COSLA calls for urgent action to address Scotland’s crisis in social care

Councils Leaders have issued a stark warning about the growing crisis in social care, urging the need for social care funding to be a clear and focused national priority.

Following a meeting of Council Leaders, COSLA’s Health and Social Care Spokesperson Councillor Paul Kelly said: ‘Social care underpins everything we value most within our communities – from dignity in later life, supporting people in their unpaid caring roles, to enabling people to live independently and participate fully in society.

“Local Government has consistently prioritised social care, protecting budgets where possible and working tirelessly to maintain services despite severe and well-evidenced financial pressures.

“But Local Government cannot do this alone. Demand is increasing, costs are rising, and the workforce is under immense strain. Without fair and sustainable funding, we risk the viability of services that people rely on every single day.

“Local Government is doing everything possible to sustain vital care and support services, but without urgent investment from Scottish Government to enable us to commission and deliver more care, the system is at breaking point. That is why as part of COSLA’s manifesto we are calling on the next Scottish Government to invest £750m into social care services.

“We urge a national focus on addressing the workforce and financial crisis social care is experiencing, to ensure those who need support are not left without the help they need to live fulfilling lives.”

COSLA, Scottish Government, care providers, and system leaders had been meeting in the first half of 2025 as part of the jointly convened Financial Viability Response Group to address risks and impacts of funding challenges across the health and social care sector.

Cllr Kelly continued: ‘It is crucial that we reconvene the social care Financial Viability Response Group immediately.  

“We urge the Scottish Government to engage with us and our valued partners in the third and independent sector through the work of the Group to address the financial and workforce crisis in social care.”

COSLA’s 2026 Manifesto calls for sustainable finance for local services, including calling for an additional investment of £750m for social care: 

https://www.cosla.gov.uk/manifesto

Audit Scotland recently published a briefing on Local Government budgets for 25/26, which reported a projected revenue budget gap in 26/27 for 31 councils of £528m.

Improving health through prevention

Funding digital type 2 diabetes programmes

A new Scottish Government programme is expected to prevent up to 4,000 people from developing type 2 diabetes.

The £4.8 million investment will offer education and virtual, app-based, individual consultations with nutritionists, dietitians and health coaches via the Accelerated National Innovation Adoption (ANIA) initiative to fast track proven healthcare innovations.

By focusing on prevention, this will reduce future health complications for patients, improve quality of life and ease long-term pressures on the NHS.

Health professionals in primary or secondary care will refer suitable patients soon after diagnosis of pre-diabetes or history of gestational diabetes – increasing equity of access to NHS services across Scotland – and self-referral will also be available.

Meeting frontline staff and patients at Pennywell All Care Centre in Edinburgh, Public Health Minister Jenni Minto said: “We want to improve access to treatment in the community, enhance preventative services and maximise the opportunities of digital innovation through our Service Renewal and Population Health Frameworks. This will deliver a sustainable and high quality health and social care system for the future.

“This digital programme reduces the need to travel to in-person appointments and helps patients make sustainable changes to their diet and lifestyle and prevent progress towards type 2 diabetes. It enables rural and urban communities to easily access services which can have a life-changing impact.

“It is a prime example of transformative innovation that benefits frontline staff and patients alike and supports our health and care service to meet the challenges it faces.”

The three-year programme will enable up to 15,000 people at risk of type 2 diabetes to access nine months of digital diet and lifestyle change advice through ANIA – with up to 4,000 of those expected to avoid the condition.

Director of Innovation and Transformation at NHS Lothian Jenny Long said: “Over the past five years, NHS Lothian’s dietetic service has successfully delivered both the diabetes remission and award-winning prevention programmes, supported by permanent Scottish Government funding.

!Their success has led to further investment in digital innovation via the Accelerated National Innovation Adoption (ANIA) pathway.

“New digital services will improve patient access and outcomes across the region, enabling direct referrals from primary care and reducing waiting times.”

