Rethink To 13 interview: “Who looks after my mental health, while I look after others?” 

As part of our campaign calling for the government to rethink pay commitments in the 2024-25 Budget, Partners for Inclusion Support Practitioner Natalie tells us about the impact a wage increase could have

“I have been a support practitioner for 20 years and in that time a lot has changed. My role has become increasingly more complex with many new health and social care skills to learn. However, one thing that hasn’t changed over time is the unfair rate of pay!

Compared to others with similar skill sets and responsibilities like teaching assistants, community support and NHS care assistants, support practitioners work the last 3.5 months of the year for nothing. That is how big the pay gap is!

I work with someone who experiences poor mental health and since the pandemic and Brexit we have struggled to recruit support practitioners. This has an impact on me and the person I support.

People’s mental health deteriorated during Covid and as a result our workload has increased.

This has meant working longer hours and often missing days off and not having as much time as we would like to attend to our own mental health and self-care. This has an effect on the relationships I have with my family and friends because at times there are just not enough hours in the week.

Having a fairer rate of pay would encourage people into the sector and retain the staff we have and as a result there would be less people suffering from burn-out and sickness.

One in 6.8 people experience mental health problems in the workplace and evidence shows that 12.7% of all sickness is attributed to mental ill health.

Having a fairer pay rate would mean I have time and money to look after myself and in turn mean I would be in an even better position to ensure supported people live their lives to the full.”

Partners for Inclusion is an independent charity providing individualised support for people with learning disabilities and/or mental health services. Find out more.

Visit our campaigns page for more information on Rethink To 13.

Future engagement on FOI “needs to include all social care providers”

Our CEO responds to the Scottish Government’s move to delay a full consultation on access to information rights

The Coalition of Care and Support Providers in Scotland (CCPS) has welcomed the Scottish Government’s decision not to extend Freedom of Information legislation to cover third sector organisations, including all not-for-profit social care providers.

The government now plans instead to consult on the extension of the Freedom of Information (Scotland) Act to private and third sector providers of care homes and care-at-home services.

However, the consultation will not proceed until after the National Care Service Bill has been passed, it announced last week. The move follows a consultation on access to information rights in Scotland launched a year ago.

Commenting in response, CCPS’s CEO Rachel Cackett said:

“Right now, every single day, not-for-profit providers of care and support are struggling. They face massive holes in available public service funding, a crisis in staffing, and too little resource to meet need in our communities, which only increases as the cost-of-living crisis worsens.

“So a full, detailed, engagement with social care providers – from the largest to the smallest – to work out the best and most proportionate way to implement any changes to FOI duties so that new demands do not reduce services, but can support people’s access to information, is right.

“But it is also right to delay the consultation for now and we welcome the Scottish Government’s announcement.

“We have to remember that FOI legislation was not written for our sector of diverse providers, and so any changes need to be made with us or it simply won’t work as intended.”

During the 2016 to 2021 session of the Scottish Parliament, the Public Audit and Post-Legislative Scrutiny Committee reviewed existing FOI legislation. The Scottish Government responded to the Committee’s report on 25 February 2021.

Read the Scottish Government’s response to the access to information rights consultation

Comment: “Social care could be the gift that keeps on giving for Scotland. But only if the government rethinks its budget”

Marking the launch of our new Rethink To 13 campaign, Rachel Cackett argues that £12 p/h for staff is too low, is ethically wrong, and flies in the face of what Scotland need to enjoy equality, opportunity and community

On the 19th December, during the last week of 2023 for the Scottish Parliament, the government will publish its draft budget.

In unprecedented times, we are hoping for something a bit different from this budget.

For years now, there have been calls for the Scottish Government to be far more transparent in setting out how its draft budget is intended to match investment to its stated priorities. This is a primary task of government: To ensure that funds raised from the public are invested in the things the democratically elected government has told us are important.

And when things are tight, justifying the allocation of too few resources to those things that a government says matters most is more important than ever.

So, perhaps the government can do something different this year.

The first minister has stated that all funding decisions must deliver against three things:

  1. Equality, by tackling poverty and protecting people from harm during the cost-of-living crisis
  2. Opportunity through a fair, green and growing wellbeing economy that can support improved living standards, reduce poverty, and sustain high quality public services, and
  3. Community by prioritising public services – building sustainability and reducing inequality.

So, perhaps we can expect the budget to be structured to show clearly how decisions to invest – and disinvest – will deliver these.

Perhaps, for example, we will see a commitment to the funding of sustainable social care services that support families facing poverty or destitution in the current financial climate to stay afloat, to keep a home, to feed their families and keep children in school.

