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The Scottish Government is considering the options in relation to collecting data on secondary breast cancer in Scotland, taking consideration of clinical time required and how it can be used to improve services.

The National Cancer Quality Steering group have overseen the development of a newly proposed Quality Performance Indicator on ‘Recurrence Following Breast Cancer Treatment’ in 2022.

Further to this, the Scottish Government continues its dialogue with Public Health Scotland, NHS England and the Healthcare Quality Improvement Partnership alongside breast cancer specialists and the charity Breast Cancer Now regarding data collection for secondary breast cancer.

A key component of Scotland’s Population Strategy is to create conditions for Scotland’s population profile to be spatially distributed in as balanced a way as possible, to support communities, economies and public services to thrive.

The Scottish Government has not met with COSLA or individual local authorities to discuss reusable nappies. We promote and raise awareness of reusable nappies direct to families by including a voucher for one waterproof nappy wrap, with five stay dry nappy pads inside Scotland’s Baby Box.

Career progression for teachers who want to further their careers in specialist roles in curricular, pedagogical and policy delivery are available through the role of Lead Teacher, which was introduced into the Scottish Negotiating Committee for Teachers grading structure in August 2021.

Lead Teacher areas of specialism can include additional support needs and therefore there is the potential for an increase in the opportunities available to teachers wishing to specialise in this area.

The recruitment and deployment of teachers, including Lead Teachers, is a matter for individual local authorities, based on their local need and priorities.

The Scottish Government is committed to investing in Changing Places Toilets during this parliamentary term, in order to increase the number of these facilities across the country and to support mobile Changing Places Toilets to allow people easier access to events and outdoor venues.

Further information will be available over the course of this parliamentary term.

The Scottish Government is in regular contact with COSLA and representatives from local authorities regarding the expansion of free school meals.

The £25 million allocated to the Scottish National Investment Bank from the Just Transition Fund is part of the Fund’s existing £500 million commitment over ten years, and will be invested by the Bank on a commercial basis, in line with its Investment Strategy and in support of the just transition to net zero in the North East.

The Bank reports publicly on the performance of its investments including through their annual Impact Report.

The information requested on how many staff vacancies there have been in older people's medicine (a) across Scotland and (b) in NHS Ayrshire and Arran, in each of the past five years can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHS Scotland workforce | Turas Data Intelligence (vacancy tab - Medical & Dental consultants, Geriatric medicine specialty drop down)

Once a Community Payback Order (CPO) has been imposed, its management – including with regard to compliance and attendance – is a matter for the courts and local authority justice social work services.

Managing compliance effectively is critical to achievement of the purposes of a CPO. If an individual does not attend any part of their CPO, this will be investigated by justice social work services. If the reason for absence is not acceptable, this will result in the commencement of a formal warning process, which can result in the case being returned to court under breach procedures, where the court will consider the breach.

Seventy-nine per cent of orders which ended during 2021-22 did not involve any breach applications for the duration of the order. It is up to the independent courts to decide the most appropriate outcome where a CPO has been breached, based on all of the circumstances of the case, and ultimately this may include the imposition of a custodial sentence.

Information on the number of people receiving social care support has been collected by Public Health Scotland (PHS) and published as part of their Insights In Social Care publication since 2018. Prior to this, data was collected by Scottish Government through the Social Care Survey from 2013 – 2017.

Therefore, the change between 2016/17 and 2017/18 should be interpreted with caution due to the differences between data sources. However, PHS do produce an adjusted figure based on the same definitions used in the Social Care Survey that allows a longer term trend to be produced which has been used in the table below.

Data is available from 2014 onwards, as the same age breakdown is not available for 2013. Prior to 2013, there were separate surveys for Home Care and Direct Payments but no collection covering all social care services. Figures may not sum to all ages exactly due to rounding.

Table 1: The estimated number of people in Scotland receiving social care support by age, 2013-14 – 2021-22