Social care plans risk medicalising disability, care and support, warns COSLA

‘SERIOUS CONCERNS’ OVER SCOTTISH GOVERNMENT’S PLANS

The Scottish Government’s Programme for Government was published on 1st of September, with the First Minister stating in the Scottish Parliament his belief that the NHS should take the lead through a single line of decision-making, accountability and funding for social care.

Such a change could involve a transfer of legal responsibility from local authorities to NHS Boards. The First Minister has indicated the Scottish Government’s intention to also replace the current 14 territorial NHS Boards with two strategic health boards.

Social care and social work services in Scotland are currently operated through local Health & Social Care Partnerships, which bring local authorities and NHS Boards together to ensure integration in the planning and delivery of community health & social care services.

The Scottish Government’s Programme for Government proposals have been considered by Council Leaders at recent meetings on the 11th and 25th of September, where Councillors have expressed serious concerns regarding the impact of the social care plans.

Commenting today (2nd October 2026), COSLA’s Health & Social Care Spokesperson, Councillor Paul Kelly said: “Individuals are shaped by the people, the buildings, the services and society around them.

“At its heart, social work and social care support are about seeing a whole person and supporting them to live a full life in the community. Social care and social work play an essential role in supporting people to retain their independence, often in their own home, and to help people live well.

“A proposal to incorporate social care into a large health infrastructure could risk medicalising disability, care and support, instead of building on progress towards independent living.

“Social care and social work must be seen as an equal partner to the NHS, not subsumed within it.”

Notes:
See
COSLA’s most recent response to the Scottish Government’s Programme for Government, including Local Government reform.

Delivering better local mental health support 

Improving mental health and wellbeing

People needing support with their mental health and wellbeing will get access to help closer to home, including through new walk-in hubs and 24/7 emergency response teams.

Developed in partnership with COSLA, the new Mental Health and Wellbeing Delivery Plan seeks to improve mental health support and services over the next three years. 

The plan also responds to pressures on emergency services and a rise in the complexity of cases being presented to mental health professionals and the wider workforce.

Commitments in the plan include: 

  • expanding community-based mental health support including the development of walk-in mental health hubs like SAMH’s ‘The Nook’, giving people access to local support without a referral
  • increasing the 24/7 mental health support provided by the Mental Health Triage Cars, specialist emergency response vehicles currently operating in Glasgow, Inverness and Dundee, to every region in Scotland
  • growing Scotland’s NHS 24 Mental Health Hub to include Psychological Therapies reducing pressure on A&E and other emergency services
  • developing a new approach to support adults with neurodevelopmental needs

Speaking during a visit to a healthy living centre in Wester Hailes, which offers local mental health support, Minister for Mental Wellbeing Maree Todd said the plan fulfilled a Programme for Government commitment.

She added: “Good mental health underpins not just good health outcomes but can make the difference to someone being able to access and keep a job, their ability to focus and do well at school, and shape positive relationships throughout their life.  

“This refreshed Delivery Plan is part of wider system reform and represents a joint commitment from national and local government to take action to improve the mental health of our population.

“We need a system that can adapt to meet different needs across a person’s life, regardless of where you live. Key to this is providing support and early intervention, that’s why services offered at places like Wester Hailes Healthy Living Centre are so important, giving people somewhere to walk in and get help for common mental wellbeing issues without needing a referral.”

COSLA Health and Social Care Spokesperson, Councillor Paul Kelly said:  “Local Government plays an important role in supporting the mental health and wellbeing of our communities.

“As we seek to challenge poverty, offer quality housing , greenspace and education for example we can help prevent people becoming, or getting more unwell.

“We also provide a range of services that directly support people with their mental wellbeing.  This sits alongside the crucial work of the NHS and the third sector in providing the mental health and wellbeing support and care people need.

“I welcome our new, joint delivery plan, which aims to build on this whole system approach as we work together to help people achieve the best mental health and wellbeing possible.”

Mental Health Strategy Delivery Plan

Another rise in drug use deaths

SCOTLAND HAS WORST RECORD IN EUROPE

Alcohol and Drugs Minister Maree Todd has raised concerns about an ‘increasingly toxic and unpredictable drugs supply’ in Scotland and has said the government will continue to prioritise a public health response to drug deaths.

It comes as new figures from National Records of Scotland show there were 1,133 drug use deaths in 2025, an increase of 11% compared with the previous year.

Cocaine was implicated in over half of all drug use deaths in 2025 (52%, or 589 deaths), an increase of 23% compared with 2024. Nitazenes, a group of highly potent synthetic opioids , were implicated in more than one in five drug use deaths (22%, 247 deaths).

Speaking during a visit to In Cahootz, an initiative in Glasgow which supports people affected by substance use through creative activities and building community connections, Ms Todd said: “My heartfelt condolences go out to everyone who has lost a loved one to drug use. Each and every death is a tragedy, and even more so because every life lost to drug harms is preventable.  

“Against an increasingly toxic and unpredictable drugs supply, this rise is deeply concerning and unacceptable.  The increase in deaths involving cocaine, and the continued threat from dangerous synthetic opioids like nitazenes, must drive more coordinated action across the country.

“We have taken important steps forward, including funding more than 1,100 residential rehabilitation placements last year and widening access to treatment and life-saving naloxone. However, despite these policy interventions, and the actions of our valued frontline workers, it is clear we need to do much more to reduce this tragic loss of life.

