The project group unanimously agreed that methadone replacement prescribing remains the main treatment for opiate dependency that should be available within the framework of services across all areas in Scotland. This reflects the overwhelming evidence base which supports its effectiveness in the face of little current credible evidence to support other approaches. The group also agreed that methadone replacement prescribing in Scotland can be improved significantly in terms of consistency and quality of practice and process of care delivery. This is supported strongly by user/carer opinion. The following actions reflect changes which will improve our ability to objectively evaluate treatment delivered by Scottish services and will also address specific concerns regarding delivery and effectiveness.