HOLYROOD’s Health, Social Care and Sport Committee is seeking views on a Bill which would enshrine the rights of persons addicted to drugs or alcohol to receive treatment for their addiction.
The Right to Addiction Recovery (Scotland) Bill was introduced in the Scottish Parliament on 15 May 2024 by Douglas Ross MSP.
The Bill would provide people who have been diagnosed by a health professional as addicted to either alcohol or drugs, or both, to be provided with treatment. Those diagnosed would have a say in what treatment they receive and the treatment would be made available to them within three weeks of treatment diagnosis.
If a health professional decided no treatment is appropriate, or that the treatment which the person wants is not appropriate, then they must inform the individual in writing why this is the case.
Individuals could seek a second opinion from a different health professional if they did not agree with the original decision.
Clare Haughey MSP, Convener of the Health, Social Care and Sport Committee, said: “The tragic impact of alcohol and drug addiction is clear and is an issue this Committee takes extremely seriously.
“We’re keen to hear views on whether people agree with the purpose and extent of the Bill and whether it will help those facing drug and alcohol addiction. We want to know what the key advantages and/or disadvantages are of placing this right to receive treatment, for people with drug and alcohol addiction, in law.
“We also want to hear views on the proposed procedure for determining treatment, and timescales for providing treatment.
“We want to hear from individuals, charities and support groups who work in this area, health organisations, local and national government, the legal sector and academics. We look forward to hearing your views.”
People are being encouraged to share their views on plans for the future of foster care in Scotland.
The consultation, which will help ensure foster care is fit for the future, sets out proposals including more peer support opportunities, and using foster carers to facilitate family time with parents and siblings of children in foster care. The new approach could potentially offer an increased role for foster carers supporting families on the edge of care.
A national push to recruit more foster carers will also launch in 2025, with the aim of ensuring there are enough foster carers to support children in care.
Meeting foster carers earlier this week, First Minister John Swinney heard about the important role they play in supporting children and young people. Mr Swinney encouraged foster carers and children with care experience in particular to take part in the consultation.
Marking Care Experience Week, both the announcement of a new recruitment campaign next year and the consultation are key steps towards Keeping The Promise by delivering for care experienced children and young people.
Minister for Children, Young People and The Promise, Natalie Don-Innes, said: “We want Scotland to be the best place in the world to grow up. To do this we need to ensure that children and young people with care experience are given the support, love and nurture that they need.
“Foster carers have a key role to play in Keeping The Promise. The consultation is shaped by the honest and open reflections that have been shared by foster carers and children and young people with experience of foster care.
“I recognise some of the challenges facing foster care and that’s why along with the consultation, we will be launching a recruitment campaign for foster carers ensuring we can provide family-based care for those in need.”
Anne Currie, Assistant Director Scotland at the Fostering Network, said: “The Fostering Network is pleased the Scottish Government is launching a national consultation on fostering and is seeking the views of those most affected, foster carers and care experienced young people.
“We know urgent changes are needed to improve fostering and to Keep The Promise so all children and young people can grow up in stable, loving homes. It’s crucial that foster carers’ voices are heard, which is why we’re working with the government to host online and in-person engagement sessions to provide an opportunity to ensure their views are heard.
“Last year the number of fostering households in Scotland fell by 8%, so retention and recruitment of foster carers are more important than ever. We welcome plans to launch a national recruitment campaign and want to ensure current and former foster carers are involved in this as much as possible.”
It is crucial that the City of Edinburgh Council continues to engage with and then act on the views of its residents and communities as it considers options to make the significant savings needed, says spending watchdog the Accounts Commission.
The council isn’t alone in Scottish local government in having to make substantial savings. But the scale of savings needed – over £100 million by 2029 – means senior officers and councillors must work together to find sustainable ways to deliver differently, improve performance and ultimately reduce costs.
The council has ambitious plans to borrow money to improve housing and school buildings. But this will need to be managed carefully to ensure that plans are affordable and don’t have a detrimental impact on services.
Progress has been made since the Commission last reported, and many services are performing well. But now the council must address declining performance in areas including housing, waste and some aspects of street cleaning.
