Yesterday COSLA and the Scottish Government convened a roundtable discussion to consider immediate challenges facing the delivery of social care services:
COSLA Health and Social Care Spokesperson Councillor Paul Kelly, reflected on the meeting: “I was very grateful for the representation from across the care sector, including our partners in the third and independent sectors, involved in this critical discussion.
“We all have a shared responsibility to improve outcomes for people using health and social care services in Scotland, and I am acutely aware of how much more challenging this becomes when confronted with significant budget gaps for Local Government and Integrated Joint Boards.
“Of course, I know that it’s a similarly challenging financial context for our partner providers who deliver vital care and support for people.
“The reality is that the current financial challenges will have a very real impact on services and it’s for this reason I thought it was crucial to bring together key partners to highlight the impact this has been having – and will continue to have – on the system.
“The changes to employer National Insurance contributions, coupled with continued financial constraints and uncertainties, are a significant risk felt by Local Government which will impact upon the delivery, commissioning and procurement of services.
“There are no easy solutions to the challenges that were aired but I was encouraged by the frank and open contributions from attendees, and the consensus that it’s more important than ever that we work collaboratively to ensure continued delivery of social care for all those who need it.
“As COSLA’s Health and Social Care Spokesperson, I want to reiterate that we are doing everything we can to address the challenges the sector collectively faces, and that COSLA remains absolutely committed to engaging with the Scottish and UK Governments on these matters.”
People across Scotland will have better access to NHS treatment through increased capacity, expanded primary care services, enhanced use of digital innovations and a range of other measures, First Minister John Swinney announced yesterday.
Speaking to representatives from across the health and social care sector, the First Minister set out action to drive down waiting times and reduce pressure on frontline services.
The First Minister was joined by Health Secretary Neil Gray and announced a range of actions including:
A substantial increase in capacity, with 150,000 additional appointments and procedures per year
Increased investment in primary care, making it easier for people to get appointments with their GP
Improved use of data and new digital innovations including the roll-out of a Scottish health and social care app – a ‘Digital Front Door’ to the NHS for patients
The First Minister said: “Protecting, strengthening, renewing our National Health Service – that is a goal I think we can all get behind. A real focus of common purpose.
“That requires action from me, as First Minister, from my Health Secretary Neil Gray, and from my Government. We can offer the leadership and direction – as the measures outlined today seek to do.
“So, today, we commit to a substantial increase in capacity in order to significantly reduce people’s waits.
“Our plan will ensure that a greater proportion of new NHS funding goes to primary and community care. GPs and services in the community will have the resources they need to play a greater role in our health system.
“This increased investment will result in GP services that are easier for people to access. That is important in terms of people’s confidence in the health service – but equally, it will make it more likely that health issues are picked up quickly and dealt with earlier.
“Our National Health Service is there when we need it. No other public institution supports us with so much care through life’s biggest moments. We must support it in return.
“The approach I set out today charts our course to do that. It addresses both the challenges and the opportunities. It sets the NHS on a path of modernisation and renewal.”
LAST WEEK the Scottish government confirmed that plans for a National Care Service (NCS) in Scotland have been scrapped in favour of an advisory board and smaller, more targeted reforms (write FRASER of ALLANDER INSTITUTE’s MAIRI SPOWAGE and EMMA CONGREVE).
The decision came after months of declining support from key organizations and stakeholders including COSLA, key trade unions and representative bodies for social care providers in Scotland.
Beyond the wavering support for the NCS plans, there is clear support for social care reform, particularly in enhancing access to and the quality of services.
Our interest in the National Care Service, and wider social care reform stems back to 2022, in which we conducted analysis of the NCS bill published in June of that year. Following this work, published in August 2022, we engaged with a number of stakeholders across the private, public and third sector.
Among concerns around governance and funding of the NCS, one of the key concerns from stakeholders we engaged with was the lack of good quality and timely data that is crucial to ensuring that any reforms to social care are well informed. In particular, the need to better understand what future levels of social care demand might be, the workforce requirements to accommodate this, and the associated expenditure on social care.