The ANIA Pathway, funded by the Chief Scientist Office and led by the Centre for Sustainable Delivery, is designed to fast-track proven innovations into frontline healthcare across Scotland. By identifying, assessing, and implementing new health technologies with strong evidence and impact, ANIA ensures patients across Scotland benefit from the latest advances in care.

Head of Innovation at the Centre for Sustainable Delivery Jason White said: “This programme represents a major step forward in the delivery of preventative healthcare across Scotland.

“It will empower people with pre-diabetes via easily accessible technology to make meaningful lifestyle changes that will significantly reduce their risk of developing type 2 diabetes.

“The Centre for Sustainable Delivery is proud to support this initiative through the ANIA programme. It’s a scalable, evidence-based solution that will support people to improve their own health and wellbeing over nine months.

“It will improve patient outcomes and reduce demand on NHS services through reducing the growth of type 2 diabetes across Scotland.”

There are 310,000 people living with type 2 diabetes in Scotland, representing more than 5% of the population. In 2023, more than 25,000 new cases were diagnosed and the number is predicted to reach 420,000 by 2044.

Type 2 diabetes | NHS inform

Short term measures ‘not addressing gap in public sector finances’

The Scottish Government recorded a £1 billion underspend in 2024/25 but still needs to move away from short-term measures to address a stark forecast gap between its spending plans and funding.

The underspend was supported by over £2 billion of additional funding from the UK Government, meaning a plan to help balance the budget with £460 million of offshore wind leasing revenues was not needed.

Significant pressures remain in achieving financial balance in 2025/26, and many of the necessary savings identified and delivered so far are non-recurring. This continued short-term approach to managing spending is not supporting the fiscal sustainability of the Scottish public sector.

The Scottish Government’s latest Medium Term Financial Strategy projects a combined resource and capital funding gap of £4.7 billion by 2029/30. This is due to policy choices and higher workforce costs. However, the government’s plan to make savings over the next five years lacks detail on how they will be delivered.

Stephen Boyle, Auditor General for Scotland, said: “Although the Scottish Government reported a £1 billion underspend this year, it did so from a combination of additional funding from the UK Government and one-off savings.

“A forecast gap of nearly £5 billion remains between what ministers want to spend on public services and the funding available to them.

“The Scottish Government needs to prepare more detailed plans setting out how it will close that gap by the end of the decade.”

Supporting young people onto the right path

£150,000 to fund grassroots youth services

Measures to help re-engage young people from low-income backgrounds with school and address anti-social behaviour have been announced by Higher and Further Education Minister Ben Macpherson.

Third sector organisation Youth Scotland will deliver a £100,000 investment in grassroots youth work to secure safe spaces for young people, helping them overcome barriers to learning and develop skills.

In addition, £50,000 has been made available to YouthLink Scotland to support measures that focus on improving school attendance and positive behaviours.

Announcing the support at Scotland’s National Youth Work Conference yesterday, Mr Macpherson said: “We want to see further investment in projects and initiatives supporting young people from communities impacted by criminal activity and anti-social behaviour, to help them take a different pathway and develop positive skills they need for learning, life and work.

“I have seen the demonstrable difference that youth workers can make in helping to divert young people away from negative paths, and instead towards positive behaviours and destinations.

“Youth work can prevent violence and anti-social behaviour before it starts, by offering trusted relationships, safe environments, and positive role models, and often reducing risky harmful behaviours from escalating.

“Youth workers support young people to build confidence and resilience, and develop skills to navigate challenges, reach their full potential, and positively contribute to their communities.” 

SCVO: Value of charity donations down by 30% in five years

SCVO analysis shows individual giving fell in real-terms by more than £240 million in 2023  

The value of charity donations is down by almost a third in the past five years, new research from SCVO finds.  

The voluntary sector body’s new report, Individual Giving in Scotland: donations, legacies and fundraising, shows income from individual giving made up 15% of the Scottish charity sector’s income in 2023, down from around 20% in 2018 and previous years. 

