All Official Reports of public meetings of committees.
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Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
Thank you.
Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
That is great. Thank you.
There have been changes in recent years around the implementation of the MAT standards, as well as changes to other policies. Could the bill disrupt some of the work that is going on with the MAT standards and rub up against some of the other harm-reduction measures? Do other changes need to be made so that that does not happen?
Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
Good morning. To what extent does the bill address changing patterns of drug use in Scotland, particularly around polysubstance and alcohol use?
Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
Does anybody else want to come in on that question?
Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
Does the bill strike the correct balance with regard to prevention, harm reduction and treatment? We have already heard a wee bit about that, but I want to dig a bit deeper into it. If the bill does not do so, what do you believe needs to be changed in it to strike that balance correctly?
Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
Yes, of course.
Health, Social Care and Sport Committee
Meeting date: 25 March 2025
Gillian Mackay
Several stakeholders, including ADPs and individuals with lived experience, have raised concerns that the bill leans too heavily towards abstinence-based treatment, potentially limiting access to harm reduction strategies such as MAT and safer drug use interventions. Given the importance of tailoring support to individual needs, which we have covered, should the bill be amended to better integrate harm reduction approaches with other treatments?
Health, Social Care and Sport Committee [Draft]
Meeting date: 18 March 2025
Gillian Mackay
On that point, how realistic is it to have people in treatment within three weeks, given the different stages at which people come to seek help, relative to whether they are ready for some of the things that are covered by the bill? Is there a risk of pushing people into a specific set of treatments that may or may not be appropriate for them because that timescale is in the legislation?
Health, Social Care and Sport Committee [Draft]
Meeting date: 18 March 2025
Gillian Mackay
Good morning, panel. I want to return to the rights issues that Emma Harper was exploring earlier. You have already acknowledged that we do not normally have a right to particular treatments in the NHS, but do you believe that there are any potential drawbacks in providing such a right? Some of you have also touched on the imperative that it would put on Government to provide such services. Is there a danger of a focus on compliance distracting from the range of treatments that we would like to see? Perhaps Dr Shivaji can go first, if that is okay.
Health, Social Care and Sport Committee [Draft]
Meeting date: 18 March 2025
Gillian Mackay
Does anyone else want to come in on that question before I move on?