Early intervention is defined as the commencement of any necessary treatment as soon as possible after diagnosis. The Scottish Government’s Quality Indicator profile includes a measure of the percentage of first presentation psychosis patients that start SIGN or NICE guideline evidence based treatment within 14 calendar days of referral to specialist mental health services.

The improvement work, as articulated in our Vision, will ensure that people presenting for the first time with psychosis anywhere in Scotland will have timely access to effective care and treatment, with early intervention and a focus on recovery.

Healthcare Improvement Scotland (HIS) completed a diagnostic exercise with NHS Greater Glasgow and Clyde’s ESTEEM service (in January 2019) and NHS Highland’s Argyle and Bute Mental Health team (in February 2019). The aim of the exercise was to collect data to inform HIS’s Short Life Working Group on Early Intervention Psychosis (EIP) of the current early intervention service provision in an urban and rural environment.

The diagnostic exercise collected data on the current implementation of available evidence and guidelines, the current levels of demand, referral sources, clinical pathways, workforce, staff competencies (actual and required), and potential future developments that could be supported by a national action plan.

The results have been used to inform our Vision paper, which lays the groundwork for a nationwide improvement in EI Psychosis services in urban, semi-urban and rural settings.

The Carers (Scotland) Act 2016 gives every carer a right to an adult carer support plan or young carer statement. This is a personalised plan, focusing on what matters to the individual carer. If the carer has eligible needs in their plan which meet the local eligibility criteria, they must be offered support to meet those needs. Carers also have the right to decide how they receive this support by choosing from the four self-directed support options.

The Scottish Government is fully funding implementation of the Carers Act by providing £17.4 million to local authorities in 2018-19 and an additional £10.5 million in 2019-20, which reflects the projected increase in demand. We expect to see local budgets increasing by this amount compared to the funding for 2018-19.

Under the Act, each local authority and health board must jointly prepare and publish a local carer strategy. This strategy must set out an assessment of the demand for support to relevant carers and the extent to which this demand is currently not being met. The statutory guidance to accompany the Act encourages local authorities to use this assessment to plan for meeting current and future needs, including unmet need.

Carers can access universal, preventative support in the community without having received an adult carer support plan or young carer statement.

In addition to funding for the Carers Act, the Scottish Government is providing £3 million in 2019-20 for the voluntary-sector Short Breaks Fund. The Fund provides four distinct programmes which offer different short breaks opportunities to a range of carers and their families.

I refer the member to the answer to question S5W-23920 on 9 July 2019. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.parliament.scot/parliamentarybusiness/28877.aspx

In 2015 the Scottish Government undertook an advertising campaign at a cost of circa. £65,000 to highlight the misuse of disabled persons parking places and blue badges; no other spend has been recorded in the period 2014 to 2019. Analysis was undertaken to gauge the overall impact of the campaign which was found to have had a positive impact, including promotion of engagement across a range of social media.

We are committed to undertaking a wide ranging media campaign in relation to the proposed national ban on pavement and double parking being progressed as part of the Transport (Scotland) Bill. The campaign will tackle all forms of inconsiderate parking, including misuse of disabled persons parking places.

The Scottish Government is strongly opposed to the inappropriate use of zero hour contracts. Our Fair Work Action Plan commits us to work with partners to consider and respond to the recommendations set out in the Fair Work Convention’s Social Care Inquiry Report to ensure that fair work is embedded in the delivery of social care services including the procurement process. This includes the recommendation for key stakeholders to develop and agree appropriate minimum contract standards for the provision of publicly-funded social care services, consistent with the Fair Work Framework and the Scottish Government’s Fair Work First initiative.

Fair Work First asks employers to commit to:

• investment in skills and training
• no inappropriate use of zero hours contracts (for example using zero hours contracts when people are working regular hours; exclusive contracts that stop flexible workers working for other people)
• action to tackle the gender pay gap
• genuine workforce engagement such as trade union or employee association recognition, and
• payment of the real Living Wage

The Fair Work Convention’s report made a number of recommendations relating to fair work and the social care sector and the Scottish Government is working with COSLA and other stakeholders such as the STUC, care providers including the Coalition of Care and Support Providers in Scotland and the Fair Work Convention to finalise the process which will support the implementation of these recommendations.

The Scottish Government has acted to secure improvement in social care and that is why the Cabinet Secretary for Health and Sport and Councillor Currie, COSLA spokesperson for Health and Social Care, launched a national programme to support local reform of social care on 12 June. The programme contains a commissioning and procurement workstream.

The Scottish Government is in regular dialogue with the Coalition of Care and Support Providers in Scotland (CCPS) and Scottish Care on a range of issues, including contracting, and they have had a central role in shaping the work that is required to improve the support and care that people require. CCPS and Scottish Care are members of the Ministerial Strategic Group for health and community care (MSG) charged with delivery of joint SG/COSLA review of integration and the reform of adult social care.

The Scottish Government is continuing to invest in integration and social care. In 2019-20 Integration Authorities will manage over £9 billion of funding which was previously managed separately by health boards and councils. We are increasing our package of investment in social care and integration to £711 million, an increase of 29% on last year, underlining our commitment to supporting older people and disabled people and to paying staff the real living wage.

This information is not held by Scottish Government but is held locally by integration authorities and local government who are responsible for commissioning and procuring local social care services. The Scottish Government is in regular dialogue with the Coalition of Care and Support Providers in Scotland (CCPS) and Scottish Care on a range of issues, including contracting and sustainability, and they have had a central role in shaping the work that is required to improve the support and care that people require.

The information requested is publically available in ‘Cancer Incidence in Scotland 2017’, published by Information Services Division in April 2019. This is available via the following link:

http://www.isdscotland.org/Health-Topics/Cancer/Publications/2019-04-30/cancer_staging.xlsx

The gross expenditure on social care per person for the last five years is shown in the following table. The figures reflect social care services for all client groups and comprise public expenditure as well as contributions by individuals towards their care.