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The establishment of a National Care Service (NCS) is the most ambitious reform of public services since the creation of the National Health Service (NHS). It is necessary to deliver the consistency and quality of care and support across Scotland that people deserve, and reinforce our commitment to Scotland’s people to take long term action to change our society and make it a fairer place to live.

The Financial Memorandum set out the range of possible costs for the NCS. Estimates are being constantly monitored and reviewed as new information becomes available.

We recognise that there is an urgent need to make improvements to social care now, and we are not waiting for the NCS to start that process.

We are taking the action we can now to address challenges in social care. We have committed to increase spend in social care by 25% by the end of parliament, helping to lay the groundwork for the NCS.

Our 2022-23 budget confirmed more than £1.6bn for social care and integration to lay the groundwork for the NCS. Any spending decisions made on the NCS service will be backed by rigorous, evidence based decisions.

In April this year the minimum hourly rate for those providing direct adult social care increased to £10.50 an hour.

The Scottish Government transferred £200 million to Local Government to support investment in social care, including to deliver this uplift.

This represents an increase of 4.8% from the £10.02 pay rate that was introduced in December 2021. This is also an increase of 10.5% for these workers in the course of a year – with pay rising from at least £9.50 per hour in April 2021 to at least £10.50 per hour in April 2022.

The Scottish Government introduced Scottish Building Regulations in 2019 requiring the provision of Changing Places Toilets in larger new buildings to which the public have access. These provisions are detailed in the Building standards technical handbook 2020 . At the same time, we also amended our Planning System to include these amended building regulations and further detail can be found within the Planning Circular 1/2020: Changing Places Toilets Regulations.We are not planning any further legislative changes in this area at this stage. Our work to amend building standards in 2019 was robust and sought to strike a sensible balance between encouraging further CPT provision across Scotland whilst recognising the resource needed to build these facilities may be prohibitive for smaller buildings.

We have recently published our Changing Places Toilets: Planning Guide and an accompanying easy read . This guide, written in collaboration with PAMIS (Promoting A More Inclusive Society), details practical considerations when considering installing a Changing Places Toilet in both existing and new buildings. This helpful toolkit will improve Changing Places Toilet provision in the immediate term and ensure that new toilets built following our changes to legislation are appropriate and well considered

Since 2007, the number of Psychiatric Consultants across all specialities in NHS Scotland has increased by 20.7% to 544.9 whole time equivalent posts. Despite this workforce expansion, we know that demand for psychiatric treatment continues to grow. That is why in 2021 we increased the number of Core Psychiatry places by 5 in response to increased demand for psychiatry. This year we are expanding training by a further ten places, and we will consider further increases in future years. In the 2023-24 training year, we will fund another 15 Core Psychiatry training places. Five of these will be created for the February 2023 start date and the other ten will be made available for trainees taking up post in August 2023. Further, the Scottish Government is working with NES and the Royal College of Psychiatry to encourage medical students to consider a long-term career as a psychiatrist. This work includes the ‘Choose Psychiatry’ campaign, undergraduate taster sessions and improved psychiatric placements at Foundation level.

The Scottish Government has awarded funding of £444,000 in 2022-2023 to support the delivery of the Once for Scotland approach stated in the plan.

We have awarded the Care Inspectorate £194,000 to enable them to build on the learning from the Care About Physical Activity (CAPA) programme. The project will work across care homes, care at home, housing support and day services for adults.

£250,000 has been awarded to Thistle Foundation to deliver a range of organisational development interventions to support rehabilitation teams to reshape their rehabilitation services.

The Scottish Government is in the process of establishing an advisory Board, which will help to identify local rehabilitation leads, ensuring appropriate appointments to take forward the aims identified in Rehabilitation and Recovery.

I refer the member to the answer to question S6W-12059 on 30 November 2022. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The Scottish Government is committed to investing in Changing Places Toilets over 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.

Funding for the construction of new Changing Places Toilets has not yet been allocated. We are progressing the first phase of work in order to design an investment programme that ensures that the Changing Places Toilets which are built are fit for purpose. Further information about this fund will be available next year. We have recently published our Changing Places Toilets: Planning Guide and an accompanying easy read for people who are planning to develop Changing Places Toilets now.

The SPCB is committed to supporting its staff with the cost of living and is putting in place a range of measures to support its staff.  The SPCB believes that this is the right thing to do at this very difficult time, recognising that this is an urgent priority for staff.

The SPCB has agreed to make a cost-of-living payment to support staff who are most in need during this time.  The payment to staff will be made in instalments between December and March with all staff earning £43,662 and below receiving a payment.  Staff earning £32,000 (the average UK full time equivalent salary) and less will receive a higher payment.  This is because research by the Office of National Statistics (ONS) demonstrates that staff earning at this level and below are most impacted by cost-of-living pressures.

This approach to making one-off, non-consolidated payments to staff is in common with other employers, including His Majesty the King.

The SPCB is putting in place other measures such as access to independent financial advice and financial wellbeing workshops.

The SPCB has discussed this with its recognised trade union partners and the information has been shared with Scottish Parliament staff.

The majority of homelessness funding provided to local authorities is provided via the block grant, Scottish Government has provided £11.2 billion to Local Authorities as part of the block grant in 2022-23. It is at each local authority’s discretion as to how they use this resource to prevent and respond to homelessness. Decisions as to whether the responsibility for homelessness services are delegated to the local authority or the integration joint boards are made locally.

In addition to the block grant are specific allocations of funding for the purpose of addressing homelessness. Information on these additional funding allocations provided to local authorities can be found in the responses to parliamentary questions S6W-10127 on 22 August 2022 and S6W-06821 on 10 March 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The Scottish Government provides funding annually to Health Boards for smoking cessation and prevention services. The funding is provided as part of a wider Outcomes Framework allocation whereby budget is provided to Health Boards to cover a range of outcomes. It is then up to Health Boards to decide on the amount spent on each of those outcomes.

The following table sets out estimated funding for smoking cessation and prevention which is calculated on the basis of smoking rates and deprivation, however as above it is for Health Boards to determine final spend on this outcome.

The information requested is publicly available on the Scottish Government website and can be found here: Growth Sector Statistics Database .

The latest figures showing employment in the sector, in 2020, had remained broadly the same at 87,000, representing 3% total employment in Scotland.

We are aware however that they do not truly reflect some key aspects of the sector, such as the number of freelancers and self-employed people. We estimate this to be around 40,000, which we have gathered from the APS data source.