Part of the debate – in the Scottish Parliament am ar 12 Ionawr 2023.
It is not clear that it would work in a Scottish setting, and that is the point. Pilots are needed to see how such things work in what is a different country.
Everybody who seeks treatment for addiction should be able to access the necessary addiction treatment that they require, with an obligation on NHS boards, Scottish ministers and others to provide treatment and to set up reporting arrangements so that the quality of and access to the treatment that is provided can be monitored and reported on to the Scottish Parliament. That will ensure that individuals may access a preferred treatment option unless it is deemed to be harmful by a medical professional. A statutory right to addiction and recovery treatment services should include community-based, short and long-term rehabilitation; community-based and residential detox; stabilisation services; and substitute prescribing services.
Our proposed right to addiction recovery (Scotland) bill also aims to prevent individuals who are seeking drug and alcohol treatment from being refused access to it. I am pleased that another planned outcome of the task force’s report is to establish a national approach to substance abuse and harm prevention that incorporates drugs, alcohol and tobacco.
We need to ensure that far fewer people in Scotland develop problem drug use. I am interested in seeing how the plan seeks to strengthen the evidence for how best to deter the use of recreational drugs, to ensure that adults change their behaviour or face tough consequences, and to prevent young people from starting to take drugs in the first place. Of course, as the minister knows full well, delivery is everything.
De facto decriminalisation of drugs does not seem to have worked as planned, as it has contributed to increased admissions to psychiatric hospitals since the introduction of the measure for class B and C drugs. The Scottish Government pledged to fully implement MAT standards, which define the consistent delivery of safe and accessible drug treatment and support, by April 2022. However, delivery of those standards has been put back two years. Given the well-documented pressures on our NHS, including record staff vacancies, record accident and emergency waiting times and GP practices being at breaking point, I am keen to understand whether the Scottish Government intends to deliver on the recommendations of the task force, particularly the calls to operate more drug services in the evening and at weekends and to provide emergency 24/7 care.
In 2021, there were 1,330 drug-related deaths in Scotland—too many. We need a credible, strong and well-resourced plan to tackle the problem. It must amount to much more than just an announcement. The country needs a commitment from the Scottish Government to deliver.
I declare an interest as I am a practising NHS GP.