“Our new Alcohol and Drugs Strategic Plan will strengthen surveillance, deepen links between treatment, housing and other services, and target support at the communities most at risk. I have also announced today that Scotland’s first local drug-checking service will open in Glasgow this October – building on the UK’s first safer drug consumption facility.  

“Whilst we are using every lever available through our devolved powers, it is clearly now vital that the UK Government work with us to transfer the greater powers over drugs policy that we require to treat drug harms fully as a public health issue.”

In Cahootz Creative Director Kate Black said: “The National Mission funding has allowed us to expand the range of activities available through our Creative Citizens Project.

“Taking part in creative activities can increase confidence and give people a sense of purpose and belonging. Building connections and becoming an active part of a community can play an important role in recovery.

“Our project helps people develop those connections and supports them to build a better quality of life.”

THE POVERTY ALLIANCE commented: “In a just Scotland, no-one would lose their life to drug addiction and everyone would have quick and efficient access to addiction treatment that works for them.

‘People living in the most deprived communities in Scotland are around 15 times more likely to experience problem drug use, compared to people in the least deprived communities. Reducing drug deaths means reducing poverty.

‘That means redesigning our economy so that people are able to access decent work, and investing in our social security system and public services, so that people have the income they need to live in dignity and security.

‘Above all, we need to treat people with the dignity, respect, and compassion they deserve.’

As part of recovery month, COSLA’s Spokesperson for Health and Social Care, Cllr Paul Kelly, reflects on the key role local authorities play in preventing harms from drugs and alcohol and supporting people to recover:

Across Scotland, unacceptably high levels of drug and alcohol related harms continue to have profound impacts on our communities. Behind each life lost is a person, their family, friends and colleagues. As a small but diverse country, many of us will know personally how the effects of drug use pervade our lives and affect whole communities.

Earlier this year, COSLA Leaders agreed the new Strategic Plan for alcohol and drugs, Preventing Harm, Promoting Recovery – the first time Local and Scottish Government have agreed shared ownership over this critical challenge we face as a nation. The Strategic Plan builds on progress made during the National Mission but recognises that we need sustained leadership to tackle ongoing and emerging harms from alcohol and drugs.

While a shared policy direction at a national level is important, ultimately it is the local delivery of support that will make a difference to people’s lives. These solutions will lie in our communities, shaped by people, and delivered through trusted local services.

At the launch of the strategy at a rehabilitation facility in Inverclyde, I met with people in recovery and who told me how important it is to have pathways of care that bridge different services, bringing together specialist care with appropriate housing and ongoing wellbeing support.

Councils are well placed provide wrap-around support for people affected by drugs and alcohol and their families which fosters sustained recovery. Housing, social work and social care and community justice support some of the most vulnerable in our communities. This holistic support, meeting the needs of the whole person, act as the foundations for more specialist care. Meanwhile, our partnership working third sector organisations enable greater reach into communities, including outreach with people who face additional barriers to accessing services.

If we are serious about reducing harm from alcohol and drugs, we need strong local knowledge to understand why communities in Scotland continue to be deeply affected by drugs and alcohol. The stark reality is that the harms are not evenly distributed; rather, they are closely aligned to the prevalence of deprivation. Experiences of poverty and trauma can act as an underlying driver of harms, while drug and alcohol issues can perpetuate deprivation.

COSLA has long championed this preventative approach which tackles these root causes because our councillors witness firsthand how interconnected these inequalities are with wider outcomes. As much as 80% of what determines our mental and physical health comes from outside of health and care services. Our health and wellbeing starts long before a person speaks to their GP. It starts with a warm, safe home, with whole-family support in the critical early years and access to opportunities through high-quality education and secure local jobs.

As set out in the Population Health Framework, these are the wider determinants of health, the underlying social, economic and environmental factors that have a greater impact on our health outcomes that access to health and social care services. The preventative and universal services that councils deliver every day are the embodiment of these determinants: our schools, transport networks, leisure and culture facilities.

Indeed, no other part of the public sector has such depth or breadth in people’s daily lives. Our joint approach to reducing harms from alcohol and drugs rightly places prevention at its heart, maximising these local opportunities to shape healthy, resilient communities.

As the form of government which is closest to people, councils have the local knowledge to understand where services are working well, where gaps exist and how to make the best use of a community’s strengths. Differing demography and geography mean that our communities can vary. Post-industrial communities in the central belt have different challenges and opportunities to remote, rural and island communities. Flexibility in the delivery of services is vital to meet the needs in a range of local contexts.

Key to developing place-based solutions are the insights from people with lived and living experience of drug and alcohol issues, so services are developed with people, not for them. Last year, COSLA Leaders endorsed the Charter of Rights for People Affected by Substance Use which empowers people to know the human rights that belong to them.

Since publication, a range of emerging local practice has focused on meaningful engagement and participation, promoting more inclusive and accessible services, and enabling people to shape services through what matters most to them.

As we move forwards with this preventative, rights-based approach, I recognise the significant pressures that the system is under. Alcohol and Drug Partnerships, which coordinate a range of services to meet local need are often led by very small teams of committed individuals working to tight budgets. The wider workforce is delivering preventative, wrap-around and specialist support in challenging circumstances due to high and complex levels of need in communities.

