이어ntwch. That concludes the debate and it's time to move on to the next item of business. The final item of business is a members' business debate on Motion 4-3-6-4 on behalf of Michael Marra on Dundee Drugs Commission review report. That will be concluded without any questions being put and as ever I would invite members who wish to participate to press their request to speak buttons. I'll place an hour on the chat function as soon as possible. I call on Mr Marra, to open the debate for around seven minutes. Gideg, mae diwrth o ran hynny rydyn ni g 버wch drwsgwrthityntau yma yng Nghymru yn hollwyr o bryd i gael yr MSPs a'r lleib i dywedig iddym nhw, a ddiffrwstaint o drwsgwrthinyntau iddap acom yn gweithio'r llai嫁edais, mae gweld rhaid. Rydyn ni'n ddysgu'r gweithio. Rydyn ni'n ddysgu'r gweithio. Rydyn ni'n ddysgu'r ddysgu'r chyпер yng nghymysgwrthyn o'r comisiwn, Dr Robert Pete. I review my files in preparation for this debate, I revisited a litany of action papers, a plethora of delivery plans, many statements of intent, thousands of warm words from both political and service leadership in Dundee. Yet here we are, no action, just despair. The cost of not changing is measured in lost lives, ruined families, despair that does not run through just families but through generations. At the centre of these reports in the commission is a model of addiction service that is isolated and outdated, that operates apart from primary care, apart from acute medical care and in purposeful isolation from mental healthcare. Staff in Dundee drug and alcohol recovery services work incredibly hard in very challenging circumstances. They are frequently understaffed. They feel under attack, they want to provide care and they want to feel proud of the care that they give. But the reality of the service is punitive, is overly medicalised and frankly it's a broken system. The response was to rebrand it for what I believe was the fourth time. Folk in Dundee still called the service the name it had 20 years ago. The name does not matter when it is still doing the same thing. It's our job here to ask what is stopping real change and that's my central question to the minister today. Why minister? No change. I do think that this Government has no real track record of public service reform. I do believe that the lack of government knowledge about a lead reform over the last 15 years and the lack of thirst to see it happen is part of the problem. Let me give Parliament an example. One of the key findings of the Dundee drugs commission was that addiction services and mental health services could not be accessed in tandem by one suffering individual. In fact, accessing addiction services meant that you specifically could not access mental health services. I don't believe anybody in this chamber or anybody working in those services or any family believes that mental health and substance abuse are not linked. For so many, they are two sides of the same coin. But it was not just this commission and those commissioners that came to this conclusion. The Dundee Poverty Commission years ago said the same thing. The strong review into the dreadful state of our mental health services in Tayside said the same thing. Yet a very senior officer in the Dundee Health and Social Care Party said to me, we do not recognise this description. This has gone way past a lack of evidence or analysis. It is an obdurate refusal to listen, to accept a truth, because that would mean that change has to happen. I believe that the minister knows it, that she shares some of the same frustrations. The minister's own report just last week on Matt Standards said that, despite cast iron assurances of implementation, we know as a Parliament and as a country that we are nowhere near it. Dundee has had it even longer, because Matt Standard 1, on the same day prescribing, as the minister will know, was required by the first report of the commission, the Dundee Drugs Commission, three years ago. But ministerial direction, I am afraid, will not cut it. If I would ask the minister one question today, it is that question of why. Why can this not change? What is stopping change, minister? Is it money? Is it people? Is it culture? Why has Scotland seemed to have lost the ability to adapt and to move? But let us be clear, moving all decision making to the centre would be a real disaster. The character and the nature of drug abuse differs hugely from time to time from city to city. Services must be designed and procured locally. Even in my region, the difference between the kind of behaviours and substances that are used in Aberdeen differs markedly to what happens in Dundee. It has to be responsive. If there is one thing that I have learned particularly from this commission, it is the character of drug abuse in the city. We all know the cost, but the character of what happens, the particular problem of benzodiazepine use, the increase in impact on women and the loss of female lives and the huge link with poverty, which is particularly pronounced in Dundee, has been set out clearly. The Dundee Drugs Commission is now closed. The commissioners wish to pass the baton, and they have given four years to this work. They have listened to harrowing testimony, some of them reliving trauma from their own past and their present lives. They have our thanks, but, frankly, they do not want it. They want progress, but they are certainly due to our respect, which has, in my belief, been sorely lacking from those