I’ve never been the victim of racism but have sadly witnessed it and its impact all too often over the years. For over a decade I was involved in delivering programmes of learning and development for organisations and their staff on the issues of equality and diversity. With the distance of time, I often reflect on that experience which frequently felt as if I was pushing a boulder up a steep hill. Often when I was delivering a training course the first period of time involved me engaging in what felt like an evangelical argument to convince folks that what they were about to experience was not the latest fad, was not a tick box exercise and was not pandering to ‘political correctness’ whatever that was understood as meaning. In other words, it was important, meaningful and that it mattered just as much as Health and Safety to Child Protection training. On occasion I had to engage in a more robust and strident defence and set of arguments on how understanding the way you relate to people who might be different to you, whose behaviours, beliefs, or attitudes you may disagree with – was a fundamental part of working in a modern public facing service and indeed being a part of contemporary society. Whether it was a training course delivered to the police or social workers, to a charity or private business, the challenge and resistance to race equality training was almost predictable and sadly familiarly frequent.

These memories often come to the surface when I consider annual events like Race Relations Week which this year runs from the 6th to 10th February. It is a week which ‘unites employees, focuses senior leaders and encourages them to continue their activity and drive race equality all year long.’ It aims to be ‘a catalyst for ongoing change’ in order to ‘galvanise and maximise impact through a nationwide collaboration for real change.’

In the world of social care, the dynamics of race are significant and important. On the one hand social care as a sector whether in care home or homecare employs and attracts more people from Black and Minority Ethnic (BAME) backgrounds as an overall proportion of the workforce than many other sectors in Scotland. On the other hand, the sector has frequently struggled with the issues of racism that beset the rest of the population. That is both in terms of direct service experience for worker and resident/service user and the paucity of distinctive provision for minority groups as a report by Rohini Sharma Joshi for Scottish Care argued just before the pandemic.

When I trained people in equality and diversity starting three decades ago, I often used to say that over time the knee-jerk resistance to learning about race or disability, sexual orientation or belief would change naturally and progressively – I really believed that as people encountered difference more often, as fears were allayed, as generations changed then behaviour and attitudes would become more inclusive, non-discriminatory, and mature.

I disappointingly must admit that such optimism was misplaced because sadly I feel the challenge of racism is in some senses as acute in some parts of Scotland today as it has been in the past. It is undeniably true that incidents of overt race hate have become less common, that people who are victims have marginally become more confident in reporting, that previously accepted societal and group racist behaviours and so-called humour are now more likely to be challenged or whispered – and yet there is almost now a subtle underground pervasiveness of outdated attitudes to ethnicity even amongst the young. Racism has become more subtle and calculating but no less dangerous and damaging. And at the same time as I think racism has become more hidden in plain sight the focus of learning, development and challenge has become less critical and much less well-resourced and prioritised by both organisations and government.

That is not to deny or ignore for instance that there have been some good pieces of research and reports in the recent past exploring the disproportionately negative experiences of the Covid pandemic upon the BAME population as a whole and upon health and social care staff in particular. This work should be welcomed advocating as it does for politicians, policy makers, organisations, and leaders to address the inequity of treatment, discrimination in resource allocation and bias within organisations and systems. But I think as well as tackling endemic racism at that macro level as individuals and communities we need to do a whole lot more in terms of personal attitudes and behaviours.

The recent well publicised experience of the acting colleagues of the Scottish actor James McAvoy who experienced direct racism in the streets of Glasgow should shame anyone who cares about that city and its reputation. But the sad truth is – no matter how many carpets we choose to brush reality under – that there are daily experiences of direct racist incidents being perpetrated upon both Scots of long lineage and more recent arrivals every day.

I spoke to a social care provider in the west of Scotland just a few weeks ago – they had successfully recruited staff from Africa and had supported their arrival and transition really well. Yet these young women and men recounted tale upon tale of negative experience – at the hands of the public – bananas thrown at one person on the bus; at the hands of service users – someone point blankly refusing to be supported and cared for by a ‘black woman’ and even incidents where colleagues had ignored or demeaned them. Despite all the support and the best endeavours of managers and supervisors this new workforce were now reporting to peers back home the reality of not being welcomed.

