5 October 2023

4 Steps Guest Blog: “In all good conscience, we cannot allow the support of vulnerable children to be devalued”

We refuse to accept that our children’s services staff are any less important than their adult counterparts, writes Cosgrove Care’s Depute Chief Executive Pauline Boyce

Cosgrove Care is proud to work with children and adults with learning disabilities, mental health issues, autism and other support needs. We want to see them thrive and grow, realise their human rights and live life to the full. We simply cannot do that without our dedicated, committed and skilled team. That means the direct support workers and their managers, in both our children’s and adult services.

In recent years the uplift in pay for adult social care staff has been welcome.  However, the consistent failure to equally value the children’s social care workforce has placed a significant financial burden on organisations such as ours, who refuse to accept that our children’s services staff are any less valuable than their adult counterparts.

How do you explain to a skilled support worker that, in the eyes of the powers that be, the work they do on a Monday morning, caring for a vulnerable adult at our wellbeing group, is of more value than the care and they provide at 3pm the same day, to a vulnerable child after school?

The answer is you do not. You simply cannot in good conscience allow the support of vulnerable children to be devalued. As an organisation you absorb the cost of increasing wages for children’s service staff, carrying an unsustainable financial burden.

The First Minister’s recent statement announcing an uplift to £12 an hour – which does appear to include both adult and children’s services staff – is again welcome. But it does not recognise the burden organisations such as ours have carried in the last few years supporting children’s services staff.

Equally, the provision of funding to increase the rate of pay for social care workers in direct care roles does not recognise the burden that we carry in maintaining a differential for our first and second level managers. It fails to value our team leaders and managers.

Are they less deserving of a pay increase? Are their families less deserving of their support? How do you explain to your managers that the work they do supporting staff, managing and deploying ever more stretched resources, all whilst ensuring quality services, are delivered and improving outcomes is of less value than direct support work?

The answer is you do not. You simply cannot in good conscience allow the support of your staff to be devalued. As an organisation you absorb the cost of increasing wages for front line managers, carrying an unsustainable financial burden.

If we are genuine about valuing social care, in recognising it as a worthwhile service and career we need to ensure funding increases value all aspects of the social care work force, without placing further burdens directly onto organisations.

Find out more about Cosgrove Care

Find out more about our 4 Steps to Fair Work campaign and take part

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26 September 2023

4 Steps Guest Blog: “Funding packages that value all staff will play a crucial part in developing a motivated workforce”

Alex Cumming, SAMH’s Executive Director of Operations, on why social care and support managers need our backing to ensure not just that they don’t leave the sector, but that they can thrive in it

At SAMH (the Scottish Association for Mental Health) we believe everyone is entitled to hope and choice, and to achieve personal fulfilment. We know from 100 years of working in mental health that the key to delivering on these values – and the success of services – is a sustainable, happy and valued workforce.

Critical to our frontline workforce is the support given by managers across the country. Within moments they move from crisis management, to hands-on delivery, meeting ever-more demanding compliance requirements and regulations. They do all this while embedding organisational changes, leading service improvements and delivering contractual obligations. Our ask of them is vast.

The role they play in creating and embedding a culture of compassion and providing the environment for staff to develop cannot be exaggerated. They provide support for improving practice and negotiate delicate performance conversations. They do all this at the same time as bringing the team together to work on the collective goal of improving outcomes for people we work with.

This means that the ability to sustain and develop management and leadership pathways is essential, and just as urgent as the frontline challenge all providers are facing. One way to address both these issues is delivering funding packages that value all staff, which will play a crucial part in developing a motivated health and social care workforce that functions effectively, safety and consistently.

All of us are planning for the future, and considering what’s needed for management and leadership roles is key to that. However, we need a longer term view as well as support from government that delivers greater parity, enables us to harness the passion and skills to develop our managers, and reduces the fatigue our staff are feeling.

So where are the positives? Having spent time with more than 50 of our managers in the last week, I’m reminded of the drive and determination of our workforce and their unyielding commitment to those we support. Their resilience motivates others, but they need our backing and support to make sure not just that they don’t leave the sector, but that they can thrive in it.