who their reports gently but rightly damn. The commissioners demand real leadership, real leadership of reform. They demand permanent, external, independent scrutiny, because they clearly have no faith in current systems of accountability. And what they ask of us as politicians is determination. The people of Dundee are demanding change, so the lives of our friends, our relations, our fellow Dundonians might be saved. Thank you, Mr Marr. We now move to the open debate. I call Joe Fitzpatrick to be followed by Claire Baker for around four minutes. Thank you, Presiding Officer. I am very grateful to my computer for switching back on with these. I apologise. Thank you, Presiding Officer. I am very grateful to the Dundee Drugs Commission for their review report, and I want to recognise the considerable work that is undertaken by all those involved, particularly to Dr Robert Pete and Andy Perkins, and for their regular updates on the review at meetings with myself and my colleague Shona Robison. Progress to implementing the commission's recommendations has not been good enough or fast enough. The commission's review sets out very clearly the actions that need to be taken across the city by a range of partners. The recommendations must be accepted in full and implemented as quickly as possible. This is a relatively short debate, so I am not going to cover the ground that Mr Marr has covered, but I hope that my contribution is seen as complementary to his and not trying to set a different picture. The commission also recognised some of the progress that has been made since its original report. One significant development is the multi-agency rapid response to non-fatal overdoses, which positive steps are playing a significant role in with partners across our city. People are most at risk after they experience a non-fatal overdose, and evidence-based interventions like that are crucial for saving lives. Significant progress has also been made with the Dundee take-home naloxwam project, the Hillcrest Futures, also delivering a peer naloxwam training and supply project in all give way. Michael Marra. Does he not share my frustration, though, that I agree in terms of the non-fatal overdoses pathway work that was initiated by Tayside Police, by Police Scotland and police officers? It is the central problem of the core facility in terms of the ISMS, the DDRs and the substance misuse services. The lack of change there is the key issue that has arisen from the report. Those are areas that I think you covered pretty well. My view is that we will only really make progress on this area if we work in partnership across our city and elsewhere in Scotland as well. I think that there is some huge work being done, but where we are going to make a real difference is where we work in partnership. I will be talking about some of those partnerships, particularly those that have been highlighted by the commission and others. Dundee Hillcrest Futures' peer naloxwam training is one example of that, saving lives every day. Police Scotland's officers are now carrying naloxwam, and I want to thank our local officers for everything that they do to support people in distress and to disrupt the supply of drugs. I also welcome the investment being made by the Scottish Government through the national mission. The funding for Dundee includes a number of significant projects. A community wellbeing centre for Hillcrest city centre premises will deliver 24-7 crisis care and an integrated drug response to alcohol and mental health needs. The transformational primary care shared care programme will enable people to access the full range of services within their GP practice, which is almost unheard of in our city. A new dedicated mother and child residential recovery house in the city to be run by Abel Lauer in partnership with Hillcrest. DVV is a 5T recovery programme at the Loughy hub soon to be expanded to Wittfield, a women's hub by RASAC to support women with substance dependency and additional complex needs. Positive steps work to engage and supply victims of cuckooing and to deliver whole family emotional and practical support for those affected by drug-related deaths. Transform delivery of direct support to aid, access treatment and recovery. Bethhie Christian Trust's bridge to freedom recovery programme, Bernardo's, provides whole family support for families affected by substance use and the corner, delivering support to young people affected by their own or a family member substance use and who find it difficult to manage their accommodation. That is a range of some of the projects that are being supported by Scottish Government funding, but, as I said earlier, I think that partnership and connections are key. I want to use some of my time to pay tribute to some of the city's other essential third sector organisations who are supporting people across the city and often go unrecognised. They do amazing work and they are saving lives every day. The parish nurses at the Steeble, navigators at Ninewells, seem to be expanded into the community, DVAs, Loughy Hub and their 5T recovery programme. We are with you, the planet youth being rolled out by the winning Scotland at Bal Dragon Academy and St Paul's academy in my constituency, Street Soccer and at the Lynch in Charleston, Andy's Man Club, Wellbeing Works and many others. I recognise that we have to talk about what more we can do. This week, I had a really good constructive meeting with Peter Crickand and