New research warns UK facing shortfall of ONE MILLION unpaid carers by 2050

New research conducted by Carers Trust and policy and research consultancy Public First predicts a shortfall of up to ONE MILLION unpaid carers within a generation.

The expected shortfall is calculated from new projections that draw on current trends and future forecasts. It highlights how intense demand for care from an ageing society is set to outstrip the supply of care available unpaid, from family members and friends at an ever-increasing rate over the next two decades.

The shortfall is the difference between the projected ‘demand’ for carers based on the rising number of people with care needs (7.8 million carers needed by 2050) and the ‘supply’ of carers based on the profile of people who care today (6.7 million carers available by 2050).

Under this projection, the number of people able to provide unpaid care will fail to keep pace with ever-greater need, while paid social care – including care homes and home care – will not expand in line with need. this leads to a shortfall of 600,000 unpaid carers by 2035, and an even more alarming one of one million by 2050.

Such a shortfall would have a crippling impact on the provision of care across the UK: a greater number of people would be left with unmet care needs; overall capacity to provide care would be further stretched; and more families and friends would need to step in to fill gaps – from providing sporadic hours of care to caring for multiple people at once.

These changes would have a potentially devastating knock-on effect on unpaid carers’ wellbeing, employment, and the economy.

With care pressures expected to increase across the board in coming years, the research also found that:

  • 10.3m people will need care by 2050, up from 8.4m in 2025
  • 1.2m unpaid carers already provide care hours that equate to a full-time job
  • 1.6m unpaid carers will be in poverty by 2035, rising to over 2m by 2050

The research predicts that the number of people in need of care will have soared by almost two million between 2025 and 2050. Over the same period, without action, the supply of both paid and unpaid care will grow at a much slower rate, thereby failing to keep pace.

These changes are already taking place in society. Over the last 10 years the supply of carers has not increased with rising need, and the average burden on each carer has increased. In the absence of action, the rate at which the gap opening up between supply and demand for care will only quicken over time.

The research comes at a time when Baroness Casey is running her ‘Big Conversation’ amongst the public into the future of social care and follows the announcement by the Prime Minister that he will use what ‘political capital he has’ to reform the system. 

Louise Casey has already identified that the work of unpaid carers is one of the main reasons the system continues to function.  This research shows that, if nothing changes, this will cease to be the case, with knock on effects on the NHS,  public services and the economy.

Carers Trust, as the largest UK charity supporting unpaid carers through its network of 130 local services, is also highlighting the impact on unpaid carers of the current levels of care they are undertaking:

  • Fewer than three in ten unpaid carers providing care for more than 35 hours a week are in paid work.
  • Mental and physical health outcomes are consistently worse for unpaid carers than for non-carers.
  • Unpaid carers are more likely to live in poverty than the broader population, with living conditions worst for those with the most intense caring roles.

Around three in five people in the UK will become carers at some point in their lives. This can happen overnight, often through circumstances that are impossible to predict or plan, such as a family member being diagnosed with a long-term illness or the birth of a child with a disability.

Kirsty McHugh, Chief Executive of Carers Trust, said: “Almost all of us will either care for a loved one or be cared for in turn at some point in our lives.  However, as a society, we’re simply not facing up to that fact.

“The gap between soaring demand and shrinking supply of care is opening up like a crocodile’s jaws and, unless we act now, it’s unpaid carers, those they care for, and the system itself that will be swallowed whole.

“This grim future is on the horizon, but there is still time to avoid it if we are willing to do the political hard yards now. The Prime Minister’s commitment to fixing our broken social care system is encouraging, but reform needs to focus on more than care home beds, budgets, and the paid workforce. It has to reckon frankly and fairly with the millions of unpaid carers that are holding the system together – at huge personal cost.

“It could be you, your mother, brother, or child who needs care in the future, or who becomes a carer in turn. We cannot go on asking unpaid carers to absorb yet more pressure, and we cannot let the worst-case scenario set out in this research become our reality.

“We need well-funded local support that reaches carers before they hit crisis point, real, comprehensive financial and wellbeing support, and a system that recognises carers as essential and equal, not invisible and expendable.”

Andrew Harrop, Director at Public First, said: “Today family carers provide the lion’s share of support for people with care needs. But Public First’s projections show that the future supply of carers may not keep up with the demand. In 10 years’ time the UK may need 600,000 more people to care than are in a position to do so.

“The number of people with care needs is rising quickly, because more people are reaching late old age. Meanwhile the number in the generation below who typically provide care is barely increasing.

“The shortfall in carers will mean that more people’s needs go unmet and more intensive pressures on those who are able to care.”