Or to services that support disabled people, or people with long term health conditions – who face a myriad of daily inequities – to maintain their right to independent living and stay well in their own homes.

Or to mental health services that help prevent adults and children reaching crisis – and stop yet more people waiting too long for NHS services that just aren’t there – so that they can live connected, engaged lives as participants in work, school, family and community.

Or to the availability of social care and support for everyone who needs it so that unpaid carers can maintain jobs that can keep their families afloat.

Or to those staff in our sector, overwhelmingly women, who provide care and support to some of the most vulnerable members of my family and yours – but are paid far less than those in the public sector to do equivalent jobs simply because the government doesn’t provide enough funds.

Staff who may often work – and spend their wages – in the communities they support. Staff who are often working part time to juggle their unpaid caring responsibilities.   Staff who desperately need equality, opportunity and community.

You see, social care and support – ever the Cinderella of public service investment – could be the FM’s answer this Christmas. It could be the gift that keeps on giving; the glue that binds his priorities to effective investment. But it’s only possible with a workforce to deliver it.

And there’s the issue.

Half the people who moved jobs in our sector last year left social care altogether. And the unethical approach to embedding pay inequity into public service delivery means staff continue to leave and social care isn’t always there when you, or I, or our loved ones need it.

The FM has already imposed a £12 p/h pay deal for social care and support staff in our sector next year and, sadly, we expect to see this confirmed in the draft Budget on 19 December. But this won’t help the government meet its own budget priorities; it will undermine them.

So, Scottish Government, rethink your budget.

Investing at the very least £13 p/h in 2024-25 for all social care staff in our sector is the absolute minimum that will cut it – and that only as a first step in a plan to reach parity in pay.

£12 is too low; it’s ethically wrong; and it flies in the face of what you’ve told us it matters to invest in and what many people in Scotland need to enjoy equality, opportunity and community.

Please. Rethink your budget.

#RethinkTo13

Find out more about the campaign here.

Social care commissioning system is ‘out of whack’, new publication finds

Eight sector leaders provide perspectives on the viability of ethical commissioning and procurement, through interviews with journalist Pennie Taylor

A new publication from the Coalition of Care & Support Providers (CCPS) explores the viability of an ethical approach to planning and purchasing social care, with eight sector leaders providing their perspectives on the current landscape through interviews with journalist Pennie Taylor.

The publication, “It’s out of whack!”,  highlights how commissioning and procurement has a significant impact on the delivery of support services, sustainability of providers, the workforce and on people receiving support.

Download the publication (PDF)

Interviewees consider how meaningful partnership, community-level co-production and innovative thinking could address unprecedented service challenges.

As reflected in the publication title, which draws on a comment from C-Change CEO Sam Smith, the consensus view is that the commissioning system as it stands is unbalanced.

CEOs, directors and managers interviewed make clear the risks not implementing reform poses to providers, and the major steps still required to realise the “collaborative, rights-based and participative approach” that was outlined in Derek Feeley’s Independent Review of Adult Scotland Care.

Catherine Garrod, CCPS Programme Manager – Commissioning and Procurement, said: “The expert voices in these interviews demonstrate how Third Sector care and support providers already deliver high quality personalised care and support and work to improve the outcomes of the people they support, in spite of the system.

“These are voices that need to be heard and included in finding the solutions to make the shift we all want – and need – to see for people who require support.

Pennie Taylor said: “The concept of ethical commissioning and procurement has been embedded in the proposals for a National Care Service for Scotland, but a new way of working cannot wait for that. Instead, the people I spoke to for “It’s out of whack!” all want to see action taken to galvanise change, using existing legislation to kickstart widespread reform without delay

“These features spotlight great examples of doing things differently, and describe first-hand experience of current practice that is far from ethical. They eloquently demonstrate the passion, commitment and creativity that keeps the Third Sector going, whatever the odds.”

Interviewees in the publication are Ben Bradbury, Business Development Manager, Capability Scotland; Ian Bruce, CEO, Glasgow Council for the Voluntary Sector; Drew Collier, Director of Development, includem; Dr Ron Culley, Chief Officer, Quarriers; Louise Moth, Contracts & Commissioning Manager, Scottish Autism; Julie Murray, Chief Officer, HSPC; Sam Smith, CEO of C-Change; and Andrew Thomson, Deputy Chief Executive, Carr Gomm.

The publication was commissioned by CCPS’s Commissioning and Procurement Programme, which is funded by the Scottish Government.