I’ve equally lost count of the number of workers in both clinical and care settings who have recounted to me incidents of subtle and significant racist behaviour both at the hands of patients or residents and from peers and colleagues.

We need to call out racism wherever it exists and to challenge the perfidious nature of it at the hands of those who care and in environments where people should be having their humanity affirmed not demeaned.

It is simply not acceptable to say things are better than they were because they are still not as they should be. As a society as we rightly seek to address and challenge other inequities and disadvantages let us in the week ahead also continue to renew our efforts to challenge hatred and discrimination on the grounds of race and ethnicity. The job is only half done. It is time to care about racism.

The amazing Jackie Kay one of the greatest living poets in Scotland at the current time brilliantly captures the reality of racism in Scotland in her poem, ‘In My Country.’

walking by the waters,

down where an honest river

shakes hands with the sea,

a woman passed round me

in a slow, watchful circle,

as if I were a superstition;

or the worst dregs of her imagination,

so when she finally spoke her words spliced into bars

of an old wheel. A segment of air.

Where do you come from?

‘Here,’ I said, ‘Here. These parts.’

Printed in Scotland’s Makar Jackie Kay: This is still my country, but it needs to change – The Sunday Post

Donald Macaskill.

As we all know what we say at the start of the year often sets the tone for our expectations, hopes, and promises for the year to come. In looking back at previous first of the year blogs there is a remarkable consistency if not similitude to the comments I have made. I could therefore save myself a great deal of effort and get the copy and paste key working and I suspect it would read with an air of authenticity about what we still need for social care in the year to come. Yet this year feels very different.

The word ‘crisis’ is everywhere I read and hear; it’s the word of alarm on many of the lips that I have heard or spoken to in the last few days. This year feels so very different to the previous winters even the last two which although exceptionally challenging felt for many reasons different to the one we are now going through. I therefore want today – perhaps at a bit more length than usual – to focus on the crisis in social care and why addressing that is or should be a primary focus of political and economic priority in the weeks and months ahead.

But to begin with – that word ‘crisis’ is an interesting one. Allow me a moment for a semantic sidestep if you will. Originally, the word ‘crisis’ meant “the turning point for better or worse in an acute disease or fever.” But nowadays its commonest meaning is “a difficult or dangerous situation that needs serious attention.” There is something in the original that I like not least because in its root in the Greek it has a connotation of opportunity and new beginning. A crisis can become a moment when things change, and a new or different direction is taken. I think we are very much at such a moment of opportunity.

The state of the NHS

The media over the holiday period has been dominated by stories about what is happening in the NHS in Scotland. They make unpalatable and alarming reading with long delays in A&E, very high levels of delayed discharge, exceptional occupancy levels in our hospitals, an exhausted, weary and morally harmed frontline workforce, and continual warnings about not accessing emergency and urgent services unless the need is essential and very necessary. The focus on the NHS and its state of crisis is understandable although I would want to stress that the work of all those at the frontline and behind it over the last weeks  and indeed for months has been exceptional and sacrificial of self and time. In the midst of a narrative of breakdown and chaos  I think it is equally important to recognise the brilliance, the quality and the success of what is being achieved every day by colleagues in our health service – not least of which is the fact that well over 95% of discharges from hospital are consistently without delay – saying that does not devalue the impact of delay on those who are stuck in hospital but it affirms the hard work of the practitioners in social work, social care and secondary care. It is also critically important that we do not deny the impact of Covid19 upon our health system. As we have rushed back to normality and to adopt a societal vow of silence about Covid and its continued existence we ignore its ongoing impacts at our peril – not least of which is the impact of Long Covid. People are entering hospital in a highly deconditioned state and with exceptional levels of frailty. As a result, patients are staying longer with a greater degree of required treatment which in turns increases the pressure on wards and staff. And at the end of their stay more people than ever before are requiring social care packages in either their own home or in a care home.  At a time of real challenge our health services are supporting more and more people with less and less staff.