Many of us continue to feel the effects of drugs and alcohol issues in our communities – in the unacceptably high numbers of lives lost and the families affected, and through the wider impacts of organised crime, including trafficking. New substances, increased toxicity and changing patterns of drug use add further challenges which require expertise and bespoke solutions.

Strong leadership in all parts of the system is essential to recognise the role that we all have to play to promote good health wellbeing and reduce harms. This will involve culture change, tackling stigma and promoting human rights in everything we do. We have already clarified the governance arrangement for Alcohol and Drug Partnerships through the Partnership Delivery Framework. This affirms the importance of a range of statutory services, not just local authorities, but also health boards, police and the prison service. Further work is required to ensure all partners understand their roles and responsibilities.

At a national level, our joint approach with Scottish Government will enable local and national leaders to work together to prioritise action that will make the greatest impact and hold each other to account.

Working with the Minister for Public Health, Mental Wellbeing, Sport, Alcohol and Drugs, I look forward to inviting a diverse range of individuals and organisations, including third sector colleagues, clinicians and people with lived and living experience, to provide advice, insight and challenge to support the delivery of the Strategic Plan.

By combining a shared national ambition with strong local leadership, we can consider drugs and alcohol not in a siloed fashion but across the broad range of services that councils and their partners provide.

We can deepen partnership working, build a culture of learning, listening to those most affected. Through a collective commitment to prevention and wrap-around support, to reducing inequalities and to improving outcomes, we can create resilient communities and support people to live longer, healthier and more fulfilling lives.

Reaction to latest homelessness figures

COSLA Community Wellbeing Spokesperson, Cllr Maureen Chalmers, responded to the Scottish Government’s Homelessness Figures. She said: “Today’s published homelessness figures are disappointing and underline the scale of the housing challenges facing local communities across the country.

“While there are some slight improvements in some measures, too many individuals and families continue to experience homelessness.

“Councils are working tirelessly to prevent homelessness and support those in need, but housing demand continues to outstrip supply in many areas.  

“Tackling this challenge requires sustained investment in affordable housing, a strong focus on prevention, and close partnership working across national and local government.

“Everyone deserves access to a safe, secure and affordable home, and councils remains committed to working with partners to make that ambition a reality.”

The number of children waking up without a home in Scotland has reached another record high and more than doubling in the last 10 years, new Scottish Government statistics show.

10,715 children are currently trapped in temporary accommodation, compared to 5,223 in 2015. People are waiting in temporary accommodation for years for a home and more people are sleeping rough. Instances of local authority homelessness services unlawfully breaching people’s housing rights have also significantly increased, up 32% to 21,800 since last year.

The figures show the sheer scale of Scotland’s broken housing system – the result of decades of underinvestment and the failure to build enough social homes, says Shelter Scotland.

The leading housing and homelessness charity says that the situation can be turned around, but only if building more social homes becomes a national mission supported by an exceptional level of funding. Areas that need it most like Glasgow must receive national investment from Scottish and UK Governments.

This new data comes after the First Minister promised to end the use of unsuitable temporary accommodation for children in the recent Programme for Government. The test now is whether real change will be felt by the thousands of families and children without a home.

Gordon Llewellyn-MacRae, Interim Director at Shelter Scotland said: “Scotland’s housing emergency has been decades in the making. Children are growing up in harmful conditions and families don’t know how long they will be stuck in limbo.

“Local authorities are under extreme pressure and are unlawfully turning people away who have a right to housing. That pressure is resulting in housing being weaponised with calls to roll back rights. It is utterly unacceptable.

“We know why it has happened- because we have failed to build enough social homes. The First Minister’s recent pledge to stop children being placed in harmful temporary accommodation is very welcome, showing he has listened to the demands of families. But we won’t celebrate just yet – promises mean nothing without action.

“The situation in Glasgow needs a national response. It needs investment from the Scottish and UK Governments until the asylum backlog declines and we must see the delivery of homes quicker to lift people – especially children – out of temporary accommodation.

“The good news is we know how to end the housing emergency and so do the Government. We need committed investment to deliver the social homes desperately and urgently needed. If the Government focuses More Homes Scotland on social housing, there’s a massive opportunity to change the trajectory.

“Families can’t wait any longer. It’s time to turn the tide and follow through with action, so we don’t allow more children to face the same fate for the next decade.”

Janet Haugh, CEO of Right There, said: “These figures should shock us all. More than 10,700 children are now growing up in temporary accommodation across Scotland, while rough sleeping continues to rise.

“Scotland cannot keep describing this as a housing emergency without responding like it is one.

“We need action, not platitudes. Prevention, affordable housing and early support must move from ambition to action.”

Councillors under attack: Elected members face threats, abuse and intimidation

DEBATE NOT HATE SURVEY 2026

The latest Debate Not Hate survey, undertaken by the Local Government Association (LGA) since 2022, has this year been extended to councillors in Scotland and Northern Ireland, reflecting the four UK nations joint commitment to promoting and defencing civility in public life as expressed in the joint statement of October 2025.

