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The Scottish Government has no current plans to re-evaluate the amount that an applicant can claim under the Young Patients Family Fund.

The Scottish Government has directed NHS Boards to move forward with detailed implementation planning led at a regional level, with a designated lead Chief Executive Officer to deliver this programme from planning to full implementation.

Accommodation is a key part of the model of neonatal care described in Best Start and we expect all Boards to provide emergency overnight accommodation on the unit for parents who need it, with other accommodation for neonatal parents nearby.

Initial plans were submitted to the Scottish Government in September 2024 for consideration. Feedback has been provided to the Regional Chief Executives and NHS Boards will continue to refine and develop plans as implementation proceeds.

We are working to improve outcomes for people receiving drug treatment by recognising family members can play an important role in a loved one’s recovery. MAT Standard 2 ‘Choice’ and MAT Standard 8 ‘Independent Advocacy’ states individuals should be entitled to choice of treatment and who accompanies them.

We also recognise that families affected by substance use must be supported in their own right, as well as being involved in their loved one’s treatment and recovery.

We have provided ADPs with £3.5 million per year over the life of the Parliament for local implementation of our framework Drug and alcohol services - improving holistic family support - gov.scot (www.gov.scot), to improve holistic support for families affected by drugs and alcohol by taking a whole family approach and using family inclusive practice.

We are providing £138,876 over three years (2023-2026) to Scottish Families Affected by Alcohol and Drugs to develop, test and deliver a national Family Inclusive Practice Development Programme. This programme will focus on supporting practice implementation of Family Inclusive Practice through continued work with existing areas and expansion into other localities.

The Scottish Government and our partners remain dedicated to bringing innovative and structural change to this complex issue and remain fully committed to reducing drug deaths and harms.

On 31 October, Audit Scotland published a report on alcohol and drug services which acknowledges that we have improved national leadership and made significant progress in tackling Scotland’s longstanding issues with drugs and alcohol. Notably, through significant investment and innovative action in our National Mission, including sustaining a record £112 million for Alcohol and Drug Partnerships (ADPs) this year, as well as innovative initiatives such as piloting a Safer Drug Consumption Facility in Glasgow, which will open early in the new year.

Through the National Mission to date we have:

• Supported over 300 grassroots community organisations through the £65 million Corra National Drug Mission Funds
• Driven improvement in services with 90% of Alcohol and Drug Partnerships assessed as having implemented Medication Assisted Treatment standards 1-5, and 91% of standards 6-10 assessed as partially implemented as of July 2024
• Helped widen access to lifesaving naloxone with 77% of people at risk of overdose estimated to have access to a Take Home Naloxone kit as of June 2024
• Seen a 21% increase in residential rehabilitation beds since 2021 (513 beds as of September 2024) due to our £38 million residential rehabilitation capacity investment.
• Made £1.5 million available for investment in Planet Youth - a whole community approach for substance use prevention
• Provided £480,000 per year since 2023 to support additional trainee placements on Scottish Drugs Forum's 'National Traineeship' which supports people with lived and living experience to undertake an SVQ and access a paid work placement.

Alongside these important practical steps to making improvements to front line services our whole system approach is driving change across mental health, stigma, workforce and children and families, and the Charter of Rights which was published on 11 December, will support people affected by substance use to know and understand their rights in accessing support services.

The five-year National Mission is now in the final stages of delivery, and we have begun to work with partners to ensure long-term strategies are managed smoothly through to the next parliament. The ongoing independent evaluation of the National Mission being undertaken by Public Health Scotland (PHS) will help to ensure these strategies are underpinned by robust evidence.

It is crucial that we continue to prioritise surveillance to better understand and respond to emerging drug trends. RADAR reports and other surveillance measures play a vital part in providing us with an early warning and to alert services and people who use drugs.

RADAR aims to monitor drug-related harms, service usage and toxicology data to provide an early warning of emerging drug trends and identify actions to reduce and prevent drug harms and deaths.

There is also a focus on ensuring services across Scotland have treatment pathways available for all types of drugs including stimulants, and the Scottish Government work closely with all areas to support them to achieving this successfully.

The Scottish Government does not hold this information.

Public Health Scotland (PHS) publishes a Benchmarking Report each year to demonstrate progress being made by local areas in their implementation of the Medication Assisted Treatment standards. The Report each year includes a detailed breakdown on the three streams of evidence required to assess implementation – processes in place, numerical data gathered and a summary of experiential feedback from people in treatment and recovery.

Process evidence demonstrates that local policies and procedures are in place for service delivery in line with the MAT standards criteria. Numerical evidence demonstrates services are actively gathering data required for future service improvement and to ensure the services available are best targeted. Experiential evidence demonstrates what people receiving support say about the services so that further improvement and focus can be implemented.

The most recent PHS Report was published in July 2024 in which the evidence confirmed 90% of standards 1-5 have been implemented against the criteria set out. That report covered 2023/24 and concluded that all 29 local areas reported evidence to show implementation of MAT standards 1-5.

In the context of the Young Patients Family Fund (YPFF), ‘reasonable overnight accommodation’ is defined as the most cost effective accommodation available. Health Boards have flexibility in relation to how much should be provided in each case but the costs provided should be reasonable in the circumstances.

In an effort to ensure claimants don’t routinely have to provide large amounts of money upfront to cover accommodation costs, the YPFF terms and conditions direct claimants to access Health Board visitor accommodation in the first instance. Where this is not available, private accommodation (e.g. hotel) can be booked and the fund’s terms and conditions direct the Health Board to book on behalf of the claimant where this is possible.

The Scottish Government promotes healthy living and encourages the reduction in alcohol consumption by highlighting the risks of drinking too much alcohol on the NHS Inform website.

Guidance from the Chief Medical Officer is clear that drinking more than 14 units per week for both men and women on a regular basis may increase a person’s risk of serious health conditions, including cancer. Cancers associated with excess drinking include cancers of the mouth, upper throat, larynx, oesophagus, breast, liver and bowel.

The provision and improvement of residential rehabilitation services for women and those with childcare responsibilities is one of the key focuses of the Scottish Government’s National Mission to improve and save lives impacted by substance use.