Social care pressures are spiralling. Integration Joint Boards have faced £497m pressures in 2025/26. A £750m investment in the Scottish Budget could stabilise the system, says COSLA:
Social care pressures are spiralling.
Integration Joint Boards have faced £497m pressures in 2025/26.
A £750m investment in the Scottish Budget could stabilise the system.
COSLA is urging the Scottish Government to provide a £16 billion boost in revenue in the Scottish Budget, to secure fair and sustainable funding for councils.
A demand for a £844 million general capital settlement has also been requested, plus a restoration of the Affordable Housing Supply Programme to £955 million, to maintain, repair, expand and secure the future of Council estates.
COSLA has launched a lobbying campaign urging the Scottish Government to use the upcoming Scottish Budget to provide councils with the fair, sustainable and multi-year funding needed to protect essential local services.
The campaign – ‘Strong Councils, Strong Communities’ – highlights growing pressures facing local government and the very real consequences of continued underfunding for communities across Scotland. The financial pressures in social care and housing are two key areas COSLA are asking the Scottish Government to specifically address in their upcoming budget.
COSLA warns that without urgent action in January’s Budget, councils will be unable to maintain essential services such as social care, education, housing support, roads, and community safety.
COSLA Resources Spokesperson, Councillor Ricky Bell, said: ““Scotland’s councils deliver the services that people rely on every single day — from caring for older and vulnerable people to keeping schools open, streets safe and communities thriving.
“Councils are facing greater demand than ever and are required to do more with significantly less. This is unsustainable.
“The upcoming Scottish Budget is a pivotal moment. The Scottish Government must deliver a settlement that matches the scale of the challenge. Without fair funding, communities will see services reduced and inequalities deepen, and we will struggle to meet national targets in key areas such as child poverty, housing, and net zero”
This year, councils continue to face rising inflation, increasing demand for services, and the continued impact of workforce pressures across social care and education. COSLA’s analysis shows that even maintaining current services requires substantial additional investment.
As a fair and sustainable overall financial settlement COSLA’s key asks from the campaign include:
An immediate £750m investment in social care.
Flexibility for councils to make local decisions that respond to community needs.
Recognition of local government as an equal partner in delivering national priorities and tackling inequalities.
COSLA President, Councillor Shona Morrison, added:“Councils work tirelessly to deliver for Scotland’s communities, however, continued pressure on resources makes this increasingly challenging.
“This is about safeguarding what matters most, support for the most vulnerable, opportunities for young people, support for families, and safe, thriving communities.
“We hope the Budget will reflect the vital role Local Government plays in Scotland’s public services.”
Queen Margaret University (QMU), Edinburgh has announced the launch of a new three-year full-time BSc Nursing programme, offering students a faster route into the nursing workforce at a time of growing demand for qualified healthcare professionals.
For several years, QMU has offered courses which are studied over 4 years – a BSc Honours and a Master of Nursing – but this new 3 year degree expands QMU’s current provision, providing students aspiring to become qualified nurses with more routes to registration.
QMU’s new BSc Nursing provides an accelerated pathway to registration with the Nursing and Midwifery Council (NMC), enabling graduates to enter the workforce a year earlier, while still benefiting from the University’s renowned high-quality teaching and person-centred approach to nurse education. Eligible students will also benefit from the £10,000 annual bursary for the full three-year duration of the course, alongside tuition fees covered by the Scottish Government.
Fast-track into nursing
The new BSc Nursing (three-year fulltime) offers:
Accelerated registration with the NMC, allowing graduates to join the workforce sooner.
Shared learning opportunities with students across QMU’s Division of Nursing and Paramedic Science, including those on the BSc Nursing (Hons), Master of Nursing, and BSc Nursing (Earn as you Learn) programmes.
Financial support, with eligible students receiving the £10,000 annual bursary for each of the three years, alongside tuition fees covered by the Scottish Government.
A condensed timetable with shorter summer breaks, ensuring students remain on track to graduate within three years.
Students will benefit from QMU’s strong partnerships with NHS Health Boards and other healthcare providers, gaining hands-on experience in a wide range of clinical settings.
The programme emphasises person-centred care, leadership development, and interprofessional learning, preparing graduates to deliver safe, compassionate, and effective healthcare.
On successful completion of the degree, graduates will have the option to enter the nursing workforce with the NHS or private sector. Subject to approval, this course will commence on 14th September 2026.
