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Families told us, as part of the Best Start engagement process, that they wanted the best care possible for their babies. Evidence tells us that the very smallest and sickest babies will get the best outcomes if they care cared for in high volume units.

This change will affect families in many different parts of Scotland, and the Chief Executive of Bliss sits on the Best Start Programme Board and was a participant in the options appraisal process, representing the views of neonatal families.

Scottish Government will be consulting with families in the affected areas on implementation of the new model, so that we can take account of their concerns when the pathways and processes for the new model of care are designed. This will affect a very small number of families, however, it is important that we hear the voices of those families to input into design of service delivery.

Neonatal units will also continue to seek parent feedback locally to ensure opportunities to improve experiences of care for families are identified.

Funding allocated to Alcohol and Drug Partnerships (ADPs) is for both alcohol and drug treatment services. In 2022-23, £106.8 million was made available to ADPs, increasing to £112.9 million in 2023-24. This funding is used to ensure that local services meet the needs of people who experience alcohol and drugs harms.

On 7 September 2023 I supported a Member’s Debate Motion calling for investment in alcohol services - outlining the Government’s plan to reduce harm from alcohol misuse. The plan includes measures to improve access to treatment and support, including through stabilisation and crisis management, expansion in local assertive outreach services and increasing the availability of residential rehabilitation placements. The plan also includes working with partners and stakeholders to implement alcohol treatment standards – building on the forthcoming UK-wide Clinical Alcohol Treatment Guidelines which are currently out for public consultation until 8 December 2023.

Health Boards are responsible for planning services to best meet the needs of their patients.

Service planning and design should take place at a local level and be informed by an assessment of the type, and level, of support required by patients who need to access those services.

The Scottish Government published Quality Standards for Paediatric Audiology Services (2009) and Quality Standards for Adult Hearing Rehabilitation Services (2009) which both state that patients (and their families in the case of children) should be given a copy of their ‘Individual Management Plan’ following visits to services.

It is for Health Boards to ensure that this takes place in line with the quality standards set out.

The Scottish Government published Quality Standards for Adult Hearing Rehabilitation Services in 2009 which sets out a standard for the repair being carried out within 2 days of the repair service receiving the hearing aid.

It is for NHS Boards to ensure appropriate provision of a service for the timely repair of hearing aids for patients.

The range of experts that have been involved in the Best Start and the Options Appraisal Process represent the leading expertise on this issue and are fully competent to reach an objective decision. I have no doubt that the process of determining where the final three units should be located was independent and robust, and can see no reason to commission a further review.

The Scottish Government provides funding to support our local Alcohol and Drug Partnerships (ADPs) who are responsible for the design and delivery of treatment and recovery pathways at the local level. They ensure a full range of recovery services are available such as aftercare, detox, residential rehabilitation and psychosocial treatments.

In 2022-23, £106.8 million was made available to ADPs, and nationally there is ongoing work including the expansion of our residential rehabilitation capacity by 50% by the end of the current Parliament and the UK Alcohol Treatment Guidelines which are currently out for public consultation until 8 December 2023.

Scottish Government also provides funding towards specific projects that support those with alcohol dependency, such as the Managed Alcohol Programme pilot being delivered by Simon Community Scotland in Glasgow.

We are aware that stigma can act as a barrier preventing people from seeking treatment. This is why we are taking actions to reduce the stigma around alcohol misuse.

For example, last year we ran a national campaign to increase people’s awareness that a drug or alcohol problem is a health condition, which requires help and support and not judgement. We also referenced stigma on the NHS Inform website , which reinforces the message that a drug or alcohol problem is a health condition requiring help.

In addition, we published a cross-government Stigma Action Plan , aimed at tackling the stigma of substance use. We are working with a range of partners and stakeholders to co-design the next phase on the details of the actions outlined in the plan.

We also welcome the ‘See Beyond, see the lives’ campaign , which recognises the importance of supporting the families of people with problem substance use, who are often stigmatised and excluded from support, despite experiencing harms in their own right. In delivering the actions in our stigma action plan we will work with families to ensure that we can tackle the specific types of stigma that they experience both in accessing services and support and in daily life.

Moreover, we are planning to ensure treatment standards for alcohol, informed by the UK-wide clinical guidelines, will introduce new approaches to treatment, including non-stigmatising service delivery.

The Early Interventions for Children and Young People working group are currently developing recommendations of what good quality early intervention support services should be available across Scotland for young people with emerging problematic drug and alcohol use.

In Spring 2023, the working group began engaging with young people, using a co-design approach, to gather their views of what good support should look like. These findings, along with existing international evidence of good practice will be used by the working group to develop standards of support for children and young people.

The co-design work will conclude in January 2024.

The working group will then outline the minimum principles of support that is required by local areas to meet the needs of children and young people, providing early intervention support in a way young people want.

Scottish Government supports the use of digital solutions to overcome barriers to treatment for those impacted by problematic use of alcohol, such as the use of Near Me video appointments and With You’s online wechat service. However, we recognise these must be applied appropriately, with adequate training for staff and ensuring online safety and safeguarding for service users.

The recently published consultation on United Kingdom alcohol treatment guidelines which are expected to come into effect in 2024, highlight the need to consider digital practices and implement them carefully. The consultation will run until 8 December 2023: UK clinical guidelines for alcohol treatment - GOV.UK (www.gov.uk) .