The Accounts Commission recognises the council’s ambitious plans to end poverty and become a net zero city by 2030.
Given current progress, however, there remains a significant amount of work to achieve these targets, not least in establishing cost implications.
Jo Armstrong, Chair of the Accounts Commission said:“We cannot underestimate the scale of financial challenge.
“The council has successfully achieved savings over recent years. But given increasing demand and financial pressures, the council must accelerate its transformation and change programme.
“Listening to and acting on the views of staff and local communities will be vital.
“The council has real opportunities, including the potential to raise more income. It shouldn’t use the potential of future income, however, to delay making difficult decisions now as challenges will only intensify.”
Council Leader, Cammy Day, said: “We’re encouraged by the Commission’s findings, which recognise the good progress the Council has made since 2020.
“We’ve delivered a lot of change at a time of huge pressure on our services and on our budget, but we’ve stayed true to our priorities of protecting day-to-day services and investing in a fairer, greener future. Our aims to eradicate poverty and become net-zero by 2030 are ambitious, but we need to be aspirational to make sure they stay at the top of our priority list.
“Our focus on getting the basics right for our residents, meanwhile, is also bearing fruit with Edinburgh now a top performing Council in Scotland for street cleanliness, and continued improvements in key areas such as road conditions.
“We acknowledge, however, that there is still much more to be done and we’ve targeted substantial additional resources into key services such as housing, where we know performance has to improve if we are to tackle Edinburgh’s housing emergency.
“We’re continuing to adopt new technologies to make it easier for residents to come to us for help and, as recognised in the report, we’re looking forward to realising the huge benefits our Visitor Levy proposals will bring from 2026 – which we forecast will raise over £100m for the city by 2030.
“It’s no secret, however, that ever more difficult financial decisions lie ahead. Despite the unique pressures that come with being Scotland’s capital city, Edinburgh remains the lowest funded council per head in Scotland, which is having a huge impact on our finances.
“The latest projections show that we will face a budget shortfall of at least £30m next year and we’ll need to work even harder to ensure we can keep on delivering best value for the people of Edinburgh.”
The City of Edinburgh Council is asking tenants to give their feedback on how it invests in Council homes, neighbourhoods, and services.
With just six weeks to go until this year’s consultation closes on Friday 29 November, tenants across the capital are being reminded to share their views on how they’d like their rent to be spent.
In February this year, councillors agreed to increase rent by 7% every year, for five years, starting in April 2024. The longer-term strategy gives tenants more certainty about the rent they pay and helps the Council better plan spending to improve homes and services.
The Council also introduced the Tenant Hardship Fund which offers financial assistance for tenants struggling to make rent payments. This year, the fund was increased to a maximum award of two fortnightly rent charges per tenant per year.
Housing, Homelessness and Fair Work Convener Jane Meagher said: “We’re determined to provide a better service to our tenants, improve their homes, and build more places for people to live because everyone deserves a suitable and affordable place to call home.
“That’s why we want to make sure as many people as possible have the opportunity to share their views on how we spend and invest in their homes, neighbourhoods, and services. I’d urge every tenant to visit our website and share their priorities for how they’d like their rent to be spent.
“I also want tenants and residents’ groups to know that they can come to us if they’re worried about being able to pay their rent or have already missed payments.”
Health Secretary calls on entire nation (i.e. ENGLAND) to shape the government’s plans to overhaul the NHS
Public, clinicians and experts urged to submit ideas for its future as new online platform Change.NHS.uk goes live today – putting staff and patients in driving seat of reform
Responses will shape government’s 10 Year Health Plan to fix broken health service and deliver government mission to build an NHS fit for the future
The biggest national conversation about the future of the NHS since its birth is set to be launched today (Monday 21 October), as the entire country is called upon to share their experiences of our health service and help shape the government’s 10 Year Health Plan.
Members of the public, as well as NHS staff and experts will be invited to share their experiences views and ideas for fixing the NHS via the online platform, change.nhs.uk, which will be live until the start of next year, and available via the NHS App.
The public engagement exercise will help shape the Westminster government’s 10 Year Health Plan which will be published in spring 2025 and will be underlined by three big shifts in healthcare – hospital to community, analogue to digital, and sickness to prevention.