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21 September 2023

4 Steps Guest Blog: “Delaying a pay increase means the people we support, our colleagues and the Scottish Government all lose out”

The First Minister’s pledge of £12 from next April fails to address a deepening crisis, argues Karen Sheridan, Chief Operating Officer of Community Integrated Care and CCPS Board member

Having worked in the social care sector for almost 23 years, I despair that we are still fighting for the recognition the sector deserves. This is a sector that stands tall and proud supporting the those that need it most in society, despite what can only be described as a broken and desperate system. A workforce that turns out no matter what, seemingly still awaiting proper recognition from the Scottish Government in terms of meaningful commitments and action.

While that sounds strong, it is based on constant frustration and desperation as we continue to fight for the rights of our workers who are quite frankly undervalued, underpaid and – despite all our efforts – still not recognised for the complex jobs they hold. Roles that are technically, emotionally, and physically challenging. Roles that demand the best of people to deliver crucial frontline services in our communities. Roles that support and care for people in their most challenging times.

Now don’t be mistaken: by ‘frontline’ I don’t mean just Support Workers, I mean the army of brilliance beside them every day – our leaders, specialists in recruitment and quality, our cleaners and facilities, and many more! Our sector is built on professional and dedicated teams, yet our government continues to deny fair and equitable pay for carers and repeatedly ignores the value of those who stand alongside them to keep our social care services running.

Community Integrated Care’s Unfair To Care report proves that social care is demonstrably undervalued. The publication shows that, in Scotland, despite the government’s commitment to improving social care, we still see significant gaps between Support Worker pay and roles of equivalent size in the NHS and public sector – a staggering 21%, or £4,330 when compared with the NHS Band 3 Worker. This difference is being felt deeply by many during the cost-of-living crisis. It is is not only an injustice for the talented people who deliver an essential service to society, but also for people who draw upon care. Having stable, reliable, relationship-focused support is fundamental to leading a life of independence.

We do not begrudge our health colleagues such a pay scale – we applaud their ability to secure these terms. It’s a good deal which is deserved. However, it would be remiss not to draw the comparison and highlight how the difference in employer seemingly allows a position that diminishes the role of our colleagues in social care, allowing such an injustice in relation to fair and equitable pay for roles which are so stark in their similarities. It would be cynical not to suggest that the structural differences and dispersed nature of our sector makes it easier to ignore our calls in a way that couldn’t with other large statutory organisations.

I have mentioned that our social care workforce is demonstrably technical, accountable, and skilled but it is a point worth mentioning twice. Our sector offers uniquely rewarding vocational experiences for people who are passionate about connecting with others. Sadly, despite this, far too many are finding that social care cannot be a long-term career for them. There is a moral and economic imperative for the government to change this by working directly with the sector, and those who draw on support, to create a workforce plan that ensures social care can become a valued profession. An equitable and fair pay framework must be applied as a priority. Without this equality with partners, we will never achieve the balance needed for a fully-functioning, stable, and sustainable health and social care system.

Our polling with Ipsos illustrates that 91% of the public believes that social care is important to society. Our sector contributes more than £60 billion to the UK every year. The pay gap presents a false economy and moral injustice that can and must be changed. It masks the costs of agency work premiums, the economic impact of families exiting employment to provide care for loved ones, and the resource wasted on managing a constant churn of talent. These figures point to thousands of lives being constrained by low pay or inconsistent and unavailable support.

Our First Minister recently announced in the 2023-24 Programme for Government that social care staff rates of pay would be increased to £12 per hour from April 2024. Was this welcome? Of course. But since that poignant moment of disclosure the announcement seems to be shrouded in some confusion and weeks on, we are still seeking the clarity on what it really meant.

Community Integrated Care supports CCPS 4 Steps Campaign, and we stand with our colleagues across the sector in this call to action. The First Minister’s announcement is welcome, but it fails to address the deepening crisis in the social care sector. Delaying a pay increase undermines staff morale as it simply doesn’t demonstrate value or recognition for the life-changing work they do every day. In short, the delay will only serve to prolong a cost-of-living crisis that would undoubtedly be at a cost to the sector and those who rely on our support as our workforce are forced to look for better paid opportunities just so they can afford to live. Make no mistake: every vacancy represents a life impacted!

