Hearing the nursing voice: Nursing Models and Care Homes

Scotland’s inaugural Social Care Nursing conference took place in March,  a significant highlight of the event was a dedicated workshop focused on the topic of nursing in care homes. Attended by a diverse group of over sixty participants, the workshop fostered engaging discussions revolving around various key questions.

The insights and outcomes from these discussions have been compiled and are now presented in a paper – ‘Hearing the nursing voice: Findings from the Scottish Social Care Nursing Conference Workforce – Nursing Models and Care Homes’ . We extend our gratitude to all the participants who actively contributed to the workshop, investing their time and expertise to share their invaluable views and opinions on nursing in care homes. The information gathered holds immense value, encompassing perspectives from individuals who work in care homes, those who provide support to care homes, and those who lead and manage these essential establishments.

We are delighted to share these valuable insights, as they shed light on the vital role of nursing in care homes and offer significant opportunities for enhancing the quality of care provided. This collaborative effort highlights the importance of open dialogue and knowledge-sharing to drive positive changes in the social care sector.

Nursing models & care homes

Download report here

The power of friendship.

Tomorrow is International Day of Friendship which was created over a decade ago by the United Nations to underline the critical importance of friendship to human well-being and to society.

As the UN stated when the day was established our world is a complicated place, but it is a place where friendship is probably more important than ever. The idea of having a day to celebrate friends originated from Hallmark (the card folks) in 1919 and was intended to be a day for people to celebrate their friendship by sending each other cards. But by 1940 it died out completely.

It wasn’t until 2011, that the United Nations officially recognised 30th July as International Friendship Day, even though many countries celebrate on the first Sunday of August.

According to the International Friendship Day declaration, people are invited to “observe this day in an appropriate manner, in accordance with the culture and other appropriate circumstances or customs of their local, national and regional communities, including through education and public awareness-raising activities.”

Friendship makes a real difference to people. The United Nations underlines that amongst other things that friendship enhances emotional resilience helping people through good and bad times. Research has shown that even spending just 10 minutes with friends can boost your ability to solve problems and your brainpower. And it helps you sleep and makes you healthier.

Regardless of all the research most of us know that having a network of friends brings real benefit to us. I sometimes wonder with all our focus on social media whether our virtual networks evidence the same depth of friendship that our physical ones do. That said I know that during Covid technology rescued, fostered, and encouraged friendships.

As you age and grow older it can become harder to maintain friendships. This can be the case for lots of reasons, whether due to moving to s new location at key stages of older age and losing networks you had built up or not being able to be as involved in the community and socialising less frequently perhaps because of ill health or even affordability.

Friendship has to be worked at and I remember speaking to residents in a care home some years ago who had become low in mood because though their families visited they had over time lost touch with friends in the community who after some time had stopped visiting. The home manager took it upon herself to undertake a ‘friend’s audit’ during which she discovered who people were describing as ‘missing friends’ and she had colleagues purposefully and over time re-created connections and the benefit to individuals was visible to see. They always had an open door to the community but now the community was much better at supporting those who had chosen the care home to be their place of residence.

I’ve written before about the impact of loneliness in our communities and even in your own home people can over time become isolated through loss of contact with friends. Good social care used to be as much about enabling friends to be in touch, connecting people in ‘social ways’ than just personal care needs. Friendship and its maintenance has tremendous preventative health benefits if only we resourced and prioritised it adequately.

The poet Jackie Kay wrote these words about friendship over a decade ago.

