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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 13 April 2025
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Displaying 1119 contributions

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Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 19 November 2024

Paul Sweeney

Thank you very much. Are there any final remarks from witnesses, before I conclude?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

On 11 September 2023, the Lord Advocate stated her intention to publish a prosecution policy for the safer consumption facility. Do you have any insight on when that will be published?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

I thank the cabinet secretary and his colleagues for their comments so far. Does the cabinet secretary have any insight on the nature of, or the reason for, the delays with NHS Scotland Assure’s approval of the facility at Hunter Street?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

Last year, I had the opportunity to visit Copenhagen to see how its model operates. I was struck by how sophisticated it is. One of the key aspects of the visit was to understand the interface between the safer consumption facility, the overdose prevention facility and referral pathways into rehabilitation. The staff said that they had noted a significant increase in interest in accessing rehabilitation. Sometimes, it is non-linear—people go into rehabilitation and then come back to use the facility, or vice versa. Staff noted that services were in close proximity; it was a matter of minutes to walk to the residential rehabilitation facility.

I have just checked, and the closest rehabilitation facility to Hunter Street is the Thistle centre, as it will be known, which is about 4.5 miles away. The Phoenix Futures centre is the closest one in Anniesland. Does the cabinet secretary have a longer-term view that we should try to co-locate or at least bring facilities into closer proximity where there are concentrations of street injection?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

Does the cabinet secretary recognise that the recruitment has been very positive? There have been more than 700 applications for about 34 posts in the centre, which is encouraging. That is a significant overhead for operating one facility, which might present challenges when it comes to scaling up such facilities. Have the cabinet secretary and his colleagues considered how to create a hub model, with some outreach, which might be less expensive to establish?

In relation to the pattern of where discarded needles are clustered in Glasgow city centre, there is an element in the east end around the Barrowlands and a cluster near George Square and Central station. Might there be an opportunity to build the main base at Hunter Street and then have a series of satellite facilities or perhaps even mobile facilities along the lines of the converted ambulance that the unofficial pilot utilised? Are those options for how we develop the pilot? Is there scope for doing something such as that to try to capture more people? We know that people do not tend to travel very far from where they purchase drugs to where they inject them.

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

It is certainly timely that the pilot is getting under way, given that there has been a reported increase in street injection in Glasgow. I am concerned about the 12-hour gap in operation between 9 pm and 9 am. Does the cabinet secretary share that concern? Should there be an effort to increase operating hours, if that is deemed to be necessary by the health and social care partnership?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

Is there a proactive engagement plan to enable colleagues across the Scottish Government, local authorities and the UK Government to see the facility in operation, once it is established? Recently, I happened to meet Dame Diana Johnson, who, as the Home Office minister, expressed a keen interest in coming to see it and was very open minded about how it could be developed. Is there an active plan for the Scottish Government to invite colleagues to see the facility in operation?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Paul Sweeney

I think that the financial memorandum to the bill sets aside funding for training purposes, but it does not specifically mention training in relation to assessing capacity. Would you prefer that that was further clarified in the bill?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Paul Sweeney

That is helpful.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Paul Sweeney

Thank you, convener, and thanks to the witnesses for their insightful comments so far.

A number of respondents to our calls for views on the bill have raised the question whether doctors would have a “duty to raise” assisted dying as a reasonable treatment option with end-of-life patients, as current court decisions, such as Montgomery v North Lanarkshire Health Board, require doctors to discuss all reasonable treatment options with their patients so that the patient can make a fully informed decision.

Clause 4(1) of the UK bill introduced by Kim Leadbeater MP explicitly refers to no “duty to raise” the subject with patients and clause 4(2) clarifies that by providing that medical practitioners may exercise “their professional judgement”.

In the Scottish bill by Liam McArthur MSP, section 18(1) refers to a general requirement. Indeed, it provides that

“An individual is not under any duty (whether arising from any statutory or legal requirement) to participate in anything authorised by this Act to which that individual has a conscientious objection.”

Considering the bill as drafted, do you think that the status of assisted dying as a reasonable treatment option needs to be further clarified? Dr Neal, you could perhaps start us off.