Frankly, nobody wins in this scenario – not the people we support, our colleagues or the Scottish Government. We call on the government to listen to the thousands calling for change and do the right thing!

Read more about our 4 Steps to Fair Work campaign

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19 September 2023

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.

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11 September 2023

4 Steps Guest Blog: “On pay for social care staff, I see only despair and anger”

Last week the First Minister announced plans for a rise in baseline pay for social care staff to £12. Where does this leave supervisory staff – and who will recognise their skills? asks Stephen McLellan, Chief Executive of Recovery Across Mental Health

I want to refer to a couple of conversations I have had with colleagues recently to help put the context of developing a career in social care into some perspective.  I shall be retiring shortly, after 47 years in Health and Social Care, so I feel I have some background in this.

Few people will have heard of RAMH – Recovery Across Mental Health, as we are a local organisation, operating mainly in Renfrewshire, East Renfrewshire, North Ayrshire and Argyll and Bute. However, we probably reflect the reality of many third sector organisations in Scotland: local delivery by local people to meet local needs.

We employ around 180 staff, 50 volunteers and support over 5,000 people every year.

The first comment by a colleague pretty much sums up the description above:

“We just do it. We turn up and we don’t give up.’’

This very simple description defines what society requires from care, support and health workers. We expect services when and where we need them, no questions asked, because that’s the right thing to do, isn’t it?

To rhetorically answer my own question, yes it is. But how can we continue to expect this if we are not able to acknowledge the value of what we ask?

We expect people to work at the barest minimum rate of pay, with a token nod towards pensions. We put people in stressful, challenging and often demanding situations and offer them £10.90 an hour.  Colleagues who provide supervision and management are expected to do this at rates that are in relation to colleagues in health, paltry.

This takes me onto the conversation with another colleague, yesterday.  She has been offered and is taking a job as a Social Work Assistant, in a local authority. She doesn’t want to leave, but the increase in salary and the security of a pension leaves her little choice. As she explained, “You guys gave me training and experience that meant I was able to apply for this job. I feel awful, but I can’t turn down the money’’.

I will not disagree with colleagues in statutory organisations who argue for better terms and payment. Good luck to them. However, I cannot understand what value there is in governments not understanding that every time health colleagues receive an increase, it only widens the gap for social care staff, which in turn encourages more people to leave and discourages new entrants.

The First Minister recently announced the 2023-24 ‘Programme for Government’. He noted the potential for a baseline payment of £12 an hour, perhaps from April 2024? I refer back to my comments above: where does this leave supervisory staff? Who will recognise their skills and their needs?

There is no moral, or fiscal argument that justifies this myopic policy. It is purely a short term, transactional arrangement that is creating despair and anger across a huge swathe of the voting population.

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5 September 2023

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.”

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4 Steps Comment: Today, the First Minister has the chance to introduce a step change in social care. Will he take it?

The Programme for Government could answer our campaign calls and make a real difference in people’s daily lives, writes Rachel Cackett

It’s been a long year already.

It’s only just turned to autumn, but today is the announcement of the Programme for Government. And for many people in Scotland, the things that really matter in life will turn on announcements made by the First Minister this afternoon – announcements that will show whether the FM’s priorities of “community, equality and opportunity” mean something tangible for the one in 25 people who will access social care this year and all who are employed to provide that support in not-for-profit providers.

For many it’s been a very long year.

If you are someone in need of care and support to stay in your own home or community, to live your life on your own terms, to thrive in your neighbourhood, work or school, you’ve long felt the crisis in social care. You may well have found it difficult to get your needs assessed, or keep the amount of support you need, or to hold on to the valued and trusted relationships as staff are forced to leave our sector.

If you are the loved one of someone who needs care and support, you may well have wondered how on earth you get your mum, dad, child, partner or friend the support they need – and how you get the help to make possible your crucial role as a carer. You’ve watched life become harder for those who need support most. You may be tired, and we know it can begin to feel hopeless.  