Our concerns about the lack of investment in social care research were highlighted in our response to the Wave 2 consultation. The Scottish Government has not commissioned any work in this area, and we have not been able to find independent funders willing to fund work of this nature in Scotland.
It is our view that projections of demand and cost of the current service, and any future reforms, is urgently required.
New labour market data published
The latest data on the labour market in the UK was published last week. There are many documented issues with the data at the moment due to the challenges faced by the Labour Force Survey, which means the headline figure are no longer considered accredited Official Statistics.
If you can set that aside for a moment, the headline results show on the surface a strong Labour market in Scotland, with high employment (74.1%) and low unemployment (3.8%). Inactivity rates remain slightly higher than the UK at 22.9%.
There are a number of other data sources published alongside the LFS data which is used to supplement our understanding of what is going on in the Scottish economy. One of these is the payrolled employment data, known as the PAYE Real-Term Information, which is published every month by the ONS. This draws on administrative records, and so is likely to be more reliable in terms of employment (although, of course, tells us nothing about unemployment or inactivity).
This data shows that payrolled employment is almost 3% higher in Scotland than pre-pandemic levels. However, we had a look at replicating the sectoral breakdowns in this interesting piece by think.ing, which looks at government-dominated sectors vs the rest.
Chart:Payrolled employment in all sectors, government dominated sectors (public administration, health and education, and total excluding government, Scotland, January 2020=100
Source: ONS
This shows that once the government dominated sectors are excluded, payroll employment has been falling since March 2024, and is now almost back at the levels seen in January 2020. In contrast, government dominated sectors are 8% about pre-COVID levels.
Given some of the challenges facing the private sector in the first half of 2025, including large increases in employer National insurance contributions which will come in in April, the trend in private sector employment is concerning, and points to a weakness masked if we just look at employment in total.
However, it is worth emphasising again that this is just payrolled employment, and does not cover self-employment.
A dedicated advisory board, support for unpaid carers and enshrining care home residents’ rights to see loved ones are at the heart of revised plans for the National Care Service.
Social Care Minister Maree Todd outlined the next steps for reform to Parliament yesterday after plans to progress the National Care Service Bill were paused for further consideration in November 2024.
A new non-statutory advisory board – comprising of people with lived experience of accessing care, social care workers, care providers, trade unions, the NHS and local government – will be established to provide guidance and drive improvement within the sector. It is expected to meet for the first time in the spring.
The introduction of Anne’s Law, which upholds the rights of residents in care homes to be visited by families or friends, will remain in the legislation to reform social care, alongside a right to breaks for unpaid carers.
The Scottish Government Bill will also improve information-sharing across health settings and the ability for individuals to access and manage information about their care, while progressing plans for a national social work partnership.
Ms Todd said: “We want to deliver a National Care Service that improves the experience of everyone who relies on social care, social work and community health in Scotland.
“Change is urgently needed to reform the social care sector in Scotland but it has to be meaningful and sustainable change. That’s why we paused the Bill for further consideration, to fully capture the views expressed by all stakeholders, members of the public and the Parliament.
“The advisory board will include people with lived experience of social care, ensuring it has those who access services at its heart. It will allow us to drive forward vital reform more quickly than our original proposals.
“The Bill gives adult care home residents a legal right to see their loved ones with the implementation of Anne’s Law and recognises the significant contribution of unpaid carers to Scotland’s communities by introducing a right to breaks.
“There will be enhanced information-sharing to improve the coordination of individuals’ care, and we will work in partnership with the sector to bring forward reform that future-proofs the social work service in Scotland.
“People need sustainable change to social care and these actions will allow that to happen as quickly as possible.”
COSLA Leaders will meet at the end of January to take a position on the National Care Service Bill.