“The Scottish poetry Library asked me to pick a favourite Burns poem and write my own version. A tall order! A big ask. I decided to go for a short poem. I love John Anderson my Jo-in two perfect wee stanzas it tells the story of a lifetime’s marriage and even imagines a kind of togetherness in death…

But I wanted to write a poem that celebrated friendship; so many poems celebrate romantic relationships. So I took the idea of a friendship over the course of a lifetime, imagining that we’d been friends as girls, Ali and I, and that we still will be friends as old women. I couldn’t quite manage the two short stanzas, so I went for three instead! I pronounced fiere -feeree, not fear; the latter is the correct pronunciation but I liked the ee ending since it afforded me more rhymes, and also sounds more like friend to me, dearie fiere. But I was also thinking about what makes us who we are, and that if it weren’t for the friends that we meet along the road, the chance, happy meetings and the ones that feel fated, we would all be very different. Friends shape and carve your life, opening doors, alerting you to possibilities, giving you sustenance and belief. Not just a shoulder to cry on, a rock to fly off. You choose your friends. The gift of a deep friendship goes to the very heart of who you yourself are. It’s hard to imagine how you would get through any challenge, separation, bereavement, disappointment, embarrassment, without your fine fieres.’

I do hope people will give some time to think of those they have lost touch with and to try to reconnect on this International Day of Friendship. I also hope that groups and individuals in our wider community consider those in our midst who are in need of being reconnected of indeed in need of befriending.

I’d encourage you to read Jackie Kay’s poem but my own favourite friend poem is one that equally captures the truth that true friendship just creates a space that allows you to be. It’s written by the poet, physician and scientist Norman Kreitman who died in 2012.

Fishing With Norman MacCaig

Each time I called for him he was perfectly ready,
equipment checked and in smooth order,
pared to essentials. And I, cluttered with gadgets,
would clatter behind as he led the way downstairs.

In the boat, as befits a sedulous angler,
he was taciturn, though between essential words
he would give that courteous, gentle smile
that was his signature, before his gaze returned

to the contemplation of the water. And when
in his own good time he hooked a trout
he’d eye it dispassionately, as one whose life was spent
retrieving silver from all the elements of Scotland.

Fishing With Norman MacCaig by Norman Kreitman – Scottish Poetry Library

Donald Macaskill

Photo by Ricardas Brogys on Unsplash

Time to Talk: the power of listening.

In two days’ time on the 24 July, it is Samaritans Awareness Day. The very nature and heart of the Samaritans is the fact that they are there to listen to people when they need to talk to someone. They do so 24/7.

Finding someone to listen to your pain and hurt, to give space to have your questions and concerns, your anxieties and fears heard can be really hard.

Listening is not easy. We spend so much of our time communicating but I often reflect upon how little of that time is spent in real and attentive listening to another. In an increasingly hectic and busy world so many of us spend time surrounded by sound and noise, we hear voices and listen to conversations, but I wonder if we give ourselves the time and space to develop in ourselves the skills of deep and attentive listening.

It is a truism that we communicate in many different ways. Academic researchers have stated that in any communication what we hear is actually the smallest part of what someone is trying to ‘say’ to us. It is argued by Meharabian and others that maybe as much as 90% of what we communicate is ‘non-verbal’ I mean by that we do not only ‘talk’ with our mouths and voices but in so many other ways. Our bodies talk to others. The way we lean forward or away from another; our use of wider posture and gesture; the use of our eyes, as to whether we give direct contact or not; the mannerisms we may have; all parts of us communicate and talk. Whilst airport bookshops are full of theories about how we communicate and much of it are the  theories of the unobserved, it is nevertheless true that when we communicate with those we know well we learn to read the signs of how they are saying what they are saying as much as the ‘what’.

Just as our fingerprints are unique to us, I believe every human individual communicates in a unique and distinctive way. Of course, there are consistent similarities, but the art of true communication is to learn what is my own individual language.

Phoebe Caldwell, whose work and career in speech and language therapy and whose development of intensive interaction especially for people with autism has been so seminal, once said to me that communication is like a bridge. There is a hubris and arrogance that assumes that someone can only communicate if they use my language, my way of using body, and sound and word and silence. Real communication is like a bridge. It is as we meet each other in the middle of that bridge that we learn to understand what another wants to say to us and is saying to us, and vice-versa they learn what matters to us. This is the heart of all good relationships.