The ‘crises’ facing our NHS have been well documented and commented upon but there is a remarkable link with those challenges which I have often commented upon as afflicting social care. That is not just that social care has added to the issues of ‘delayed discharge’ – to narrow things to that single lens is a serious error. I would go further and assert that in the year to come unless we address the challenges and ‘crisis’ of social care then we will continue to fail to meet and deal with those facing the NHS – a focus on one without the other will simply not work. They are two sides of that perennial same coin.

Social care crisis is a workforce crisis.

Over the years I have written a lot about the challenges facing social care in Scotland and do not want to repeat all that here – although despairingly its truth remains. In reducing challenges to one single factor there is always a risk towards oversimplification, but I do not think it unfair to argue that the single continual challenge facing social care both in residential and nursing care home provision and in the community is one of workforce. I might hear you say that it was always the same – and to a degree that is true. Social care has always struggled to compete with others not least the NHS because of a lack of an equal playing field – but we are now in a situation where we aren’t even playing the same game such is the divergence between sectors.

Again, it is worth asserting here that the exceptional professionalism of the women and men at the frontline of social care has been breath-taking, not least the thousands who remained at risk in caring for others during the early stages of the pandemic both in the community and in residential care. But the fact is that we have lost thousands of those staff due to fatigue, exhaustion and because we have failed to recognise, reward, and remunerate their professionalism both before but certainly since the pandemic. We have also shot ourselves in the foot with self-inflicted wounds such as over-zealous oversight and lack of professional trust and regard. Then this week I have read of Sainsburys increasing the salary of frontline staff to £11 an hour in recognition of both cost-of-living pressures and of the need to compete against other retailers. This is clearly to be applauded in these challenging times but compare that to the value society bestows on the work of frontline carers. And this is a point which needs to be made regardless of whether the employer is a charity, private organisation, or a local authority because after all most of the contracts and terms and conditions for frontline care are set by the State at both national and local level.

A frontline professional carer is required to be registered, to be qualified and trained over a period, to maintain that qualification through further study, to be regularly inspected and monitored and work under a fitness of practice regime etc. All this to a degree is appropriate and right for those who care for and support some of our most important citizens whether as children or adults. But to do all that and to remain motivated in challenging times requires society and the taxpayer to appreciate and recognise that role as vital to the functioning of a modern society – I ask you (even with the enhanced Real Living Wage) does £10.90 an hour cut it? I think not. Not surprisingly people are leaving the sector to work in retail and hospitality. All this is not even to mention the unequal treatment in regards to terms and conditions for the thousands of nurses who work in social care and who are increasingly being attracted to join agencies where they are able to earn so much more money whilst working alongside former colleagues – though you can imagine the impact on your morale by working alongside someone who you know is perhaps getting paid double what you are earning for doing the same shift!

But for social care – even more so than the health service – the situation is worsened by the impacts of Brexit and a thoughtless immigration policy and procedure which has been insensitive to the demographic realities of a Scotland that has both not enough workers as well as an ageing population. We lost thousands of gifted women and men as a result of our departure from the European Union, and they have simply never been replaced (and add to that the hundreds who have left social care to remain in Scotland but to work in retail and hospitality.)

Together with an ageing workforce, issues of gender segregation, the enhanced complexity and volume of social care, huge levels of unmet need in the community, the demotivating use of electronic call monitoring and watch systems, the increased use of fifteen minute visits which make it impossible for staff to care and support someone in dignity, and you have a working context in social care in the community which is at best challenging if not impossible.