Individual giving from the general public was worth an estimated £1.2bn to Scottish charities in 2023. 

But the value of donations has fallen by 30% in real terms since 2018, while fewer individuals are donating to charity – although many who do donate are giving larger amounts. 

Most income streams from the general public were hit hard by Covid, and while many of these income streams have now bounced back, they have generally not recovered to pre-pandemic levels. 

Data from the Spring 2025 Scottish Third Sector Tracker suggests that a rising number of voluntary organisations saw positive growth in both donations and fundraising income, suggesting some reasons for cautious optimism despite the challenging financial environment. 

The voluntary sector body said the falling value of donations underlines the importance of the Scottish Government’s move towards Fair Funding.  

SCVO head of policy, Kirsten Hogg, said: “Individual giving is an important part of the complex patchwork of funding sources that Scotland’s voluntary organisations rely on, and these findings are really concerning – especially when combined with what we know about cuts in public sector funding and the increasing costs and demands that voluntary organisations are facing. 

“The cost of living crisis has hit individual giving hard, impacting on people’s ability to put their hands in their pockets – including for legacies, donations, fundraising and trading.  Over the same period, we saw a reduction in the number of people volunteering their time, and together these paint a worrying picture about the extent to which people are able to support charities and community groups.  

“While we remain hopeful that we may see a slight upturn in both donations and volunteering numbers, the resource difficulties that voluntary organisations are facing mean that many will continue to encounter challenges on a scale we’ve not seen before. 

“Scotland’s voluntary sector is a fundamental part of Scottish society, and demand for support is rising. Vital support continues to be delivered to every community in Scotland, and we must do everything we can to protect organisations from the pressures they are facing.” 

Claire Stanley, director of policy and communications at the Chartered Institute of Fundraising, said: “Charities across Scotland are working harder than ever to support the communities and individuals who need them.

“SCVO’s research highlights the difficult reality facing the sector right now, and we are hearing from our members that demand for services is increasing yearly – yet they are working with fewer resources while trying to deliver more. 

“And while it is encouraging to see many supporters giving generously, we know the cost-of-living crisis has hit people hard in recent years, and the overall drop in donations presents a significant challenge. That is why fair and reliable funding for charities is so important, to ensure that communities across Scotland can continue to count on the support they need, now and in the future.” 

1001 Critical Days Foundation funding boost for Bump Start programme

STEPPING STONES NORTH EDINBURGH and HOME-START EDINBURGH AWARDED £226,000 TO EXTEND EARLY YEARS SUPPORT SERVICE

The 1001 Critical Days Foundation has awarded its first £1m in grants to charities supporting babies and families across the UK.

Following a rigorous application process, six charities have been awarded a combined total of £1m in multi-year funding to deliver frontline services to families in community-based family hubs or similar settings. Up to 1,800 babies and their families are expected to benefit from this support.

Home-Start Edinburgh and Stepping Stones North Edinburgh have been awarded £226k over three years, and are the only Scottish recipeints of the fund. The funding will support and extend a collaborative support service, Bump Start.

Bump Start provides holistic, relationship-based support from pregnancy throughout early childhood, with the aim of reducing isolation, improving parental confidence, increasing capacity to provide nurturing care, and supporting positive mental health.

Eliza Waye, CEO of Home-Start Edinburgh, said: “We know the time from conception onwards is critical. With this funding, we can extend our partnership to deliver Bump Start with Stepping Stones North Edinburgh and reach even more families.”

The funding is expected to support around 320 babies through the project.

Morag Wilson, CEO of Stepping Stones North Edinburgh, said: “Bump Start has been a vital part of our organisation for over a decade, making a real difference in the lives of babies and their families.

“With support from the 1001 Critical Days Fund and a strengthened partnership with Home-Start Edinburgh, we’re excited to expand our reach and deepen our impact where it’s needed most.”

Founder of the 1001 Critical Days Foundation and Executive Chair of the Trustees, the Rt Hon Dame Andrea Leadsom said: “This is an incredibly proud moment for the 1001 Critical Days Foundation.