The Kitchen Garden: New project at Drylaw Neighbourhood Centre

Introducing The Garden Kitchen! 🌱

We’re excited to be starting a new Gardening & Wellbeing Group at Drylaw Neighbourhood Centre.

Starting Thursday 15th October, The Garden Kitchen will be a weekly group where adults from Drylaw and Telford can come together, spend time outdoors, grow food, learn new skills and enjoy good food and company.

🌿 Every Thursday, 10am–2pm, sessions will include:

• Gardening and food growing

• Cooking and sharing a communal meal

• Learning practical skills

• Peer support and conversation

• Opportunities to gain new qualifications and experience

The group is a welcoming space for anyone experiencing loneliness, poor mental wellbeing or social isolation, and is all about building confidence, making connections and feeling part of the community.

There will also be opportunities to work towards a Food Hygiene Level 2 qualification and develop skills that could lead to volunteering or employment.

If you’d like to find out more, please get in touch with the lovely Jane at wellbeing@drylawnc.org.uk

Wester Hailes leisure facilities reopen after major refurbishment

Edinburgh Leisure has reopened the refurbished leisure facilities at Wester Hailes High School today, Thursday 1 October, giving people in the surrounding area increased local access to sport, leisure and wellbeing.

Delivered by the City of Edinburgh Council as part of its wider investment in the community campus, the refurbishment has improved a valued local facility and expanded access through a seven-day programme of gym, swimming and fitness activities.

The needs of local residents have been at the heart of the redevelopment, with improvements focused on activity spaces, inclusivity and the overall customer experience.

The swimming pool offers lane swimming, diving and family sessions, with daytime access now also available to the fitness suite and new general-purpose studio.

The fitness suite includes 30 cardio and resistance workout stations in a bright, open environment, while the studio hosts an expanded programme of classes, including Kettlecise, Pilates and Edinburgh Leisure’s Active Communities activities, and is also available for group hire.

The venue is also more accessible and inclusive, with improvements including modern changing accommodation, step-free access throughout, a Changing Places facility and a state-of-the-art pool pod to support easier entry to the water.

The refurbishment forms part of the wider City of Edinburgh Council project to deliver a new Passivhaus-standard secondary school adjacent to the existing site, which is due to open later this year.

David McGlade, Head of Operations (Schools) at Edinburgh Leisure, said: “We’re delighted to welcome the community to a modern, accessible leisure facility in the heart of Wester Hailes. The investment has created brighter activity spaces, upgraded changing accommodation and a wider range of opportunities for people to be active close to home.

“Alongside our gym, swimming and fitness offer, we’re particularly excited to expand our Active Communities programme, helping people of all ages overcome barriers to being active and supporting healthier, more active lives.

“We hope these improvements will help even more local people enjoy being active and build on the facilitiy’s place at the heart of the community.”

Cllr James Dalgleish, Education, Children and Families Convener, said: “It is fantastic to see the opening of this new facility that will provide more opportunities for the local community to be active and try new sports.

“This state-of-the-art leisure centre is not just for the school, but for the whole community to use and enjoy. It is open seven days a week, with a modern gym, swimming pool and range of sport classes, Wester Hailes High School will make keeping active and developing new skills easier than ever.”

To find out more about the facilities, opening times and membership options, visit Wester Hailes High School – Gym Swimming Pool Sports Hall

Delivering better local mental health support 

Improving mental health and wellbeing

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

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

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

Commitments in the plan include: 

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

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

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

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

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

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

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

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

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

Mental Health Strategy Delivery Plan

Call for nicotine and vaping products to be hidden out of view in shops

A huge majority of people surveyed in Scotland support proposals to make shops keep all vaping products and nicotine pouches out of sight, according to an opinion poll commissioned by ASH Scotland gathering views about the UK Government’s current consultation aimed at reducing children’s visibility of nicotine products.

86% of 1,061 survey respondents favour measures preventing all vaping products and other nicotine products like heated tobacco and nicotine pouches from being seen in shops, in the same way that cigarettes are already hidden, a finding welcomed by ASH Scotland and the Society of Chief Officers of Trading Standards in Scotland (SCOTSS).

Retail displays of brightly coloured and branded packaging are enticing young people to use addictive, health-harming recreational nicotine products, including vapes.

The display ban for tobacco proved highly effective in reducing youth exposure to cigarettes and sets an exemplar for removing vapes and nicotine pouches from window displays and point-of-sale promotions, where they are often displayed alongside confectionery.

The Scottish Government committed to progressing proposals for a Vape Display Ban in its recently announced Programme for Government.

ASH Scotland and the SCOTSS are urging government to move quickly to implement display bans for nicotine and vaping products in Scotland that align with the current approach for cigarettes.