To attendees and those who wished to be kept in touch about conference developments:
Hi,
Thank you for attending the workshop on Saturday or for expressing an interest in campaign developments. We will produce a written report on the conclusions arising out of the discussion at the plenary session of the workshop.
Attached is the agenda for the workshop on Saturday,
One of the key issues to be discussed at the workshop is the City Council’s response to the proposed cut in funding to third sector organisations.
The cut will take effect on 30/6/25. However, we understand that Council action to mitigate the effects of the cuts will be discussed during the Council’s budget setting meeting on 20/2/25.
There may need to be a lobby of the Council meeting.
Regards,
Des Loughney Secretary Edinburgh TUC
EDINBURGH SOCIAL CARE CAMPAIGN – THE WAY FORWARD
Unitecd Augustine Church, George IV Bridge, Edinburgh EH1 1EL
Workshop Saturday 18th January 2025
AGENDA
Chair: Ian Mullen (UNISON City of Edinburgh Council Branch)
9.30 am – 10.00 am: Tea/ coffee and biscuits.
10.00 am – 11 am. Introduction to workshop
Des Loughney – Secretary, UNITE Edinburgh Not For Profit Branch (1)
Councillor Tim Pogson – Vice Chair of the Edinburgh Integration Joint Board (2)
Denise Ritchie: Fair Work Project Officer, Scottish Trades Union Congress (3)
Linda Sommerville: Deputy General Secretary, Scottish Trades Union Congress. (3)
11am to 12.30pm Working Groups ( two)
12.30 pm to 1.00 pm – Plenary Session and summing up.
Speakers:
Des Loughney will comment on the impact of the proposed EIJB cuts on services and third sector worker terms and conditions. The impact includes compulsory redundancies and downgrading of contracts of employment from guaranteed working weeks to zero hour contracts,
Councillor Tim Pogson will update us on the response of the Council to the proposed EIJB cuts. The City Council is seeking to mitigate the impact of the cuts on the third sector.
Denise Ritchie and Linda Sommervile will brief the workshop on proposed campaigning activity at a local level and a Scottish level.
Services dealing with ‘extraordinary surge’ in flu cases
Health Secretary Neil Gray underlined the ‘resolve and resilience’ of the NHS as he praised the dedication of Scotland’s health and social care workforce in facing up to an ‘extraordinary surge’ in Influenza A cases.
The number of patients admitted to hospital as an emergency and testing positive for flu has surpassed the recent peak of the winter of 2022/23.
Following the latest in a series of meetings with First Minister John Swinney, health boards, the Scottish Ambulance Service, Public Health Scotland and NHS 24 earlier this week, Mr Gray praised the NHS response to the increased pressures on the system, in a statement to parliament.
He also thanked members of the public for continuing to follow guidance on the best way to access services, and for doing their bit to reduce the spread of infections in the community.
He stated that, as of 15 December, more than 1.2 million adult flu vaccinations have been administered. Those eligible to be vaccinated have until March to do so, with many health boards offering drop-in clinics.
Mr Gray said expert healthcare advice is available without the need for an appointment through the NHS Pharmacy First Scotland service, adding that £13.6 million of additional funding has been invested in General Practices to enable the recruitment and retention of staff.
Services such as Discharge to Assess and Hospital at Home are also key to helping health and social care partnerships to reduce delayed discharges, ensuring people who are clinically ready to leave hospital can do so.
Mr Gray said: “The resilience and determination shown by staff in the face of pressures across the health and care sector is inspiring.
“Every part of our health service has gone above and beyond to serve the country during the hardest months of the year.
“I’d like to thank the ambulance service staff for their sacrifice and devotion to their task, staying at work beyond the end of their shift as they wait to turnaround at hospitals.
“I’d also like to thank social care staff doing extra shifts to make up for staff being off sick with flu and GPs working at the weekends to offer appointments and bolster the resilience of the entire system.
“Hospital staff, like the porter I met at St John’s in Livingston on Christmas Eve, are working hard to turnaround beds as quickly as possible.