‘Delayed discharge’

There has been an inordinate amount of media focus – and no doubt political focus once MSPs return next week – on the issue of people being trapped in hospital when they are fit for discharge. All of us who know this world know that remaining in hospital for longer than you need to is not a healthy option. In response to the growing demand and growing number in such a situation the eyes of the system have turned onto social care as the problem. Well, it is and it is not. There are two main targets within the issue of delayed discharge – the first is that we should be doing all we can to stop people going into hospital in the first place and the second is that as soon as they are in, we should be preparing to get them back to their own home or a homely setting as quickly as possible.

Dealing with the issues of avoiding unnecessary admission is critical. An empty hospital bed will be filled by a patient by the very existence of its presence. Ultimately, we need to be using hospitals less not more and that necessitates treating people as close to their home as possible. An emphasis on local treatment and prevention has been talked about for years and works in some places but requires a massive re-orientation in focus from hospital focussed healthcare to community primary care and social care provision. We have a considerable distance to go down that road, yet it is a journey that is essential if we are to become a healthier community. Too many people are unnecessarily admitted to hospital which not only endangers their lives in the long-term but also lessens their wellbeing in the short term. We need to urgently invest resource in shared social care and primary care models of local support. Care homes which are adequately resourced and staffed are for instance ideal locations for people to be supported for brief times rather than in large institutional acute settings.

At the other end of the spectrum the vast majority of people in hospital today who require a social care package of support are needing to return to their own home but the parlous state of homecare, care at home and housing support means that many charitable and private organisations have handed back care packages, cannot recruit staff and are exiting the sector en masse. There is need for an urgent review of homecare because if we do not get the system right which supports people to remain independent in their own homes then they are unnecessarily admitted to hospital putting yet more pressure on an already strained service. It is worth stating that such reform which requires fair commissioned services, contracts which are equitable and which offers real choice to citizens rather than a one-size fits all model, will require significant resource – the question is as a society are we prepared to finance a preventative approach that values personal choice and independence or to continue to fund an emergency response which is primarily focussed on acute and secondary hospital care?

Lastly in terms of delayed discharge. I have heard it said in recent days that we need to see a return to the old cottage hospitals. Those of us old enough to remember them should be appalled at such a suggestion. There were very good reasons we closed down such units and places and that was that despite the dedication of local staff in many of them that there were too many which had become places to maintain and house older people with degenerative illnesses such as dementia. When we began to focus on care homes as places of long term care for our citizens the emphasis was on creating non-institutional settings and places where people could be rehabilitated and supported in a better environment more conducive to personal care and support and shared living.  At their best care homes have become such places where if adequately resourced and staffed an individual can live a much better quality of life than they could ever achieve in a hospital.

In addition, there has been a huge change in the nature of care homes in the last decade and a half to the extent to which many have become effectively local hospitals and hospices in everything but name. This is especially the case in those homes which offer interim care places which allow someone to be discharged from hospital and to be supported and re-abled to continue their journey home after a few weeks stay in a care home or indeed to move onto another care home of their choice. Believe you me being supported in such an environment in your journey of care is a much better choice than being stuck in an acute hospital with stretched services, exhausted staff and a constant flow and change to say nothing of the risk of infection and deterioration because of lack of mobility and movement.

We need I think to have an emergency and urgent response to the whole health and social care crisis that we are facing. There is a moment – even a passing one – for opportunity and collective and collaborative change. I get tired as frontline managers, staff and practitioners struggle with the issues facing them of reading and hearing the constant political fighting over these issues. I’m not naive – I know the role of political parliamentary opposition is to hold government to account, to challenge and persuade the electorate that things are not working. But when does the role of a politician become one of civic responsibility which overcomes party political interest, and which necessitates working in collaboration with others with whom you strongly disagree? I think that that moment has well and truly come for the health and wellbeing of our nation. And so, my most forlorn New Year 2023 wish is that in the spirit of a national emergency (regardless of the reasons for it or from whence it has come) we can work as politicians, policy makers and practitioners in a spirit not of mutual one-upmanship but shared solidarity to address the real concerns of life and limb our health and care systems are now enduring. And yes, I still believe in Santa Claus.