his colleagues from Cranston to discuss their calls for a overdose prevention centre in Dundee. I was pleased to back Cranston's pledge with discussions to follow as to how we can bring such a service to Dundee. Having seen an OPC in operation in Paris during my time as Public Health Minister, I know that they can make an important difference in helping to engage people with support services, reducing harms and saving lives. I want to see local partners— You do need to wind up now, miss. I am so sorry to particularly Cranston because, in the work that they are doing, I think that we will make a huge difference to our cities. I am so sorry that I have managed to cover all of the points that make the case for why that service should come to Dundee. I call on colleagues across the chamber to work with me and Peter Crickand to bring that service to Dundee. I thank the Dundee Drugs Commission for all their work. Their recommendations set out a clear path ahead, and I am confident that, as a city, we can make the progress necessary to improve services and save lives. I thank the Dundee Drugs Commission for the power of work that it has undertaken over the past four years. The commission's reports are thoughtful, thorough and provide a real insight into the huge challenges and barriers faced by individuals who are suffering from addiction and accessing treatment services and other key forms of support in Dundee. The commission has given a voice to a group who cries for help of too often fallen on death years. I wish to pay tribute to all those with lived experience who provided evidence to the commission. I appreciate that this will have been incredibly difficult to deliver, but sharing those experiences has given rise to a suite of strong recommendations that must be urgently implemented. As chair of the commission, Dr Robert P emphasized, although it may be challenging to deliver, all of them are achievable. They cannot be any further delays. We need action now and that life depends on it. That includes action on the medical assisted treatment standards, which the commission described as a game changer. It is deeply frustrating that, nearly three years after the commission highlighted the need for same-day prescribing and nearly three years after a public health emergency was declared, only one ADP is fully delivering on that recommendation on the MAT standard one. Only one is simply not good enough. The abject failure to fully implement the nine other standards across the country by April 22, as was promised, is also deeply concerning. We must urgently make all 10 standards a reality for those on the ground. We need more than more words. Those on the front line are key to ensuring that the standards are fully implemented and sustained in future years. We must ensure that staff in the drugs and alcohol sector receive greater recognition for the vital role that they play in society. That means better pay, secure employment and more opportunities for professional development and clear progression. That will be essential to achieving retention and recruitment. It is clear from recent reports that many staff in the drug and alcohol sector and health and social care services more generally have been under-resourced, undervalued and under-pressure for far too long. I recognise that the Scottish Government will publish a workforce plan after recess, but it should not have taken three years after the drug death crisis was declared for a public health emergency to do that. The development of medical assisted treatment in relation to benzodiazepine and cocaine use is another area that requires urgent action. It will be critical to help to turn the tide on the rapid increase in overdraws deaths, which those drugs have been implemented alongside opioids. We must also ensure that young people experiencing drug harms have access to specialised treatment services. A day published late last year by the Scottish Government highlighted concerns that there were no residential services tailored towards the specific needs of children and young people in Scotland. It says that the lack of services tailored towards young people was concerning, given the markedly different profile of drug use among this population group. As my colleague Michael Marra emphasised, the lessons learned in Dundee are ones that can be applied at the national level. That includes the need for health needs assessments across all ADPs, the integration of drug and alcohol services with mental health provision. That is crucial, and I have been disappointed by the lack of progress on that issue. Services that fit the needs of the individual rather than the individual having to fit the service and giving the third sector a greater say in planning and delivering services. Independent external oversight will be essential going forward. All drugs deaths are preventable. We must act with urgency. We cannot keep talking about a public health emergency without taking emergency action. We cannot continue to delay implementation and misdeadlines. We must not find ourselves in the same situation three years from now. We owe it to all those who are crying out for help and to all those who have tragically lost their lives to get this right. Drive and determination from political readers will be essential to delivering change. We cannot simply let this crisis continue. Kindness, compassion and hope for those suffering from addiction must be our guiding principle throughout. I now call