But when it comes to listening in my experience it is also often the case that what is left unsaid is often what someone comes to talk to you about. We have to give space for people to share what it is that they want to share and talk to us about. Picture a classic visit to the doctor or to someone you have to speak to about an important or urgent matter. I have learned that many folks hide their hurt and issues in the small talk of generalities. It is that small talk that allows them to gain and build the confidence to share what really troubles or concerns them. But it is often shared at the end, in the moment when their hands are on the door-knob of the exit, at a point when they feel as if they can flee and escape from the encounter that is before them. So it is that we all in our own way have to give people the space to share and talk about what is troubling and bothering them. The art of true listening is not always the sounds we hear but recognise what is being said in the silence between the words, the feelings, and emotions someone wants to share but can only do so through the look of an eye, the gesture of a hand, or the shrug of a shoulder.

I would love it if every child at school spent some time learning about how we can truly and attentively listen to others. How we can learn to not interrupt a speaker because we presume to know what it is they are already going to say; how we can give space for people to go deep into what they want to share; how we can recognise the way in which someone uniquely expresses themselves; how to use open and not closed dialogue; how to be comfortable with a silence just long enough for it to be filed not by our voice but by our listening. I suspect if attentive listening were to be part of our school curriculum of learning then our experience of living in community would be so much richer.

Today there will be many people in our acquaintance who will want to talk, who have found the courage to start to reach out and talk, we can and should encourage them to talk to those who are adept at listening like the Samaritans. But I also hope we can use these days as an opportunity for all of us to start to learn how to listen better. I know personally it is a journey of improvement on which I have a long distance to travel – but it is always better to listen, because it is then we truly begin to hear another.

That well known philosopher the Liverpool football manager Jurgen Klopp once said: “If you want to be a leader you have to be a good listener because if you are a good listener, you might just find out what people want.”

And deep listening really does make a difference as the American poet and therapist John Fox puts it:

When Someone Deeply Listens To You

When someone deeply listens to you
it is like holding out a dented cup
you’ve had since childhood
and watching it fill up with
cold, fresh water.
When it balances on top of the brim,
you are understood.
When it overflows and touches your skin,
you are loved.

When someone deeply listens to you
the room where you stay
starts a new life
and the place where you wrote
your first poem
begins to glow in your mind’s eye.
It is as if gold has been discovered!

When someone deeply listens to you
your bare feet are on the earth
and a beloved land that seemed distant
is now at home within you.

When Someone Deeply Listens To You, by John Fox (awakin.org)

 

Donald Macaskill

 

Global Ageing Conference 2023 – Register before 17 August!

The 2023 Global Ageing Network conference is coming to Glasgow on 7-8 September and the registration deadline is only 4 weeks away! This conference is a great opportunity to connect with other professionals in the social care sector and learn about innovative initiatives from around the world.

The conference theme is Care About Our Future: Global Symposium for Sustainable Care and Support” Keynote speakers, panellists and workshop presenters from around the world will discuss a variety of topics related to sustainable care and support, including workforce trends, technology, and policy. There will also be panel discussions and workshops to provide you with the opportunity to network with other professionals and learn about new ideas.

Tickets are still available! Members of leading organisers (Scottish Care & National Care Forum) are able to take advantage of discounted rates.

To register, please visit: https://globalageing2023.com/delegate-registration/

The registration deadline is 17 August.

In addition to the main conference, there are a number of exciting events taking place before and after, including:

We hope to see you in Glasgow in September!

Summer-time blues: seasonal affected disorder.

In one of those calendar quirks today the 15th July happens to be St Swithin’s Day and also the first Saturday of the Glasgow Fair. St Swithin’s Day as many of you might remember from the rhymes of childhood is a day when according to tradition, whatever the weather is like on St Swithin’s Day – whether rainy or sunny – it will continue for the next 40 days and 40 nights.

