SCOTLAND’S drug and alcohol deaths are among the worst in Europe and addictions staff are at “risk of burnout,” according to a damning new Audit Scotland report.

Last year there were 1,277 alcohol-related deaths in Scotland — the highest in 16 years — while the 1,172 drug-related deaths in 2023 were the highest in Europe, leaving Scots twice as likely to die of drug misuse than anywhere else in Britain.

The performance and finance watchdog found that despite spending to meet the “national mission” to curb drugs deaths rising to £161.1 million, no analysis had taken place on its effectiveness and no transition plan was in place for the mission’s end in 2026.

Auditor-general Stephen Boyle said: “Ministers also need to understand which alcohol and drug services are most cost-effective and plan how they will be funded when the national mission ends in 2026.

“That’s especially important at a time of increasing strain on the public finances.

“With many alcohol and drug workers reporting feeling undervalued and at risk of burnout, there is also an urgent need to put a timeline against plans to address the sector’s staffing challenges.”

Deputy leader of Scottish Labour Dame Jackie Baillie said: “When far too many Scottish lives are still being destroyed due to drugs and alcohol, there is absolutely no room for complacency from this SNP government.

“This is a public health emergency that requires comprehensive, joined-up treatments including preventing the abuse taking hold in the first place.”

SNP Health Secretary Neil Gray responded: “We want every person experiencing harm from alcohol or drug use to be able to access the support they need to help them recover.

“The Scottish government is determined to do everything it can, working with a number of partners, to make that a reality.”