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Committee

Health, Social Care and Sport Committee 26 March 2024

26 Mar 2024 · S6 · Health, Social Care and Sport Committee
Item of business
Subordinate Legislation
Alcohol (Minimum Price per Unit) (Scotland) Amendment Order 2024 [Draft]
McKelvie, Christina SNP Hamilton, Larkhall and Stonehouse Watch on SPTV
Good morning, convener and colleagues. I am pleased to be in front of the committee today to discuss minimum unit pricing and the two draft orders that were laid on 19 February. The Alcohol (Minimum Pricing) (Scotland) Act 2012 (Continuation) Order 2024 seeks to continue the effect of the minimum unit pricing provisions beyond the initial six-year period, while the Alcohol (Minimum Price per Unit) (Scotland) Amendment Order 2024 seeks to change the level from 50p per unit to 65p per unit. Scotland is facing a growing burden of disease over the next 20 years. Non-communicable diseases are the leading cause of death and ill health in Scotland, and alcohol is one of the key contributors in that respect. Committee members will know that, in September 2023, the Scottish Government published its report on the effect of minimum unit pricing in its first five years of operation. That report drew heavily on the studies included in Public Health Scotland’s comprehensive evaluation of the policy, which was commended by internationally renowned public health experts, including Professor Sir Michael Marmot and Professor Sally Casswell. Public Health Scotland estimated that, over the study period, minimum unit pricing reduced alcohol-attributable deaths by 13.4 per cent—or 156 people a year—and was likely to have reduced hospital admissions that were wholly attributable to alcohol by 4.1 per cent, compared with what would have happened had minimum unit pricing not been in place. Alongside consideration of the impact of minimum unit pricing, the Scottish Government undertook a review of the price per unit. The decision to lay regulations increasing the price per unit to 65p is underpinned by modelling carried out by the University of Sheffield. Its research suggests that, to maintain the value of the price per unit and, therefore, to continue to achieve the public health benefits at a level estimated by Public Health Scotland in the evaluation, the minimum unit price should be increased to at least 60p. However, it is clear that Scotland is continuing to experience significant levels of alcohol harm, and as a result, the Scottish Government is proposing to increase the price per unit to 65p in order to further increase our policy’s public health benefits. I expect—and the University of Sheffield’s modelling predicts—that implementing the increase will save additional lives. I know that some people do not agree with minimum unit pricing, but we have considered their concerns in reaching our position. At round-table meetings that were held in 2023, many business stakeholders told us that implementing any price change quickly might be difficult. That was echoed by the regulatory review group, which recommended that a six-month implementation period would be necessary to allow business to prepare for a price increase. I am pleased to say that we have listened and, should Parliament agree to increase the minimum unit price, it will be implemented from 30 September 2024. I am clear that minimum unit pricing is a vital part of the Scottish Government’s approach to tackling alcohol-related harm. However, it is not a silver bullet; no single intervention on issues as complex as alcohol harm would be. For a start, according to some findings in the Public Health Scotland evaluation, it was clear that some who were alcohol dependent had experienced additional challenges linked to the price of alcohol increasing. I know that specialist support and treatment are vital for those people, so, to that end, the Scottish Government has provided record funding of £112 million this year for Scotland’s alcohol and drug partnerships. That funding supports the critical delivery of services to those affected by alcohol dependency, including outreach, psychosocial counselling, in-patient and community alcohol detox, access to medication, alcohol brief interventions, alcohol hospital liaison and alcohol-related cognitive testing. In addition, residential rehabilitation offers programmes that aim to support individuals to attain an alcohol or drug-free lifestyle. Public Health Scotland’s most recent interim report, which was published in December last year, showed that, of the 386 ADP-approved residential rehab placements, almost half—48 per cent—were for people with problematic alcohol use and 20 per cent were for people with both alcohol and drug issues. Moreover, in 2023-24, the Government provided £13 million in funding through the Corra Foundation in support of a range of projects helping those with substance addiction issues, including alcohol dependency, into treatment and recovery. Minimum unit pricing is an important part of our approach to reducing alcohol harm and improving the health and wellbeing of our population. The decision to continue minimum unit pricing and to increase the price per unit to 65p will show that Scotland continues to be world leading in our policies to improve the health of people in Scotland. That position was recently supported by more than 80 third sector organisations, senior clinicians and leading public health academics from Scotland, the rest of the United Kingdom and further afield. Convener, I look forward to discussing the issue further with you this morning, and I welcome questions from you and your colleagues.