“These are our very first grant awards, and each of the six charities chosen has shown outstanding commitment to supporting babies and their families.

“Their applications were impressive, their impact is tangible, and I cannot wait to see the difference they will make in communities across the country. Together, we are determined that every baby should experience the best start in life.”

Speaking at the recent launch of the Foundation, its Patron, Lord David Blunkett, highlighted the integral role played by community-based charities.

Lord Blunkett said: “We’re not talking about professionals coming in and offering support – important as this is. But rather, mobilising the talent and strength of the community, no matter how deprived, to become part of the solution, not the problem.”

The six charities awarded funding represent geographies across the whole of the UK and offer a full spectrum of services to help give every baby the best start in life.

Home-Start Edinburgh will celebrate it’s 40th year as charity next year. It’s needs-based preventative work is delivered by highly skilled volunteers, supporting families with children under five years old.

Stepping Stones North Edinburgh is a voluntary organisation that provides support services to young parent families and pregnant women living in the north Edinburgh area.

The two organisations began partnering on the Bump Start programme in 2024. 

The five other charities that received funding are:

Literacy Volunteers

Nottinghamshire-based Literacy Volunteers delivers early language and literacy programmes in deprived communities, helping babies and young children build confidence, communication skills and a love of books alongside their parents.

They will use the grant funding to expand their “Learning to Love Books” programme in two family hubs based in communities where around 75% of families speak English as an additional language.

The For Baby’s Sake Trust

London-based charity, The For Baby’s Sake Trust, works with families to break the cycle of domestic abuse through long-term therapeutic, trauma-informed support, ensuring babies grow up in safe and nurturing environments.

The Oxford Parent Infant Project (OXPIP)

Based in Oxfordshire, OXPIP offers specialist parent-infant psychotherapy to strengthen the bond between parents and babies, supporting families facing trauma, postnatal depression, or disrupted attachment.

Thrive at Five

Thrive at Five is a national charity working to improve outcomes for children under five, ensuring they have the strong foundations needed for life and learning.

As a place-based charity working with communities facing hardship, Thrive at Five has been working alongside families and partners in Stoke-on Trent for just under five years. They will be using their funding to roll-out a pilot for Video Interaction Guidance with the goal of improving school readiness and long-term outcomes.

Tackling drug deaths

Funding allocated to early intervention and women’s support services

Services helping women affected by drugs and preventing substance use by young people are to benefit from more than £2 million funding.

Minister for Drugs Policy Maree Todd announced the support during a statement to the Scottish Parliament on the National Records of Scotland latest statistics on drug misuse deaths. These showed a decrease of 13% to 1,017 compared to the previous year.

Recognising additional challenges faced by women who use drugs, £1.1 million has been awarded to Aberlour Children’s Charity for its perinatal support and recovery services. In Glasgow, £750,000 will be delivered through the Corra Foundation to make it easier for women affected by substance use to access services.

The ‘Winning Scotland’s Planet Youth’ initiative, which aims to create an environment that consistently supports young people to make healthy choices, has been allocated £750,000 to continue its work. NRS statistics for last year noted a drop in the number of deaths among young people from drugs, with 34 under-25s compared with 58 in 2023.

Ms Todd said: “I want to express my deepest condolences to the family, friends and loved ones of the 1,017 people who lost their lives to drugs in 2024.

“Our National Mission on Drugs has delivered a number of positive developments, including widening access to life-saving naloxone kits to reverse overdoses and creating more residential rehabilitation beds. It is welcome that we have seen progress with the number of deaths at the lowest level since 2017, but these tragic drug deaths figures remind us, however, that there is much more to do.

“To that end, we are providing record funding of more than £160 million for alcohol and drugs in 2025-26. We will also accelerate the delivery of new initiatives, such as the drug checking pilot project. And subject to the Scottish Parliament’s agreement, we will be maintaining funding beyond next year to address harm caused by drugs and intensively support recovery.