As part of the first shift “from hospital to community”, the UK government wants to deliver plans for new neighbourhood health centres, which will be closer to homes and communities. Patients will be able to see family doctors, district nurses, care workers, physiotherapists, health visitors, or mental health specialists, all under the same roof.
In transforming the NHS from analogue to digital, the government will create a more modern NHS by bringing together a single patient record, summarising patient health information, test results, and letters in one place, through the NHS App.
It will put patients in control of their own medical history, meaning they don’t have to repeat it at every appointment, and that staff have the full picture of patients’ health.
New laws are set to be introduced to make NHS patient health records available across all NHS trusts, GP surgeries and ambulance services in England – speeding up patient care, reducing repeat medical tests, and minimising medication errors.
Systems will be able to share data more easily, saving NHS staff an estimated 140,000 hours of NHS staffs’ time every year, because staff will have quicker access to patient data, saving time that can then be spent face-to-face with patients who need it most and potentially saving lives.
By moving from sickness to prevention, government wants to shorten the amount of time people spend in-ill health and prevent illnesses before they happen. As an example, the 10 Year Health Plan will explore the opportunities smart watches and other wearable tech may offer patients with diabetes or high blood pressure, so they can monitor their own health from the comfort of their own home.
The launch of the new online platform will take place at a health centre in East London, where the Secretary of State will meet with the Chief Executive of the London Ambulance Service before the first engagement event involving NHS staff from across the healthcare system as a start to the national conversation.
Prime Minister Keir Starmer said: My mum worked for the NHS, my sister worked for the NHS and my wife still works for the NHS – so I know first-hand how difficult it has been for staff, and for patients battling against a broken system for over a decade. But it’s time to roll up our sleeves and fix it.
“We have a clear plan to fix the health service, but it’s only right that we hear from the people who rely on the NHS every day to have their say and shape our plan as we deliver it. Together we can build a healthcare system that puts patients first and delivers the care that everyone deserves.
“We have a huge opportunity to put the NHS back on its feet. So, let’s be the generation that took the NHS from the worst crisis in its history and made it fit for the future.”
Health and Social Care Secretary Wes Streeting said: “When I was diagnosed with kidney cancer, the NHS saved my life, as it has for so many people across our country. We all owe the NHS a debt of gratitude for a moment in our lives when it was there for us, when we needed it. Now we have a chance to repay that debt.
“Today the NHS is going through the worst crisis in its history. But while the NHS is broken, it’s not beaten. Together, we can fix it.
“Whether you use the NHS or work in it, you see first-hand what’s great, but also what isn’t working. We need your ideas to help turn the NHS around.
“In order to save the things we love about the NHS, we need to change it. Our 10 Year Health Plan will transform the NHS to make it fit for the future, and it will have patients’ and staff’s fingerprints all over it.
“I urge everyone to go to Change.NHS.uk today and help us build a health service fit for the future.“
Investment alone won’t be enough to tackle the problems facing the NHS, why is why it must go hand in hand with fundamental reform.
The three big shifts will be our key principles for reform and will revolutionise the way people manage their health and access care. Our reforms will also shift the NHS away from late diagnosis and treatment to a model where more services are delivered in local communities and illnesses are prevented in the first place.
It is vital the government hears from patients, experts and the NHS workforce to make sure we get this right and preserve the things people value about the health service.
NHS England Chief Executive Amanda Pritchard said: “NHS staff are facing an unprecedented number of challenges – with record demand for care, alongside growing pressures from an ageing population, rising levels of multiple long-term illnesses and patients with more complex needs. And they are often hampered by working in crumbling buildings with outdated tech, meaning too many patients are waiting too long for care they need.
“So, it is vital the health service innovates and adapts – as it has always done throughout its 76-year history – to design and deliver an NHS fit for the future.
“The 10 Year Health Plan is a chance to make the best practice, normal practice across the country. So, we will be carrying out the largest ever staff engagement exercise in NHS history and leaving no stone unturned as we seek to harness frontline views, alongside those of patients and the public, to ensure this happens.