‘St Swithin’s Day, if it does rain

Full forty days, it will remain

St Swithin’s Day, if it be fair

For forty days, twill rain no more.’

Now I am no meteorologist, but I doubt the late St Swithin, the Bishop of Winchester in the 800s, has much influence over the weather. But it would not at all surprise me that on this first day of the Fair that the rain is pouring somewhere in the west.

As a child growing up the Glasgow Fair was very important. It was the time of year when my family made our annual pilgrimage to Skye to visit grandparents, and to allow my father to turn the day job into a fortnight of shearing sheep, picking potatoes and having more than the occasional dram to catch up with friends and relatives. It was also a time when it was either sweltering heat or continual rain – so good old St Swithin might have known a thing or two.

The story of the Fair is an interesting one. Historically it’s the oldest ‘Fair’ of its type and dates back to the 12th century and indeed up until the late 19th century markets and fairs were always held around the fields and green spaces around Glasgow Cathedral.

Before the 1960s it was commonplace for most businesses, factories and the shipyards to close on ‘Fair Friday’ to allow workers and their families to attend, and for folks to take their holidays by going “doon the watter” to the Ayrshire coast. Today whilst the name lives on people in the city take their holidays at many and diverse times to fit into a very changed pattern of work and leisure. You are likely to see many more Glaswegians in the streets of Palma and Albufeira than in Ardrossan and Troon.

The way we holiday may have changed but for many people taking a couple of weeks off in the summer has become almost a ritual. This year I have heard of families who despite the pressure of money and the cost-of-living crisis trying their best to give especially their children some time away even if it is just another part of Scotland.  I have also been having quite a few social media chats and DMs around the issue of holidays at this time of year from staff who work in social care struggling to make ends meet to older people who struggle with holidays per se both on the grounds of finance and also in the sense that their normal contacts and routines are so changed that it often leads them to feel so much more alone and lonely during the summer months.

Holidays are very often hard times for people for so many reasons. The loss of routine can be hard for all ages. The constant being together with people who you may not always get on with in new environments can be stressful. The process of travelling, staying in a new place, feeling you need to keep children entertained and amused – a lot of family holidays whilst fun can be the complete opposite. And in soaring temperatures tempers can become frayed and strained. Dealing with heat and humidity can be very hard for many people.

Like many of you I am well acquainted with SAD (seasonal affected disorder) and having worked in Orkney for a while was very aware of the impact the short days and long winter nights could have on the mental health and wellbeing of people. What I have been less well aware of is the impact of summer and of summer holidays on folks.

I recently came across a fascinating article by Michelle Pugle which explore the issue of Summertime SAD. It states that summer affected disorder whilst less common is just as serious. It argues that we all of us, not least those who support others, need to become much more aware of the impacts of summer and the holiday season on the health and wellbeing of people, not least as the impacts of global warming and climate change are worsening as the years go by.

“It’s important to remember that everyone is different, and while most seasonal episodes of depression occur in the winter, up to 30 percent of people [with seasonal depression] will experience summer depression…

People with summer-pattern seasonal affective disorder (SAD) — aka “reverse SAD” — typically experience common symptoms of depression for about four to five months each year when the weather is warmer.”

It goes on to detail the effects of such depression, such as feeling sad or low most days, having lower energy levels, losing interest in activities and relationships, insomnia, loss of appetite, agitation and restlessness.

The article also suggests some coping mechanisms which those who care for and support others might find useful including, identifying summertime triggers ( maybe the heat and humidity, loss of role, changes in family, issues of body image); make sleep a priority ( find out what helps you sleep in the hot nights and accentuate your sleep but do not try and sleep outwith normal patterns) ; develop a routine for the time and keep to it ( it can help you feel more motivated and put-together); attend and make space for your emotions; avoid the traps which can often make you depressed such as eating when you’re bored, but not hungry; playing video games or being on your phone for hours; drinking excessive amounts of alcohol); and build self-care into your routine.

