18 August 2023

4 Steps Guest Blog: “The staff who work for my son will tell you it’s not only good fun, but they have grown so much from supporting him”

As part of 4 Steps To Fair Work, we’re sharing views from beyond our membership. Here the Coalition of Carers in Scotland’s Jaynie Mitchell discusses how a new approach to recruitment could reap rewards

There is no doubt it is difficult to recruit support staff roles currently. There are many reasons for this, poor wages being one of the main ones, but I also believe that the pandemic and how care is now perceived by wider society is also having a huge impact.

Throughout the pandemic care was primarily reduced to a shrinking number of care workers providing short visits to multiple people at a time. Mainly providing personal care to those who were elderly, unwell, or requiring end of life care. While this type of support is incredibly important it is only part of the social care picture. Many of us have loved ones who are children, teenagers, and young adults, or grown-up children, brothers and sisters who have support needs because of disability.

I would argue that this group of people is often overlooked by the mainstream press whenever there is a news piece on social care. There may be many reasons for this, amongst them how complicated it would be to describe their support needs briefly in an article.

While personal care is an essential element of social care, in reality it’s a very small part of what people need to live the life they want. We need to also focus on how social care should help people to live a rich and full life and not just an existence of being clean, fed and often lonely and bored.

Using the passions and interests of our loved ones to find support is one solution to the workforce crisis. It is also a great model for more personalised care.

Our son is an adventurer who loves to explore new places, going for a run in the car for a hot chocolate. He loves fish and chips followed by an ice-cream. He’s a collector of rare books, so likes to visit charity shops to add to his collection. He is an artist and photographer. He is a whizz when it comes to technology has a wicked sense of humour, and the most infectious laugh. He loves to eat out and enjoys home cooked food too.

When we have advertised for staff in the past and listed his diagnosis, and that sometimes he requires 2:1 support, lovely people apply, but they share none of his interests, they are usually older, very experienced, and come with a notion of what support should look like for someone with complex needs, and that notion doesn’t align with ours.

When we advertise for people that love to drive, are artists and up for a laugh, have a passion for books, are into technology, and enjoying eating out and cooking, we get a completely different kind of applicant. Once we think they are a good fit we then teach them the technical stuff about how to support him.

If your child wants to go to ballet lessons, ask some of the teenagers who attend if they want a part-time job. If they want to go to Beavers, try a Venture Scout. If your husband always enjoyed bowls, ask at their club who could support them. If they want to go to the gym, ask for a gym buddy. If they want to learn to cook, find someone who also wants to learn to support them. If they enjoy live music find someone who likes the same type of gigs. Not only will it be a better experience for your loved one, but a relationship may also grow from it which is and bonus for everyone involved.

We have been conditioned by the system and society that only a particular type of person can support disabled people. It is simply not true. Instead of paying staff a fair wage, staff are called ‘brave’ or ‘kind-hearted’, leading those that don’t see themselves as altruistic to think they need not apply.

Alongside improving the pay and conditions for the health and social care workforce, we also need to change the narrative. The staff who work for my son will tell you that it’s not only rewarding and good fun – but they have learned and grown so much themselves from supporting him.

Jaynie Mitchell is Rural and Island Engagement Worker for the Coalition of Carers in Scotland

Find out more about our 4 Steps to Fair Work campaign

 

 

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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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25 July 2023

4 Steps Guest Blog: “What is the ethical defence of unequal pay?”

Old concepts of moral principle, politics and logic help explain the absence of fair work in social care, says Ron Culley

Ethos, demos and logos were concepts used by the ancient Greeks to make sense of the world around them: ethos referred to the development of a moral principle or argument, rooted in human values; demos referred to the body politic, to the rules of self-government; and logos referred to reason and rationality, the logical flow of an argument.

Two-and-a-half-thousand years later, and it seems to me these concepts are still useful in making sense of the world around us. The principle of fair work in social care, and the limited political progress that we have made towards it, can be helpfully understood by applying these concepts.

Ethos

The ethical argument for fair work in social care is plainly put. If social care workers across different sectors are delivering similar taxpayer-funded public services, why should the level of pay be different? Given that care workers are providing work of equal value, is the Scottish Government justified in mandating that a Healthcare Assistant in the NHS be paid £14 per hour, a homecare worker in a council £16 per hour, a support worker in a not-for-profit social care provider £10.90 per hour, and a care worker in a private sector care home £10.90 per hour? All of these jobs are comparable in terms of skill and responsibility.