A total of 1503 councillors across England, Wales, Scotland and Northern Ireland responded to the survey, which found that:

  • 78 per cent of councillors reported feeling some level of personal risk while fulfilling their role as a councillor, with over 85 percent of female, ethnic minority, LGBT+ or disabled councillors reporting feeling at risk. In Scotland, the overall figure was 81%.
  • 52 percent of councillors reported that abuse and intimidation had increased sharply or slightly over the past 12 months, with 25 percent reporting it had increased sharply.
  • 74 percent of councillors in England reported experiencing some level of abuse or intimidation during the 2026 local election campaign, with over two-thirds of Welsh and Scottish councillors doing so during the Senedd and Scottish Parliament campaigns.
  • Over a quarter of councillors (26 percent) reported having received threats of violence and 7 per cent a threat of death. In Scotland, 13% of councillors reported receiving a threat of damage to property, and 2% experiences actual violence.
  • Among councillors who have decided not to re-stand at the next elections or are undecided on whether or not to do so, 30 percent said their decision was influenced by abuse or intimidation (40% in Scotland); over one in three (35 percent) said they had made security modifications to their home due to safety concerns.

There have been important steps forward in improving councillor safety in recent years, including the introduction of Force Elected Official Advisers (FEOA).

There is growing awareness of the FOEA (or equivalents) that now exist in each police force to oversee elected member safety. 56 percent of councillors in England and Wales are aware of the FEOAs, increasing from 40 percent in the previous year, with even higher awareness in Scotland (76 percent). Nearly three quarters (74 percent) of councillors who had engaged with Force Elected Official Advisers or Operation Ford had found it very or fairly useful.

However, the Debate Not Hate Survey results suggest much more needs to be done by government, police forces, social media platforms and others to tackle the high and growing levels of abuse and intimidation. It is clear from the survey that many people are being put off standing or running again for local elected office due to an environment in which abuse and threats are increasingly common.

While a quarter of councillors had reported an incident of abuse or intimidation to the police, they were evenly divided as to whether they felt the issue had been addressed to some extent (34 percent) or hadn’t been addressed at all (33 percent).

While legitimate scrutiny and robust debate are essential in a healthy democracy, abuse, intimidation, threats and harassment have no place in public life.

The LGA, COSLA, NILGA and WLGA are therefore calling on the UK Government to work with devolved and local governments, local government associations and policing partners to establish formal arrangements to tackle these behaviours.

Any new arrangements should aim to bring together and coordinate existing initiatives, facilitate information sharing between agencies and invest in new solutions and security measures to better safeguard democratic participation at every level.

Cllr Shona Morrison, President of COSLA, said: “The results of the survey evidence what many elected members know to be true – that abuse and harassment is far too common an experience for councillors.

“Councillors and Councils are a vital part of democracy, and it is unacceptable that 81 percent of Scottish councillors have felt some level of risk whilst carrying out their role. With local government elections taking place next year, there is a real concern that we will lose talented, experienced and committed councillors due to this environment.

“COSLA is grateful to the councillors in Scotland who took part in the survey for the first time that have helped to draw attention to this important issue.

“We are committed to working with the Scottish and UK Governments, Police and partners to tackle the systemic challenges that have contributed to this culture of abuse and harassment.

“Protecting elected members is essential to protecting local democracy, and urgent action is needed to ensure councillors can represent their communities safely, confidently and effectively.”

Cllr Hannah Dalton, LGA Civility in Public Life Ambassador, said: “The findings of the 2026 Debate Not Hate survey are a stark reminder that abuse, threats and intimidation have become an all too common reality for those who step forward to serve their communities.

“We must never accept a situation where harassment and personal attacks are simply regarded as part of public service.

“It is deeply alarming that most councillors believe the problem is getting worse, with more than three-quarters having experienced abuse during the May 2026 local elections. This toxic culture is not only affecting those currently in office, it is deterring talented and committed people from standing for election in the first place. That is a direct threat to the strength, diversity and health of our democracy.

“We urgently call on the Government, police forces and social media companies to work with us to tackle this crisis head on. Concerted action is needed now to confront the growing hostility councillors face and ensure that those who represent their residents can do so without fear of abuse, intimidation or harassment.”

Alderman Hazel Legge, President of the NILGA, said: “The findings are concerning and highlight the very real challenges many councillors face.

“As Northern Ireland looks ahead to the next local government elections, we must ensure that no one is discouraged from standing for office because of abuse or intimidation.

“NILGA has been working closely with the PSNI to improve awareness and support for elected representatives, but there is more to do.

“Everyone should be able to serve their community without fear, and respectful debate must remain at the heart of our democracy.”

Cllr Mary Ann Brocklesby, WLGA Llywydd, and Cllr Jason McLellan, WLGA Social Justice and Equality Spokesperson, said: “The first-ever four nations Debate Not Hate survey marks an important milestone in our shared efforts to understand and tackle abuse and intimidation in public life.

“While the findings demonstrate that too many councillors continue to face unacceptable levels of abuse, they also provide a strong evidence base for collective action across the UK.

“We are committed to working together to support councillors, promote respectful democratic engagement and ensure local democracy remains open, representative and resilient.”

Local governance reform in Scotland

Empowered Communities? Proposals outlined to shape consultation

Initial proposals designed to deliver fundamental reform of local governance have been set out to help shape the debate on improving public services.

The possible changes, if implemented, could help achieve a better balance of decision-making powers across the public sector to ensure investment is focused on delivering improved services.