We are at a truly critical phase in the dis-ease affecting health and social care services in Scotland, will we use this crisis to collectively work together to achieve lasting change or rather will we be back here next year with a similar blog spouting the same concerns and challenges? I very much hope it is the former because one thing is clear and that is that these are not simply winter pressures but a crisis for all seasons.

Donald Macaskill

One of the best-known New Year poems is ‘The Year’ written by the American poet Ella Wheeler. She wrote:

“What can be said in New Year rhymes,

That’s not been said a thousand times?

The new years come, the old years go,

We know we dream, we dream we know.

We rise up laughing with the light,

We lie down weeping with the night.

We hug the world until it stings,

We curse it then and sigh for wings.

We live, we love, we woo, we wed,

We wreathe our brides, we sheet our dead.

We laugh, we weep, we hope, we fear,

And that’s the burden of the year.”

https://poets.org/poem/year

Wilcox’s rhyming couplets have a real ring of truthfulness about them in their description both of the year that is passing tonight and the one that is dawning tomorrow. There is a natural predictability of patterned time on this day. As we gather with friends or family, or sit on our own, no doubt some of us will have much that we will gladly say goodbye to and have much to desire to pull us into tomorrow; there will be those not with us whose absence will ache and those we will meet in the days to come whose presence we will yearn. The ‘burden of the year’ is the constancy of continued humanity for good and ill for there is in truth nothing new under the sun.

However, the sense of the immovability of the things that challenge us, a sense that there is nothing we can do, that the barriers to progress and the obstacles to change are insurmountable is one that I have heard mentioned and felt with increasing vigour in the last weeks and months. These last few days have been no exception with the media full of stories of the very nightmarish challenges facing our health and social care systems across Scotland not least of which have been heartfelt pleas from frontline A&E staff on social media. It has never been this bad is the common litany of despair. It is important that we name these challenges for what they are and do not seek to delude ourselves or mask the reality of what is being felt and experienced. Owning the truth and avoiding the lie is the first step to positive movement. Although I am not always convinced we have done so with real authentic honesty in the last few months when we have talked about the real critical and life-damaging challenges facing social care in Scotland nevertheless I remain convinced of the necessity of such articulation as a first step to moving forward.

I have long rehearsed an argument in these blogs which is that you cannot seek to address the health and wellbeing of our nation without accepting the inextricable connection and inter-relationship between the NHS and wider social care systems. That attending to the major faults of one without an equal focus on the ruptures within the other only serves to design even more instability and weakness into the whole. The analogy I have often used is that if you repair or replace a broken part in a machine without looking at the rest of the machine then you make the whole less efficient and less workable and actually more than that you make a breakdown or fault in the part you have not repaired much more likely to occur. Whole system solution is the only effort that prevents whole system dissolution and breakdown.

Another constant and I suspect tedious observation of mine is that you must also recognise the uniqueness, the distinctiveness, the particularity of each part of a whole system in order to understand the ‘machine.’  Treating social care services as primarily an aid to the health system is to wholly fail to understand the unique and distinctive value and role of social care. Care homes and homecare services are there and in existence to enable people to achieve the fulness of a possible life and to live to the dignity of a life of potential. They are not there as the help maiden, the rescuer for a health system with delays in discharging people from hospital or which has run out of beds to accommodate those who could more healthily be supported in their own home or a homely setting. Reactive rescue is always an emergency response to a system that is failing, preventative collaborative innovation is always the solution for long term challenge and change.

Having made those two observations like others I am alarmed at the current state of health and social care, but I suspect my analysis would not be the same as that of others and my prognosis would be distinct.  Primarily I have always stated that the solution to our NHS set of crises is not going to be achieved within that system alone but from an increased collaborative working with the social care system and its providers.  There are too many people engaged in a revolving door of continued admission and discharge into our NHS acute settings; too many individuals capable of being supported both clinically and in terms of social care in their own homes for so much longer; there are too many folks not benefitting from the potential of technology in their own homes which acts as preventative support and enhances personal independence; there are too many frontline staff moving around like pawns between different providers in a system of inequity and unequalness which does not benefit the individual worker in the long term and certainly does not benefit the system as a whole; there is indeed increased financial resource but much of it is in the wrong place, targeting the wrong priorities and all too often wasted.

