Scottish Government announces new national facility for families affected by drug use

A new residential rehabilitation facility to support families affected by drug use is to be developed in North Ayrshire.

Funding for the National Specialist Residential Family Service which will be run by the charity and housing association Phoenix Futures and based in Saltcoats, North Ayrshire, has been agreed in principle. The facility will provide rehabilitation services for twenty families at any one time and will be based on an existing facility run by the organisation in Sheffield.

Once given final approval, funding for the development will be made available from the £100 million announced as part of the national mission to improve and increase the provision of residential rehabilitation.

Meanwhile following the publication of the latest drug-related death statistics, an urgent review has been ordered on the use of so-called street benzos after latest statistics showed the drugs were implicated in 73% of drug-related deaths in 2020.

Benzodiazepines are usually prescribed for the treatment of anxiety and insomnia however increasingly, illicit supplies of street benzos are being used with opiates such as methadone and heroin contributing to poly-drug use in Scotland.

The rapid evidence review will look at who is using the drugs and why in order that measures to reduce demand can be introduced. It follows work by the Drug Deaths Taskforce to develop guidelines on the consistent prescribing of benzodiazepines across the country so that people can be offered support for their drug use and any underlying mental health problems.

Other actions include:

  • commissioning research on the role and risks of methadone in drug related deaths
  • awareness campaign on the increasing availability of naloxone and its benefits
  • awareness campaign on stigma and its negative effect on people seeking treatment
  • consider whether alcohol and drugs services should be included in new National Care Service as part of the consultation
  • setting of a target for the number of people in treatment for 2022

Minister for Drugs Policy Angela Constance said: “Once again, Scotland drug-related death statistics are a national disgrace and my heart goes out to all the families who have lost a loved one.

“We announced a national mission on this crisis in January and we have been taking a range of actions to tackle this national tragedy backed by an investment of £250 million over the next five years.

“Of that, £20 million each year is being spent on increasing capacity and improving access to residential rehabilitation and to that end, we have approved in principle an application for a development in North Ayrshire which will create a new national specialist service for families. It is vital that we make it easier for parents to access treatment by removing any barriers such as a lack of childcare and this project, run by Phoenix Futures will do exactly that.

“Though men are more likely to use and experience harms from drugs, there has been a disproportionate increase in drug related deaths among women and there is a strong link between women having children removed from their care and risk of drug related death.

“Poly-drug use – the use of more than one drug at a time – is an increasing concern with benzos implicated in almost three quarters of deaths last year and I have asked for an urgent review of benzo use so we can fully address the rise in popularity of this type of drug and reduce the demand.

“To tackle the number of drug deaths in this country we must increase the number of people in treatment and we will shortly be announcing a target so we can measure the impact of the introduction of the Medication-Assisted Treatment standards. These include the roll-out of same-day support services for anyone asking for help.

“We know there is much work to do and that the investment we are making must reach those directly affected by drug use and I am absolutely determined to make every penny count.”

Phoenix Futures Director of Operations CJ Williams said: “The Scottish Government’s Residential Rehabilitation Rapid Capacity Programme (Recovery Fund) announcement that it has agreed in principle to fund a National Specialist Residential Family Service in Scotland has been well received by all at Phoenix Futures Scotland.

“There is a clear and defined need for a service that supports families to stay together in a safe residential setting. Phoenix Futures have decades of experience of providing services for families to draw from in establishing and operating this new project.

“The Specialist Family Service will create fairer access to residential rehab for the whole family, and is a welcomed start to the commitment of investment from The Scottish Government as part of its mission to reduce drug related deaths and harms.

“We look forward to working with all involved to open Scotland’s National Specialist Residential Family service.”

Lothian Tory MSP calls for local residential rehab to be utilised

Lothian MSP, Miles Briggs, has called for local residential rehab to be utilised, following the announcement that a national rehab centre is to be developed in North Ayrshire.

The facility will provide rehabilitation services for twenty families at any one time and will be based on an existing facility run by the organisation in Sheffield.

Once given final approval, funding for the development will be made available from the £100 million announced as part of the national mission to improve and increase the provision of residential rehabilitation.

Scottish Ministers agreed to increase funding for rehabilitation beds earlier this year, following a campaign by the Scottish Conservatives to secure the funding.

Last week figures were released showing that drug related deaths in Scotland had reach a new record high, having risen consecutively in each of the last seven years.

The number of drug related deaths in Lothian rose to 159, an increase of 4 deaths from 155 in 2019. The number of drug related deaths in Lothian has more than doubled in the last 10 years.

The Scottish Conservatives are calling for the Right to Rehabilitation to be made into law, so that anyone needing drug and rehabilitation support has a legal right to access it.

Lothian MSP, Miles Briggs, said: “Scotland used to have a national rehab centre in the form of Castle Craig Hospital which used to provide vital residential rehab to NHS patients across Scotland.