Miles Briggs to be followed by Mercedes D'Alba for around four minutes. I thank Michael Marra for bringing this debate to the chamber today, and for hosting the room table. I certainly find it very useful to meet some of the members of the commission and for his thoughtful speech. In March 2022, the report by the Dundee Drugs Commission was nothing short of damning. Following the publication of the initial report and recommendations of 2019, it is clear that the pace of change has been too slow and progress limited. The Covid-19 pandemic has not helped, but the vast majority of stakeholders believe that the pandemic has not been the sufficient reason for the glacial pace of change. Let us not forget that Scotland's drug deaths crisis is a public health emergency. It was before the pandemic, and, as the commission's report emphasises, it is not fair to expect a pandemic or no pandemic that significant focus and effort should not have been made in responding to that emergency. Last week, Angela Constance told the Scottish Parliament that alcohol and drug partnerships had fallen short of the target to embed match standards across all ADPs by April of 2022. The commission's report says that they would be a game changer, and I think that we all agree about that, but it is making sure that those are implemented, which I think that this debate has given an opportunity to think about. In 2020, people from the most deprived areas were 18 times more likely to have a drug-related death than those from the least deprived areas. Scotland's drug death rate is 3.5 times that of the UK. It is also higher than any other European country, and, unfortunately, Dundee is at the heart of the public health emergency. The statistics are a bleak. Between 2016 and 2020, Dundee City averaged the highest drug-related death rate per 1,000 people, with 39 per 100,000 of the population. The Dundee drug commission points to the fact that there is plenty of work that must be done to implement the recommendations, and I agree. As I outlined and revealed last week, despite setting that target last year, to ensure that Massachusetts standards will be fully embedded across the country, as Claire Baker has outlined, they have not been. Just 17 per cent of standards have been implemented. That is shameful. We also need to see all those delivered across all alcohol and drug partnership areas. Parliament really needs to know why that has not happened, and what has happened to that public emergency promise and response from the Government. New recommendations also look towards that only half of the standards will be now implemented by next April, and those will only be partially implemented. Across Scotland, there is also unwarranted variation. I think that that is something that the minister needs to also be incredibly mindful of, and I think that Parliament is concerned about. In the time that I have today, I also wanted to highlight two areas—the limited progress that we have seen in supporting families. I welcome the work of organisations such as Families Affected by Alcohol and Drugs. They are playing an incredibly positive role in supporting anyone concerned about someone else's alcohol or drug use in Scotland. I welcomed the monies that are made available within the National Development Fund to help to support families. However, we need to see more. What I was really taken with during the round table was how families still want to play a major part in taking this forward public health solution. We also need to be part of what is often—they are often—the 24-hour support for people struggling with addictions and often feel that their views and the support that they are trying to give is not taken into account. That is something that I hope the minister will revisit. Finally, Deputy Presiding Officer, I also wanted to put on record my concern with regards to where we are now with alcohol deaths. In 2020, a number of people who tragically died directly because of alcohol death increased by 17 per cent to 1,190 of our fellow Scots. I welcome the fact that the Government has called this a twin public health emergency of both drug and alcohol harms. However, we are not seeing the focus on alcohol that we should. I raised this with the Public Health Minister and was incredibly disappointed with the response that I received. The standards will not actually be in place around alcohol treatments until 2024. I do not think that that is acceptable. I hope that, in responding, the minister will look towards the Scottish Government taking forward a rethink on that issue. I think that it is incredibly important that it does. Finally, this might be the last debate before our summer recess, but the issues that we know so many people are facing will be there when we return. I hope that the Parliament must and will continue to press the Government to act and deliver on those promises. I thank my North East colleague Michael Marra for bringing forward this important motion for debate today. Just two years ago, Scotland recorded its largest ever number of drugs-related deaths at 1,339. That rate of drug deaths was three and a half times greater than that of the UK as a whole, and it was also higher than the rate observed in any other European country. As MSPs, I am sure that we have all observed the impact of Scotland's drug deaths crisis on the communities that we represent. In my home city of Dundee, we lost 57 of our neighbours to drugs-related deaths in 2020. Throughout