So is it fair that the Scottish Government and Local Authorities have decided in favour of unequal pay? And let’s consider the fact that most people working in the care sector are women and that, on average, women continue to receive lower pay than men. Is it right that the Scottish Government and Local Authorities have not gone further to correct this injustice? Were there to be a reprioritisation of political choices, tens of thousands of women could be taken out of a low wage job. In short, the ethical defence of unequal pay is very difficult to present.

Demos

To explain why this situation nonetheless persists, we need to understand Scottish politics. The reality – however much we might want to pretend otherwise – is that the NHS is politically more important to the Scottish Government than the social care sector. It’s why many arguments about investing more in social care are actually framed around alleviating pressure on the NHS, and not about supporting people to realise their rights as citizens or to give expression to their personal agency. By this argument, social care is only important because to get it wrong damages the NHS, and a struggling NHS is a vote loser.

The other way democratic politics plays into this is in the stewardship of the public finances. There simply isn’t a strong enough tax intake to fund the health and social care system that many people would like, so we have developed a system that supports the cheap outsourcing of public services to the third and independent sector (euphemistically referred to as ‘best value’). That would be fine if it were a level playing field and all providers (including monopolistic providers like NHS Boards and Councils) had to compete for business on the same terms. But that would risk violating one of the golden rules of Scottish politics, that public sector delivery is best (despite evidence that the third sector consistently delivers higher quality care and support).

Logos

The problem with all of this is that it contains flawed logic and makes for poor strategy. What happens if we pay public sector care workers significantly more than third or independent sector workers? The answer is there is a migration of talent and experience from one to the other. As a result, the third and independent sector is weakened, especially given that the labour market has been structurally imbalanced by Brexit and Covid.

How will providers in the third and independent sector respond? I doubt there will be a dramatic implosion – there’s too much market diversity for that to happen. Rather, what we’ll see is a gradual reduction in service delivery across the sector – less care delivered by less people. That in turn will generate more unmet need. And where will those people go? I would imagine social work, GPs and Emergency Departments. Only this time, there’ll be no-one else to turn to.

Ron Culley is CEO of Quarriers, a member of CCPS’s Board and Chair of our Committee on the National Care Service

Find out more about our 4 Steps to Fair Work campaign

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11 July 2023

Media Release: Report reveals reality of staffing crisis in social care, with more than half of those moving jobs last year leaving the sector

Scale of challenges facing providers uncovered in new study of workforce benchmarking

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, according to a new report.

In the study of workforce benchmarking in the sector, almost three quarters of surveyed organisations reported a significant rise in staff turnover in 2021-22.

Seventy-three per cent of organisations delivering social care said their staff turnover rate had increased since 2020-21 – a jump of 14% in a single year and an indication of year-on-year rises in social care staff moving jobs.

Responses captured in the 2022 Social Care Benchmarking Report demonstrate the scale of sector-wide recruitment, retention and staffing challenges organisations are experiencing now.

The Coalition of Care and Support Providers in Scotland (CCPS) and the HR Voluntary Sector Forum (HRVSF) commissioned the University of Strathclyde to conduct the benchmarking survey and analysis for member organisations.

The Executive Summary of the report is published today and is available to download here.

The study also found:

  • Average turnover across respondents was 25%, an increase of 5.5% from the figure reported in 2020-2021.
  • Fifty-nine percent of respondents noted an increase in their use of agency staff (the most expensive staffing option) – building on the 45% who had noted an increase in agency use the previous year.
  • Eighty-one percent of respondents reported that their recruitment needs were higher than in the previous year, an increase of 6% from the 2020-2021 Benchmarking Report figure of 75%.
  • On anticipated future recruitment needs, 46% of respondents reported that they expect hiring staff will involve more difficulty and 54% projected the same difficulty.

Rachel Cackett, Chief Executive of CCPS, said: 

“The headline results of this benchmarking survey are stark and confirm what our provider organisations have been telling us over the past year: retention and recruitment of staff is the dominant issue in a sector that is under intense pressure.

