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

4 Steps Guest Blog: “Our staff deserve recognition for their drive, passion and commitment”

Immediate action and appropriate funding is needed to ensure children’s social care services can deliver for their workforce as they deliver for Scotland’s children, argues Capability Scotland’s Ben Bradbury

Capability Scotland work with disabled children and their families across Edinburgh, Dundee, Lanarkshire and Renfrewshire in a range of settings including holiday support, community services and residential care. We are committed to delivering outstanding care, support, and opportunities for the young people we work with and key to that is our workforce.

By their nature services for school age children and young people tend to have unusual working patterns. With children attending school during the week the support we offer is, with the exception of school holiday provision, in the evening or at weekends. This presents challenges to recruitment and retention of staff as the hours required of staff to deliver this support do not always sit comfortably alongside raising their own families or maintaining a healthy work life balance. In addition, the qualification and experience levels expected of staff in these services is often higher than in their adult equivalents, for example our day care of children registered managers must be qualified to degree level. There are good reasons for this, indeed we often work with some of the most vulnerable individuals in society, but it adds to the challenge of maintaining appropriate staffing levels of the required skill and competency.

In spite of these challenges our children’s services staff are enthusiastic, creative, playful and without exception go above and beyond to deliver exceptional services for the young people in their care. Whether it be attending training sessions at weekends to fit in with delivery of holiday support or working late on an evening to enable a trip to the cinema to take place we ask a lot of our teams, and they rise to the challenge.

However, since the pandemic an additional challenge has presented itself for organisations such as ours. The pandemic rightfully shone a light on the pay levels for social care staff, the response from the Scottish Government and local authorities has focused entirely on adult social care staff. The government, through the various Health and Social Care Partnerships (HSCPs), has provided additional funds to raise the minimum rate of pay for staff in adult social care roles. These uplifts had the effect of keeping the minimum rate of pay for staff in adult services above the Scottish Living Wage throughout the pandemic and in line with the living wage in 2023.

Unfortunately, no such uplifts have been forthcoming for our children’s services. Unlike with adults, services for children and families tend to be commissioned by the local council rather than the HSCP. There has been no reciprocal offer from the Scottish Government for children’s services, the knock-on effect has been that many of our children’s services have had no universal uplift to the rates paid by local authorities during a period of high wage and price inflation. During this period Capability Scotland has met the cost of increasing wages for children’s service staff in line with their adult service counterparts. However, this state of affairs is not sustainable indefinitely.

If appropriate funding arrangements aren’t arrived at there will be negative consequences on our ability, and the ability of organisations like ours, to continue delivering high quality care and support for disabled children across Scotland. Much has been made of the need to support Fair Work practices across the public sector, as an employer we fully embrace this approach, and we believe our staff deserve recognition for their drive, passion and commitment. As an organisation we welcome the First Minister’s recent statement regarding an uplift to £12 an hour which appears to be inclusive of staff across both adult and children’s services. However, there remains much uncertainty about the timescales and mechanisms by which this will be delivered.

What is needed now is immediate action and appropriate funding to enable us to deliver for our staff as they deliver for Scotland’s children.