Holiday time and summer-time are undeniable escapes for many but they bring burden and challenge to some and those who work in and receive social care and support are no exception.

So on St Swithin’s Day and during the Glasgow (or any other holiday) Fair let us look after ourselves and others.

Donald Macaskill

Photo by Deep Trivedi on Unsplash

Media Statement on the National Care Service

Scottish Care notes the announcement of a Partnership agreement between Scottish Government, local government and the NHS about accountability arrangements for the National Care Service (NCS).

As the representative body for the majority of organisations that provide the actual frontline care and support which people across Scotland use every day, what matters most to us is that the experience of services and supports are changed for the better.

The Feeley Review which had been widely welcomed recognised that the current system was not working and that change, and reform was needed, suggesting that a National Care Service be established. We cannot forget the lessons of those who shared their story and presume by making slight changes to reform that we are going to achieve the outcomes people want.

We note that local government organisations will continue to retain staff employment and their control over assets. However, Scottish Care members employ the majority of the 220,000 people who work in social care across Scotland and what matters to them is that their terms and conditions for the work they do are equitable, fair and dignified. It is also important that the systems they work in create the conditions for them to deliver meaningful care and support. It is therefore absolutely critical as we move forward with a new NCS Bill that the urgent changes to contracting and commissioning are prioritised.

We note that new governance arrangements will be introduced to ensure quality and local flexibility. It is imperative that these structures have the voice of those who provide, work and use social care and support services at their heart and not the usual suspects of local and national political leadership.

What matters most is that real change happens and that we do not fall back into old predictable ways of working which have over the years achieved so little for those who use care and support services and those who provide them.

Scottish Care and its members will continue to work constructively with the new arrangements and plans and will continue to put people before process.

The Scottish Government: do they care about care?

The past few days has been full of events, from the 75th anniversary of the start of the NHS, to the celebrations around the King receiving the Honours of Scotland, to the first 100 days of our new First Minister. A very busy week indeed. Sadly though the 5th July was also the 75th anniversary of modern social care in the UK I seemed to have missed any national celebration. But therein lies the lot of social care!

Closer to home the care home members of Scottish Care have been conducting a vote on whether or not they should accept the COSLA offer of 6% to increase the National Care Home Contract rate. You may have seen from the media statement on the Scottish Care website this morning that the decision was reluctantly made to accept the 6% though in so doing many considered that they were merely delaying their inevitable closure. What the statement also made clear is that Scottish Care, both its staff and members, frontline managers and carers will continue to campaign for a just and equitable pay settlement for the women and men who work in social care across Scotland, whether in someone’s own home or in a care home and for urgent sustainable funding.

At a personal and professional level, I have always been a seeker of compromise and consensus, believing that bringing people with you, working through the hard problems and issues of the moment, is more important than grandstanding or being constantly oppositional. Indeed, even during the largest crisis which social care delivery and people using care and support services in Scotland have faced in a lifetime, during the pandemic, personally and professionally I have sought to find common ground even in those moments of sharp disagreement. So it is that Scottish Care has entered constructively into engagement and negotiation over what is an urgent and national social care crisis.

Coming to a settlement over social care funding has always been a challenge and this year I think we all knew that with such large increases in the cost of living, in energy and food prices together with a critical shortage of nursing and care staff, that it was going to be especially hard. Care providers, whether they are small charities, private family run businesses or employee owned, are continually faced with a reality which is that workers can earn so much more outside the sector with so much less demand. The astonishing human value and affirmation that you get from working in social care has to be set against a personal financial reality that means you have to pay the bills!

It was always going to be the case that because of these pressures where local government simply did not have the monies that the whole process would need to turn to Scottish Government. Why? Because ultimately it is the central government of the day that has legal and moral responsibility for ensuring that there is enough money made available to pay social care staff and organisations who deliver care and support in its name.

