone. I am grateful for those firefighters who are carrying it voluntarily. Like the police force before that, there were a lot of things to work through to get the confidence of front-line workers to carry it. The nasal spray of naloxone has made that much easier for them to do.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
I am very clear in my mind about the purpose of drug checking: its purpose is furnishing people with information. All of us recognise that information is power in every aspect of our lives.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
I will always make robust representations when it comes to the portfolio and the individuals that my portfolio policy seeks to support across the country. However, at this point, I need to refute that there is any notion of reduction in budgets.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
In the past budget as well. If we think about what happened last year, the money that was made available to ADPs never changed. As is fiscally prudent to ask any organisation to do when we are publicly funding it, we asked ADPs to make sure that any unspent reserves that they were carrying were used in the first instance and that they sought to draw down after that. Provision was made for any non-recurring spend that ADPs had perhaps earmarked against projects that they needed that funding for, but the full envelope of the money was there.
The total drugs and alcohol budget has steadily increased over the past few years: in 2021-22, it was £140.7 million; in 2022-23, it was £141.9 million; and, in 2023-24, it is projected to be £155.5 million. As I said, I will always seek to make representations in relation to my portfolio in the strongest of terms.
I also seek to reassure the joint committee that, as of next year, around two thirds of ADP funding will be baselined. That means that that funding is there and committed and that it will be recurring. I hope that that will allow ADPs to feel more comfortable in their long-term spending commitments and planning. I give you my guarantee that I will make robust representations in relation to the budget.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
The 10 MAT standards came from the Scottish Drug Deaths Taskforce itself, and were created after a concerted effort and work with people with lived and living experience and other partners. If we think back to when the standards were first discussed, we were talking about an entire system and culture change to create services that would deliver at pace on the ground. That was made difficult from the beginning by the fact that ADPs and health and social care partnerships are all set up in different ways, so we started from a really difficult and complex position.
I will keep pushing for local areas to deliver on the MAT standards, because we need them to do that and we know that that will save lives, but the fact that two thirds of areas delivered standards 1 to 5 last year was a big step change. I am really conscious of the fact that standards 6 to 10 will be where we really start thinking about advocacy work, trauma-informed work, psychological and mental health support and how we start to embed the MAT standards within primary care, which will all be really tricky.
I will have to have robust conversations with local areas. Some areas have moved to monthly reporting, which is really important, but other areas where we have seen progress have gone back to quarterly reporting. Some specific situations will be tricky. There are some areas where drug deaths have not started to decline or where there are perennial issues, which means that I must have sit-down conversations with them. That will be very supportive, as opposed to me telling people what I think they should do, because that is not how we should work. We must ensure that we take areas with us. Despite progress not being as fast as I, or any of us, wanted it to be, we must recognise that people across the country have pulled out all the stops.
Also, because of the way that healthcare operates, we will find it tricky in our justice settings. Just last night, I met other ministers who are responsible for what healthcare should look like in a prison setting. We know that 76 per cent of those admitted to prison test positive for illicit substances and have significant substance use problems, so the MAT standards must work in justice settings.
I will continue pushing so that all 10 MAT standards are fully implemented by the end of 2025 and, by the time that we get to the end of this session of Parliament, the standards will be sustained and they will operate as business as usual.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
All 10 should absolutely be implemented and operational by 2025 and they must be sustained by the end of this session of Parliament. We must find a way forward so that, beyond this session of Parliament and this Government, the MAT standards are treated as business as usual and will be what people can expect.
I have spoken with officials about the decision to split the standards into two groups after the first year, which predated my time as minister. The decision might have been about what was easier to measure: the first five standards were measures that officials within Government, and locally, thought could more easily be benchmarked.
We must not underestimate the work that the MAT standards implementation support team, which is based within public health, is doing at the moment. Members of the team have created entire data capture systems that did not exist beforehand. There is a massive amount of work to do in capturing experiential data, which is more difficult to quantify. That is why, if you look at the MAT standards, you will see that some are only provisionally marked as green because the experiential data, which will be led by people with lived experience, is being captured. Services say what they are doing, but the data will show how people are experiencing that service. It was quite tricky to set up the collection of that data, so we must recognise the sheer amount of work that has been undertaken.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
Might I add to that?
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 2 November 2023
Elena Whitham
Like you, I am very passionate about being trauma informed and ensuring that services are trauma responsive.
We need a full systems and cultural change if we are truly going to tackle stigma. Part of the Government’s response to the Scottish Drug Deaths Taskforce’s report was to launch a tackling stigma action plan. However, while we are in the process of rolling that out, we need to co-design what it looks like. Therefore, we are making sure that we work with our partners in the third sector, local government and the health and social care partnerships but also with the people who are experiencing the services. It is important for those people to be supported, by and large, by the third sector.
It will take a little time for us to co-design what the stigma action plan will look like, because co-design is not simple or easy. To do it effectively, we need to take a bit of time to ensure that we really hear from the voices of lived and living experience. With regard to our processes just now, I think that, sometimes—as you probably heard from witnesses last week—we can design stigma into our services by accident. We need to make sure that we hear what people who are living through substance use are telling us.
We also need to ensure that we think about some of the groups that are often not thought of when it comes to the designing of services. I am thinking about people from black and minority ethnic groups, who face substance use issues in the same way as everybody else, and I am thinking about services that we need to ensure are there for women and their specific needs. All too often, stigma can drive people away from services, so I am keen that we hear from all those voices. A lot of the time, the voices that we talk about as unheard are actually talking very loudly and we are just not listening to them. Therefore, for me, the co-design process is vital in getting that right, and it is going to take a wee bit of time.