2023 must be a year of building on collaborative efforts to work together and to move beyond siloed solutions for whole system problems. You cannot address the workforce challenges in social care by continually improving the terms and conditions of healthcare staff and ignoring the in-work poverty of home carers for instance; you cannot meet the rising demands within ‘paid’ social care without addressing the crisis of exhaustion and lack of resource in informal care; you cannot create a sustainable care home sector by continuing the disparity between those who the State chooses to pay for and those it does not; you cannot continue to address the major healthcare need which is dementia by not creating equivalence with other long-term conditions; you cannot continue to justify unequal treatment between in-house local authority provision of care at home and the hypocrisy of contracting third and independent providers at lower rates, poorer terms and worse conditions. We have all of us across all sectors in the NHS and social care and beyond, to do the unpredictable and start working seriously with one another because we know the truth that where it has been happening in 2022 there has been real benefit to patient and resident, the fostering of real trust, reciprocity, innovation and creativity.

The challenge at any time but especially as we enter a New Year is that we blindly and uncritically accept the constancy of a predictable patterning of the future, or we seek to do something different – to contradict the rhythm of the same with a new direction and by the disturbance of disruptive innovation and practice. That surely has to be the year of 2023.

We need not to dwell on the actions and aspirations which lie crumpled up in used papers of regret in the year gone by – rather as we pin the calendar to the wall and turn a picture to January we need to find purpose to be the promise agents of all we want to achieve which has yet still to be fulfilled. We are the ones who change our morrow because there needs to be an urgency and an impatience of hoping and a demand for ever stronger loving and commitment to others.

The winter clouds are starting to move apart, the challenge for all of us in the worlds of health and social care is to help in their dispersion and to replace a scene of challenge with one of promise and potential. I truly believe it can be achieved– together.

Poem for a New Year

By Matt Goodfellow

Something’s moving in,

I hear the weather in the wind,

sense the tension of a sheep-field

and the pilgrimage of fins.

Something’s not the same,

I taste the sap and feel the grain,

hear the rolling of the rowan

ringing, singing in a change.

Something’s set to start,

there’s meadow-music in the dark

and the clouds that shroud the mountain

slowly, softly start to part.

From A Poem For Every Day Of The Year

Happy New Year.

Donald Macaskill

It is certainly a week of happenings. Wednesday past was this year’s Winter Solstice. It has always been a night of hope and light which begins the hallowing of days till the spring and summer beckons and bursts life through darkness. From ancient times the lengthening of days, however slow and imperceptible, has presaged hope in the midst of harshness and re-birth in the place of grief. It is a day when we turn in a new direction, it is one of potential re-orientation and focus. But like so many days of light in darkness at this time of year it has a quality which it is hard to describe and fathom. That’s why for me days like the Solstice and Christmas are often best described by our poets. One of my favourite poems around the Winter Solstice is by Gillian Clarke a former National Poet of Wales. She wrote ‘The Year’s Midnight’

The flown, the fallen,

the golden ones,

the deciduous dead, all gone

to ground, to dust, to sand,

borne on the shoulders of the wind.

Listen! They are whispering

now while the world talks,

and the ice melts,

and the seas rise.

Look at the trees!

Every leaf-scar is a bud

expecting a future.

The earth speaks in parables.

The burning bush. The rainbow.

Promises. Promises.

From Selected Poems (Picador, 2016).

That last line says it all, I feel, ‘promises, promises.’ Clarke pictures renewal and rebirth incarnate in apparent decay and emptiness. She sees a world dormant with hope and promise. And today there is no shortage of expectation and promise in the air.