“It is fundamentally clear that the drug deaths crisis needs to see all available services utilised. That is why Scottish Conservatives have led calls for a Right to Rehab.

“Castle Craig Hospital sits just 20 miles south of Edinburgh. But currently only 2 of the 60 patients are NHS funded.

“I have visited Castle Craig Hospital and was hugely impressed with the residential rehab services they offered and the person centred care which was helping people mostly from the Netherlands to get their lives back on track.

“There are growing questions being asked why SNP Ministers not using the rehab beds available on NHS Lothian’s doorstep ? 

“I have raised the opportunities which Castle Craig Hospital could present with SNP Ministers for years – we’ve seen no action as the same time as drug deaths have escalated to the shocking level we see today.

“I have written to Drugs Minister, Angela Constance, to ask why SNP Ministers are not utilising this local residential rehab facility and instead will expect patients across the East to travel Ayrshire when local rehab opportunities already exist.”

Angela Constance: Scottish drug death figures ‘heartbreaking’

Drugs Policy Minister Angela Constance has described the increase in drug-related deaths as “heart-breaking”, and reiterated the Scottish Government’s determination to continue its work to address the crisis.

National Records of Scotland figures show there were 1,339 deaths, an increase of 5% on 2019 and the highest figure on record.

From September, there will be quarterly reporting of suspected drug deaths to enable better surveillance and response from all those involved in tackling this public health emergency.

A national mission on the crisis was announced in January following the appointment of Angela Constance in December 2020 to the newly created post of Drugs Policy Minister.

Since then the Scottish Government has announced that £250 million will be spent on addressing the emergency over the next five years.

An immediate priority is getting more people into treatment and £100 million will go towards improving and increasing the provision of residential rehabilitation while £4 million is being spent on the implementation of MAT (Medication Assisted Treatment) standards.

The new standards ensure everyone has access to the support which works best for them, no matter where they live. Same day support will start to be rolled out from this autumn with all of the standards in place by April next year.

Other measures introduced so far this year as part of the national mission include:

  • funds totalling £18 million for improving outreach services and support for families, and increasing residential rehabilitation provision
  • £4 million on the expansion of the provision of long-lasting buprenorphine (Buvidal) into the wider community following a successful pilot in prisons
  • £400,000 on expanding the existing Heroin-Assisted Treatment facility in Glasgow – exploring its use in other parts of Scotland
  • £3 million to services to expand near-fatal overdose pathways
  • £3 million to expand the range of outreach services so that treatment and support are available regardless of where people live
  • £13.5 million for Alcohol and Drugs Partnerships to support local and national initiatives
  • guidance being finalised by a Drug Deaths Taskforce Working Group on the consistent prescribing of benzodiazepine
  • Ms Constance writing to the UK Minister for Policing to push for action on the regulation of pill presses, drug checking facilities and overdose prevention facilities
  • consultations with stakeholders on the formation of a National Collaborative (Forum) to focus on the voices of people with lived or living experience and families

Ms Constance said: “Once again, the statistics on drug-related deaths are heart-breaking. I want to offer my sincere condolences to everyone who has lost a loved one through drug use.

“We need to gather as much information as we can about drug use in Scotland and to that end, data on suspected drug deaths will be published quarterly from this September. This will ensure we can react more quickly and effectively to this crisis and identify any emerging trends.

“We are working hard to get more people into the treatment that works for them as quickly as possible. Without treatment, there is little hope of recovery so we are funding as many community and third sector initiatives as we can so that individuals have the widest possible choice and can opt for the support which suits them and their family.

“Of the £250 million announced over the next five years, £100 million will go on improving the provision of residential rehabilitation and I will update Parliament on progress in this area after the summer recess.

“As I have said before, I am determined that every penny of this additional funding will make a difference to all those affected by drug use in Scotland.”

Drug Deaths Taskforce Chair Professor Catriona Matheson said: “Every drug-related death in Scotland is an avoidable tragedy, and these figures serve to remind us of the importance and urgency of our mission to identify the areas of action that can make a sustainable impact against the challenge.

“We believe the approach of putting evidence into action has saved lives, and we will analyse the detail behind the headlines and look to build upon those areas showing progress and to address those areas requiring more attention.

“Both the causes of, and the solutions to, the challenge we all face are complex, at its heart are real people at real risk, and we continue to be determined to make difference for them.”

Lothians & Edinburgh Abstinence Programme Clinical Lead Dr David McCartney said: “All of us who work in addiction treatment are appalled at the high level of drug-related deaths in Scotland.

“Having a wide range of treatment options that are holistic, reduce harm, promote recovery and are integrated into a recovery oriented system of care is essential to address the crisis. I welcome the Scottish Government’s investment in residential rehabilitation treatment as part of the wider approach under the National Mission.”