To begin with we were optimistic about these discussions with the Government. After all they had recently negotiated a hugely positive Agenda for Change settlement for our nurses and other NHS staff. Indeed, social care providers recognised that this settlement effectively meant that NHS colleagues doing the same job were now getting paid nearly 20% more than their social care colleagues. And after all the Scottish Government has consistently said that social care is important, valuable, and even critical for the delivery of health and care.

Right across the social care sector the asks have been simple. Reward our amazing frontline staff with a pay settlement that treats them with dignity, respect, and professionalism. What was on the table – and now has for the moment had to be accepted – was an offer of 3.8%. All the very real benefits which the Scottish Government had achieved by introducing the Scottish Living Wage and by even going beyond it, have now effectively been lost.

But still those of us talking to Ministers and the Cabinet Secretary were optimistic. After all – surely, they would see the need for equity? Surely, they would recognise the risk that more and more staff would leave social care and thus risk the very foundations of a sector upon which the NHS and so much of Scottish society is so dependent? Surely, they would recognise the trauma for folks at the later stages in life of having their care home close because the provider could no longer pay the bills. Surely, they would want to work with us to end the blight of 15-minute homecare visit and so much more? Surely, they recognised the lack of funding at local level which would mean local authorities were not free to respond in any flexible way to the crisis on their doorsteps?

Well, we continued to have hope – after all the junior doctors were yesterday offered 12.4%; and earlier this last week we heard that NHS Scotland senior medical and dental staff and general medical practitioners will receive a 6% pay increase for this year, backdated to 1 April 2023. Constructive offers and deals and a valuing of people for the work they do. So surely the social care staff who literally gave everything during Covid and beyond – as politicians have stated – would receive equal treatment?

But despite numerous asks – the current Scottish Government has not even been able to give to employers and staff a timetable for the introduction of the £12 an hour which the First Minister promised in one of his earliest speeches away back on 18th April. So why the ability to find urgent response to a crisis amongst the NHS and a bending over back response to alleviate their challenges and yet deafening silence and inactivity for social care staff and providers? One rule for the NHS and a completely different response to social care.

Is this an administration characterised by delay, dither and dysfunction or is there a ‘cunning’ strategic plan which they are just unable to share? Social care providers and frontline staff have probably already made up their own minds on that question. Is this a government that really cares about care or is it only a pretence for photo opportunities and political grandstanding? Is there any genuine attempt to deal with a crisis which is happening now or are we simply witnessing a desire to hide heads in the summer sands in the hope all troubles will blow over?

The care sector has had enough of the political promises, the empty words, the feigned sympathy and understanding; we need action, decision, and determination to really make the changes that will value our workers and maintain our organisations.

I hope with the opportunity to reflect that we can really move things forward in the next weeks and months. The alternative is a deepening social care crisis made all the worse by avoidance. The alternative is quite frankly more care homes shut, more homecare organisations lost, more staff leaving for ever , and most importantly more lives diminished and devalued amongst those supported and cared for.

Donald Macaskill

Photo on Unsplash

Media Statement on the National Care Home Contract

Media Statement on the National Care Home Contract

Yesterday Scottish Care care home members concluded a week-long vote on the National Care Home Contract. The result of that vote was an extremely reluctant decision to accept the offer made by COSLA for an uplift of 6% on the previous rate and thereby to continue the National Care Home Contract.  

The National Care Home Contract (NCHC) has provided stability for those organisations who provide care and support in both residential and nursing homes, continuity for those who act as commissioners and purchase care home places for local people and transparency for those who are residents. This stability is very important because over 70% of care home residents are funded by the State and it is the national Government that essentially sets the pay and terms and conditions of the thousands of workers who are employed by charities, voluntary organisations, and private providers.

At the moment the NCHC rates for residential and 24/7 nursing care are £838 for a nursing home and £719 for a residential care home. This is equivalent to around £5 per hour for complex care and support.