Meeting the needs of healthcare
Ruth Magowan, Head of the Division of Nursing at QMU, commented: “This new accelerated programme reflects QMU’s commitment to innovation and flexibility in healthcare education.
“By offering students the chance to qualify in three years instead of four, we are helping to strengthen the nursing workforce while ensuring our graduates are equipped with the skills, knowledge, and compassion needed to deliver excellent person-centred care.
“QMU has a longstanding reputation for excellence in nursing education, preparing students for rewarding careers in healthcare. With strong links to clinical practice, a focus on person-centred care, and a supportive learning environment, QMU graduates are highly sought after across Scotland and beyond.
“We are delighted to support the Scottish Government’s ambition to bolster the country’s healthcare workforce by playing a pivotal role in strengthening Scotland’s nursing profession.”
Health and social care services across Scotland are undergoing vital renewal and reform to ensure they remain high quality and person centred.
To support this, Scottish Government has commissioned Healthcare Improvement Scotland to develop the Scottish Approach to Change. The Scottish Approach to Change provides a clear pathway to support everyone to do change well.
On Friday 21 November, we hosted the launch of the Scottish Approach to Change in Edinburgh.
We had almost 100 people joining us in-person and online. We brought together senior leaders from across health and social care to explore how the Scottish Approach to Change can help drive meaningful change.
Caroline Lamb (Chief Executive of NHS Scotland and Director-General Health and Social Care) (above), Dr John Harden (National Clinical Lead for Quality and Safety), and Joanna Macdonald (National Chief Social Work Adviser and Chief Executive of the National Social Work Agency, Scottish Government) highlighted the strategic importance of the approach in supporting health and social care renewal.
Leaders from North Lanarkshire HSCP, Dumfries and Galloway NHS board and HSCP, and NHS Forth Valley showcased real life examples of how the approach is already helping them to deliver transformational change.
The Scottish Approach to Change is supported by a digital resource which was launched in September. It’s available to any health and social care organisation looking to implement change and improve their services.
It brings together a wide range of tools and methods to help people plan and deliver person centred change.
The Scottish Ambulance Service (SAS) has boosted its staffing by bringing in almost 100 new recruits ahead of winter.
The extra staff were announced yesterday (Tuesday, 11 November) by the Cabinet Secretary for Health and Social Care, Neil Gray while visiting the Service’s East Ambulance Control Centre (ACC) in South Queensferry.
The new staff include 25 call handlers who are based in the Service’s ambulance control centres and 22 staff, including GPs, clinical advisors and advanced practitioners, who have joined the Service’s Integrated Clinical Hub.
A dozen scheduled care coordinators who manage the Service’s patient transport vehicles have also been recruited, along with 36 ambulance care assistants who will transport patients to planned hospital or clinic appointments. An additional 72 ambulance care assistants will join SAS by April 2026.
Michael Dickson, Chief Executive of the Scottish Ambulance Service said: “Compared to last year, we’re already seeing an increase of pressure on our services.It’s therefore essential that we continue to bolster our workforce to ensure we can give the best possible service to our patients and also provide support to our existing staff during this demanding time.
“To help our staff over winter, we’d like to remind the public that if you need urgent care, but it’s not life-threatening, you can call NHS 24 on 111, day or night, or visit your GP during opening hours.”
Health Secretary Neil Gray said: “It was a pleasure to meet some of the new recruits and hardworking staff at the South Queensferry Control Centre.
“These new staff members will provide a crucial boost to the Scottish Ambulance Service as they deal with the increased demand and pressure that winter brings. This is on top of work already underway to recruit an additional 269 newly qualified paramedics this year.
“The additional call handlers and recruits to the Integrated Clinical Hub will all help to reduce conveyances and ensure patients are directed to the most appropriate care. The new staff working in the Hub will help triage less seriously ill patients who don’t need to go to A&E, freeing up ambulances and reducing pressure on emergency departments.”
Nearly three in five parents expect children’s physical activity to drop this winter
Over half of children aren’t getting the recommended 60 minutes of daily activity, with levels set to drop this autumn and winter – and around 8 in 10 parents underestimating how much movement kids need.
The campaign is backed by Alex and Olivia Bowen, Max Whitlock, Beth Tweddle and Joe Wicks, who has shared top tips for parents getting active with children, as research uncovers impact parents have on their children’s activity levels.
Almost three in five (57%) parents say their children’s physical activity levels are likely to suffer a seasonal dip during autumn and winter, with cold or wet weather (60%) and darker evenings (41%) highlighted as the key barriers in new research findings.