much of the last decade, Dundee regularly had the highest recorded proportion of drug deaths in Scotland. On my own street, I see the daily impact that drug misuse is having on the community, and in many ways it is a microcosm of the city's wider drug use issues. That is why I welcome the work of the Dundee Drugs Commission, which has sought to reduce both drug deaths and to improve access to treatment in the city. However, two years on, from its initial report on the issue, the commission's findings in its recent review make for stark reading. Many individuals still find themselves facing few treatment options and a lack of joint working among the services encompassing the Dundee partnership, so I welcome the commission's recommendations, including the need for independent scrutiny of progress being made by the Dundee partnership, better allocation of the substance use budget and the design of a recovery-oriented system of care. I urge Dundee City Council and the wider Dundee partnership to seriously reflect on those recommendations as part of the recently revised five-year drug and alcohol recovery plan. I believe that Scotland's drugs death crisis has been exacerbated by the failed criminalisation model, but it has not been helped by the Scottish Government in action either. Last week, the minister admitted that progress is neither good enough nor quick enough, with most council areas in Scotland failing to fully implement the medication-assisted treatment standards. While the Scottish Government now recognises the need for increased investment in drug and alcohol services, we cannot ignore the fact that they imposed cumulative cuts of over £40 million in recent years, so we need to see urgent action from the Scottish Government and a commitment to pursue alternative approaches to criminalisation. That is why I support my colleague Paul Sweeney's calls for the introduction of safe consumption rooms. It is also why I believe that we need to have a serious debate about decriminalisation and what a modern drugs policy for Scotland should look like. I would like to conclude by emphasising that the only way that we will ever truly tackle drug use is not by criminalisation. We need to address the societal issues that often drive individuals to drug use in the first place. For too long, communities such as my own in Dundee have suffered the effects of poverty, homelessness and other inequalities. Change will require the Parliament to think and act bolder in terms of how we tackle those issues, including looking at the provision of universal public services. If we are serious about tackling Scotland's drug deaths crisis, we must tackle its long-standing poverty crisis, too. I thank my friend Michael Marra for bringing forward this critical and important urgent motion to the attention of members of the Parliament today. I also commend the work of the Dundee Drugs Commission and those with lived experience for feeding their expertise, insights and views into the commission's comprehensive initial 2019 report, as well as their 2022 review on responding to drug deaths crisis in Dundee. Of course, the report makes reference to the staggering 1,339 drug deaths in Scotland in 2020. Although we know that the most recent figures show that the number of drug deaths for the year leading up to March 2022 was 1,187, that is still an alarming preventable rate of deaths in Scotland, well above the UK and European averages. We know, as is referred to by my friend, Seriz Velal, that there is a link between deprivation and drug dependency. Dundee, particularly in my constituency in Glasgow, has its own unique challenges when it comes to poverty. Both female and male life expectancy in Glasgow was the lowest in Scotland at 78 and 73 years respectively, with Dundee's male life expectancy also sitting at around 73 years. We take cognisance of the huge trauma that it has on communities in our cities respectively. That lies at the heart of a lot of the difficulties that we have in dealing with this crisis in our midst. What really frustrates me in reading the report is the fact that there simply is not enough people with lived experience driving the change, driving the reform, and that is critical to what the commission is trying to say to the Government. The primary recommendation, indeed, is to carry out a major health needs assessment for drug users and to inform public and third sector agencies about what needs to happen, yet the response has not yet been implemented. Without the undertaking of a major health needs assessment, it has been difficult for the commission to be able to be prescriptive about what Dundee needs with regards to new service creation. I would like to advocate for a practical and specific tool that will be at the core of what we can do to fight against the drug death crisis in Dundee and across Scotland more broadly. Colleagues will be aware that I am consulting on my proposed bill to establish overdose prevention centres in Scotland. The facilities serve the purpose that the name suggests in preventing overdoses and saving lives, and I strongly believe that they are a critical part of Scotland's response to the drug death crisis. Those facilities across the world have proven to be an effective way to prevent overdoses, engage with people who are currently at the margins of society and provide people with the resources and support in relation to issues stemming from their addiction. I have seen the benefits first