The NCHC is renewed annually between Scottish Care which represents providers and COSLA representing Local Government. It is based upon a cost model which is now outdated, but offers transparency, including putting a cap on profit at 4%.

Care home providers are being faced with immense and unique challenges at the present time. The primary one of these relate to the challenge of recruiting and retaining staff. This has been made significantly harder since the Scottish Government funded Agenda for Change settlement which means that from April this year a care-worker in the NHS undertaking the same or similar role as a care home care worker is now being paid over 19% more. In addition, like many other sectors care homes have been faced with crippling cost of living pressures most especially in relation to energy costs which for smaller care homes have resulted in a 500% plus increase. The difference with other sectors is care homes cannot simply put their NCHC rates up.

Faced with these significant pressures we have sadly witnessed the largest number of care home closures the sector has experienced in the last few months and the very real fear is that this will escalate at speed. Every week at least one care home is closing down. Unfortunately, it is the small, rural, and remote private and charitable care homes which are not managing to continue operating. This is an especial risk in Scotland where most private providers are small family run businesses.

Scottish Care recognises the immense pressure that local government is under, and we recognise that the offer made by COSLA of a 6% increase – is realistically the best that they can offer without additional Scottish Government funding.

The main reason for initial rejection and this remains the case is that this rate will not pay frontline workers the £12 an hour as a stepping stone to the £15 per hour they deserve, nor address the critical energy, food and other cost issues.

Care homes have reluctantly decided to accept the 6% because after four months of discussions the lack of additional finance from Scottish Government is placing more and more of them at risk of closure. Regretfully as many have stated to us by making the decision to accept, they are only delaying the inevitable which is that many will have to close their doors within the next year.

The care home crisis which Scotland is facing is not resolved by this decision.

Scottish care home providers are seeking and continue to seek two main responses. The first is for Scottish Government to fund COSLA to enable contracted care homes and homecare organisations to pay a minimum of £12 an hour to every care worker, and secondly to release resource to address the sharp financial sustainability costs around energy, food, and cost of living increases.

Over the last three months Scottish Care has been engaged in discussions with Scottish Government and is extremely disappointed that these efforts have been fruitless.

It is with a sense of irony that this is happening at the same time as the New Deal for Business Group report has been published by Scottish Government, highlighting ambition for a strong partnership between government and business. That social care, a critical part of the foundational economy of Scotland has been excluded from this work is indicative of how little the government understands the context within which the social care sector operates, it’s importance as an employer of 1 in 8 Scots in employment, and of the wasteful siloed nature of government thinking.

As an organisation Scottish Care has over the years engaged with Scottish Government in good faith and always in a manner which always seeks constructive outcomes for those who use social care supports whether in their own home or in a care home.

Regretfully in recent weeks we have found the Scottish Government incapable of making a decision nor acting in a manner which would indicate that their stated promise to pay frontline care staff £12 is going to happen. This is to treat frontline care staff in a demeaning and dismissive manner.

The current year increase to homecare staff and to care home staff is effectively 3.8% at a time when Scottish Government has already settled and is negotiating with other health staff at significantly increased rates. We can only conclude that the current administration does not value social care staff in the same way that it values others. We can only surmise that the inability of social care staff to take direct action, and our members’ inability to influence the Government has led them to believe they can ignore the sector.

Scottish Care is dismayed at the failure of the current Scottish Government to value care staff both in our care homes and in our homecare sector. It is a government that says the right thing and makes the right promises but fails to follow through. Government by media soundbite is not respectful. Leadership that values people who work in care and even more importantly those who receive care and support is urgently needed.

Whilst the current National Care Home Contract will be signed by a majority, though clearly not by all, Scottish Care will continue to robustly argue that our frontline care staff who have given so much over so many years deserve to be treated with equality, dignity, and respect. They need a real wage for a valuable role not rhetoric and empty promise.

We call upon the current Scottish Government to stop talking and start acting in a manner that shows they truly care about care.
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