Tag: social care reform

Delivering Social Care reform

Changes proposed to reflect people’s needs

Plans to transform the way social care is delivered are being progressed as part of the Scottish Government’s commitment to improve the experience of everyone who accesses social care, social work and community health services.

Ahead of Stage 2 proceedings of the National Care Service Bill later this month, a number of amendments have been lodged, all of which are subject to Parliament’s agreement.

As the National Care Service will now be established through both legislative and non-legislative means, with reform of social care at the centre it is proposed the Bill will be known as the “Care Reform (Scotland) Bill”.

If agreed by Parliament, as amended, the Bill will also bring forward significant reforms to social care, including:  

  • Anne’s Law being enshrined into legislation to uphold the rights of people living in adult care homes to see loved ones and identify an essential care supporter
  • ensuring all those working in or supplying services to the health and social care sector follow the same information standards allowing easier communication
  • the creation of a National Chief Social Work Advisor post, in statute, to bring strategic leadership at a national level.

The Bill will also retain measures to establish a legal right to breaks for unpaid carers. Ahead of the legislation, the Scottish Government has identified an additional £5 million in the draft 2025-26 Budget to support 15,000 carers to take short breaks from their caring responsibilities.

Ministers announced in January that legislation to set up a new public body to oversee national improvements would no longer go ahead. However, work to establish a National Care Service Advisory Board is progressing and it is due to meet for the first time in March.

Social Care Minister Maree Todd said: ”Social care has the power to transform people lives, that is why it is so important that those accessing services receive the highest quality care, delivered consistently across Scotland.

“The amendments lodged in Parliament offer us the best opportunity to urgently get to work to reform the system and have a transformative impact on people’s lives.

“Positive progress is being made on establishing an advisory board that puts people with experience of the social care system at the heart of it, helping deliver the changes we all want to see.”

  • An essential care supporter is someone, for example close relatives or friends, who plays a vital role in providing their loved ones with regular care and support alongside staff. This includes companionship, personal support and advocacy.
  • Additional funding for Short Breaks Fund – gov.scot

Social Care Reform: Listen to carers, says Holyrood Committee

A Health and Sport Committee report into the future of social care has said those delivering and receiving care must be at the heart of social care reform with the current model described as unsustainable.

The Committee say a national conversation on the future of social care is needed and that the myriad issues facing staff must be addressed in the development of any new system. The Committee’s report says the problems faced by the care sector have been compounded by the COVID-19 pandemic.

The Committee express concern over the lack of value placed on social care and social care staff, in stark contrast to NHS staff. The report emphasises the ongoing difficulty the sector faces in attracting and retaining staff; citing a lack of training and staff development opportunities, alongside low pay as the key reasons for this.

A number of problems with the current care model are highlighted by the Committee including the continued lack of progress on health and social care integration. They also recommend the Scottish Government seek alternative models of commissioning and procurement with the current ones described as ‘counter-intuitive’.

The Committee describe the current model of crisis driven, reactive care as unsustainable and say more must be done to shift the focus to a preventative model, involving local communities in the future planning of health and social care services.


Lewis Macdonald MSP, Convener of the Health and Sport Committee, said: 
“Throughout this inquiry the message we have been given from those receiving care, and from paid and unpaid carers, is that they have not felt listened to and have been undervalued. That’s why it is essential that they are at the centre of much needed reform of the social care system.

“There is no doubt the current model of care is unsustainable, with some of the issues facing the sector exposed by the pandemic. We want to see a nationwide conversation held into the future of social care and we hope that the findings of our report, and the independent review, can help in shaping this future.

“We are grateful to all of those from across the care sector who provided evidence to our inquiry and gave their keen insight into how it is experienced in Scotland.

“I’d like to put on record our thanks to the tireless and passionate workforce, both paid and unpaid, who undoubtedly deserve better.”