łÉČËżěĘÖ

Skip to main content
Loading…

Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

Filter your results Hide all filters

Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 23 June 2025
Select which types of business to include


Select level of detail in results

Displaying 1165 contributions

|

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 3 October 2023

Paul Sweeney

Okay, thank you. My next question is also on the co-design process. There have been a lot of regional events to ensure that there is geographic coverage, but what other methods did you undertake to ensure that as many different stakeholders—underrepresented voices, in particular—as possible were given sufficient opportunity to input to the process?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Is a big institutional culture change still needed in Scotland? I know, for example, that when the unofficial overdose prevention pilot ran in Glasgow, the dean of the medical school at the University of Glasgow wrote to the students who were volunteering on it and said, “You’re jeopardising your GMC registration as doctors. Desist from doing this.” People were threatened with losing their jobs with third sector providers for volunteering and participating in those activities. Is there still an instinctive risk aversion from a lot of third sector and public sector bodies about engaging in MAT provision?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Thank you.

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Thank you—that is appreciated.

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

I thank the witnesses for that insight—it really helps to inform us.

It is interesting to reflect on the interface with the previous theme that we discussed, on supply chains. Throughout the 1990s, the national health service routinely prescribed benzodiazepines, and then there was a sudden pivot point in the early 2000s. Prescribing has since been restricted, thus seeding an illicit supply chain, which has caused significant problems, as you will be aware, and has driven the issues with drug-related deaths.

The June figures demonstrated that a third of alcohol and drug partnerships have failed to implement the first five MAT standards and we have covered some of the broad reasons for that. Does the overdose prevention pilot in Glasgow present a potentially novel interface for looking at how to improve MAT standards and provide an integrated interface for people to access care? It is about people transitioning from street-bought drugs into a more controlled MAT environment and so not relying on dangerous drugs that are supplied by organised criminals.

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Fair enough. Does anyone have an insight on that potential interface?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Thanks to the witnesses for their contributions so far.

The Minister for Drugs and Alcohol Policy said that the overdose prevention pilot in Glasgow will be limited to some extent by the Lord Advocate’s guidance in relation to the constraints imposed by the Misuse of Drugs Act 1971, but it could also potentially be limited by the design of the facility. Does the panel have a view on whether the pilot being a higher-threshold service could hamper its efficacy, bearing in mind that the enhanced drug treatment service in Glasgow is available only to people who are already engaged with the homeless addiction team, and that it was only designed to scale up to accommodate a maximum of around 40 persons using the facility regularly? Do you believe that there are potential constraints?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

Thanks for that. Are there any other thoughts on that and about the initial stages of the initiative?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

I noted that the initial heroin-assisted treatment pilot in Glasgow was a capital spend of ÂŁ1.2 million, which suggests that it was not scalable beyond a very limited network. In contrast, there are 45 needle exchanges in Glasgow, which might show the potential scale that we can move towards.

Are there any other thoughts on where this could evolve to?

Criminal Justice Committee, Health, Social Care and Sport Committee, Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 26 September 2023

Paul Sweeney

There will be co-location with the heroin-assisted treatment service. What will the interface for that be like? One of the big challenges with street injection is the purchasing of uncontrolled substances of unknown toxicity, dosage and so on. Will there be an effort to encourage people to substitute street-bought drugs with a prescribed alternative that is safer and more controlled?