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The Scottish Government is committed to ensuring that all people living in Scotland who want to work, including those receiving adult social care support, are able to access appropriate and flexible employability support.

We will continue to work towards our ambition to reduce the disability employment gap by at least half by 2038 as set out in the Fairer Scotland for Disabled People: Employment Action Plan. We will do this by supporting disabled people into employment , and ensuring that employers have the skills they need to recruit and retain this vastly underutilised pool of talent. We have reviewed current approaches to supporting disabled people with additional support needs into employment and will publish the findings by Summer 2022.

Through this plan we will work to ensure that our social care system delivers the right type and mix of support to help remove the barriers to work for disabled people.

Current models of care should afford flexibility to the individual to take up employment where possible subject to individual care needs being met. We are currently reviewing the guidance on Self Directed Support (SDS) to strengthen consistency and choice in the way social care is provided.

Going forward, we are committed to building on this as we work towards establishing a National Care Service to provide high quality, consistent and fair social care support across Scotland that enables people to achieve the outcomes they want to lead a full life.

This process is currently underway. Health Boards have been asked to submit 22/23 plans linked to activity trajectories and requests for funding, which will be used to allocate resources to address orthopaedic surgery waiting lists.

There is currently no publicly available data regarding how patients with venous thromboembolism (VTE) are managed following an initial episode.

Modelling work completed prior to omicron suggested it would be March 2023 before all screening centres in Scotland would reach the point of being able to offer breast screening rounds of 39 months. There are however a number of factors at play including the ongoing pandemic, the steps we are continuing to take to increase capacity in the screening programme, as well as options that are being considered to accelerate the recommencement of self-referrals for women over-70.

As answered PQ S6W-06126, in recognition of the anxiety the pause is causing, I have asked for work to explore options that will accelerate the restart of self-referrals for women aged 71 and over. Any decision will be informed by clinical advice and the on-going pandemic. As part of these considerations our goal is to restart the option to self-refer by the end of September 2022, with a number of factors still to be worked through. The restart will be done in a phased way without unduly impacting appointment times for the eligible screening population for whom there are clear screening benefits. Every effort continues to be made to increase capacity in the screening programme, including through deploying additional mobile units and offering weekend and evening appointments.

Regardless of their age, women should remain symptom aware and report any symptoms to their GP immediately for these to be investigated.

Our aim is to at least halve the disability employment gap (DEG) by 2038. The number of disabled people (16-64 years) in full-time employment in Scotland is estimated to have increased from 180,000 in Jan-Dec 2016 to 217,600 in Jan-Dec 2020; with the number of disabled people in part-time employment increasing from 96,500 in Jan-Dec 2016 to 117,600 in Jan-Dec 2020.

A Fairer Scotland for Disabled People: Employment Action Plan outlined the initial actions we would take to help meet the ambition to at least halve the DEG. The action plan includes commitments that relate to direct delivery of employability support and where data is currently available regarding the number of disabled people supported to achieve employment, this is provided below:

• Fair Start Scotland (FSS) latest statistics (published 23 Feb 22) show that 44% (18,352) of participants reported having a disability and 63% (26,316) reported having a long-term health condition. 31% of disabled people on FSS has so far started a job (4,065);

• No one Left Behind, including the Parental Employment Support fund (PESF) has supported 2,160 parents. 13% of parents reported having a disability (280) (experimental statistics).

The plan also includes a range of other cross cutting measures tackling the structural barriers that prevent many disabled people from entering and/or sustaining fair work, such as:

• supporting young disabled people and transitions delivered through the Young Person’s Guarantee;

• improving and increasing accessibility of public transport delivered through the Accessible Travel Framework;

• supporting employers to improve their recruitment and retention practices for example through the Public Social Partnership Apt; and

• seeking to maximise opportunities to support disabled people’s employment through available regulatory tools and mechanisms, such as the sustainable procurement duty.

When considering the population level disability employment gap clear progress has been made since we set out our ambition. The narrative updates are provided of the impact of these actions in our Year one and two progress reports .

Information on the routes of referral for metastatic breast cancer patients is not held centrally.

A Fairer Scotland for Disabled People - Employment Action Plan' is focused on tackling the structural barriers that prevent, or make it more difficult, for disabled people to enter the labour market and sustain fair work. Our actions to tackle these barriers are agreed with our stakeholders including disabled people’s organisations, and include:

• We have invested £640,000 to date into Apt, our Public Social Partnership to work with employers to improve recruitment and retention, offering direct support to employers to enhance practice and the support provided to disabled employees. This includes 174 training sessions to employers across the length and breadth of Scotland, reaching 230 unique organisations, to enable them to attract, recruit or retain disabled employees.

• Through the Parental Employment Support Fund (PESF) - as part of No one Left Behind - across all 32 local authorities we have invested £18.1m up to 2021-22, to support parents in households impacted by child poverty, including disabled parents, to access or progress in work. £6.1m of this funding has specifically focused on supporting unemployed disabled parents. PESF will be supported by a further £8.79m in 2022-23. Experimental Statistics show that 2,160 parents have been supported. 13% of parents reported having a disability (280).
  

•  Disabled people are a priority eligibility group for Fair Start Scotland (FSS) . The latest statistics (published 23 Feb 22) show that 44% (18,352) of participants reported having a disability and 63% (26,316) reported having a long-term health condition. 31% of disabled people on FSS has so far started a job (4,065)

• The Workplace Equality Fund (WEF) opened for new applications on 17 Jan 2022, and is focused on providing financial support for employers to address longstanding barriers in the labour market that particular priority groups, including disabled people, experience. The fund supports collaborative projects which seek to improve equality-related outcomes for priority groups and create a more inclusive working environment. An evaluation of the WEF found that 96% of businesses found WEF well received.

• For those requiring more intensive support to enter and sustain employment (including people with mental health issues and/or learning disabilities) Individual Placement and Support and Supported Employment are available through Fair Start Scotland and No One Left Behind.

I refer the member to the answer to question S6W-01706 on 24 August 2021. 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