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The Scottish Government is investing £250 million in the National Drugs Mission over the life of the Parliament to save and improve lives of people who use drugs, including veterans. For the first time this year we will have data on the number of veterans accessing drug and alcohol treatment services, using the new Drug and Alcohol Information System (DAISy). We will use this data to inform our work to better meet the needs of veterans who use drugs to support them to achieve their recovery goals.

The Scottish Government works with key veteran stakeholders, NHS Armed Forces and Veterans Champions and through the Armed Forces Personnel and Veterans Health Joint Group to ensure we create the conditions for and drive forward progress towards the ‘Distinctive Scottish Approach to Veterans Health’ as set out by the Scottish Veterans Commissioner.

The action taken by Scottish Government against this set of recommendations can be found here

The work of Armed Forces and Veterans Champions throughout Scotland is crucial to ensuring veterans can access the right support, guidance and services. The Scottish Government supports fully the work of the Champions in public sector organisations including Police Scotland, Local Authorities, the NHS, Department for Work and Pensions and Higher and Further Education institutions. I am chairing a roundtable with Local Authority Champions in late January.

We would encourage any service delivery organisation providing support to veterans to consider developing a veterans champion role.

The Scottish Government actively participates in a number of cross border networks through MoD/Department of Health Partnership Board and Department of Health and Social Care sub groups. These groups have UK wide representation and provide an opportunity to share information regarding veterans health.

In addition we have regular meetings with Office of Veterans Affairs and NHS England.

We established the Digital Mental Health Programme in late 2020 to oversee ongoing development of cCBT and other digital mental health services. The development and expansion of digital services was supported by a national implementation team.

The number of available cCBT treatments has increased from 1 in 2019 to 27 in 2022. The introduction of self-referral treatments, Sleepio and Daylight have greatly increased access to digital treatments with 25,668 self-referrals in 2022, compared to 12,356 the year before.

These numbers continue to rise, with usage of cCBT programs increasing from 22,385 in 2020 to 66,163 in 2022. We continue to invest in the long term sustainability of digital therapies (including cCBT), including innovation, staff training, evaluation and inclusion.

We recognise that veterans may have specific health needs as a result of their military service. Scottish Government works with key partners, including NHS Armed Forces and Veterans Champions to ensure that veterans are identified as a distinct group to ensure their needs are met within the healthcare system.

As a result of a project in NHS Fife, it was agreed at the UK wide MoD/ Department of Health and Social Care Partnership Board that a single code identifying veterans within primary care records be used.

In addition, as part of our commitment to establish a GP’s Armed Forces and Veterans Recognition Scheme, we have developed a training package for health and social care staff, working in general practices to help them understand the specific health needs that veterans can present with.

Last year we published ‘The Strategy For Our Veterans: Taking the Strategy Forward in Scotland – Our Refreshed Action Plan’ which sets out our commitment to obtaining data on veterans from the new Drug and Alcohol Information System (DAISy). DAISy includes a field identifier for veterans and will gather key demographic and outcome data on people who engage in drug and alcohol treatment services. This will provide useful data on the nature and scale of problem drug use among veterans across Scotland. We anticipate that Public Health Scotland will publish this data for the first time this year.

Scottish Government facilitates and provides secretariat to quarterly meetings with our NHS Armed Forces Personnel and Veterans Champions Network. These Network meetings enable Scottish Government, relevant stakeholders and Champions to exchange information, support one another in delivering work, share best practice and provide updates in relation to veterans health.

A letter was sent to Health Boards from National Clinical Director on 30 December 2020 requesting that Wheelchair and Seating services maintain and replace wheelchairs used by veterans to at least a level commensurate with that issued to them at the time of their discharge, provided it is safe and continues to meet their clinical and wheeled mobility needs. It confirmed that any additional costs associated with servicing, maintaining, replacing – which are expected to be low – will be met by the providers.

Scottish Government has established a working group to further progress our vision of developing a Scottish Veterans’ Treatment Pathway. The pathway will integrate physical, mental and wellbeing support and provide a route for treatment for veterans presenting with a service-related injury, which remains a cause for concern despite treatment, either previous or current.

The funding mechanism is still to be determined this may include a specialist services being commissioned by National Services Division through their standard process