Both organisations contend that the same rules for retailers across all tobacco and related products would assist trading standards teams in enforcing regulations consistently and reduce gaps that could be exploited by the tobacco and nicotine industry.

Sheila Duffy, Chief Executive of ASH Scotland, said: “With 86% of adults polled in Scotland supporting measures to keep addictive health harming vapes and nicotine pouches hidden like tobacco in shops, we want the government to make rapid progress in implementing this proposal, which is both effective and vital, to prevent the tobacco and nicotine industry from continuing to generate massive profits at a cost to the health of young people now and future generations.”

Chris Bell, SCOTSS Chair, said “Vaping displays can be colourful, visually prominent and eye-catching, increasing the visibility and appeal of nicotine products to children, young people and non-smokers.

“SCOTSS considers restricting the prominent retail display of vapes to be an important starting point to reduce visibility and limit opportunities for these products to be promoted.”

ASH Scotland encourages the public to read the charity’s views on the proposed measures in the UK Government’s ‘Tobacco and vapes: packaging, appearance and display’ survey and respond to the consultation before the 23:59 on 2 October 2026 deadline by visiting our webpage here.

Making healthier food choices easier

New changes introduced to the sale and placement of foods high in fat, sugar and salt in shops come into effect

Following the passing of regulations by Parliament last year, new restrictions will be introduced from 1 October 2026 in Scotland to support people to make healthier food choices.

Businesses with more than 50 employees will no longer be allowed to display prepackaged junk food such as sugary soft drinks, confectionary, biscuits and breakfast cereals in prominent locations, such as entrances, checkouts and at aisle ends.

Certain price promotions including free refills of sugary soft drinks will also be restricted.

The regulations, which will apply both in-store and online, are intended to create a healthier balance of products on offer, support healthier eating habits and help lower levels of obesity.

Similar restrictions are already in place across England and Wales.

Public Health Minister Maree Todd said: “We want to make it easier for people to live healthier lives. “In Scotland, two out of three adults are overweight or obese, with those living in our poorest areas more likely to be overweight and experience the most harm as a result.

“We know that promotions and the prominent product placement can encourage over-consumption and impulse buying of foods with high levels of calories, fat, sugar and salt.

“By restricting the promotion of less healthy food and drink we can make it easier for people to make healthier choices, improving health and wellbeing and create a Scotland where everyone eats well and has a healthy weight.

”We have engaged extensively with business and industry extensively in developing this approach.  

“These restrictions strike a balance between improving the health of people in Scotland whilst reducing any potential effects on smaller businesses and shops.”

Ewan MacDonald-Russell, Deputy Head of the Scottish Retail Consortium, said: “Scotland’s retailers are committed to helping consumers make healthier choices. For example, fresh fruit and veg are heavily price promoted and grocers have led the way on reformulating products to reduce salt, sugar, and fat. We’ve pioneered traffic light labelling and signage to help consumers make informed choices.

“We believe these new regulations are proportionate and will enhance the positive work being done by retailers in supporting consumers to make healthier food and drink choices. The choice to implement a consistent model with other UK nations should simplify and reduce the cost of implementation: albeit retailers will still invest around £20 million to deliver the policy.

“We hope this approach, where industry is meaningfully consulted and government acts in a constructive manner, can serve as a model going forward as we work in partnership to make Scotland a healthier and wealthier nation.”

Scottish charity celebrates one million operations for children worldwide

Kids Operating Room reaches major global surgery milestone and sets ambitious 2035 goal

A SCOTTISH charity has hit a major milestone, helping create capacity for one million life-changing operations around the world.

Kids Operating Room, founded by Garreth and Nicola Wood MBE, has created over 135 dedicated children’s operating rooms in 39 countries, from Ukraine and Bangladesh to Peru and the West Bank and supported the training of more than 70 surgeons.

The couple marked the achievement at Murrayfield Stadium, returning to an early ambition to one day help enough children to fill its 67,000 seats.

Garreth Wood MBE, co-founder, said: “Standing here today is quite surreal. In the early days, Nicola and I talked about whether we could ever help enough children to fill Murrayfield. Looking around at 67,000 seats, even that felt like an enormous ambition.

“Today, 728 operations take place every day in operating rooms created by Kids Operating Room. That’s enough to fill Murrayfield again every three months.

“It’s incredible to think about, but every one of those operations is about much more than a number. It’s a child getting the surgery they need and the chance to get back to being a child. That’s what this milestone means to us.”

The landmark achievement, and ambitious new goal, follows a review of the charity’s strategy and a new brand built around the idea “Make anything possible”, reflecting what safe surgery means for children: the chance to grow up and live their life to the full.