To tackle inactivity and help families keep children moving all year-round, the Government has launched ‘Let’s Move!’, a new campaign supported by Sport England that aims to help parents discover simple, fun, and pressure-free ways to build movement into daily life – which can start with just 10 minutes of activity.
NHS guidance recommends that children get at least 60 minutes of physical activity each day – including 30 minutes outside of school hours. Yet the new survey reveals that 81% of parents underestimate how much physical activity children need. Already, more than half ofchildren in England aren’t getting the recommended amount of movement and, worryingly, the research shows this will increase during the colder months.
Supported by Joe Wicks, the ‘Let’s Move!’ campaign makes staying active easy and affordable, offering ideas from kitchen discos to local activities and playground fun. It encourages families to move together – 80% of parents believe their habits influence their child’s activity levels – and highlights how everyday routines can support healthy, active lifestyles.
Regular movement boosts mood, focus, and family connections, with 78% of parents agreeing that their child is happier after being active, has more energy (71%) and has better concentration (68%).
The campaign is part of the Government’s wider effort to break down barriers to physical activity for people all over the country. Already, more than £900 million has been committed to build grassroots facilities in the places that need them most and deliver a pipeline of major sports events that inspire the nation. Alongside this, the new School Sport Partnerships and
Enrichment Framework will ensure all young people have equal access to high-quality sport and extracurricular activity. Sport England evidence shows that improved health from participation in sport and physical activity relieves pressure on the NHS through £10.5 billiona year in health and social care savings.
Sports Minister Stephanie Peacock said: “Building a more active nation is a huge part of this Government’s Plan for Change and we want to show families all over the country just how many ways there are to get involved.
“Whether it’s dancing, playing team sport or playing in the playground with their friends, we know that children who get at least an hour of exercise a day experience so many benefits – they’re happier, healthier and focus better at school.
“I am determined that every child, whatever their circumstances, should have those opportunities.”
While just over half (52%) of parents say their children really enjoy traditional forms of sport, others face barriers such as low confidence (31%) or a dislike of competitiveness (30%). However, 94% of parents say their children enjoy physical play as a form of movement – with top activities including visiting the playground (56%), riding a bike (46%), dancing (44%) and playing tag or chase (43%).
‘Let’s Move!’ aims to support different ways for children to enjoy being active – from sport to play and everyday movement. The campaign features real families from local areas having fun getting active together in ways which suit them, such as dancing or playing in the playground. Their images are featured in out-of-home and social channels in the local areas to inspire others to visit nhs.uk/LetsMove for tips, local activities and inspiration.
Parents and TV personalities Alex and Olivia Bowen launched the campaign in Essex alongside inspiring local families, demonstrating that movement really can be for everyone. Olympic champions Beth Tweddle and Max Whitlock led activities at the event, including dance challenges to obstacle courses, as families shared how they’ve been inspired to get active this winter.
Public Health Minister Ashley Dalton said: “Every child deserves the chance to be active, healthy and happy – but right now, too many are missing out on the 60 minutes of daily exercise their bodies need.
“’Let’s Move!’ is about showing families that physical activity doesn’t have to mean expensive gym memberships or organised sports. A kitchen disco, a walk to the park, or ten minutes of silly dancing – it all counts, and it all makes a real difference to children’s health, happiness and development. This builds on the work we have already done with Joe Wicks and his Activate animated series, inspiring children to move more.
“This campaign is part of our Plan for Change to build an NHS fit for the future by helping families make movement a natural, joyful part of everyday life.”
Joe Wicks, who got the nation moving during ‘PE With Joe’, is backing the campaign following the success of his animated workout series Activate, which was supported by a cross-section of government departments including DCMS, DfE and DHSC.
The series aims to make fitness fun for kids with short five-minute animated workouts. He shares new top tips as part of the ‘Let’s Move!’ campaign to help families slot activity into their everyday life, including being a role model, exploring local activities and getting outside whatever the weather.
Joe Wicks said: “As a dad, I know how hard it can be to keep kids moving – especially in the winter when it’s getting cold and dark.
“The idea of 60 minutes of movement a day for kids can sound like a lot, especially for kids who don’t feel confident doing traditional sports – but it doesn’t have to be all at once. It can start with something simple – a quick dance in the kitchen, a run or a brisk walk to the park, or an episode or two of Activate!
“It all adds up and gives kids an amazing mood boost – the key is making it fun.
