Tag: Feeley Report

‘Biggest public sector reform for decades’: consultation launched

A National Care Service for Scotland – but COSLA condemns proposals

A consultation has been launched to seek the public’s views ahead of the creation of a National Care Service, which will ensure everyone who needs it can expect the same standards of care, wherever they live in Scotland.

Local government umbrella organisation Cosla has criticised the government’s plan as another move to undermine local democracy.

The National Care Service will deliver person-centred care that supports people in a way that suits their needs, providing real benefits for those who are being cared for and the people who care for them. It will introduce ethical commissioning, based on fair work principles, for the benefit of everyone involved.

The consultation sets out some of the options for delivering social care in a way which changes the system from one that supports people to survive to one that empowers them to thrive. It recognises that this will involve significant cultural and system change that will need to be supported by new laws, and new ways of working.

In order to deliver these recommendations there will continue to be strong local accountability.  The consultation proposes Community Health and Social Care Boards to strengthen the voice of the local population, with people with lived experience and local elected members sitting alongside professionals.

Consulting on the proposals was one of the commitments for the first 100 days of this government. Implementation of the recommendations of the Independent Review of Adult Social Care, and the establishment of a National Care Service, will be one of the most significant tasks of the current parliament.

At a minimum the new National Care Service will cover adult social care services. However, the consultation document also recognises that if we want to build a comprehensive community health and social care system, we should consider extending its scope to other groups such as children and young people, community justice, alcohol and drug services, and social work.

Minister for Social Care Kevin Stewart said: “The importance of our social care services has never been clearer. We owe an enormous debt of gratitude to our nation’s carers, paid and unpaid, for the commitment and compassion we have seen throughout the pandemic.

“The Scottish Government commissioned the Independent Review of Adult Social Care during the pandemic, because it was clear we needed to do things better in future.

“We have already made significant improvements, with reforms such as the integration of health and social care, and implementation of the Real Living Wage Policy for Adult Social Care workers and this year the Scottish Government pledged £64.5m to fully fund the pay increase. But we can go further. What we are now proposing is the biggest public sector reform for decades, since the creation of the National Health Service.                                                                            

“I am committed to implementing the recommendations of the Independent Review  and staying true to the spirit of that report by building a system with human rights at the heart of it.

“The Review recommended the creation of a National Care Service, with Scottish Ministers being accountable for adult social care support. I believe however that it is right for this consultation to look beyond simply the creation of a national service for adult social care. The ambition of this government is to go much further, and to create a comprehensive community health and social care service that supports people of all ages. We are also committed to a ensuring there is strong local accountability in the system.

“Absolutely vital to this is ensuring that our invaluable social care workforce feel happy, respected and fulfilled in their role.

“We are at the beginning of a journey to improve social care in Scotland. We will only get this right with your support. I want to hear from as many people and organisations as possible over the next couple of months, so we can build a better system together.”

In a statement, the Social Covenant Steering Group which will advise on the creation of a National Care Service, said: “Most of us have waited many years to see plans for major improvements in the way social care support is delivered and we welcome the publication of this consultation.  

“Many people may feel they have been consulted before and are keen to see some action.  But this time it is an important legal step in in order that a bill can be put to Parliament. 

“So, it is important that as many people as possible including; current users of social care support, unpaid carers, the workforce and everyone else who cares about this vital support will take this opportunity to express their views on the kind of system we need to enable everyone to reach their potential.”

The Consultation on the National Care Service which was launched today cuts straight through the heart of the way Scotland is governed, says COSLA President Councillor Alison Evison:

“The Consultation launched today cuts through the heart of governance in Scotland – not only does it have serious implications for Local Government – it is an attack on localism and on the rights of local people to make decisions  democratically for their Place.  It once again brings a centralising approach to how decisions which should be taken locally are made.

“We welcomed large parts of the Independent Review of Adult Social Care and have been keen to get on and deliver, however the vision this consultation sets out goes beyond the Feeley Report. It isn’t evidence based and will take years to deliver – years when we should be making improvements which will benefit all users of social care services.

“Councils know their communities and all the evidence suggests that local democratic decision making works.  Councils have shown time and time again during the last 18 months of the pandemic that we can deliver for the communities we serve when we are trusted and resourced to do so.

“It is deeply concerning that the consultation is also a considerable departure from the recommendations of the independent review set up to look at Adult Social Care.

“The lack of prior engagement with Local Government is not new – the partnership between the Scottish Government and Local Government which we have been seeking to build, continues to elude us in practice and it is the communities we serve who are losing out.

“Let’s be clear – this is not a “thinly veiled” attack on Local Government – there is no subtlety to it and, sadly for local communities, the ‘onion peel’ of Local Government services by this Government shows no sign of letting up.