Find out more about the Commissioning and Procurement Programme

More than 100 organisations urge First Minister to value social care staff in 2024-25 Budget

110 organisations from across civil society, including providers, anti-poverty groups, faith leaders, carers’ representatives and equality organisations, sign joint letter sent to the First Minister calling on him to increase pay

110 organisations have signed a joint letter sent to the First Minister calling on him to increase pay for social care staff and demonstrate that they are valued.

The letter, led by the Coalition of Care & Support Providers in Scotland (CCPS), is supported by organisations from across civil society, with social care providers joined by anti-poverty groups, faith leaders, carers’ representatives and equality organisations, among many others.

Read the letter and full list of signatories

In September’s Programme for Government, the First Minister announced a new base rate of pay for social care and support staff of £12 from April 2024, increasing from the current rate of £10.90.

As our letter explains, the pledged rate of £12 matches the updated Real Living Wage – sending a clear message to social care staff that they are only worth the bare minimum.

CCPS and signatories to the letter believe that £12 per hour is simply not enough, and that the proposed rate fails to reflect the invaluable societal contribution made by social care staff in supporting people to thrive and live independent lives.

Rachel Cackett, Chief Executive Officer of CCPS, said:

“Social care is at the heart of the First Minister’s vision for ‘Equality, Opportunity and Community’ in Scotland. Yet it is systematically overlooked and undervalued.

“Organisations that provide social care are rapidly losing staff because the current pay of £10.90 is simply too low to retain them and they migrate to better-paid jobs elsewhere.

“It is a scandal that, in communities across Scotland, people who need support to live, thrive and stay independent, can’t get it because there aren’t the staff available.

“As the First Minister will see from the range of signatories to this letter – the first time so many organisations have come together to make a joint call on this issue – we represent an emerging movement who are determined to bring social justice to social care and support.

“We are all clear that a better decision on pay for social care staff is needed in the 2024-25 Budget due to be published next month.”

(ends)

Media contact: Chris Small – chris.small@ccpscotland.org

Notes for editors:

▪ Staff vacancy rate in social care sector

Earlier this year, with the HR Voluntary Sector Forum (HRVSF), CCPS commissioned the University of Strathclyde to conduct a workforce benchmarking survey. In July we published an executive summary from the report finding that social care and support providers in Scotland are struggling with a loss of staff, with an average of 52% of those moving jobs last year leaving the social care sector altogether. Read the report. Read our media release.

▪ Proposed increase to £12 per hour, and Real Living Wage

The proposed rise from £10.90 per hour to £12 per hour for not-for-profit social care staff was announced on 5 September in the Programme for Government. The new rate of £12 for the Real Living Wage was announced on 24 October.

▪ 4 Steps to Fair Work

CCPS’s 4 Steps to Fair Work campaign (June – October 2024) called on the Scottish Government to properly recognise and reward social care staff for the work they do. It shared blogs and video contributions, including from a support worker who said that earning £10.90 per hour means “You can survive, but you can’t really live.”

▪ CCPS

The Coalition of Care & Support Providers in Scotland is the voice of not-for-profit social care providers, with 91 provider organisations in membership.

Joint statement: Scottish Government’s Winter Plan ‘offers no hope for social care’

Our CEO Rachel Cackett and Dr Donald Macaskill, CEO of Scottish Care, respond to this week’s publication of the Scottish Government’s Health and Social Care Winter Preparedness Plan 2023-24

As the CEOs of Scotland’s two major umbrella bodies representing providers of care and support in the third and independent sectors we are dismayed to see yet another Winter Plan which purports to be a whole system response for Scottish citizens but in fact offers almost no hope for social care.

Both of our organisations have attempted to convince both the Scottish Government and CoSLA that the plan was wholly insufficient to address the deep crisis facing our members and a system that is meant to uphold the rights of individuals who require care and support.

We have tried to be constructive in those discussions to which we have been invited, but have certainly not been engaged in any way as equal partners in finding solutions for a system in which our members deliver key public services for some of our country’s most vulnerable individuals and families. This document reflects that. The marginal changes made to an early draft following our strong criticisms do not allay the fundamental concerns we shared.

In particular, we note a deeply disturbing direction for social care providers and, ultimately, for those who rely on services to maintain independence and connection and prevent crisis:

Where necessary, local systems will prioritise social care and support services for those who need it most and are considered to be at a critical or substantial risk level.

In the current climate, where we already see social care budgets being depressed to the detriment of people and, indeed the wider system, we fear this will be read as carte blanche to remove or reduce funding for many people who need support. This cannot be allowed to happen.