“Let’s Move is about helping families find those little moments together – whether it’s discovering something local, or just getting active at home. It’s not about perfection, it’s about showing kids that moving isn’t a chore, it’s play. And when it’s playful, they’re way more likely to want to do it again, and again.”
‘Let’s Move!’ is being piloted in targeted areas of Sandwell, Lancashire, Essex and Bradford where inactivity levels and inequalities are greater than other parts of the country. These areas all receive funding from Sport England via their place partnership programme, to ensure those in greatest need can be active. The campaign supports the Government’s Health Mission, which prioritises preventative health measures, including addressing physical inactivity.
Sport England data also shows significant inequalities remain in activity levels, with Black (42%) and Asian (43%) children and young people, and those from the least affluent families (45%), still less likely to play sport or be physically active than the average across all ethnicities and affluence groups.
Removing barriers for migrant workers in Scotland’s care sector
Migrant social care workers impacted by the UK Government’s changes to immigration policy are to be offered targeted support in Scotland.
In the year ending June 2025, the number of Health and Care Worker visas issued to migrant workers in Caring Personal Service Occupations fell by 88%, following restrictions introduced by the UK Government to the visa route.
The subsequent decision by the UK Home Office in July to close the Social Care Visa Route altogether will have a further impact on the social care sector.
According to a Scottish Care survey, more than a quarter of the social care workforce in Scotland is made up by international workers – with many sector leaders citing concerns with workforce shortages and recruitment.
The Scottish Government is continuing to call on the Home Office to reverse its decision to close the route and is investing £500,000 to fund a tailored offer to help ‘displaced’ international social care workers who have found themselves without sponsored employment elsewhere in the UK at no fault of their own.
The funding will be used to help support international social care workers meet the costs associated with moving to and working in Scotland’s social care sector.
Health Secretary Neil Gray said: “The UK Government’s hostile and restrictive migration policies are damaging Scotland’s health and social care sector.
“In Scotland we need a migration system that works for our NHS, our social care sector, our businesses and third sector. Until we have the full powers over migration that will come with independence, we will do all we can within the devolved powers of the Scottish Parliament to mitigate the UK Government’s harmful approach to migration.
“I am therefore pleased to confirm today that the Scottish Government will create a bespoke offering to help social care workers who have been displaced to come to Scotland and contribute to our care sector.
“We will provide £500,000 to mitigate the devastating impact of the UK Government’s closure of the care worker visa route and provide targeted support to help displaced social care workers.
“This will support international social care workers already in the UK who have lost their social care jobs as a result of their employer losing their visa sponsor licence, to come to Scotland and contribute their valuable skills to our social care sector.
“It is our intention for this work to begin immediately so that social care workers can settle into new jobs before Christmas.”
MyCare.scot, Scotland’s new health and social care online app, will be made available to everyone across Scotland from April 2026, following an initial launch in Lanarkshire in December.
The new online service will transform how people access and interact with health and social care services. Users will be provided with a secure digital identity, access to some personal information and the national service finder from NHS inform.
The initial launch in Lanarkshire will be targeted at dermatology outpatients. It will be evaluated thoroughly, with the app’s development reflecting user feedback and experience before being rolled out progressively across Scotland from April.
Following initial roll-out, MyCare will be expanded to hospital-based services, before including other areas of the health and social care system, including GP practices, pharmacy, social work and social care.
Today’s announcement coincides with the final day of Scotland’s National Innovation Week. Once the rollout is complete, MyCare will be the most wide-ranging app offered to patients anywhere in the UK.
Today we’re announcing the new online app for health and social care in Scotland giving you access to your records and appointments in the palm of your hand.
MyCare will be live across the country from April 2026 and a pilot in Lanarkshire this December.
Health Secretary Neil Gray said: “MyCare.scot is the single biggest digital innovation in Scotland’s health and social care system and will revolutionise how people manage and receive their healthcare.
“The introduction of this app will be a landmark moment for Scotland and aligns with the commitments this Government has made to bringing down waiting lists, and making care more personal and closer to home.
“Our initial launch in NHS Lanarkshire will help us ensure the MyCare app is robust, safe, secure, and meets peoples’ needs. I am delighted we will then see a population-wide rollout from April and we have today published a high-level summary rollout plan setting out our approach.
“We have worked closely with NHS Education for Scotland and key stakeholders to develop MyCare.scot, and I want to thank everyone who has worked hard to help us reach this stage and to ensure we deliver rollout of the app across the country from April.”