hand, and I pay tribute to Peter Criken and Cranston in the gallery today for the work that they have done to drive the pace in Scotland far more than any Government agency. Having volunteered with my friend Peter, we saw first hand the impact the unofficial pilot had on Glasgow. Nine overdoses reversed, eight lives saved, because two overdoses were, in relation to one individual, 900 injections supervised, but what we found was the interaction in the building up of self-esteem and a sense of validation among people was the one of the most important parts, just providing that interface for people to start to engage, to get support, to get—that even something simple as a protein shake in a Mars bar was actually something that they really needed and found a way to validate themselves. The recent example of the New York pilot is another perfect example of the efficacy of OPCs, with 110 overdoses being reversed there between November last year and February this year striking in its impact. I come back to the Dundee drug commission's recommendations. It is a source of extreme frustration that they have not yet been fully implemented some two years on from the initial report. I fear that this lagging response in Dundee is also indicative of the national picture where things are moving too slowly as the deaths mount up and up. I will mention once more the most recent annual drug death figure—1,187 people dying of a drug related death between March last year and March this year. There is an urgent need for quick and cohesive action. In Dundee, that means the comprehensive implementation of all aspects of the commissioners' recommendations urgently. In Scotland more broadly, that means establishing a framework and a licensing scheme for over-dose prevention centres as soon as possible. I hope that my bill out for consultation will drive the pace of that change. I want to commend Michael Marra for securing this debate and providing the opportunity to focus on one of our cities most affected by drug deaths and harms. I want to start my contribution, like others, by thanking and paying tribute to the Dundee drug commission for its work, for both reports on reducing drug deaths in the city and on its clarion call for kindness, compassion and hope to be at the absolute core of everything that we all do to turn the tide on this drug deaths emergency. It is my view that this latest report provides a comprehensive and fair assessment of the progress that the city has made. It clearly sets out the work that Dundee needs to do now. That includes improving services for people who are at risk and for their families, as well as leadership and oversight from those in positions of authority in Dundee to make that happen. The report also highlights areas of good practice, which, of course, is happening. However, there is no hiding that there is much still to be done in Dundee. When I met the commission on the very day that they published their latest report, their sense of frustration was not lost on me. I have met leaders from the Dundee partnership on a number of occasions and most recently this week. I have stressed the need for our Dundee to act with urgency to address the report recommendations. I continue to offer my support to help to deliver the change that is needed. The report is clear in its recommendations that any plan produced by Dundee should be subject to external scrutiny, and I am supportive of that. As I said in my statements on accountability of drug services last month, transparency and openness to challenge, particularly by people with lived experience and their families, is key to the delivery of effective change both at a local and national level. Would he think that the model that has been pursued in terms of the oversight group that is put in place for the delivery of the STRANG review, which the minister knows, has been years in preparation and no delivery against those recommendations? The oversight group appointed by ministers and reporting to ministers on that basis is a model of external expert validation that could also include lived experience that would give some of those recommendations the chance for the kind of oversight that the commission is clearly calling for and that would address the issue of despair that they feel and the lack of progress. The point about oversight is important to have a national oversight group for the national mission. I will go through the actions that we are taking right now to assist Dundee. I will try to do that in a bit of detail, but I have also been clear with the partnership in terms of the work that we are doing in terms of ministerial direction that, if there is no quick improvements, we will, of course, have to look at all other options. We are taking a number of actions and a number of areas to support Dundee to respond to the commission's report. Quite rightly, people have highlighted the importance that MAT standards set out that rights-based approach and will ensure that people are able to make informed choices about the type of treatment and help available to them and, in turn, ensure consistency of services across the country. The MAT implementation and support team are continuing to work very closely with NHS and third sector services in Dundee to implement those standards. That also includes additional support in terms of the progress and programme of change that is necessary. However, Dundee still has work to do, in particular around MAT standard 1, which ensures