“This is the reality of public service – relentless, skilled, devoted and dedicated work to serve the people that need it most.
“Thanks to the incredible efforts of NHS staff and sure-handed planning, we are facing this with resilience and resolve.”
Preliminary Notice of Anti Cuts Conference – Saturday 18th January 2025
Augustine United Church – George IV Bridge Edinburgh
9.30 am – Doors Open – Tea/Coffee and Biscuits
10.00am – 1pm Conference
The Conference is being convened by Edinburgh Trade Union Council and the Scottish Trades Union Congress (STUC).
The purpose of the Conference is to consider how best to fight the social care and health service cuts that are being planned by the Edinburgh Integration Joint Board (EIJB).
Crucial budget decisions are going to be made by the Scottish Government and the City Council over the next two or three months which will determine the level of cuts.
The conference will discuss how best to lobby to obtain the resources needed to meet service demands. This will include the services provided by the 64 third sector organisations Edinburgh that are threatened with cuts and redundancies.
The conference is open to the public. The agenda will be an introductory session, workshops and a final plenary session. The conference will have input from speakers from the STUC. We will invite a speaker from amongst the Councillors on the EIJB and a speaker representative of Edinburgh community health organisations.
We hope the conference will be able to draw up a City wide plan for lobbying and campaigning.
More details of the conference will be circulated on Monday 6th January 2025. Any comments or queries in the meantime will be responded to on 23/12/24 and 27/12/24.
TONIGHT – Friday 15 November 2024, the prestigious National Care Home Awards will take place at the Hilton in Glasgow, offering an evening dedicated to celebrating the outstanding achievements in the independent care home sector across Scotland.
This event is a vital opportunity to recognise the unwavering dedication of the care home workforce who tirelessly support residents day in and day out.
Scottish Care, the representative body for independent social care services across Scotland, are the organisers of the event.
This year, the event will be hosted by Pop Idol winner Michelle McManus, who will announce the winners across thirteen unique award categories:
Ancillary & Support Staff Award
Nutrition & Eating Well Award
Meaningful Activity Award
Training, Learning & Staff Development Award
Emerging Talent Award
Outstanding Achievement Award
Leadership Award
Palliative & End of Life Care Practice Award
Nurse of the Year Award
Care Worker of the Year Award
Specialist Service/Unit of the Year Award
Care Home Service of the Year Award
Care Innovation Award
Dr Donald Macaskill, CEO of Scottish Care and the co-host of the Awards Ceremony said: “Care home services and the dedicated individuals who lead them are essential in creating safe, nurturing environments that foster connection, independence, and community for residents.
“They serve as a source of strength and support for thousands across Scotland, making it possible for residents to flourish in the later stages of their lives. It’s crucial that we take the time to recognise the profound contributions of these professionals, who make such an essential impact on people’s lives every single day.
“This awards ceremony is our way of honouring their dedication and celebrating the remarkable work they do.”
Each year, the awards receive a growing number of nominations from care home staff, service users, relatives, and employers, highlighting the strong support for recognising excellence in the sector.
The awards ceremony follows a full-day Care Home Conference titled ‘Care Home Revolution – Building Possibility’, which will bring together sector professionals to discuss key topics such as the future of care homes, urban housing, and effective voice. Attendees will participate in various sessions exploring themes like ethical commissioning, inclusion of LGBTQIA+ communities, employment law, education and training, digital innovation, Anne’s Law, and international recruitment.
The National Care Home Awards and Conference represent the largest gathering of the care home sector in Scotland, showcasing best practices and innovations shaping the future of care homes across the country.
Scottish Government urged to prioritise investment in essential services for older people
HANOVER Scotland’s CEO, Angela Currie, is urging the Scottish Government to allocate part of the new £3.4 billion funding from the UK Budget towards critical investments in social care and housing.
The budget announcement from Chancellor Rachel Reeves marked a significant increase in devolved funds, and Angela emphasises that a strategic portion of this must be directed towards empowering older adults to live safely and independently.