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.
Edinburgh & Lothians Greenspace Trust, working alongside our partners in the Thrive Collective, is deeply disappointed by the recent decision of the Edinburgh Integrated Joint Board (EIJB) to end the Thrive contract for Physical Activities and Greenspaces from the end of November.
Through Thrive, we and our partners have worked in close collaboration with communities, health services, and local organisations to provide inclusive opportunities that improve physical and mental wellbeing.
We are proud of the collective impact that this work has had for people across Edinburgh, particularly those experiencing health inequalities.
This follows the earlier decision to withdraw grant funding for our Healthy Lifestyles work in South Edinburgh. Together, these cuts represent a significant reduction in support for programmes that enable communities across the city to access the health and wellbeing benefits of nature, physical activity, and local greenspaces.
The decision will have a real impact on the 1250 participants who rely on these programmes to support their physical health, mental wellbeing, and sense of social connection. Many of the people we work with face health inequalities and barriers to accessing mainstream services, and these activities have provided an essential lifeline.
Charlie Cumming, ELGT Chief Executive, confirmed the loss of this funding will directly affect our capacity to deliver dedicated programmes that improve health through engagement with local greenspaces.
It will also reduce the resources that are community-based, accessible, and effective alternatives to clinical treatment—helping people recover and build resilience outside of primary care settings.
Despite this setback, ELGT remain committed to championing greenspaces and active lives as vital to Edinburgh’s health and wellbeing.
We will continue to explore new ways of sustaining this essential work and will seek to secure funding that ensures these opportunities remain accessible to the communities who need them most.
We would like to sincerely thank all participants, volunteers, and partner organisations who have engaged with us.
Your commitment and enthusiasm highlight just how much this work matters and the difference it makes across the city.
EDINBURGH Integration Joint Board has reined back on plans to slash services delivered on their behalf by third sector organisations across the city. The EIJB is trying to tackle a massive funding deficit but bowed to pressure to rethink their plans at a meeting yesterday.
Change Mental Health is relieved that the Stafford Centre and services delivered in Edinburgh by the organisation are effectively safeguarded, for the time being, following yesterday’s decision by the Edinburgh Integration Joint Board (EIJB). However, there is still a lot of work to be done to ensure better collaboration leading to better outcomes.
Nick Ward, CEO of Change Mental Health, said: “While this is good news for the people who use our services, we remain clear that the proposed cuts were in themselves not needed. They represented a tiny part of the EIJB’s budget while having a significant, detrimental effect upon Edinburgh’s population.
“The process they put in place was fundamentally flawed in its approach, causing unnecessary distress to both organisations and service users. It has been disheartening for the third sector to have to continually make the argument that cutting early intervention and prevention services will only ever result in greater costs in the end.
“The fact remains that there are still significant cuts taking place to mental health services in the city and our sympathy and solidarity goes out to those charities affected. We are very disappointed and concerned that many of these cuts have been passed that disproportionately affect ethnic minorities and LGBT+ people.
“We called for the EIJB’s proposals to be paused to allow for a full, evidence-led and co-produced redesign of services. That appears to be what will now happen and we are grateful for that.
“We will now be a part of a crucial recommissioning exercise that can enable services to be more integrated and cost-effective through a better collaborative approach.
“However, trust needs to be rebuilt. There needs to be full transparency and a genuine dedication to working with the third sector by the EIJB, as well as a commitment to the principles of community-based early intervention and preventative approaches. We’re here to work closely with them, along with our partners, to ensure that we can truly meet the needs of our communities.”
Speaking after the meeting, Billy Watson, Chief Executive of SAMH (Scottish Action for Mental Health), said:“We are in a mental health crisis, and community and preventative mental health support is an essential part of how we tackle it.
“We welcome the IJB’s decision not to go ahead with the original proposals which would have effectively ended that support in Edinburgh. However, we are disappointed that a number of impactful support and advocacy services have been cut.
“This process has shown that we need to come together – funders, providers and especially the people who need this support – to jointly design a mental health system that works for and meets the needs of the people of Edinburgh.
“Redhall Walled Garden will continue to provide essential support to people with mental health problems for the time being, albeit with reduced funding and a recommissioning process to come.
“We’re hugely grateful to everyone that came out in support of Redhall, including Edinburgh’s politicians, members of the public and, most importantly, the people we support at Redhall and who make it what it is.”
The IJB voted in favour of the proposals relating to agenda item 6.1.