“It’s a situation that has only worsened since this data for 2022 was captured, as differences in pay between not-for-profit social care providers and the public sector have widened yet further.

“This report points to an exit of staff across organisations, resulting in a loss of current expertise; a loss of potential talent; and a massive undermining of key services.

“It’s a loss that has an impact on achieving what we all want to see: people thriving by getting the support they need at the right times and in the right places, with consistent relationships at the heart of that support.

“This is the reason we’ve launched our 4 Steps to Fair Work campaign, which calls on the Scottish Government to take the measures long needed to deliver on investment and reform and set the sector on the route to Fair Work.

“We want to see social care organisations hold on to their workforce, to have the resources to develop their people – and for their staff to finally be fairly recognised and rewarded for their public service.”

Kevin Staunton, Chair of the HR Voluntary Sector Forum, said: 

“As Chair of the Forum, I want to take this opportunity to thank all of our members who were able to participate in the survey this year.

“For years our sector has heard many warm words about parity of esteem and being seen as an equal and key partner in the delivery of social care in Scotland. This report, building on previous years’ results, provides a strong and indisputable evidence base that the reality our people experience on a day-to-day basis is very much different and the sector cannot continue to operate on the goodwill and unfulfilled aspirations of our workforce indefinitely.

“I hope that in a year’s time positive progress has been made to make the investment and reform which has often been spoken about become a reality. Our Forum members welcome the opportunity to work positively with others to make this happen. The people we support and the people our organisations employ deserve better.”

(ends)

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

Notes for editors

  • The HR Voluntary Sector Forum (HRVSF) and Coalition of Care and Support Providers in Scotland (CCPS) commissioned the University of Strathclyde to conduct the benchmarking survey and analysis for member organisations.
  • With thanks to the team at the University of Strathclyde’s Department of Work, Employment & Organisation and their colleagues at the universities of St Andrews and Middlesex.
  • The study involved 26 participant organisations, 73% of which provided social care primarily to adults. Housing support for adults formed the largest proportion of services (40%), followed by support services for adults (34%).
  • 4 Steps to Fair Work: find out more about the CCPS campaign
  • Attached 4 Steps to Fair Work campaign image by Ross Richardson – please credit the illustrator if used in print or online.
  • CCPS is the voice of the not-for-profit social care providers in Scotland. More information here.
  • The HR Voluntary Sector Forum (HRVSF) is a CIPD special interest group of third sector organisations and individuals. The Forum supports practice and information sharing alongside commissioning research relevant to the third sector workforce to inform and influence national decision-making.

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7 July 2023

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.

Find out more about our 4 Steps to Fair Work campaign and get involved.

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29 June 2023

News: 4 Steps to Fair Work campaign launched to bring step change in social care

New CCPS campaign amplifies voices of sector and civic society, urging the Scottish Government to pledge to invest and give hope of equality

The Coalition of Care and Support Providers in Scotland today launches a national campaign calling on the Scottish Government to deliver Fair Work for Scotland’s not-for-profit social care staff.

The campaign draws on evidence from CCPS’s membership organisations about the acute pressures currently being faced by their services as a result of the Scottish Government’s base pay rate for staff of £10.90, which is leading to staff leaving the workforce and many services being jeopardised.

The initiative aims to influence Scottish Government to take 4 Steps to Fair Work for social care staff and announce a timetable for investment. The 4 Steps are:

1. 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.

2. Ensure equal pay for equal work: Apply pay uplifts to staff in all services, not just those in registered adult social care.

3. Value all staff who play their part: Deliver funding packages that value the crucial role of support staff and managers, alongside frontline workers.

4. Give us hope of equality: Publish a timetable by this September to deliver fully on Fair Work in Social Care by 2025.

Launching the campaign, CCPS’s Chief Executive Rachel Cackett said:

“We may not always ‘see’ it, but social care and support is a fundamental; it touches all of us at points through our lives. But it mostly happens behind closed doors and is often obscured behind the big headlines about the crisis in the NHS.

“Social care needs to be championed in public for its crucial role in supporting people to realise their right to independence, their connections with the people and places that matter to them, their wellbeing, and their ability to participate in work, school and community.

“The Scottish Government needs to start talking about why social care matters – not just to keep the NHS on its feet, but to keep people on theirs. And it needs to articulate a plan for how it will invest in, and finally deliver, Fair Work.”

