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Drug Addiction

Volume 299: debated on Wednesday 30 July 1997

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To ask the Secretary of State for Scotland what arrangements are in place for monitoring the use and effectiveness of methadone as a heroin substitute. [11271]

Arrangements for the delivery of substitute prescribing programmes, including monitoring the use and effectiveness of services, are a matter for local consideration in the first instance. The use and effectiveness of substitute prescribing programmes are issues addressed in new national guidance on drug misuse services which has been prepared by my department, discussed with the Scottish Advisory Committee on Drug Misuse, and is now the subject of wide consultation.

An additional £1 million is being made available to health boards in this financial year to fund shared care arrangements for drug misusers, which will include monitoring and evaluation of projects.

To ask the Secretary of State for Scotland if he will make a statement on the Government's policy on the use of methadone as a heroin substitute for heroin addicts in Scotland. [11270]

Substitute prescribing, including the use of methadone as a heroin substitute, is a method of harm reduction which has an important part to play in tackling drug misuse in Scotland. It needs to form part of a comprehensive package of care tailored to the individual needs of the drug misuser, which includes counselling and support and supervision of the taking of the drug, to prevent leakage onto the illicit market.My Department is issuing detailed guidance on good practice in substitute prescribing to all GPs and relevant health professionals in Scotland.

To ask the Secretary of State for Scotland if he will give the expenditure on the provision of methadone to heroin addicts (a) by health board and (b) in total for each of the last 10 years in Scotland. [11272]

The information by health board and Scotland for the financial years 1994–95 to 1996–97 is set out in the table.The costs shown include the value of ingredients and the cost of fees paid to community pharmacists for dispensing the drug.The information is not available in the form requested before 1994–95.

Cost of methadone prescribing: 1994–95 to 1996–97
Health board1994–95 (£)1995–96 (£)1996–97 (£)
Argyll and Clyde100,617142,918206,117
Ayrshire and Arran156,791166,850251,422
Borders4,8755,3538,332
Dumfries and Galloway31,71048,30453,417
Fife30,59159,35486,943
Forth Valley94,81098,901113,965
Grampian186,454264,363269,263
Greater Glasgow1,169,8941,620,8191,924,393
Highland8,08215,33715,699
Lanarkshire36,89155,30985,164
Lothian435,881533,992631,033
Orkney409351405
Shetland961,3901,712
Tayside253,504292,917348,973
Western Isles16214
Scotland2,510,6213,306,1793,996,832