Chamber and committees

Public Health Scotland is working with partners to develop and publish data on the prevalence rate for problematic drug use in Scotland. The next publication will include an estimate of the number of people with problematic opioid use during 2018-19 and this will be published by the end of 2023.

The most recent figures on the prevalence rate for problematic drug use in Scotland were published in 2018 and covered 2015-16.

The guidance on the pharmacological and psychological management of benzodiazepine dependency published by the Drug deaths Taskforce has now been endorsed as the most up-to-date guidance available and will be updated following further research currently being undertaken and following engagement with prescribers.

The financial costs of implementing standards in each local area are being assessed locally as plans are developed and implemented and so the Scottish Government has not centrally modelled the financial costs of implementing Medication Assisted Treatment standards.

We don’t hold the data that provides the total number of all events of near-fatal overdoses across Scotland.

The need for improved data sharing has been identified as key for the improvement of near-fatal overdose follow-up pathways. Through the Directors of Public Health National Drug Deaths Incident Management Team (NDDIMT), the need for improved data sharing is being taken forward as matter of priority in relation to MAT standard 3 - that all people at high risk of drug related harm are proactively identified and offered support to access treatment or care and support.

I am actively pursuing options for clarifying the position on information-sharing and discussions are ongoing with the Data Protection Officer around potential action they can take to assist with the sharing of essential information.

I refer to the member to the answer to question S6W-12709 15 December 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The National Drugs Mission Oversight Group has met three times. Meetings took place on 30 June, 22 September, and 8 December. Minutes for the group’s meetings will be published on a regular basis and can be founded here: National Drugs Mission Oversight Group - gov.scot (www.gov.scot) .

The national roll out of the Police Scotland Naloxone Programme has been delivered in 2 stages. The first stage was a test of change (pilot), covering the period 01-03-2021 to 31-10-2021. The second stage covers the period from the completion of pilot up to the point where the most recent data is available, 02-12-2022. The number of administrations per month, in each stage of the roll out, is provided below.

Test of Change period (01-03-2021 – 31-10-2021) – Total of 51 administrations

March – 2

April - 5

May - 5

June – 10

July - 8

August - 7

September - 6

October – 8

Start of roll-out (01-11-2021 – 02-12-2022) – Total of 44 administrations

November - 3

December - 2

January - 5

February - 4

March - 1

April - 3

May - 2

June - 4

July - 5

August - 2

September - 4

October - 3

November - 4

December – 2 (up till 2-12-2022)

Casualties at each incident are sign posted to drug and addiction services within their area by officers on scene. The details are recorded on the Vulnerable Persons Database, the details of which can be shared with partner agencies to assist the individual.

This is a matter for matter for individual health boards who are responsible for providing prisoner healthcare. The information requested is not held centrally by the Scottish Government.

Decisions about specific programmes or interventions for those who have committed offences are generally taken at a local level under the model of community justice introduced in 2017. Local authorities have significant autonomy to direct justice social work funding to deliver statutory justice services and meet local priorities aimed at reducing reoffending. Services are also commissioned through local partnerships such as Health and Social Care Partnerships, and priorities will be informed by local Community Justice Outcome Improvement Plans.

The funding of Turning Point Scotland’s 218 service pre-dates the implementation of the current community justice model, so central funding has been protected as part of the legacy arrangements for the last 5 years. The creation of any new services, however, would primarily be a matter for local areas to consider.

We currently invest over £119 million of ring fenced funding in community justice services, which includes community sentences and other interventions. The bulk of this funding – around £108 million – is distributed to local authorities for the delivery of justice social work services. The remaining £11 million is directed towards third sector organisations for the delivery of community justice related services. From the main funding, £1.5 million is specifically for bail services for women which is distributed across 32 local authorities.

An additional £50 million per annum over this Parliament is also allocated to support the National Mission to reduce drug deaths and harms. Of this an additional £20 million per year goes to Alcohol and Drug Partnerships and the further £30 million supports grassroots initiatives, implementation of Medication Assisted Treatment Standards, and work with nationally funding organisations.

The Scottish Government published prison population health needs assessments for mental health and for substance use ( Prison population health needs: synthesis report - gov.scot (www.gov.scot) and Prison population health needs: synthesis report - gov.scot (www.gov.scot) . These reports aim to provide stakeholders, including the SPS, with a better understanding of the health needs of the prison population and help align services to support people whilst in prison, along with their transition into and out of prison custody.

The SPS is currently working in partnership with mental health experts to co-produce a revised mental health strategy for those in custody.