“While there is nothing we can do to bring back those whose lives have been so tragically cut short, nor to ease the unimaginable grief that their loved-ones must feel, we will continue to do all we can to end the devastating impacts of drugs in Scotland.”

St Columba’s: Immediate action needed on hospice funding

Scottish Government and local partners must act now to protect vital palliative care services

St Columba’s Hospice Care and Marie Curie Edinburgh are warning that essential palliative and end-of-life care services are now at serious risk due to funding decisions made by the Edinburgh Health and Social Care Partnership (HSCP) and inaction by the Scottish Government. 

The HSCP has chosen to reverse a 3% inflationary uplift in funding to hospices, which they committed to earlier in the year. This decision was taken in reaction to the Scottish Government announcement of an additional £5 million to help hospices address workforce pressures.

That £5 million was solely intended to support hospices with the recruitment and retention of skilled staff during a time of extreme pressure, not to replace existing funding agreements.  

This decision from HSCP undermines the purpose of the allocation and places essential palliative and end-of-life services across the Lothians at risk. To date, St Columba’s Hospice Care has not received its share of the £5 million, which is approximately £496,000. The delay is creating further financial uncertainty and threatening frontline services for patients and families.  

We call on the Scottish Government and HSCP to: 

  • Reinstate the 3% inflationary uplift immediately. 
  • Release the national pay parity funding without delay. 
  • Commit to a national review of hospice funding to ensure equity and sustainability across Scotland. 

Jackie Stone, CEO, St Columba’s Hospice Care, said: “Hospice’s are being pushed to make very difficult decisions that may impact on our patients and families. This reversal sends a devastating message to our staff and to the families we care for that fair pay and essential services are negotiable. They are not.  

“The Scottish Government made a public commitment to fair pay and sustainable services, but we are being left with broken promises and growing deficits.

“We urge the Scottish Government and local partnerships to act now before we are forced to withdraw services that thousands of people across Edinburgh and the Lothians rely on every year.” 

 Hospices are an integral part of Scotland’s healthcare system and must be treated as such. They need sustainable, equitable funding. The government must act now to ensure a consistent national approach to hospice funding.

Hospices deliver vital, high-quality care that the NHS relies on, and they must be supported, not penalised, for working to achieve fair pay for their staff. 

Greater urgency needed to tackle flooding in Scotland’s communities

Whilst some public bodies and councils are working well together to tackle flooding, they face gaps in leadership, skills and data, and there is uncertainty about funding. This is limiting what can be achieved and opportunities to maximise the benefit of money spent are being missed.

Climate change is increasing the severity and frequency of flooding in Scotland, with almost 400,000 properties potentially at risk by 2080. But there is a risk that the action needed to prevent and tackle the already clear harms of flooding won’t happen at the scale and speed needed.

With the Scottish Government placing much more emphasis on flood resilience, there remain multiple barriers to effective collaboration across the public sector and to support communities. There is a lack of clarity in roles, responsibilities and funding. More also needs to be done to support communities to prepare for, and recover from, flooding.

The process for allocating funding for major flood schemes is currently not fit for purpose. Existing major flood schemes are taking longer to complete, with expected costs more than doubling to over £1 billion. This means that fewer homes and communities are protected than originally expected.

Stephen Boyle, Auditor General for Scotland said: “The Scottish Government and other public bodies must urgently address critical gaps in roles, responsibilities, information and data. Failing to do this risks ambitions to build communities that can better withstand and recover from flooding.

“Whilst there are good examples of the Scottish Government collaborating with councils, communities and other public bodies, this isn’t sufficient given the scale of future risks.

“It is vital that greater certainty and clarity about the funding available for major flood schemes is provided, with costs and impacts managed and measured, and national agreement on collaborating and engaging with communities secured.”

Andrew Burns, Deputy Chair of the Accounts Commission, said: “Communities are at the heart of future flood resilience. Whilst there are good examples of the work councils are doing, they face significant challenges. There are gaps in the data they need, uncertainty over funding and a shortage of skilled staff.