“It is your experiences – good, bad, and sometimes frustrating – that we need to help shape this once in a generation opportunity, so please get involved!”
Bold ambitions for the NHS can only be achieved by listening to the expertise and knowledge of its 1.54 million strong workforce. Their understanding of what’s holding them back from performing at their best will help us bring down waiting times and provide the world class care the public deserve.
The government has already taken immediate action to address challenges in the health service and deliver an NHS fit for the future. Whether that’s agreeing a deal with resident doctors within weeks, securing a funding increase for GP practices to manage rising pressures or hiring an extra 1,000 GPs into the NHS by the end of this year, there are both short- and long-term reforms working hand in hand.
Lord Ara Darzi said: “As my recent Investigation found, the NHS is in need of urgent and fundamental reform. The 10 Year Health Plan comes at a crucial moment—and by describing the ultimate destination for the health service, it will help improve decision-making in the here and now.”
The start of this national conversation on the future of the NHS follows on from Lord Darzi’s independent report into the health service that diagnosed its condition. Lord Darzi concluded the NHS is in a ‘critical condition’ with surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services.
The launch of the engagement exercise for the 10 Year Health Plan will build on these findings and is the next step to delivering the Government’s mission to fix the NHS and deliver a health service fit for the future.
Rachel Power, Chief Executive of The Patients Association, said: “We warmly welcome this ambitious initiative to engage with patients, staff, and the public on the future of our NHS.
“For far too long, many patients have felt their voices weren’t fully heard in shaping health services. This national conversation, initiated by the government, marks a significant step towards genuine patient partnership and puts patients at the heart of the NHS’s evolution.
“Through our work as an independent charity, we speak directly with thousands of patients living with various health conditions each year. This gives us valuable insights into diverse experiences across the health and care system, from widely shared patient needs to unique challenges faced by underrepresented groups.
“We’re eager to contribute these wide-ranging perspectives to help shape a health service that truly meets the needs of everyone it serves.”
Louise Ansari, Chief Executive of Healthwatch England said: “We know people appreciate the hard work of NHS staff, but they are all too aware that the NHS faces many challenges that need fixing. The 10-year plan provides the opportunity to do this.
“We urge everyone to have their say on how the NHS should deliver better care to people where and when it is needed, more support to help people stay well, and a culture of listening to and acting on the views of patients.
“All too often, people face unequal access to care, with disabled people and those on lower incomes being particularly at risk. The NHS belongs to us all, so you must speak up and help create a health service that is fit for the future – equal and inclusive for everyone.”
Cllr Louise Gittins, Chair of the Local Government Association said: “The NHS rightly holds a place in our nation’s heart, being there for us at moments of great joy, deep sadness, and everything in between. It is also one of local government’s most important partners. What each side does can impact the other.
“Every one of us is unique, complex and carries different ambitions. The NHS plays a key role in helping us to live the life we want to lead, but it cannot do it alone. Through social care and wider wellbeing activity, councils play an essential role in supporting people to do what matters most to them and live a meaningful life.
“This exercise is therefore crucial for the future of health, social care and wellbeing.”
Caroline Abrahams, Charity Director at Age UK said: “We are delighted to see this first, essential part of developing the 10-year plan getting going.
“With our rapidly ageing population it’s important that the plan takes fully into account the needs of tomorrow’s older people as well as today’s and helps all of us to age confidently and well. We encourage everyone to get involved and have their say – it’s almost certainly a once in a generation opportunity to do so.”
The Deputy Chief Executive of NHS Providers, Saffron Cordery said: “This will be a landmark moment for the NHS.
“Trust leaders are ready and willing to work with the government to tackle the many challenges the NHS currently faces to create a ‘next generation’ NHS fit for the future.”
Jacob Lant, Chief Executive of National Voices said: “We are encouraged by the ambitious approach the Government is taking to involve patients and organisations from across the sector in shaping the 10 Year Plan.
“We are excited to play our part in this, and will be working with our members to ensure that people from marginalised and minoritised communities are able to shape the discussions and big decisions ahead.