Initial proposals – which have been shared with COSLA and Holyrood Committees – include:

  • Replacing current local government arrangements with a smaller number of regional authorities to focus on strategic decision-making alongside a substantial number of community authorities with a focus on local decision-making
  • Separate arrangements for island communities have been suggested in recognition of their particular needs  
  • Councillors sitting on both community authority and the associated regional authority to remove the need for a further layer of elections or additional tiers of bureaucracy
  • Ensuring regional administrative corporate structures support both regional and community authorities

Deputy First Minister Jenny Gilruth said: “Reforming Scotland’s public sector is about delivering the best public services for people across Scotland.

“We need to ensure investment is focused on frontline delivery, with the right staff in the right roles to empower communities and deliver real improvements in public services.

“Some decision making is best delivered at national level and regional level while others better sit closer to communities and we must get that balance right. Existing local government responsibilities could also be extended, including enhanced roles in economic development and business support so that individual areas can reflect local strengths and ambitions.

“These proposals are intended to provide a starting point to facilitate debate and discussion as we work to deliver reforms that strengthen public services and improve outcomes for the people and communities we serve.”

Commenting on the Scottish Government’s public sector reform proposals for local governance, STUC General Secretary Roz Foyer said: “Whilst the Scottish Government have the laudable ambition to strengthen local democracy, it’s absolutely for the birds to think the sheer scale of this local government reform can be achieved without the initial and substantial investment required to bring about change in our communities.

“There is an argument that community authorities can improve decision making but only if the funding exists to deliver these services. The Scottish Government must be clear that, in the short-term, this will cost money – not save it.

“You cannot credibly claim to empower communities whilst looking set to cull 20,000 public servants who would, in reality, be required to get these reforms off the ground in the first place.

“Unions will continue to monitor the government’s proposals and will engage in good faith. However, we must be clear that any reforms forthcoming must not be a mere smokescreen for brutal cuts cosplaying as progress.

“Real progress means ending the £3 billion outsourcing within the public sector, delivering sectoral bargaining within social care and properly funding our public services through progressive taxation that builds, not bulldozes, our local government and public services.”

Jonathan Carr-West, Chief Executive, Local Government Information Unit (LGIU), said: “Today’s proposals for reform of local governance are ill-advised and entirely impractical. Expecting councils to engage in meaningful discussions and reach an agreement based on this within a mere 10 weeks is entirely unrealistic.

“The plan is clearly half-baked and raises numerous unanswered questions, such as what exactly will the new regions be and how will the geographies of community authorities be decided and by whom?

Crucial service sectors are similarly glossed over without practical detail. On education, suggesting that certain responsibilities be devolved locally to community authorities while empowering headteachers effectively strips local councils of education oversight.

“Transitioning to these regional and community tiers will also incur significant financial costs that remain totally uncalculated. Meanwhile, the statement provides zero clarity on social care: is it destined for nationalisation, takeover by two new NHS Boards, absorption into the new regional authorities, or some confusing hybrid of all three?

“Scottish Government must learn from England’s failings on reorganisation and understand how notoriously complex, costly, and difficult it is. It consumes immense energy and attention, distracting everyone from core priorities. If you are going to attempt it, you need absolute clarity on geographies rather than rushing straight to structural fixes.

“Real regional collaboration and stronger community engagement can easily be achieved within existing local authority structures—it doesn’t demand structural change. Substituting structural upheaval for real progress simply reflects a lack of imagination, a reluctance to put in the hard yards of true collaboration, and the vanity of chasing a political legacy.”

COSLA President, Councillor Shona Morrison, has responded to Scottish Government’s proposals for Local Government reform: “Today’s statement gives some clarity to the Scottish Government’s intentions around the future of local government and public service reform.

“COSLA has been clear that public service reform will only succeed if it is rooted in communities and that any changes to our governance landscape must enhance local democracy and bring decisions closer to communities.

“Councils will engage with Ministers to shape the future of local democracy. We will not support reforms that dilute local democracy or remove accountability from the people we serve.

“COSLA’s membership will consider these proposals from Scottish Government and continue constructive dialogue on what may be a fundamental restructuring of governance in Scotland.”

COSLA Leaders will meet on Friday to discuss public service reform proposals.

Earlier this month (11 September) COSLA confirmed that Local Government will engage constructively in the Scottish Government’s proposed three-month dialogue on public service reform, but participation must not be mistaken for agreement to any predetermined structure or transfer of responsibilities.

Councillors are elected by their communities to represent their interests. It is therefore vital to public trust that engagement is meaningful and truly informs any change to public services.

Council Leaders are clear: public service reform must be developed jointly by Local Government and Scottish Government, grounded in evidence, focused on outcomes, and shaped by the communities and workforce who will be most affected.

COSLA President, Cllr Shona Morrison, stated clearly: “Public service reform will only succeed if it is rooted in communities, not organisational charts. Local Government will engage with Scottish Government, but we will not support reforms that dilute local democracy, centralise decision-making or remove accountability from the people we serve.

“Decisions around public service reform must be made in agreement between Local Government and the Scottish Government and have the endorsement of councils on any issue affecting them.”

There will be no “one size fits all” approach

Public services should be designed with the focus being on outcomes, not organisational structures.

