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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.

We are continuing to invest in social care. Over the past decade a significant amount of work and investment has gone into supporting older people and people with disabilities to live well in their own homes for longer.

Integration authorities manage £9 billion of funding that was previously managed separately by health boards and councils. In 2019-20 we are increasing our package of investment in social care and integration to £711 million, an increase of 29% on last year.

We know that change is needed in social care support and that is why on 12 June, the Scottish Government launched a national programme to support local reform of social care support. It is being jointly led with COSLA, whose members are responsible for delivering and procuring these vital public 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 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.

This was a survey undertaken of 3680 people from 30 medical schools across the UK and is not clear how many of them were from Scotland.

The Increasing Undergraduate Education in Primary Care Group, chaired by Dr John Gillies, was set up to make recommendations on increasing undergraduate education in primary care. Currently only around 9% of the clinical curriculum is taught in primary care and the aim of the group was to consider how this could be increased.

The group will publish its report later this summer, setting out its recommendations.

The Scottish Government has population surveys underway to understand the prevalence of childhood adversities in the adult population (with inclusion of ACEs questions in the current 2019 Scottish Health Survey) and in the child population (with information on a range of adversities and resilience measures collected in the Growing Up in Scotland (GUS) study and due to be collected in the new Health and Wellbeing Census from 2020). We do not have any plans to introduce a programme of ACEs screening nor do we advocate “ACE scoring” of individuals to determine need or predict outcomes.

We are progressing a wide range of actions to prevent ACEs and support children, as well as adults, negatively impacted by adversity and trauma. Under the Getting it right for every child approach (GIRFEC), services working together with families, children and young people should consider and assess wellbeing needs based on eight indicators of wellbeing and can also draw on the GIRFEC National Practice Model, which provides a framework to understand a child or young person's circumstances (including risks and effects of adversity) and consider what support they might need. We are also working with NHS Education for Scotland (NES) to implement a National Trauma Training Programme to enable the Scottish workforce (interacting with children and/or adults) to understand adversity and trauma and work in ways which minimise distress, overcome barriers and build trust.

As part of plans to progress trauma-informed approaches and to better support adults impacted by adversity and trauma, we are supporting NHS Health Scotland to undertake a pilot of ACE Enquiry in primary care settings (five Deep End GP practices). ACE Enquiry is a process where trained practitioners sensitively encourage optional disclosure of ACEs by adults as part of a trauma-informed and person-centred service to inform the most appropriate treatment and support, where required. ACE Enquiry is usually distinguished from health screening programmes, which typically involve testing to identify a specific condition or disease within a population or patient cohort and, where identified, offer the relevant information and further tests or treatment. The emphasis with ACE Enquiry, however, is on understanding people’s experiences and discussing with the individuals whether and how any childhood adversities impact on the individual’s life now, whether support or help is needed, and if so, discussing the most appropriate options.

Evaluations of ACE Enquiry (undertaken to date outside of Scotland) have found that the enquiry process is acceptable to the practitioners and adults involved. Evaluations have also found that people reporting ACEs typically do not require further support from services, but further work is needed to more fully measure the impact of enquiry on service demand and individual health outcomes. There is also some tentative evidence to show that where individuals identify and recognise the impact of childhood adversity and trauma on their lives, that this can empower them to make positive life changes for themselves and their families. The Scottish Government recognises that the evidence base regarding ACE Enquiry is still developing, but supports testing of its potential and further development of the evidence. The NHS Health Scotland pillot will be evaluated and will contribute to the evidence about how practitioners can work with an understanding of an individual’s life story to inform and improve their care.

I refer the member to the answer to question S5W-23801 on 27 June 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 .

I refer the member to the answer to question S5W-23801 on 27 June 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 .

A Ministerial statement on the Tackling Child Poverty Delivery Plan, First Year Progress Report, was provided to Parliament on Wednesday 26 June.

The progress report is available on the Scottish Government's website, https://www.gov.scot/publications/tackling-child-poverty-delivery-plan-first-year-progress-report-2018-19 .