We hope that the Cabinet Secretary and CoSLA leaders will clarify their intentions in including this statement and do significantly more to underline their commitment to a thriving social care system for which they wish to share accountability through a National Care Service.

Rachel Cackett, CEO, CCPS, and Dr Donald Macaskill, CEO, Scottish Care

 

Statement: “With promised £12 per hour base pay no more than the Real Living Wage, social care staff need action now to show they are valued”

Our CEO Rachel Cackett responds to today’s announcement that the Real Living Wage will rise to £12 per hour

Responding to today’s announcement that the Real Living Wage will rise to £12 per hour, CCPS’s Chief Executive Rachel Cackett said:

“Back in September, the Scottish Government announced a £12 per hour base rate of pay for social care staff, starting in April 2024. Today, we know that this offer is no more than the new Real Living Wage amount, which will be introduced at the same time.

This means that many not-for-profit social care staff – who work with disabled people, older people, children, families and many others who need support in communities across Scotland – will now receive just the minimum the Living Wage Foundation calculates is needed to meet every day needs.

This is nothing like enough.

Before the new base rate and RLW kick in next spring, social care staff will have to navigate the winter months as an acute cost of living crisis continues, whilst many earn just the £10.90 per hour currently set by the Scottish Government.

The First Minister’s states his priorities are “Equality, Opportunity and Community”. These priorities are at the heart of social care. Yet a workforce that makes such a vital contribution to society, to supporting people to thrive and live independent lives, continues to face inequality and limited opportunities through poor government pay awards. The knock-on is a lack of available support for the most vulnerable people in our communities.

Investing in the value of social care is a political choice, and there is still time to make the right choice in the 2024-25 Budget. We know public finances are tight. We know we won’t get to parity of pay, terms and conditions for equal work with public sector colleagues overnight. We are very far from that now.

But we need to see a clear step to closing the pay gap in April next year and a plan to get to equality; a move towards showing staff that they are truly valued.

So, we are calling on the First Minister to up his offer to at least £13 per hour for all social care staff from April 2024 as part of a published timetable to achieve Fair Work.

Not as an end point, but to indicate in tough times that our government sees the value of our sector and is committed to ending deep inequities for social care staff in Scotland.”

4 Steps Comment: “The door is open. Now we need to push it a bit further”

Our CEO Rachel Cackett reflects on the disappointments and successes of our 4 Steps to Fair Work campaign – and what our emerging movement can do next in its fight for social justice

“You can survive, but you can’t really live.”

Those words from Derek, a frontline social care worker, have echoed around my head during our #4StepsToFairWork campaign. They describe what it feels like to live on the amount the Scottish Government makes available to our members to pay staff who provide support to some of the most vulnerable people in our communities.  People we all clapped through COVID. The people who might work to support my family or yours.

It’s the quietest national scandal that, behind doors in streets and villages across Scotland, are people who need support to live, to thrive, to be well, to stay independent, who can’t get it because there simply aren’t the staff.

It’s the quietest national scandal that social care and support staff working in our sector – the vast majority of them women – are paid 20% less to deliver public services, from our taxes, than people doing equivalent work in the NHS.

So, at the start of 2023 we decided it was time to stop being quiet and call for better, loudly.

Our demands weren’t huge.  Simply, we wanted all staff to get at least £12 per hour from April 2023 as the first step of a public plan to pay people fairly. A plan to give staff, and the people they support, hope.

And our #4StepsToFairWork campaign began to snowball.

Frontline staff and CEOs from our member organisations stood up and spoke up. And then others joined.  Carer Organisations, Scotland’s Faith Leaders, partner organisations, people with experience of care and support all spoke up through blogs, emails to MSPs, social media posts. I would like to personally thank every one of you who did so.  In a sector, based on the rights of people to exercise choice and control about their own care and support, our diversity and our voice are our strengths.

Then, early in our campaign, our new First Minister stood up to give his first speech to the Scottish Parliament.

We waited.

“Equality, Opportunity, Community” he said. Those are the government’s new priorities.  “That’s social care!”, we thought.

We waited…

A commitment to £12 an hour, he said.  “At last!”, we thought. The voices had been loud enough for him to hear.

But then he gave no date.

A crisis heard, but half a promise made. And a crashing disappointment for the thousands of committed staff in our sector, and to the leaders trying to keep their organisations open.

140 days later the date came in the Programme for Government – £12ph from April 2024. We hoped for a mistake in the speech, but no. A year late and by then, again too little.

And no plan.

Of course I am disappointed that the voices of so many have not resulted in our asks being met in full. That the national scandal of the Scottish Government baking in inequity to social care, and leaving people without the support they need, remains. But is it over? Absolutely not.