‘There are inconsistencies in the advice, money and support to enable communities to become both more resilient to flooding events and recover more quickly.

“These challenges need to be addressed by both local and national government.”

Thousands granted to Edinburgh’s community food growing initiatives

More than £50k in funding has been awarded to food growing projects across Edinburgh.

The City of Edinburgh Council’s £52,500 Grow Your Own Fund has been shared between 13 community and voluntary groups whose work includes creating food growing spaces and providing food growing education. 

Applications for funding were individually assessed by a panel, with grants of up to £5000 awarded to a range of schemes. Amongst the initiatives are Tuk Tuk and Grow, which brings mobile growing and cooking sessions to families across Edinburgh using a tuk tuk bike, and Nuclear Growth, which plans to set up a food growing project on the site of a former nuclear bunker on Corstorphine Hill.

Funding is intended to be spent in areas such as: purchasing seeds, plants, and tools; equipment for community garden cooking areas; education and training activities; personal protective equipment; and staff time directly related to establishing the growing area.

Councillor Margaret Graham, Culture and Communities Convener, said: “The standard of applications to the fund was extremely high, and the panel were really impressed – the successful projects demonstrate real creativity and ambition.

“Urban food growing is important for the health of both people and nature. These initiatives will really benefit local communities and the wider city by bringing people together, reducing food waste and supporting biodiversity.”

Full list of successful projects:

  • Nuclear Growth, Barnton Bunker Preservation Society (awarded £4640)
  • Get Blackhall Growing, Blackhall Parent Carer Council (awarded £2000)
  • Tuk Tuk Grow and Go, Edinburgh Community Food (awarded £5000)
  • Redhall Grows, Friends of Redhall School (awarded £5000)
  • Gate 55 Community Food Growers, Gate 55 Community Centre (awarded £4946)
  • Growing Together, Goodtrees Neighbourhood Centre (awarded £5000)
  • Longstone Primary Farm and Garden, Parents at Longstone School (awarded £1400)
  • Community Garden at Pilton Equalities Project, Pilton Equalities Project (awarded £4000)
  • StJV Allotment: a growing space for the campus community, St John Vianney Primary School Charitable Trust (awarded £5000)
  • Community Garden and Foraging Trail, St Mary’s Episcopal cathedral (awarded £5000)
  • Flourishing Together at Gracemount Medical Practice, Transition Edinburgh South (awarded £5000)
  • Garden @ the Snake, Fountainbridge Canalside Community Trust (awarded £2625 – partial funding)
  • Edible Garden at The Action Group, The Action Group (awarded £2889 – partial funding)

Patricia Lee from Gate 55 said: “We were really keen to support a new community food growing group here and this grant makes a huge difference to us.

” The funds will enable us to provide the group with resources for propagation space and for fruit bushes and compost, as well as supporting them with a project worker who will help with capacity-building and growing the membership of the group.”

Ryan Lytwyn, Mental Health Worker with the Pilton Equalities Project, said: “We’re absolutely delighted to receive this funding from the Grow Your Own grant scheme.

“It will make a huge difference to our community garden at the Pilton Equalities Project, allowing us to expand our growing space, install greenhouses, and involve more local people in growing fresh, sustainable food.

“This support means we can promote food security, improve wellbeing, and help our community take positive action for our climate.”

Jonathan Baxter from A+E at St Mary’s Episcopal Cathedral said: “We were delighted to hear about the Grow Your Own Fund and even more delighted when we heard that our application had been successful.

“Community food growing is a key part of that commitment and securing funding for a community gardener/development worker allows us to realise our aim of establishing a Community Garden in the West End of Edinburgh.

Alongside local residents and current users of Walpole Hall, the Community Garden aims to support the wider climate justice movement in Edinburgh. It does this by providing a welcoming space where horticulture and ecological design skills can be learnt in a hands-on way.