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


NCS agreement: “We need to shape the detail”

Responding to today’s announcement of an agreement between Scottish Government, local authorities and the NHS on the National Care Service, Rachel Cackett says that genuine partnership and participation is key

Responding to today’s announcement from the Scottish Government about an accountability agreement with CoSLA and the NHS on the National Care Service, Rachel Cackett, CEO of the Coalition of Care and Support Providers, said:

“We welcome the Scottish Government and CoSLA’s efforts to find ways of progressing social care reform.

“However, there is very little detail in today’s announcement about what has actually been agreed, and how it will work in practice.  We hope this won’t simply result in the status quo continuing.

“Social care providers – like many others – need to be involved in shaping the detail so that expert views and experiences are reflected in the final legislation and in the way much-needed reform is delivered.

“We look forward to working with the three parties involved in the agreement announced today, alongside all those with experience of social care, in a way that reflects genuine partnership and participation.”

4 Steps Guest Blog: “It’s too easy to think that social care is about someone else. It’s about all of us”

Providers must have better resourcing to reflect the societal importance of our work in communities across Scotland, says Andrew Thomson, Deputy CEO of Carr Gomm

All animals are equal, but some animals are more equal than others“.

George Orwell’s fusion of political and artistic purpose was always intended to have a wider application than simple political satire. Social care in Scotland can often feel ripe for satire, although there is nothing funny about systematic underappreciation and underfunding.

Inelegant tension exists throughout, and remains inexplicably embedded in, our system. The maxim from improvement science states that “every system is perfectly designed to get the results it gets”, and we have a system that Derek Feeley describes as containing “unwarranted local variation, crisis intervention, a focus on inputs, a reliance on the market, and an undervalued workforce”.

Scottish Government policy sets the minimum adult social care wage. The Scottish Government and CoSLA decide the financial uplifts to cover the costs of the policy. Social care providers implement the policy and volubly articulate again the wider implications, failings, and consequences of the policy. We’ll do it all again next time too. Our system is designed to aggregate the underfunding and to ignore the cost-of-living crisis; we get poorer each time we go around. There is no sign of the powerful recognising that the social care system is increasingly unsustainable.

The Scottish Government has set the wage at £10.90/hr, or 104% of the statutory minimum wage. The Scottish Government sets the value of working in our sector. Practitioners working for local authorities or the NHS are excluded from the Government’s policy and are paid more than 20% more for undertaking equal work. All practitioners are equal, but

It feels like a lifetime ago that we clapped our hands on a Thursday night in acknowledgement of the essential work undertaken by key workers as Covid ravaged our lives and freedoms. We recognised the importance in society of those that care for others. It is too easy to think that social care is about someone else, but social care is relevant to our colleagues, our friends and families, our neighbours. Ourselves.

Every one of us has the right to live a full life. And every one of us should have the right to be supported by a practitioner that has been comprehensively inducted, continually developed, registered with a professional body, professionally qualified, scrutinised by an external regulator, and appropriately remunerated. We have all of the former, we simply need to recognise – as Feeley already has – the latter: that our workforce is undervalued.

As a first step, the First Minister has committed to raising the wages of frontline adult social care professionals to £12/hr. It’s a small step on the road towards appropriate remuneration, although thus far, the Scottish Government has not published a timeline and so we wait. I call on the First Minister to implement this improvement from 1 April 2023.

The oft-quoted, lazy narrative about social care is that it is broken. But Carr Gomm is not broken. The people we support are not broken. We simply need better resourcing to adequately reflect the societal importance of our essential work in communities throughout Scotland.

Andrew Thomson is Deputy Chief Executive of Carr Gomm, a leading social care and community development that supports over 3000 people a week across Scotland.

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