Nicola Wood MBE, co-founder, said: “We started with one surgeon, one operating room and one country. To now be talking about a million operations is something we could never have imagined.

“The real heroes of this story are the surgical teams we support, working in some of the toughest conditions on earth and doing incredible things every single day. This milestone is theirs as much as ours.”

David Cunningham, Chief Executive of Kids Operating Room, said: “Reaching one million children proves the model works. But there are still millions more waiting for surgery that could change their lives.

“That’s why we’ve sharpened our focus, backing local surgical teams, investing in innovation like solar-powered operating rooms and making children’s surgery a core part of every country’s health system.

“One million operations a year by 2035 is a big ambition, but that’s what it takes and we can only get there with governments, funders and partners behind us.”

The charity’s story began in 2015, when the Woods learned about Dr John Sekabira, Uganda’s only paediatric surgeon, working in Kampala to care for a population of 20 million children without a dedicated children’s operating room. After that first room opened, requests for more poured in, and the couple formally launched Kids Operating Room in 2018.

By 2021, the charity had created 50 operating rooms. Today, it has 136.

The charity transforms unused or derelict spaces, usually in public hospitals, and fits each room with 3,300 pieces of specialist equipment, shipped from its global operations centre in Dundee. Solar technology keeps the lights on during power cuts and bright, colourful artwork helps children feel safe before surgery.

Unlike “fly-in” medical missions, Kids Operating Room never sends in medical professionals from richer countries. Instead, it backs local surgical teams, funds specialist training in partnership with ministries of health, and works with local engineers to keep every room running, with the aim of handing each one over to the local health system as soon as possible.

The charity’s own data, drawn from their paediatric surgical database, shows the difference a dedicated operating room makes.

At one partner hospital in Nigeria, the rate of sepsis after surgery fell from 19.1% to 3.8%, and children’s average hospital stay dropped from 12 days to three. Surveys of school-age patients found that more than half of those missing school were doing so because of their surgical condition.

The charity estimates the operations made possible by its rooms will generate more than £23billion in economic benefit, as children who might otherwise have died or lived with lifelong disability grow up to work, earn and contribute to their communities.

Garreth Wood MBE, said: “Every one of those million is a child who can now run, play, go to school and grow up. Behind every number is a family who didn’t know if their child would make it, and a childhood that hasn’t been stolen by a treatable condition.”

An estimated 1.75 billion children still live in areas without reliable access to safe surgery . You can learn more about Kids Operating Room and help them reach these children here.

Garreth and Nicola Wood were both awarded MBEs in 2025 for services to international health and children’s surgery.

Scots in poorest areas 28 PER CENT more likely to develop cancer

New report highlights health impact of deprivation  

SCOTS living in the country’s most deprived areas are 28 per cent more likely to develop cancer than their counterparts in the least deprived postcodes, according to new analysis published today by Cancer Research UK. 

Today’s figures reveal there are around 4,100 cancer cases associated with deprivation in Scotland each year – that’s around 1 in 8 of all cases. 

Socioeconomic deprivation exists across Scotland, with substantial variation even within towns and cities. If all areas of Scotland experienced the same cancer rates as the most affluent areas, researchers estimated that around 80 cancer cases per week could be avoided. The charity is calling on the Scottish Government to urgently close the cancer inequality gap.*  

The complex mix of factors driving the deprivation gap includes:   

  • Greater exposure to cancer risk factors, including smoking and obesity, meaning people in more deprived areas are more likely to develop cancer  
  • Lower uptake of HPV vaccination and lower participation in bowel and cervical screening programmes, reducing the opportunity to prevent cancer
  • Clear evidence that people from deprived areas face barriers to accessing timely care, which contributes to inequalities across the cancer pathway.   

The charity is urging the Scottish Government to do more to close the cancer deprivation gap through bold action on prevention, including policies to tackle smoking and obesity.  

To deliver long-term improvements in cancer diagnosis and care in every postcode, targeted campaigns would help break down barriers to seeking help, and providing support for people to participate in cancer screening programmes would be crucial in reducing the inequalities revealed in today’s analysis.  

Cancer Research UK’s chief executive, Michelle Mitchell, said:  “These figures are not only unacceptable but avoidable. Everyone in Scotland deserves to live in an environment that gives them the best chance of a long and healthy life, free from cancer, yet stark health inequalities persist.  

“To help end the cancer postcode lottery, the Scottish Government must step up prevention efforts and ensure everyone can access high-quality cancer care wherever they live.”  