that people receive same-day treatment. As with other parts of Scotland, I am using the powers of direction available to Scottish ministers under the Public Bodies Joint Working Act 2014 to compel chief executives and chief officers across the NHS to integrate joint boards and local authorities to implement those standards. For those same leaders to personally sign off on improvement plans and, in the case of Dundee and Tayside, to be subject to an enhanced level of monthly reporting. I thank the minister for that. My concern is this timetable. As I mentioned in my speech, MAT standard 1 was recommended in the first report of the Dundee Drugs Commission years ago, and we are no further forward, it would seem, in the actual delivery of that recommendation. The minister has essentially said not yet in terms of some form where I was like, when minister? When will you take action to say that it is not good enough and that a different regime will be put in place? I absolutely am taking action. I appreciate that it is perhaps difficult for members who have not served in government to understand the nature of ministerial direction, but the nature of that ministerial direction is unprecedented, because the challenge that we face is unprecedented. There has never been before ministerial direction on integrated joint boards, for example. That is ministerial direction on the national health service, IJBs and local authorities to implement at pace the whole system of change that is required. There are other public and practical and financial support that we are working very closely with Dundee to deliver, but I will say to Mr Marra that, if I do not see quick changes, the first improvement plans will be available at the end of recess. As I said, Dundee and Tayside have monthly reporting, so I am looking for change within months and most certainly not years, because I agree that that has went on far too long. I am not prepared to put up with it, and I know that this Parliament is not prepared to put up with it. Most importantly, I know that the communities that I serve and that you serve are not prepared to put up with it, so nothing is off the table. However, make no mistake about it, the ministerial direction is unprecedented, because I am absolutely serious about that. Mr Marra, I am conscious of the time that he mentioned the importance of primary care. That is one area where we are financially and practically supporting Dundee in their endeavours to establish multidisciplinary community-based teams and to move away from that single-city delivery site at Constitution House. We are investing £1.8 million over four years to support the delivery of drug treatment within primary care. That significantly increases the capacity of the system to provide up to 800 people with protective treatment in community-based, non-stigmatised settings. That will also ensure that treatment is delivered alongside general healthcare, meaning that people with underlying conditions are able to access the other services that they need within one setting. I also, as a former mental health officer, recognise that testimony from people with lived experiences on the challenges when trying to access mental health support along with support for addictions. That is why there is the healthcare improvement Scotland work, which started in Dundee. I know that the commission paid tribute to that work with the aim of fully integrating substance use and mental health services in the city. That is not only vital learning for Dundee but will be vital learning across Scotland. I rightly asked questions about why we have not seen progress and what are the blockages. I have touched on some of them in and around leadership. There is also the importance of ensuring that investment reaches where it is intended to reach. A major asset for Dundee is its fabulous third sector. I have seen that from the many visits that I have made to Dundee over the years in different portfolios. There is a vital role in delivering person-centred services that is provided by the third sector. They are on the front line and they are well positioned to establish trust in relationships with people and to take that holistic approach. The third sector in Dundee, as elsewhere in Scotland, is absolutely key to transformational service redesign. That move away from centralised, over-medicalised models of care. There are a number of volunteer sector organisations that we are investing. Rolfas Patrick mentioned the Aberlawer child and mother house. I, too, had the pleasure of meeting Cranston today to hear about her work elsewhere in the UK and around different models of care. The Dundee's Drugsteth Commission report is challenging and so it should be, but it also clearly speaks to the many assets in Dundee. Assets that will assist those who are responsible locally and nationally to deliver the transformational change that is needed. That includes the expertise of people with lived and living experience, the insight of front-line staff and the innovation of the third sector. While that has been a difficult experience for the commission, I have no doubt that their work will indeed have a lasting legacy, and I intend to play my part in that. Minister, that concludes the debate. I congratulate all of you on sticking with it through to the last debate before recess. I wish you a good recess. I hope that you manage to get something of a rest over the period, and with that I close this meeting of Parliament.