With a rapidly aging population, Angela warns that overlooking these essential services will only exacerbate existing pressures on Scotland’s healthcare and social systems.
Angela said: “Our first priority must be restoring the adaptation budget to its previous levels. This funding is essential for making homes safer and accessible for older adults.
“Secondly is to close the gap in subsidies for new-build social housing, enabling us to construct more affordable homes.
“Lastly, we need robust investment in social care, which is crucial for supporting our aging communities and preventing undue strain on health services.
“Investing wisely in these areas is not just beneficial but essential for a sustainable and compassionate future.”
Angela highlights that this comprehensive approach will have a long-term impact, reducing the costly burden on the NHS and enhancing the quality of life for older adults.
The need for investment is underscored by recent budget cuts that have severely impacted housing adaptation funding. The Scottish Government slashed this budget by 25%, from £11 million to £8.245 million, leaving housing associations like Hanover Scotland in a difficult position.
This reduction means older and disabled residents risk being trapped in unsafe homes or hospital beds, contributing to bed-blocking and intensifying pressure on healthcare services.
Angela said: “The modest investment required to make homes safe pales in comparison to the enormous cost of hospital stays and long-term care.
“Without adequate funding, we risk further overwhelming our health and social care systems.
“Our mission is to empower older adults to live with dignity and independence, but the current funding situation is making that increasingly difficult.
“We are calling on the Scottish Government to act now and prioritise social care and housing. This isn’t just about housing; it’s about health, safety, and the wellbeing of our communities.”
Hanover Scotland, which manages more than 4,500 homes, has been a trusted provider of housing for older adults since 1979. The organisation has been at the forefront of innovation, from pioneering sheltered accommodation to participating in urban renewal projects that promote independent living.
The chief executive of the human rights charity Enable has been awarded an honorary doctorate by Edinburgh Napier University (ENU) for devoting her career to improving the life chances of people with learning disabilities.
Theresa Shearer was presented with the honour during a graduation ceremony for students from ENU’s School of Health and Social Care at the Usher Hall in Edinburgh today [29 October].
During her tenure, Theresa has been credited with helping the charity to inspire public policy development, provide human rights advocacy, build sustainable employment, and deliver human rights-driven health and social care.
Theresa’s work has also been widely recognised, while she provides voluntary support for third sector leadership and governance organisations across the UK and Europe.
In recent years Enable has partnered with Edinburgh Napier University to establish the Breaking Barriers programme.
In conjunction with professional services firm EY, it supports young people with learning disabilities make the transition to university and higher education through a combination of study and work placements.
Fittingly, the latest cohort of Breaking Barriers students received their qualifications during the same ceremony where Theresa was presented with her degree.
Reacting to the award of the honorary doctorate, Theresa said: “It is a real honour to receive an honorary doctorate from Edinburgh Napier University, an institution which lives by the values of diversity, equity and inclusion that have inspired and driven me throughout my career.
“From researching the interplay between disability and inclusion, to training and developing the next generation of health and social care professionals, and acting to widen access to university for disabled people as a partner in the Breaking Barriers programme, Edinburgh Napier University is a shining example to organisations and businesses across sectors.
“To be recognised for my contribution to the charity and social care sectors is truly a privilege, and I hope this will emphasise the critical contribution that these sectors make to our economy and society, now and in the future.”
Giving Theresa’s laureation during the graduation ceremony,Professor Jill Stavert, from ENU’s School of Health & Social Care said: “There are so many examples of Theresa’s achievements and her enormous contribution to improving the lives of people with learning disabilities.
“As CEO of Enable Scotland – a charity which supports the human rights of people with learning disabilities – Theresa leads 2,500 staff in supporting 13,000 people to live independently in their community.
“But her influence goes far beyond this role. Theresa’s contribution to executive leadership is recognised nationally and internationally, demonstrating her passion for social care workforce development and empowering young people to realise their potential.”
