A betrayal of dignity: the failure across the UK political leadership to prioritise social care.

Tuesday next (the 25th) sees the Scottish Parliament debate and vote on the Scottish Government’s Budget. It is something of a fait accompli with the votes of the Scottish Liberal Democrats and the Green Party in the bag, and Scottish Labour sitting on its hands. Any sense of self-congratulation, however, should be short lived because not for the first time this administration has seriously let down the social care sector and the tens of thousands of women and men who rely on social care services and supports.

Yet again I find myself writing about the lack of real prioritisation being given to social care by the Scottish Government – in that, however, they are not alone – the UK Government in its new Labour iteration is doing exactly the same. In Scotland there will be defence statements made that the current administration has never given as much as it is now allocating to social care – and indeed it would be churlish not to congratulate them for continuing to finance the Scottish Living Wage which comprises the largest proportion of the additional revenue that has been given to the system this coming year. But such positivity rings hollow when the perilous reality of disintegration becomes apparent.

Social care is not a luxury. It is not an optional extra or a line item to be trimmed when budgets are tight. Social care is the foundation upon which the dignity, independence, and wellbeing of thousands of older people and individuals with disabilities rest. It is the means by which we affirm the intrinsic worth of every individual, ensuring that no one is left behind, no one is forgotten, and no one is stripped of their humanity.

Yet, the 2025 Budget tells a different story. It tells a story of missed opportunities and misplaced priorities. It tells a story of a government that has chosen to turn away from those who are most valuable, those who have contributed to society throughout their lives, and those who now depend on us to uphold their rights and dignity.

The failure to prioritise social care funding is not just an economic decision – it is a moral failing. It is a failure to recognise that the right to live with dignity, to access essential care, and to participate fully in society are not privileges to be rationed, but fundamental human rights. The United Nations Principles for Older Persons and the Convention on the Rights of Persons with Disabilities are clear: states have an obligation to ensure that older people and those with disabilities can live independently, with access to the support they need. By underfunding social care, the Scottish Government is failing to meet these obligations.

I fully recognise that government is about choices and one of the most damaging choices made by the UK Government is its decisions not to exempt social care providers (and hospices I might add) from the forthcoming increases in National Insurance rates. This is a tax on jobs and a tax on care and will drive many care organisations to the wall. It is a political madness entered into with an ignorance of consequence and a lack of compassion. Despite there being a debate on the issue again on the 25th of February in the House of Lords the Chancellor remains deaf to the desperate pleas of those who care and support tens of thousands of people and those individuals themselves.

The consequences of this political failure in both London and Edinburgh are stark. Care providers, already stretched to breaking point, are being asked to do more with less. Staff, who are the lifeblood of social care, are undervalued and underpaid, leading to chronic shortages and burnout. Older people and those who use social care services are left waiting for essential support, their lives diminished by delays and inadequacies. Families are forced to pick up the pieces, often at great personal cost.

We cannot accept this. We must demand better. We must demand a budget that reflects our values, that invests in social care as a cornerstone of a fair and just society. We must demand that the Scottish Government recognises the urgency of this crisis and takes immediate action to address it.  It might not be able to do much about a deaf Westminster, but it must do more to invest the limited resources it has available to it in social care provision. Yes, it will be hard, and decisions taken will not go down well in other sectors – but a society that does not care is not one worthy to be governed. It might even mean, heaven forfend that we invest less in the NHS and take some of the resources we have to prioritise social care over acute and secondary NHS services. Budgets are all about hard decisions – I together with thousands of others cannot accept the fiscal choice that continues to marginalise social care.

Ultimately though this is not just about money. It is about who we are as a society. It is about whether we are willing to stand up for the rights and dignity of every individual, regardless of their age or ability. It is about whether we are willing to say, with one voice, that social care matters.

The time for empty promises and half-measures is over. The time for action is now. Let us not fail those who depend on us. Let us not fail ourselves.  Let us see investment and resource reallocated and let us spend on the lives of those who remain the heart of our communities. To do otherwise is a betrayal of dignity.

Donald Macaskill

 

Photo by Christopher Bill on Unsplash