“Closing the gap in healthy life expectancy is a shared ambition of this Government and the National Voices coalition, and we will work tirelessly to ensure no groups are left behind.”
Matthew Taylor, Chief Executive of the NHS Confederation said: “Following more than a decade of underinvestment and in the face of some serious challenges we are reaching a turning point for the NHS.
“The 10-year plan will set the service on a path towards being put on sustainable footing so that it can best serve our population. No one working in the NHS will argue that it works perfectly – its staff have been crying out for change and we hope the ten-year plan will deliver for them and their communities, including by listening to the reality of their experiences and by incorporating the many examples of best practice and innovation that are taking place across the country.”
Helen Walker, Chief Executive of Carers UK said: “We are excited to see this first engagement phase of the NHS 10 Year Plan, a process which will include unpaid carers and ask for their views about the kind of health service they want to see in the future.
“We wholeheartedly agree with the recommendations from the Darzi review which suggested there should be a “fresh approach to supporting unpaid carers”. Unpaid carers are critical to the NHS and the NHS is a critical service for them, but it’s not always set up to help carers and can make their lives harder.
“England’s 4.7 million unpaid carers provide the bulk of support for older, ill and disabled relatives, helping millions to live in local communities where they want to be. Their support is valued at £152 billion, the equivalent of a second NHS, but they also face greater health inequalities and poorer health outcomes.
“With one in three NHS staff also juggling work and care, there’s a real opportunity to create a service which truly supports families who provide unpaid care. We see this as a win:win situation – helping families and building an NHS which is fit for the future; delivering better outcomes for everyone.”
Cancer Research UK’s chief executive, Michelle Mitchell, said: “We welcome the UK Government’s move to start a public conversation about the future of the NHS in England.
“Despite the best efforts of its hard-working staff, the NHS is under extreme pressure. This exercise is another important step in the process towards developing a 10-Year-Plan that should ensure all cancer patients across the UK get the care they deserve.”
NO mention of Scotland?Health is a devolved issue, but I’m sure our suggestions will be welcomed, too! – Ed.
The City of Edinburgh Council is asking tenants to give their feedback on how it invests in Council homes, neighbourhoods, and services.
With just six weeks to go until this year’s consultation closes on Friday 29 November, tenants across the capital are being reminded to share their views on how they’d like their rent to be spent.
In February this year, councillors agreed to increase rent by 7% every year, for five years, starting in April 2024. The longer-term strategy gives tenants more certainty about the rent they pay and helps the Council better plan spending to improve homes and services.
The Council also introduced the Tenant Hardship Fund which offers financial assistance for tenants struggling to make rent payments. This year, the fund was increased to a maximum award of two fortnightly rent charges per tenant per year.
Housing, Homelessness and Fair Work Convener Jane Meagher said:“We’re determined to provide a better service to our tenants, improve their homes, and build more places for people to live because everyone deserves a suitable and affordable place to call home.
“That’s why we want to make sure as many people as possible have the opportunity to share their views on how we spend and invest in their homes, neighbourhoods, and services. I’d urge every tenant to visit our website and share their priorities for how they’d like their rent to be spent.
“I also want tenants and residents’ groups to know that they can come to us if they’re worried about being able to pay their rent or have already missed payments.”
Boundaries Scotland are reviewing Scottish Parliament boundaries to make them more fair.
The Second Review of Scottish Parliament Boundaries started in September 2022. In early 2023 and again in April/May 2024 we consulted on proposals for constituency boundaries and names.
We are now consulting on Provisional Proposals for region boundaries and names.
The rules that govern Scottish Parliament region design are
a constituency must fall wholly within a region.
the electorate of a region must be as near the regional electorate of each of the other regions as is practicable, having regard (where appropriate) to special geographical considerations.
Why is this happening?
Boundaries Scotland undertakes reviews of Scottish Parliament boundaries every 8 -12 years to ensure each region or constituency has an equal number of electors.
What Boundaries Scotland says
We now want to hear the views of the public on our proposals, we will reflect on responses to the consultation and make changes where appropriate and where the legislation allows us to do so. We strongly encourage people to make their views heard.
Views are being sought on a new strategy Palliative Care Matters for All.