Services should remain local and closest to communities by default, work regionally where scale adds value, and operate nationally only where there is a clear benefit. Protecting local accountability of our public services is essential. Councils already have practical proposals for greater collaboration, shared services and stronger partnership working across the public sector.

Social care must remain local

Council Leaders have once again reaffirmed that social care and social work services must remain within Local Government and be accountable to local communities.

Social care and social work should be an equal partner to the NHS not subordinated to it.

Any approach to social care reform must recognise that it is not simply about meeting individual needs, but about removing societal and structural barriers, advancing inclusion, and supporting people have choice, control, and be able to participate in their communities. Local Government must be an equal partner in shaping future arrangements.

Communities and Staff Must Be Heard

COSLA is seeking assurance that communities, the workforce and their Trade Unions will be fully involved, and that evidence is not sidelined by a compressed timetable. Scotland already has a strong foundation for reform through years of work on local democracy and democratic literacy.

The Financial Case for Public Service Reform

Councils need clarity on expected costs, savings, risks and the investment required to make any change successful. Public Service Reform cannot become a vehicle for cutting the Local Government settlement, and we cannot afford to put our communities at risk like that. Sustainable reform requires funding certainty, investment in prevention and resources that match responsibilities.

Looking at the Whole System

A debate on local governance must not focus solely on councils. COSLA believes there is a strong case for considering whether some functions currently delivered nationally could benefit from local democratic accountability. Councils recognise and have been progressing opportunities for greater collaboration across the wider public sector – but these should be underpinned by local knowledge and understanding of needs.

Key Messages from COSLA Leaders

  • A planned approach to Public Service Reform must be agreed jointly between Local Government and Scottish Government, be flexible and asymmetric recognising the different geographies, demographics and needs across Scotland.
  • Consideration should be given to a range of services not currently within the remit of local government that should be brought closer to local democratic accountability, such as public health, transport and further and higher education;
  • Council Tax reform must be delivered on – Local Government has been seeking this for over a decade and the analysis published today shows public support for the case for change.
  • Social care and social work services must remain within Local Government and not be over-medicalised.
  • Communities, staff and trade unions must have a meaningful role in shaping Public Service Reform.
  • Public Service Reform must respect the Verity House Agreement, the European Charter on Local Self Government, and local democratic mandates.
  • Local government elections in May 2027 should not be affected by Public Service Reform proposals, and the election timeline should be considered in this process.
  • The workforce impacts must be carefully considered and addressed, prior to any agreement on change.
  • Greater clarity is needed on the financial implications of Public Service Reform.

Scotland’s public services will be strengthened not by imposing structures from the top down, but by working with councils, communities and the workforce to deliver better outcomes for people.

A Proposal For Reform of Local Governance

Boosting neurodevelopmental support for children in Scotland

Investment to help children and families access support

Children, young people and their families will benefit from £7.6 million funding to strengthen and expand local neurodevelopmental support.
 
The Scottish Government funding, which will be distributed to local councils, will mean more flexible support is provided to children, young people and their families to get the help they need, when they need it, informed by local circumstances.
 
It is part of wider work by the Scottish Government, local authority body COSLA and partners to improve neurodevelopmental support for young people across health, education, local government and the third sector, as set out in the new Programme for Government. 
 
This includes the work of the Children and Young People’s Neurodevelopment Taskforce, alongside other action to improve support and services. 

Announcing the funding on a visit to Windygoul Primary School in East Lothian, Minister for Mental Wellbeing Maree Todd said: “Demand for neurodevelopmental support has increased significantly in recent years and I want families to access the help they need, when they need it.
 
“This £7.6 million investment will help local areas build on existing services and further invest in the support that works for their communities. 
 
“There is no single action that will solve all the challenges people face in getting timely and consistent support.  This investment is just one part of the wider work to improve neurodevelopmental support.
 
“Through our continued partnership with local government, health services and the third sector, we will ensure a more joined-up, sustainable system of support for neurodivergent children, young people and their families.”
 
COSLA Spokesperson for Children and Young People, Councillor Tony Buchanan said: “Along with our wider partners, Local Government has seen rising demand for support for children and young people’s neurodevelopmental needs both pre, post and regardless of diagnosis. 

“We very much recognise the value of early, neuro-affirming support  for children, young people and their families in preventing the negative impacts caused where children’s needs are not met and  helping them achieve their full potential.  

“A whole system response is essential to support children and young people with neurodevelopmental needs and their families . We look forward to continuing to work with our cross sector partners to deliver improved outcomes as this work progresses.”

Neurodevelopmental conditions include autism and ADHD. 

‘What I Want You To Know’: New film tells one dad’s story of losing his son

“He didn’t want to die. He just didn’t want the pain anymore.”

  • Suicide Prevention Scotland launches a new documentary, What I Want You To Know
  • The film follows Phil Wanless, whose son Fraser died by suicide in 2021
  • It confronts the reality of trauma, relationships, substance use, isolation and suicide
  • Released for World Suicide Prevention Day 2026, it’s available to watch on SuicidePrevention.scot/Fraser and YouTube 

A groundbreaking new documentary has been launched today (Thursday 10 September) to mark World Suicide Prevention Day 2026.

What I want you to know is a powerful film from Suicide Prevention Scotland following bereaved father Phil Wanless as he seeks to understand his son Fraser’s death. 