If you are a third sector social care and support worker, you’ve seen your real terms income decrease and the gulf between the value given to the work you do and that given to those in the public sector stretched to the limit. Your role in being a part of the very community you serve is lost in the national conversation. In fact, you may have left the social care workforce already, like over 50% of those who moved jobs in our sector at the last count – making the tough choice between a job you love and the need to pay bills for your own family.

If you are a third sector employer, you have probably spent sleepless nights wondering how you are going to keep the show on the road with far less money coming in. You know you need more to keep your staff and pay going, all while trying to meet the increasing needs of your communities through a cost-of-living crisis.

Today, the First Minister could make the beginnings of a step change to all of that.

We know that the historic underinvestment in social care isn’t going to be solved overnight. But it’s 136 days since our new FM promised a starting salary of £12 per hour.  None of those who need a functioning, thriving social care system to live can wait a minute longer for action.

That is why CCPS has been building support for its #4StepsToFairWork campaign over the summer.  We’ve had support from providers, social care staff, carer organisations and, at the end of August, the support of Scotland’s faith leaders. I would like to thank each and every person who has made their voice heard in this.

And let’s be clear. We have heard many imperatives – economic, equality, social justice, human rights, moral imperatives – to delivering Fair Work for those who provide care and support.

Our calls our simple.  And they will be our measure of any announcement today on the move towards parity for those who provide care and support in our sector, and recognition of the importance of upholding the rights of people who need that support.

The calls are:

  • Deal with pay inequality: As a first step, implement the promise of a minimum of £12 per hour for social care staff, starting from 1 April 2023.
  • Ensure equal pay for equal work: Apply pay uplifts to staff in all services, not just those in registered adult social care.
  • Value all staff who play their part: Deliver funding packages that value the crucial role of support staff and managers, alongside frontline workers.
  • Give us hope of equality: Publish a timetable by this September to deliver fully on Fair Work in Social Care by 2025.

So as a final message this morning to our First Minister: please don’t tell us there is no money. We know how tight things are. Instead, tell us how you are choosing to allocate a fair proportion of the money you do have to our sector. Show us how you will ensure your priorities mean something real in people’s daily lives. Tell us that you recognise the true value of social care.

Read more about our 4 Steps to Fair Work campaign

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1 September 2023

4 Steps Guest Blog: “In a just Scotland, everyone must have sufficient income to live a dignified, healthy and financially secure life”

Lack of fair work and low income can lead to problem debt, including for staff in social care. As part of our 4 Steps campaign series focusing on Faith Leaders, Christians Against Poverty’s Emma Jackson explains the scale of the problem – and how to fight back

I don’t know if you have ever had to carry a secret, something you felt too ashamed to tell anyone. If you’ve ever experienced the overwhelming fear and dread it forces you to carry and how it consumes every aspect of your life. Holding you hostage and whispering the lie ‘there’s no way out’. This is exactly what problem debt feels like for tens of thousands of people all across Scotland.

Problem debt is deeply isolating, dominated by fear and pressure and a unique stigma that forces people to hide their financial difficulties. At Christians Against Poverty (CAP) our Taking on UK Poverty report revealed that one in two of our clients wait for at least a year, almost a quarter (23%) waiting more than three years, before seeking help. People like Alan*. Too ashamed to reveal the depth of their financial struggles.

The reality is, debt is overwhelming due to circumstances beyond an individual’s control. A change in circumstances, something unexpected or outwith your control. Our most recent client survey revealed that the three most common reasons people had ended up in unmanageable debt were mental ill-health, relationship breakdown and low income.

Insufficient income is a growing issue that is significantly affecting not just the people accessing our services at CAP, but hundreds of thousands of households right across Scotland. This includes households in receipt of social security and households where there is paid employment.

For an increasing number of people, they do not have enough money to pay for the everyday essentials that we all need; food, fuel, housing. Forcing people down one of two impossible paths – destitution and going without or deepening debt. People like Ron, who has gone without heating on a regular basis for over four years. Or Laura who walked hours to find yellow sticker food items as a means to survive.