Palliative care is holistic care that prevents and relieves suffering through the early identification, assessment and management of pain and other problems – whether physical, mental, social or spiritual.
An ageing population that is living longer, with more complex needs, means more people will need access to palliative care in the future. The draft strategy has been developed in collaboration with the palliative care community and people who have experience of palliative care.
The aim is to deliver the best possible standards of palliative care for adults and children, families, and carers wherever and whenever it is needed.
The public are being asked for their views on a palliative care strategy consultation published by Public Health Minister @Jenni_Minto.
Public Health Minister Jenni Minto said: “Talking more openly about palliative care is the first step to understanding how and when it can benefit us – often at a much earlier stage and for longer than most people realise.
“We want to make sure that everyone who needs it can access well-coordinated, timely and high-quality palliative care along with care around dying and bereavement support.
“This consultation is important as many of us at some point in our lives will need to have conversations with people close to us about serious illness, death and loss. We’re asking the public to share their views with us to help shape our new strategy, because palliative care matters to us all.”
Scottish Government Palliative Care Clinical Lead and Chair of the Palliative Care Strategic Steering Group Dr Kirsty Boyd said: “I have seen first hand how timely, high quality palliative care can really make a difference to people and their families in supporting them to live their life to the full.
“Palliative care focuses on what matters to each adult or child and how we help them live as well as possible for however long that is. What counts when someone is dying is that they are well cared for, comfortable and with the people closest to them wherever they are.”
Edinburgh Libraries are developing a new Future Libraries Strategy that will provide a framework for service delivery and development for public and school libraries over the next five years.
To help shape the new strategy and inform future proposals for change, Council Committee agreed to carry out an engagement and consultation process to gather feedback from individuals, groups, and stakeholders across the city.
The first stage of the engagement process was successfully carried out earlier this year, and I’m pleased to let you know that the next stage of our “Future Libraries” consultation is now live and will run until 18 December.
As a valued stakeholder, we would appreciate your involvement and to hear your views and ask that you complete the consultation questionnaire which can be accessed here https://www.edinburgh.gov.uk/futurelibraries
Over 14,000 individuals, groups and organisations provided feedback in our initial engagement activity held between 26th January 2024 – 19th April 2024.
We have now considered the views and ideas that were gathered through this activity alongside our existing data on service use and knowledge of how the service operates and have used the information to shape our new draft Future Libraries Strategy 2024 – 2029.
The information has also helped to inform the identification of potential options for change to library opening hours and how the service manages events and activities. Both the draft Strategy and information about the potential options for change are available at the above Future Libraries website.
You can also find our Engagement Report there, which provides a summary of the findings from the engagement process. We hope you will find it of interest and that you might find some time to give us your views on the draft Future Libraries strategy and any proposals for change to opening hours and how the service manages events and activities by completing the consultation questionnaire.
We would also appreciate your support in ensuring the questionnaire is promoted widely and reaches as many people as possible including those who do not currently use library services. It would therefore be very helpful if you are able to let your service users, clients or group members know about the questionnaire and encourage them to provide us with a response.
Legislation to raise funds for fixing cladding issues
Proposals for a tax on developers, aiming to raise funds to fix building safety issues in Scotland, have been published for public consultation.
Views are being sought on the proposed Scottish Building Safety Levy, which will be introduced under powers due to be devolved by the UK Government later this year. The consultation will open on 23 September and run for eight weeks, closing on 18 November.
The levy would apply to the construction of new residential buildings, mirroring measures being introduced in England through the UK Building Safety Act. Funds raised would support the Scottish Government’s cladding remediation programme.
Finance Secretary Shona Robison said: “We are keen to hear from people across Scotland about our proposals, which would raise funds from developers to help safeguard people living in buildings with unsafe cladding.
“I know that developers share our determination to keep people safe and have continued to make significant progress.This legislation will build on that momentum, ensuring developers make a fair contribution to address building safety defects in Scotland, just as the UK Government is asking them to do in England.
“We are continuing our work in partnership with developers, in line with our New Deal for Business and Framework for Tax, to ensure this levy best contributes to our mission of keeping people safe.”