The door is open. We just need to push it a bit further.

Your voices were so loud, your arguments so clear, that our new FM knew he had to make a commitment to our sector in his first speech. We shouldn’t ignore this; we should build on it.

For the first time, the pay award has been extended to those working in children’s services: A first inequity addressed through our campaign.

The collective, public, voice of our sector and our allies is building to bring social justice to social care and support. Nurturing that emerging movement in the run-up to elections, as parties set their new priorities, is crucial.

And finally – and importantly – let’s remember that the £12 announcement might be made, but the Scottish Budget is not yet passed.  Every MSP has an opportunity to speak up to call for more, for better.  All of us can still call on politicians, whose core job is to allocate tax payers’ money to fund priorities for our nation, to make a better decision.

So, our #4StepsToFairWork campaign concludes today; but our campaign for better for our sector does not.

Watch this space….

Blogs, video contributions and resources from our 4 Steps campaign (June – October 2023) are available to read here

News: Final podcast episodes amplify quality and good practice

Our final episodes in the Insights series, launched today, feature lively discussion about ethical commissioning principles in social care

CCPS’s focus on ethical commissioning principles in social care continues with the release today of the final two episodes in our Insights podcast series.

The podcasts feature a range of experts sharing their views on the ethical commissioning principles developed by the Scottish Government.

Episode four explores high quality care, with Dylan Macdonald’s guests discussing how to support the move to outcomes-based commissioning and contracting and a focus on quality, not price.

Joining the debate are Geoff Mark and Innes Turner from the Care Inspectorate, part of Scottish Government, alongside Toby Lowe, Visiting Professor at Centre for Public Impact.

For the final episode, the spotlight is on good practice examples across the care sector and the positive impact of moving to an ethical commissioning approach.

Guests include Amy Hurst, Head of Practice at Collaborate CIC, SallyAnn Kelly OBE, Chief Executive Officer at Aberlour, and Gary Wallace, Public Health Specialist at Plymouth City Council.

Catherine Garrod, CCPS’s Programme Manager (Commissioning and Procurement), said:

“We’ve been delighted by the reaction to the podcasts and the level of engagement from across Scotland’s social care sector since we launched this new series.

“These final two episodes feature lively debate and expert voices from very different social care backgrounds. Anyone with an interest in delivering on ethical commissioning principles in social care will want to listen to them so they can be part of the dialogue.”

The Insights podcasts series is produced by Spreng Thomson.

Listen to the podcasts on Spotify 

Find out more about CCPS’s Commissioning and Procurement Programme

 

Media statement: Programme for Government social care pay announcement “fails to grasp reality and begs questions over timeline”

Our CEO Rachel Cackett responds to today’s pledge from the First Minister

Responding to today’s Programme for Government announcement, the Coalition of Care and Support Providers’ Chief Executive Rachel Cackett said:

“We welcome the fact that the Scottish Government has recognised the issue of fair pay for social care staff.

“However, today’s announcement represents a failure to grasp the reality of what’s happening in social care in Scotland. It falls way short of what is required and what we’ve called for through our 4 Steps campaign.

“Social care staff needed an immediate pay increase, backdated to April of this year, as a first step in bringing them security – and giving a sense of consistency for the people they support.

“Any further delay will heap pressure on the workforce and services during a prolonged cost of living crisis and through another extremely challenging winter period.

“We’ve called for pay uplifts to be applied to staff in all services, not just those in registered adult social care, and we’ve urged government to deliver funding packages that value the vital role of support staff and managers, alongside frontline workers.

“Anything less than this contributes to distortion in the sector, undermines staff morale and, again, impacts on the quality of relationships and consistency of support for the people in our communities who most need it.

“We are confused by the disparity between the content of the First Minister’s statement at Holyrood and the detail of 2023-24 policy priorities outlined in the letter to the Cabinet Secretary for NHS Recovery, Health and Social Care, also published this afternoon.

“In the former, a pay uplift to £12 per hour was expressed as a firm commitment. In the latter, an increase ‘up to £12 per hour’ for adult social care is described as an option to be evaluated. Which is it?

“As a matter of priority, the government must confirm the commitment to a pay uplift with an absolutely definitive timeline, and no backtracking.

“We will be seeking more detail and pushing for clarification about the introduction of the £12 pay uplift, which the First Minister announced 136 days ago.

“We will continue to collaborate with Scottish Government to ensure that fair work can be delivered for social care staff – and we will continue to work to ensure that our campaign calls are answered.”