Suicide Prevention Scotland is the community of people and organisations delivering the Scottish Government and COSLA’s joint suicide prevention strategy, Creating Hope Together. 

Running to 30 minutes, it gives one family’s story the space to explore some of the most difficult themes. 

Ultimately, the film asks what might have been different if the people around Fraser, and Phil, had been met with time, space and compassion sooner.

Fraser was just eleven years old when he found his mum, Lisa, dead after she experienced a fatal epileptic seizure. 

Phil’s journey has helped him understand that his son struggled to grieve her death. Later he turned to substance use and experienced difficult relationships. 

Ultimately, the documentary challenges people to consider the principles of time, space and compassion, in every part of our lives – not just suicide prevention; that every one of us can help save lives. 

Phil is joined by his partner Debbie Rowan, Fraser’s friend Darren Gallagher, Iain Corbett, a community development practitioner who has extensive experience working with young men, and John Gibson, founder of The Canmore Trust. 

John and his wife Isobel lost their son Cameron to suicide in 2019. 

A facilitation pack has also been launched so that a range of different groups and communities across Scotland can watch the film and talk about it together. It is designed for anyone, regardless of their experience. 

In the documentary, Phil Wanless says of his son’s suicide: “Fraser and I spoke every day, whether it was a voice call or a text. I hadn’t heard from him for a day, and that was very unusual.

“I don’t believe he wanted to die. I just don’t think he wanted to live. He just didn’t want the pain any more.

“The boy that I brought up, bought his first football boots, and put his first Hearts top on, everything was gone in the blink of an eye. Part of my heart is missing. That’s the only way I can describe it. It’s not a cliché. Part of my heart is missing. 

“It broke us. It took a family that was pretty close, and broke us. I wish I had the chance to tell Fraser right now how much I loved him.

“It is Fraser’s story, but it could be anybody’s story.”

The impact of Fraser’s death was profound, and was felt from as soon as Phil learned his son was gone. Eventually, he also planned to take his own life. 

“There were no instructions on how to grieve. The only time anybody talked to me about my mind health was at the point of crisis. That has to be the wrong way round.

“Suicide is the end product, and it’s the permanent product. But the truth is, we want to reach anybody who’s feeling like that long before we get to crisis.

“We need to stop the idea that the first time you get to talk to anybody is when you’re thinking about taking your life. We have to treat mind health as every bit as important as physical health.”

Phil wants the principles of time, space and compassion to be taught from an early age. Only as a bereaved father has he learned about the impact of trauma. 

“In my whole life nobody ever taught me about compassion, and yet it’s one of the most important things in life. I think we should be teaching it at school.”

Maree Todd MSP, Minister for Mental Wellbeing, Public Health, Sport, Alcohol and Drugs, said: “I want to thank Phil Wanless and his family and friends for their courage in sharing their experiences in this powerful film. 

“Losing a loved one to suicide is a tragedy beyond measure and this documentary brings home the devastating impact. It also reminds us that opening up conversations about suicide and encouraging people to seek help can save lives.

“Our work on suicide prevention is informed and guided by those with lived and living experience. I am determined that we learn from Fraser’s tragic death as we continue that work to ensure that anyone with thoughts of suicide or impacted by suicide in any way gets the help they need and feels a sense of hope.

“Our Suicide Prevention Action Plan – joint with COSLA – aims to reduce deaths by suicide whilst also tackling the inequalities that can increase the risk of suicide, and is backed by a budget of £3 million in 2026–27.”

Councillor Paul Kelly, COSLA Health and Social Care Spokesperson, said: “Phil Wanless’ story of his son Fraser’s tragic death, and of his own experiences of bereavement and suicide, is incredibly moving.

“Thank you, Phil, for sharing so openly. The documentary powerfully shows how deeply suicide is felt by friends, families, and wider communities, and is a clear call to action for all of us. 

“The film is also striking in how it tells us about the complexities of Fraser’s life, with trauma, substance use, and relationships all having a significant impact. It reminds us of the importance of ensuring our work on suicide prevention in Scotland continues to address the wider factors in our lives. 

“The COSLA and Scottish Government Suicide Prevention strategy and action plan sets out our vision and I am committed to ensuring that anyone who is having suicidal thoughts or is bereaved by suicide can access the support they need, when they need, and that local government does all it can to both provide support and address the wider social factors that can impact on suicide risk. 

“Phil has told us what he wants us to know, and now we must all act.”

Suicide Prevention Scotland’s national delivery lead Haylis Smith says: “The film shines a light on the reality of suicide in a way that hasn’t happened before. I know Phil doesn’t think he’s extraordinary, that he’s simply a grieving father angry after the loss of his son.

“But Fraser’s death will not be in vain, because Phil, Debbie and their families have opened up their home and lives in a way that will help so many people think about how to support people who experience trauma. He is extraordinary, because Phil’s intervention will save lives. We might never know who, but it will.

“We can see in the film where there were missed opportunities for time, space, compassion. It shows what their absence feels like, how much there still is to learn about reaching people long before a crisis and how we can all play a part in supporting people at risk of, or impacted by suicide.”