The Financial Conduct Authority (FCA) reported in its most recent Financial Lives Survey that 1.1 million people in Scotland (24%) are heavily burdened by domestic bills or credit commitments. This is 3% higher than the UK average. When people have no financial safety net small, unexpected expenses can prove disastrous and your budget is on a knife edge daily. For Helen*, who works as a care assistant, it was moving house and the need to buy furniture, a bed, that triggered problem debt for her: for the second time. Quickly her physical and mental health deteriorated as her budget just wouldn’t balance.

At CAP, approximately 50% of the households we are working with have an unsustainable budget. This means that after working through a debt solution, there is not enough income, either via paid work or social security, to cover basic essentials. Households are being pushed to either go without or begin to accrue debts again. A totally unwinnable game. Hopeless is the word used far too often by people in these circumstances.

The insidious nature of debt means that it permeates every aspect of someone’s life and pushes many to very dark places. It is devastating for us to report that 50% of our clients have seriously considered or attempted suicide because of problem debt. That’s one in two people believing suicide to be their only option when they first contact us. This is utterly heartbreaking and completely unacceptable.

We have the opportunity to change this, to prevent tens of thousands of people from being pushed into debt and poverty and being battered by the pain and trauma that it forces people to endure by providing liveable incomes. We need bold, targeted and urgent action from Government at all levels to deliver on the policy proposals already laid out to make this happen.

In a just and compassionate Scotland, everyone must have sufficient income to live a decent, dignified, healthy and financially secure life. Our collective aspiration must be for all of us to have the opportunity to flourish. Where we recognise and value the contributions that we all have to make to civic society and everyone can have the opportunity to fulfil their potential.

(If you or someone you know is experiencing problem debt free, professional debt help is available from Christians Against Poverty today. You can also find out more information on money advice from the Scottish Government).

*names changed to protect anonymity.

Emma Jackson is National Director Scotland, Christians Against Poverty

 

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21 August 2023

News: Insights Podcasts give voice to discussion of ethical commissioning principles

We’ve launched a brand series of podcasts on the vital issue of ethical commissioning, with experts from across the sector sharing their views.

The Coalition of Care and Support Providers in Scotland (CCPS) today launches a new series of podcasts focusing on discussion of ethical commissioning principles in social care.

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

The principles were introduced to promote the move to more collaborative, outcomes-based commissioning and procurement practices that support high quality, person-centred care, fair work, sustainability for providers and real choice and control for individuals under Self Directed Support (SDS).

Introducing the new podcasts, Catherine Garrod, CCPS’s Programme Manager (Commissioning and Procurement), said:

“If fully implemented, CCPS believes that the ethical commissioning principles could make a real difference to the way that social care support is commissioned (planned), procured (purchased) and delivered.

“A move away from traditional price-based competition to greater collaboration and outcomes-focussed commissioning and contracting will lead to better outcomes for individuals, support that meets people’s needs, greater sustainability for third sector support providers and a workforce that is fully valued and rewarded for the work that they do.”

“Our new podcasts feature provocative and thoughtful discussion of these issues from a variety of expert voices. We hope they’ll be of interest to CCPS members and everyone in our sector committed to delivering on our shared vision for ethical commissioning in social care.”

Produced by Spreng Thomson and hosted by Dylan Macdonald, the first three podcasts in a series of five are launched today. They are:

1. Overview of ethical commissioning principles and why they matter

In this first episode, we hear contributions from Dr Catherine Needham, Professor of Public Policy and Public Management at the University of Birmingham, Rachel Cackett CEO of CCPS, and Andrea Wood, Convener of CCPS and CEO of the social care provider Key.

Introducing the topic, Catherine and Rachel share their views, experiences and learning regarding ethical commissioning and the impact it has for the sector, as well as everyone involved in social care. Later in the episode Andrea Wood discusses the importance of procurement principles, touching on many of the aspects explored by Catherine and Rachel.

2. Person Centred Care, SDS, supporting a diverse market of support

The second podcast features contributions from Pauline Lunn, CEO of In Control Scotland, Linda Tuthill, CEO of The Action Group, and Des McCart, Senior Programme Manager Improvement Hub (ihub) at Healthcare Improvement Scotland.

The group look at the importance of having a diverse market of support for individuals to choose from and why it is vital people are involved in the decision-making behind their support provider and support needs.