“On behalf of the communities we serve, COSLA and Local Government will engage constructively with the Consultation process.  People may be surprised by the extent of services covered by this Consultation and I would urge as many as possible to respond to it, as this could really be the end for anything other than central control in Scotland.

“We all want better services for our communities, nobody more so than Local Government and that is what Local and National Government should be working on collectively for our communities.”              

Consultation on a National Care Service for Scotland. 

A number of consultation events will be held throughout late August, September and October.

First steps towards a National Care Service for Scotland

‘Real life experts’ to help focus on what really matters to people receiving social care

Health Secretary Humza Yousaf and Minister for Social Care Kevin Stewart have welcomed the first meeting of a Social Covenant Steering Group, set up to help guide the development of a National Care Service.

Establishing the group, made up of people with day-to-day experience of social care, was a key recommendation of Derek Feeley’s Independent Review of Adult Social Care and marks the fulfilment of one of the commitments for the first 100 days of this government.

Initial membership of the group, which met for the first time yesterday, includes unpaid carers, disability rights activists, a care home resident, a campaigner for the needs of relatives of those in care homes, a social care worker and others with significant experience of the way services are currently delivered.

The diverse group includes people from across Scotland with a spread of ages, and social, cultural and ethnic backgrounds.

The group is expected to help establish a common set of values and beliefs – a social covenant – which will underpin the National Care Service, including treating people with dignity, prioritising the common good and ensuring there is strong oversight of the new service. It will establish underlying and unifying principles to help guide decision-making.

Mr Stewart, who will chair the group’s meetings, said: “We know there were problems in the social care system before  COVID arrived and we had already started to think about ways of reforming it, but the pandemic has shone a spotlight on the system and really highlighted the importance of making changes.

“Many members of this group have already heavily influenced the recommendations in Derek Feeley’s report and I am keen to ensure that we continue to listen to their expert views and act on what they tell us. 

“A social covenant will enable us to develop a common set of values around social care; and see those systems as not merely a safety net, but a springboard to allow people to flourish.

“It is extremely important that we listen to people with lived experience – the real experts – to hear about the highs and lows of social care services. It is by doing this that we will really find out what’s good about the services people receive, more importantly, what needs to improve for those who use and deliver social care.”

“Only by listening to people with real-life experiences , and acting on what we hear, can we create a system that ensures that everyone in Scotland has the opportunity to live fulfilling and rewarding lives.”

Marion McArdle,  who has a  daughter with  complex needs said: “I feel privileged to be part of this group, since I’m fully expecting it to be a partnership between the government and the experts, people with real stories and real suggestions on how to change things for the better based on their lived experience of social care in Scotland.

“I’m optimistic that this can only be good thing and a great step forward in getting it right for Scotland’s citizens who are entitled to a social care system which at the very least meets their human rights.”

COSLA: Unanimous ‘No’ to National Care Service

There is much in the Feeley Report on Adult Social Care that Local Government and Scotland’s Council Leaders have been calling for, COSLA said yesterday.

Leaders have long advocated that that the lived experience of those who rely on social care should be embedded within the system and that social care should move to a more person centred approach, recognising the value of not for profit provision, and carried out by a workforce that is valued.

However Leaders unanimously expressed ‘grave concern’ at the recommendations around the future governance and accountability arrangements contained within the Report.

Whilst they agreed with a lot of the content within the Feeley Report, Council Leaders together voiced their opposition to the recommendation which proposes the removal of local democratic accountability from Adult Social Care and the centralising of the service under a National Care Service with accountability falling to Ministers, a move that they described as being detrimental to the local delivery of social care and its integration with other key community services.  

They also felt that given the level of funding set out in the Review, Local Government would be well placed to continue to deliver this vital service.

Speaking following a special meeting of Council Leaders Councillor Stuart Currie, COSLA’s Health and Social Care Spokesperson, said:  “Council Leaders noted the publication of the Independent Review of Adult Social Care and endorsed many of the principles set out in the report particularly in relation to  empowering people, valuing the workforce and embedding a human rights approach to social care.

“Leaders were also clear that the lived experience of those who rely on social care should be embedded within the system and that social care should move to a more person-centred approach.

“However, there was real and unanimous opposition to the recommendations on governance and accountability which would see the removal of local democratic accountability and a degree of centralisation, which Leaders rightly felt would be detrimental to the local delivery of social care and its integration with other key community services.

“They also felt that given the level of funding set out in the Review, Local Government would be well placed to deliver the human-rights based approach outlined at pace, whilst ensuring local democratic accountability remains front and centre of social care.”

A further detailed report on the proposals will be considered by Council Leaders at the end of February.