While this marks a welcome improvement, focussed and targeted work continues across Fife to tackle drug-related harm, which has a devastating impact on individuals, families and communities.
Fife remains below the Scottish average for drug-related deaths when measured over a five-year period, but rates for Scotland remain far higher than in many other European countries.
The report highlights deprivation, complex trauma and the increasing use of multiple substances continue to drive risk and inequality.
Encouragingly, the report highlighted targeted prevention and early intervention work has made an impact including:
- A decrease in deaths among women by almost half in 2023-24
- A drop in deaths in the 15–24 age group by 74%
However, the report also identifies emerging challenges, including:
- Increasing harms linked to cocaine, benzodiazepines and potent synthetic opioids,
- Clear differences between local communities.
In response, the Fife Alcohol and Drug Partnership (ADP), working with NHS Fife, Fife Council, Police Scotland and third sector partners, is employing two approaches.
As well as responding to trends and changes in the drug landscape, focus is being given to improving the quality of treatment and support systems.
Local “one-stop shop” services, known as KY Clubs, now operate across Fife, offering communities access to treatment, mental health support, harm reduction and housing advice on their doorstep.
More people are also accessing residential rehabilitation, and over 200 people each year receive advocacy support to help them navigate services more fairly.
A strong focus is also being placed on learning from every death. Since December 2024, more than 90 drug-related deaths have been reviewed through a rapid, multidisciplinary process to identify learning, improve care and strengthen support for bereaved families.
This approach has already led to changes in how people at highest risk are supported and how services work together.
Lynne Garvey, Director of Fife Health and Social Care Partnership, said:
“Behind every statistic is a person, a family and a community affected by loss. While we are encouraged by signs of progress, we know there is no room for complacency. Drug-related harm remains a major public health challenge, and we are committed to responding with compassion, evidence and urgency working alongside people with lived experience to reduce harm, improve access to care and save lives.
“Anyone concerned about their own drug or alcohol use, or that of someone they care about, can access confidential help and support locally through NHS Fife and partner services.”
The Board was advised that the work reflects meaningful progress alongside recognising the scale and complexity of the challenge.
A refreshed action plan for 2026–27 will strengthen prevention, address emerging drug trends, reduce inequalities and deepen support for families affected by substance use.
/ENDS