3. Fair Work in practice and financial transparency

On this podcast we hear from Anna Fowlie, CEO of SCVO and Viv Dickenson, Chief Executive of CrossReach.

Episode three focusses on how changes to the way support is commissioned, procured and contracted can help deliver fair work. The contributors also discuss the positive impact that can come from embedding fair work in contracts and sustainable rates, and the value of effective training and workforce development.

The podcasts were commissioned by the CCPS Commissioning and Procurement Programme, which is funded by Scottish Government

Over the course of the series, contributors will examine other key themes, including the importance of person-centred care in light of the pandemic; the relevance of appropriate language and how terms such as ‘bed blocking’ undermine empathy and understanding; and the need for those in receipt of care and support to experience genuine autonomy.

Listen to the podcasts on Spotify 

Find out more about CCPS’s Commissioning and Procurement Programme

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15 August 2023

4 Steps Guest Blog: “Which part of the elephant do we start with?”

For things to improve for supported people and carers, they first need to improve for the workforce, says Claire Cairns, Director of the Coalition of Carers in Scotland

As Desmond Tutu once wisely said “there is only one way to eat an elephant: a bite at a time.”

I have recently been reminded of this when considering the seemingly enormous task of how to reform and improve social care. It’s certainly stumped a lot of governments, which is why when I talk to my colleagues in other parts of the UK and Europe, they seem equally overwhelmed by the task.

And the social care system is undeniably complicated. There are so many competing demands, so many inter-connected issues, not to mention deeply embedded cultures, processes and structures that we know don’t work, but we can’t work out how to dismantle them. Where do you start? The legs, the trunk?

The Feeley report has given us a great map, or perhaps more of a hopeful brochure of our final destination, if we can ever get the plane off the runway.

So what is the word from unpaid carers on all this? And specifically what is their view on Fair Work?

When it comes to Feeley and the subsequent National Care Service Bill, the development carers are most invested in is the right to breaks from caring. This is something carers have been campaigning about for well over a decade. At the moment, as well as being unpaid, carers don’t have the right to time off from their caring role.

Let that sink in for a minute. Having to care for someone, 24 hours a day, often with a lack of sleep – yet no guarantee that you will be able to get a regular break. Even those carers who do have a decent support package are just coming out of the last two plus years of the pandemic with their batteries, all but depleted and many of the services they used to rely on, seemingly dismantled.

So you might think that the spotlight on Fair Work and improving the terms and conditions of the paid workforce would have carers saying ‘Hang on a minute’. But I think you would be wrong.

Carers know that very little can be achieved to improve social care without first addressing the existing workforce crisis. The right to breaks from caring is completely unworkable unless there are social care staff and services to meet the increased demand. Not to mention to ensure there is a broad range of services available to ensure the very diverse needs of the carer population can be met.

But more than that, carers see the unfairness of how the social care workforce is treated – overworked, underpaid and often unappreciated. Support workers and personal assistants come into peoples’ homes and are trusted with their loved ones. They build relationships with people and at times become like family members. Sometimes and especially over the last few years, they are the only people the family regularly sees, providing a bit of comfort and chat, as well as support.

Carers are often devastated when support staff move on, particularly when it’s because they need to earn more money elsewhere, but they don’t want to move on to a job they will find less rewarding. Then for the family there is the hard task of recruiting, or securing, alternative support from their local authority – yet another stressful thing to add to the list.

The truth is both unpaid carers and social care support staff are the frontline, often working together, both under-appreciated. Both at times hailed as ‘heroes’, when they would rather be recognised and properly recompensed for their essential and highly skilled labour.

Feeley and the National Care Service is rightly focussed on improving outcomes for people who use services and their carers. But for things to improve for supported people and carers, they first need to improve for the workforce.

I suggest that’s the bit of the elephant we need to start with.

The Coalition of Carers in Scotland exists to advance the voice of carers by facilitating carer engagement and bringing carers and local carer organisations together with decision makers at a national and local level.

Since its inception in 1998 the Coalition has played a fundamental role in advancing carer recognition and support and in establishing a Carers Rights agenda in Scotland.

Find out more here. 

Find out more about the 4 Steps to Fair Work campaign here.

 

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