In the same item of business

The Convener SNP
Agenda item 2 is consideration of two draft affirmative instruments, the first of which is the draft Alcohol (Minimum Pricing) (Scotland) Act 2012 (Continuat...
The Minister for Drugs and Alcohol Policy (Christina McKelvie) SNP
Good morning, convener and colleagues. I am pleased to be in front of the committee today to discuss minimum unit pricing and the two draft orders that were ...
The Convener SNP
Thank you, minister, for that opening statement. As it has pre-empted what was going to be my first question, I will move on to my next. You touched on clai...
Christina McKelvie SNP
As I have said, not everybody agrees with minimum unit pricing, but Public Health Scotland’s evaluation, the work that we have done, and the 80 organisations...
The Convener SNP
Thank you for that. I should also place on record a reference to my entry in the register of members’ interests as a registered mental health nurse with a cu...
Christina McKelvie SNP
Last week, I met the industry partnership group to discuss further proposals and how we might work together on the issue, which is something that I am very c...
The Convener SNP
Has there been an impact on the sales of other products, such as whisky and other spirits?
Christina McKelvie SNP
According to our analysis, there seems to have been no impact on that type of alcohol, because its unit price in the off-trade was already well in excess of ...
The Convener SNP
Tess White has a supplementary question. 09:30
Tess White (North East Scotland) (Con) Con
The Public Health Scotland evaluation of MUP is riddled with holes, as are the Scottish Government’s conclusions about its effectiveness. That is not my view...
Christina McKelvie SNP
I do not agree with that characterisation of the evaluation. The Scottish Government tasked Public Health Scotland with undertaking an independent evaluation...
Sandesh Gulhane (Glasgow) (Con) Con
I declare my interest as a national health service general practitioner. Minister, you spoke about underage drinkers. Can you point me to the evidence that ...
Christina McKelvie SNP
There has been a pretty marked impact on underage drinking. We should look at that in more detail, because it surely demonstrates the benefits of doing the h...
Sandesh Gulhane Con
Are you specifically saying that MUP has led to a decrease in underage drinking? That was my question.
Christina McKelvie SNP
The Public Health Scotland evaluation did not find that and did not go into that detail, but the Health Behaviour in School-aged Children survey did. That ga...
Sandesh Gulhane Con
I am sure that that is the case, but the quote that you used was about underage drinking and Public Health Scotland said that it has found no evidence that M...
Christina McKelvie SNP
Public Health Scotland has said that, yes.
Carol Mochan (South Scotland) (Lab) Lab
Thank you, minister, for your opening statement. I am interested in some of the other measurements that we might look at around MUP. We have seen strong evid...
Christina McKelvie SNP
There are a couple of things there. Public Health Scotland’s analysis showed that the biggest impact was on men and on people in the 40 per cent most deprive...
Katherine Myant (Scottish Government)
As the minister has said, the Public Health Scotland evaluation took a theory-based approach. One of the things that it did was to look at any potential unin...
Christina McKelvie SNP
The thing is that dependent drinkers were never the focus of this policy; the focus was always on the people who drink at harmful and hazardous levels. As I ...
Carol Mochan Lab
Yes, it had been suggested that that might happen, but there is some evidence—
Christina McKelvie SNP
The front-line organisations that support people had that worry, but it has not materialised. They have been pretty open; I think that they have said in evid...
Carol Mochan Lab
To be clear, as this is an important policy that we will be voting on, is the Government confident that it worked in the area that it should have worked in a...
Christina McKelvie SNP
We are not committing to a huge Public Health Scotland review such as the one that we have just done. However, I am committed to reviewing the areas that we ...
Ivan McKee (Glasgow Provan) (SNP) SNP
Good morning, minister. I have a brief supplementary question following on from the conversation around Sandesh Gulhane’s question. With regard to underage d...
Christina McKelvie SNP
We have analysed that cross-border comparison of what is happening here compared with other parts of not just the whole of England, but England and Wales and...
Ivan McKee SNP
To be clear, I assume that data is available on alcohol consumption rates in Scotland versus the rest of the UK. What does that show for young people?
Katherine Myant
The Health Behaviour in School-aged Children survey is a multicountry survey, so we can compare Scotland with other countries. Those trends are also observed...
Emma Harper (South Scotland) (SNP) SNP
Thank you for being here this morning. I am interested in how the pandemic impacted alcohol consumption. I have a wee brief in front of me from Alcohol Focus...