I hardly need to mention that tomorrow is Christmas Day because mine cannot be the only household full of the energy of childhood expectation. Tonight, is one of those evenings where the focus is very much on what is to come; when all the emphasis and preparation is about an experience yet to be savoured and moments still to be shared. There seems to be so much preparation and planning, organising and arranging for a day of just a few hours. But whether for good or ill what happens tomorrow becomes the stuff of memories and future reminiscence in a way that few single days are able to be.

Today then and especially tonight is one in which we stand on the edge of possibility and on the eve of promise. I often find it sad that the sense of expectation and promise, of not wanting to fall asleep lest you miss the happening; of wakening up before dawn breathless with anticipation – that all that seems to diminish as meaning and ‘adult truth’ replace childhood wonder and naivety.

Promise is an intriguing concept and one I’ve reflected on over the years. I have done so because I think there is something intrinsically to do with promise and hope, with expectation and discovery, at the heart of all good and meaningful social care support. Now some see social care as a set of functions or tasks, as something that is done for or with another. But I think that fails to see the whole truth. For social care support is surely much more adventurous and open than simply the performance of action or function? To reduce social care to a spreadsheet of activity is surely to lose its spirit and essence, to commission out its dynamic and unpredictability?

Every encounter we have with someone is a moment of promise, it offers us an opportunity to bring positivity, healing and meaning on the one hand and equally on the other it offers us the risk of harm, hurt or rejection. There is nothing definite or defined about the act of caring for another, it is at its best always a reaching out not to take control but to support the spirit of another to be independent and to grow into the fulness of their own self. I suppose that is true of all relationships but there is for me a special and unique dynamic about care support relationships when they are working well and most especially as folks get to know the pattern of the other.

In her poem Clarke beautifully describes the dormancy of hope in the midst of a cold winter day. There is a sense that the natural world is just waiting, patiently for the thawing of the days till it flourishes life into being. In care support where workers are allowed time to relate, to get to know, to attend and be present with, there is the potential for a life to be refreshed and renewed, for light to overcome the emptiness of absence or pain. Some of you might describe such sentiments as naïve or even false, but I have seen it too often in the compassionate care of a nurse or a carer in care home or in community to not have witnessed something which in this season we might describe as the incarnating of true humanity and love. At a very deep level social carers are promise keepers tomorrow and every day. That promise is lived out in their care, support, love, and compassion for others.

Tomorrow will be a day of excitement and joy for so many especially those who are younger. But we also have to be honest and reflect that for others it will be a slow twenty-four hours in which they will be touched by absence, cradled by regret and held by the tears of memory. There will be thousands of women and men who will combine their thoughts and feelings with going out to work in care home or in the homes of those they support as home carers. They will some of them carry their regret and some will be eager to return to the warmth of others – but for the moments and times they are with others they will be present in that person’s joy or sorrow, delight or pain – for it is the rhythm of presence that creates a carer able to make a moment meaningful for another.

But ‘promises, promises’ also has another tone to it and that is one of challenge; a dismissiveness of a commitment made with voice but not followed through. I cannot but think of all the political and societal promises we made with gestures like clapping hands to remember the women and men who were the frontline of professional compassion and care in the darkest of days during pandemic and since. I cannot but reflect that we have all broken our collective promise to recognise, reward and remunerate those women and men. A promise is empty and hard without the energy of commitment and response. That is the task and call to all of us who have a role to make change happen, to ensure that such promises do not become the stuff of fairy-tale or platitude but are lived out in societal and political commitment and action. There is nothing more important to the creating of true human community than the recognition and value of all, the fostering of compassionate care and support to those who need it to play their part as citizens, and I would argue the primacy of valuing those whose role is care and support whether paid or unpaid as intrinsic to our being in community with each other. We have some considerable distance to travel before we fulfil that promise.

May I take this time to wish you and yours a restful and restoring time as we move through this eve of promise.

Donald Macaskill