International education performance “competitive”

Scotland significantly outperforms OECD average in four areas – but falls behind England

Scotland performed significantly above the OECD average in science, reading, computational problem-solving and environmental science, according to the latest international assessment of 15-year-olds’ knowledge and skills.

The 2025 PISA study found that Scotland has held a competitive international position, as reading and maths have declined across the OECD as a whole. Scotland’s maths performance was similar to the OECD average and similar to the 2022 survey.

The PISA 2025 Scotland Report also found:

  • the relationship between pupils’ socio-economic background and performance was weaker than in 2022 in science and maths, and significantly weaker in reading than in every previous PISA cycle
  • young people have a positive attitude to school and feel they belong there, with 90% saying their science teacher helped them in every or most lessons, and gave extra help when needed
  • Scotland’s overall performance was stable, while many other countries saw decline

Education Secretary Màiri McAllan said: “PISA 2025 shows real strengths in Scottish education, as well as areas we’re already working to improve. The Curriculum Improvement Cycle is the largest change to Scotland’s curriculum in over ten years, which will be fully rolled out with the teaching profession by August 2028.

“These results demonstrate that Scotland’s education system is competitive by international standards, performing above the OECD average on four measures out of five. Scotland has stabilised its international performance, which is very welcome, alongside the significant weakening in the relationship between learners’ socio-economic background and performance, particularly in reading.

“This comes just weeks after this year’s Qualifications Scotland results, which showed a narrowing of the poverty-related attainment gap compared to both 2025 and pre-pandemic 2019, and increased pass rates at National 5, Highers and Advanced Highers.

“While recognising the positives, these results also underline the need for change in certain areas – change that I intend to lead in the coming period to ensure excellence and equity for all Scotland’s young people.”

Scotland PISA 2025 Report 

‘Intense engagement’ shaping Scotland’s public sector reform

IMPROVING SERVICES?

A period of intense engagement is underway to ensure streamlined public services are delivered for Scotland, Public Service Reform Secretary Ivan McKee has said.

This week’s Programme for Government set out how the Scottish Government plans to deliver stronger and efficient public services that are sustainable for generations to come.

Plans include replacing the current 14 territorial health boards with two strategic health boards, removing unnecessary duplication and overlap in public services and seeking a clear shared direction on substantial reform to local governance, including social care.

Mr McKee said: “Public service reform is at the heart of this Government’s priorities for the next five years and this work will help to ensure that every pound of investment is focused on frontline delivery, with the right staff in the right roles to deliver real improvements in public services.

“I will meet public sector leaders and other key partners at the Public Service Reform Summit later this month to discuss the challenges and opportunities posed by public service reform and the agenda set-out in the Programme for Government.

“My colleagues and I are also engaged in intensive dialogue with public bodies, NHS Boards, local government, trade unions, the third sector, businesses and communities to strengthen the work that is already taking place and to ensure that proactive leadership and collaboration are central to our approach.

“Our focus over the coming months is to build a shared understanding of how we will deliver the changes necessary to support the needs of diverse communities across Scotland.”

COSLA President, Councillor Shona Morrison, has responded to Scottish Government’s Programme for Government plans: “The Programme for Government is a significant statement of the Scottish Government’s priorities, and we will take time to consider its detail carefully.

“There are important implications for local government and council services, particularly the proposed NHS reforms and what they will mean for the future delivery of social care.

“Over the coming days, COSLA will engage closely with our member councils and with Scottish Ministers to ensure these proposals are focused on what is best for communities across Scotland and respect the democratic legitimacy of local government.

“Public services work best when decisions are taken as close to communities as possible. We look forward to meaningful engagement with the Scottish Government and believe that the dialogue on the future of local governance must be carried forward with councils and COSLA as the collective voice of local government.”

STUC: Programme for Government ‘reckless rather than revolutionary’

Commenting on the Programme for Government, STUC General Secretary Roz Foyer said: “Presenting the public with a misleading choice of cuts packaged as public service reform was disingenuous at best and a falsehood at worst from the Scottish Government.

“Crushing down Scotland’s health boards into two may seem bold on paper but further centralising power when local communities are crying out for health and social care services tailored to their needs seems more reckless than revolutionary.

“This is not the way to do public sector reform. Before the axe is swung on any public service, whether health, council or social care, Scottish Government ministers would do well to engage meaningfully and purposefully with the workers who deliver on the ground.  This cannot be done in the timescales outlined. 

“Measures on food cap prices, childcare, breakfast clubs and bus fare caps are welcome. However, by avoiding the big decisions on wealth redistribution – on council tax reform, wealth taxes and taking national stakes in our energy infrastructure – cost of living measures will always fall short of the radical transformation both our economy and communities require.

“We will be engaging actively with Government on its promise to bring forward a responsible strategy for data centres in Scotland. We need to take stock of how such projects can benefit decent jobs, workers and the communities in which they will reside. We need to move away from industrial strategy that allows our heavy industry, manufacturing and renewables sectors to be sold off to the highest bidders with little public benefit in return.

“Finally, it’s deeply welcome the First Minister has pledged further support for survivors of gender-based violence. It’s time that all organisations, employers and society as a whole adopts a zero-tolerance approach to violence against women and girls and it’s correct that this is a strategic priority for the Scottish Government in which the First Minister will find support from Scotland’s trade unions.”

Programme for Government 2026 to 2031 – gov.scot