Beyond the physical and mental toll of a cancer diagnosis, people also face financial pressures, including loss of income and increased travel costs for treatment. With higher cancer rates occurring in the most deprived areas, these costs are more likely to impact people already struggling financially.  

Today’s report also revealed that the largest inequalities are in rates of smoking-related cancers, with lung cancer contributing around 2,500 cases linked to deprivation in the Scotland each year.  

Despite progress in tackling the harms of tobacco, the latest Health Survey for Scotland shows smoking prevalence is much higher among adults living in the most deprived areas in Scotland (23 per cent) than among those living in the least deprived areas (seven per cent).

The charity is calling for the Tobacco and Vapes Act to be implemented swiftly in Scotland alongside increased funding to ensure everyone can access local, free stop smoking support as well as accelerating progress to implement a national targeted lung cancer screening programme.

Picture by Lesley Martin
Dr Sorcha Hume, Cancer Research UK public affairs manager in Scotland.

Cancer Research UK’s public affairs manager for Scotland, Dr Sorcha Hume, said: “It is unacceptable that cancer rates remain significantly higher in Scotland’s most deprived areas. 

“While the causes are complex, early diagnosis is key to closing the survival gap. We must improve symptom awareness, remove barriers to seeking help, and support informed screening uptake in these communities. Long-term, funded national awareness campaigns targeted at those most affected are also essential. 

“One of the report’s most stark findings is that lung cancer contributes more than 6 in 10 deprivation-associated cancer cases in Scotland. Smoking remains the leading cause, and lung cancer is often diagnosed too late for effective treatment. 

“To address this, we must see the timely implementation of the Tobacco and Vapes Act, properly funded stop smoking services, and the introduction of a national lung cancer screening programme in Scotland.” 

Royal Bank of Scotland hosts free PSA testing with the Scottish Prostate Cancer Initiative at its Edinburgh HQ

The Scottish Prostate Cancer Initiative is bringing its prostate cancer testing programme to Royal Bank of Scotland’s Gogarburn campus in Edinburgh this weekend.

Prostate cancer is the most common cancer affecting in men in Scotland*. To help promote early detection, members of the public and employees of the bank are being offered the opportunity to take a free Prostate-Specific Antigen (PSA) tests which can help identify potential signs of the disease.

Royal Bank of Scotland offered colleagues the opportunity for testing yesterday (Friday, September 25) and then open its doors to the public on Saturday, September 26 for a day of testing at its Scottish HQ.

Launched in March by Sir Chris Hoy, Kenny Logan, Professor Sir Chris Evans and Sir Tom Hunter, the Scottish Prostate Cancer Initiative was established to improve the early detection and diagnosis of prostate cancer.

The programme, providing free PSA tests to men aged between 40 and 80, also explores how existing pathways for detecting and treating prostate cancer can be improved.

Since testing began in March, the Initiative has provided free PSA tests to more than 17,000 men across Scotland. Demand for appointments has consistently exceeded expectations, with most testing events becoming fully booked within days of being announced, demonstrating the strong public appetite for accessible prostate cancer testing and greater awareness of men’s health.

Participants provide a simple blood sample to measure PSA levels and, in selected cases, additional samples to support advanced diagnostic research aimed at improving understanding of genetic risk factors and other biomarkers associated with prostate cancer.

Professor Sir Chris Evans, founder and Chief Scientific Officer of EDX Medical, the diagnostics company which is delivering the Initiative, said: “The response to the Scottish Prostate Cancer Initiative has been extraordinary. Prostate cancer can develop silently, often without symptoms in its early stages which is why early diagnosis is so important.

“I would like to thank Royal Bank of Scotland for hosting these testing sessions at Gogarburn and for their support of the Initiative. By helping us bring free PSA testing to both employees and the wider community, they are playing an important role in raising awareness and helping more men take control of their health.”

Picture © Andy Buchanan 2019

Judith Cruickshank, Chair, Scotland Board, Royal Bank of Scotland, said: “Directly or indirectly, prostate cancer is an issue that impacts the lives of so many of our colleagues and customers across the country.

“We are delighted to be working with the Scottish Prostate Cancer Initiative to offer free PSA testing here at Gogarburn. Royal Bank plays an important role in the lives of the customers and the communities which we serve and this is an opportunity to make it easier for the public to get themselves tested and guard themselves one of the most common form of cancers here in Scotland.

“We are proud to support an Initiative that can make a positive difference to men’s health across Scotland.”

The Initiative is delivered by EDX Medical in conjunction with the Graham Fulford Charitable Trust.

Testing takes place at Gogarburn TODAY Saturday 26 September from 0930 – 1700.

Details of other upcoming testing events can be found at:

www.scottishprostate.com/events.