Andrew Horne, director of the drug, alcohol and mental health charity With You, said: “With You remains concerned and saddened by the tragic and continual increase in the numbers of lives lost due to problems with drugs.

“Every drug-related death is preventable, and each death has a huge impact on families and communities, continuing to be felt years down the line. Our thoughts are with the thousands of people who have lost a loved one in the past year.

“We have a mountain to climb to reverse these alarming figures but with the recently strengthened commitment and decisive action now being taken, we are hopeful that change is possible. 

“New investment in outreach teams for people who have had a non-fatal overdose or who have dropped out of treatment marks a significant step forward, as does the improved support for people transitioning from prison into the community. Changes to enable quicker access to appointments and more choice over treatment, as standard across Scotland, are also positive. 

“These figures are stark, but with new initiatives, clear standards and high expectations of services and partnership working, they can be brought down.”

Scottish Conservative MSP Pam Gosal said: “That’s 1,339 preventable deaths. These were real people, with real families.

“The First Minister ‘took her eye off the ball’ and this resulted in drugs deaths at 3.5 times the level of England and Wales.

“It’s time that the Scottish Government dealt with Scotland’s shame.”

There were 92 drug-related deaths in Edinburgh last year, according to the new figures published by the National Records of Scotland. 

The statistics showed that across Scotland a record 1,339 drug deaths were recorded in 2020, meaning Scotland once again has the highest rate of drug deaths in Europe. 

Scottish Greens MSP for Lothian, Lorna Slater, said: “Today’s sad figures expose the devastating impact of the failed approach to drug policy in Edinburgh and across Scotland. Every single one of these deaths is a preventable tragedy. 

“The strategy pursued by the UK and Scottish governments must change. The war on drugs has failed, it’s long past time for this crisis to be treated as the public health emergency that it is. We need a new approach which focuses on restoring people’s dignity and treating them, rather than criminalising them. 

“We urgently need the Scottish Government to do everything in its powers to save lives. We also need all parties to work together to urge the Conservative Government in Westminster to devolve powers and change the out-dated and dangerous Misuse of Drugs Act.” 

Scottish Labour leader Anas Sarwar said: “The Scottish Government can’t escape the fact that Scotland has the same drugs laws as the rest of the UK, but 3.5 times the rate of drug deaths.

“We need to look at every option to confront this, but we can and must act now. We need to invest in treatment and recovery.”

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Constance: Scotland’s social enterprise is world leader

‘Social enterprises are contributing to a fairer, more equal and inclusive Scotland’  – Communities Secretary Angela Constance

Scotland’s social enterprise strategy has delivered more than £7 million of investment in its first year. Since the strategy was launched in December 2016, £1.2 million has gone into free specialist business support, £1.1 million into a national social enterprise incubator and £330,000 to provide social enterprise learning in primary and secondary schools across the country.

Social enterprises are businesses that trade for the common good. They seek to make profits, but are committed to reinvesting these into a social or environmental mission.  Launched at the Grassmarket Community Project, winner of Social Enterprise of the Year 2017, the strategy is Scotland’s first ever long-term plan for the sector and is set over ten years.

Reflecting on the strategy’s first year, Cabinet Secretary for Communities, Social Security and Equalities, Angela Constance said: “Scotland’s social enterprise sector is seen as a world leader thanks to more than a decade of sustained investment and support. Social enterprises trade for the common good; strengthen our communities, improve people’s life chances and protect the environment.

“Our ten-year strategy demonstrates our on-going commitment to this innovative sector.  I’m delighted to see it helping so many social entrepreneurs to turn their business ideas in reality.  This is just the start and I’m looking forward to see how many more wonderful projects will flourish over the next nine years.

“Social enterprises contribute £2 billion to our economy each year and employs 80,000 people; so they are contributing to the wider economy as well as delivering projects and services in local communities. They are contributing to a fairer, more equal and inclusive Scotland.”

Edinburgh’s social enterprises have continued to flourish. A recent report produced by Edinburgh Social Enterprise (below) shows increased numbers of volunteers, paid staff and turnover: paid posts have increased by almost 10 times in 4 years (3.5 times in 2 years) showing that social enterprise is a growing area for employment, whilst volunteer hours contributed an estimated value of £1.29m to social enterprises for the 12 months to July 2017.

More Social Enterprises are reporting higher percentages of income coming from trade, rather than other sources of income, such as grants, with some members reporting 100% income from trade. Edinburgh Social Enterprises continue to show high levels of consumer facing trade, with 49% selling direct to the public.

In summary, Social Enterprise is creating employment, training and volunteering opportunities: increasingly contributing to Edinburgh’s economy: becoming more robust and sustainable as a sector (against challenging market conditions) and increasingly trading at an international level.

Social Enterprises provide vital support and services to the most vulnerable people in Edinburgh, with 76% of respondents reporting that they have 200 or more beneficiaries.

ESE_Impact_Report_2017

 

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