“This campaign is a first step on that journey and we hope everyone who cares about Fair Work will give it their support.”

Through the campaign CCPS’s members and wider civic society will alert the Scottish Government to why delivering on Fair Work is fundamental for the future of Scotland’s social care workforce.

Over the next three months, in the run-up to the Programme for Government and spending review, CCPS will be sharing voices, views and calls to action through the campaign.

Find out more about the campaign and take part.

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24 May 2023

Comment: Why care homes are not alone in a sector facing intense pressure

Our Chief Executive Rachel Cackett responds to news about the status of care home funding

Rachel Cackett

Responding to news about the status of care home funding across Scotland today, Rachel Cackett, CEO of the Coalition of Care and Support Providers, said:

“The situation for care homes is clearly very serious just now – and care homes are not alone in contending with sustainability issues fuelled by insufficient funding increases and too few staff. Not-for-profit social care is facing these issues in all services right now.

Our member organisations report intense pressure across the breadth of their provision, in community- and residential-based services for older people, in services for people with disabilities, and in services supporting children and families.

Why is this happening? In a large part because, despite a commitment to Fair Work in Social Care dating back to 2019, the Scottish Government has chosen to raise the minimum wage in our sector by just 3.8% to £10.90 this year.

That is an uplift only applied to staff providing registered services to adults. There is no commitment to other social care staff, for example those working in children’s services. The result is more and more of the workforce leaving social care for better terms and conditions elsewhere, jeopardising many key services.

We need to see immediate action on a pay uplift to £12 for all social care staff and across all services.

Amidst this crisis, it’s also vital we remember that there are real people at the heart of all these services. People who need support to thrive and take charge of their lives, and to play an active part in their families, communities, school and work.

We need to see a fair social care system in which workers and people who use services are truly valued. That is central to the First Minister’s vison of delivering on equality, opportunity and community in Scotland.

Unless the pay inequality being experienced by social care staff is addressed it will be impossible to fulfil that pledge.”

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24 March 2023

Vison and priorities for social care: Humza Yousaf responds to our questions

One of the three candidates vying to be Scotland’s next First Minister has outlined his commitments.

Humza Yousaf, one of three candidates competing to be Scotland’s next First Minister and leader of the SNP, has responded to a letter sent by our CEO Rachel Cackett and Board chair Andrea Wood.

In the letter, sent on 7 March, the candidates were asked three questions:

  • Will you commit to our 4 Steps to Fair Work?
  • Will you commit to implement social care reform and meet with us, within your first month in post, to discuss constructive ideas for positive and urgent change?
  • How would you articulate your own vision for social care reform in Scotland?

In response Mr Yousaf, who has been Cabinet Secretary for Health and Social Care since 2021, said:

“Thank you for taking the time to contact me as a candidate in the SNP leadership contest and for your patience in waiting for a response.

Currently as Cabinet Secretary of Health and Social Care, the issues you raise are important to me and would continue to be so if elected as First Minister.

There are two key commitments I want to make in regards to the Health and Social Care sector.

We need to make sure that our staff are properly paid – not only to recruit staff but to retain them.

Secondly, we have some reform to do in our NHS which will see as many people as possible treated as close to home as possible, leaving our hospitals available for emergencies only. This means that investment in our Social Care sector is at the heart of NHS reform and for bettering the conditions of work for social care workers.

If we have social care that has the right workforce, that is working for people, then we can stop them from coming in the front door of hospitals or GP practices, but we can also work on stopping the exit block and see people getting out the doors of hospitals as soon as they are fit to do so and back into their community, keeping as close to home as possible.

Therefore, reforming health care and social care has to be at the heart of my leadership. That is why I am passionate about the idea of a National Care Service – although I recognise that current proposals will need amendments, via dialogue with Local Government, Trade Unions, and membership organisations to make sure it works for everyone.

The principle of the National Care Service, where we have fair pay for our social care workers, where we have national collective sectoral bargaining, and where we have ethical commissioning – these markers will solidify a national social care system that is worthy of the name.”

Our letter also argued that a legislative pause could be an opportunity for the new First Minister to look afresh at social care reform based on our model, and to drive forward Fair Work and sustainable funding.

Ash Regan and Kate Forbes have yet to respond.

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