Press release: care sector facing a ‘twilight zone’

Provider representatives of home care providers say insufficient progress has been made in ensuring care services are safe and sustainable for Scotland’s older citizens and as a result, the sector is facing imminent demise.

The message will be delivered at the National Care at Home & Housing Support Conference in Glasgow today (FRI MAY 17) by Dr Donald Macaskill, Chief Executive of Scottish Care, the representative body for the country’s independent social care services. The 250 delegate event, which is sponsored by Quality Compliance Systems, will include an address by Cabinet Secretary for Health & Sport Jeane Freeman.

Unveiling a briefing paper based on his Conference Address – ‘A Care Twilight Zone” – Dr Macaskill said:

“We believe the truth and robustness of our arguments for rebalancing care are clear and demonstrable.  We believe passionately that the potential of homecare to re-shape care and support in Scotland is undeniable.

 “But we seem to talk in places where no-one is listening; we look around us and see care organisations going to the wall with disturbing regularity; where a growing number of providers are saying they simply cannot afford to work with the public sector in Scotland because of the increasing desire to pay less for more and to drive down the costs of care. Faced with that landscape evidencing a general state of care economic and delivery decline and dilapidation across the country, in my estimation, we are undeniably in a care twilight zone.”

In his address, Dr Macaskill will highlight nine key areas where urgent work is required to stabilize the home care sector in Scotland:

  • The Scottish Living Wage
  • Time & task commissioning of care
  • Approaches to prevention
  • Access to Self-Directed Support for older people
  • Recruitment of staff
  • Qualifications and the older care workforce
  • Integration of health & social care
  • The use of technology
  • Funding of social care

This week Scottish Care has written to COSLA calling for an urgent roundtable including the Scottish Government and the care regulator to address the immediate challenges facing the care at home and housing support sector.

Dr Macaskill said:

“We believe we urgently need to get round the table to come up with some practical solutions or we will not be able to continue to deliver vital services in the months ahead.

“We believe that we have to have a serious debate about how we are to fund social care into our futures, and I wonder if the silence to date is not indicative of a political desire to hide heads in the sand the closer we come to elections?

“We remain deeply concerned that there is a lack of political energy beyond political party interest and ambition to gather around the table and properly explore how we will fund social care in the short and medium term.

We have to stop talking about and start implementing the change. We have a sector which is on its knees and it is way beyond the point of putting out the begging bowl for the scraps of finance left over when other sectors and issues are funded.” 

 

BACKGROUND INFORMATION

Scottish Care is a membership organisation and the representative body for independent sector social care services in Scotland and speaks with a single unified voice for small, medium and large providers across the independent care sector. This covers private and voluntary sector care home, care at home and housing support services, and also includes those who use independent sector care services.

Independent and voluntary sector providers combined employ nearly 100,000 social care staff, with nearly 71,000 of these individuals working in Housing Support and Care at Home services.

Each night of the week, home care providers support nearly 50,000 individuals in their own homes, most with increasingly complex needs.

The social care sector plays an important part in the Scottish economy, providing employment for over 202,000 people and generating an annual turnover of several billion pounds.

 

You can follow the Conference on Twitter using the hashtag #homecare19

 

Living and Dying Well with Frailty Collaborative – HIS seeking applications

Healthcare Improvement Scotland have announced the launch of the ihub’s new collaborative from the Living Well in the Communities Portfolio.

It is an opportunity for Health and Social Care Partnerships and GP Clusters to improve how people aged 65 and over are supported to live and die well with frailty in the community.

Please see below the information relating to this and how to apply, should you be interested.

20190429 Living and Dying Well with Frailty - Advert

Holyrood Staffing Bill – update

Last week the Health and Care (Staffing) (Scotland) Bill was passed unanimously in Parliament. Scottish Care gave evidence in Parliament has been successfully lobbying on behalf of our members to ensure that the Bill in its final stage is fit for our sector.

National Director Karen Hedge said:

We are confident that the Guiding Principles of the Bill, set with the purpose of ensuring the delivery of safe and high-quality services and ensuring the best care outcomes for those who access care and support is supportive of the very ethos of the independent care sector.

 

Whilst the legislation in itself will not solve the very real recruitment and retention challenges that the sector is currently facing, it will indirectly contribute to national workforce planning.

 

Most significantly, under section 7A, this will be through the requirement of Scottish Ministers to annually issue Parliament with a report on how the duties imposed by the Bill are being enacted. This includes the duties on those who provide, plan and secure care services, creating an official record by which to measure the impact of the Bill on staffing levels.

 

Critically the report must include steps that Ministers have taken to ensure that “funding is available to any person who provides a care service in order to assist in the discharge of those duties”.

 

The Bill as a whole sets duties upon “any person who provides a care service” in that they must have regard to any guidance which Ministers decide to issue, and additionally, if it is decided to pursue the development of a set of Staffing tools for the sector.

 

The development of tools would be led by the Care Inspectorate but must involve the sector to ensure that they support provision rather than limit it. Any tools should consider both quantitative and qualitative information, to include professional judgement and as such compliments existing work which Scottish Care has been involved in with regards to a capability tool to support the National Care Home Contract. In addition, there is real opportunity if the staffing method were developed to support the recognition and value of interdisciplinary working.

 

Scottish Care will continue to represent our members in the development of any staffing method or tools and in the development of any guidance which Scottish Ministers may issue.

Psychology of Dementia – NES event

NHS Education for Scotland (NES) is planning to relaunch a revised Psychological Interventions in Response to Stress & Distress in Dementia event on 26th June in Stirling. Organisers say the event is aimed at those already trained as stress and distress trainers with an operational/strategic remit.

Please see the details in the flyer below, including a link to the application form for those interested in attending.

 

SD Programme Relaunch

Workforce survey request from Scottish Government & COSLA

The Scottish Government and COSLA are looking for your views to help predict and address recruitment and retention challenges in the Social Care sector.

They are undertaking extensive fieldwork and a series of on-line surveys are central to this. There is a survey for employers to complete and it is available by clicking on this link: Employer survey

It should take about 15 minutes to complete, and is completely confidential.

The information gathered in this survey will inform the National Health and Social Care Workforce Plan and marketing recruitment campaigns for the Social Care and Early Learning and Childcare sectors.

 

There is also a survey for Social Care and ELC employees. This will gather the views of employees on what encouraged them to join the sector, what motivates them to stay and what their future intentions are. If you work in Social Care or ELC, or if you are an employer who can circulate the following link to your employees, please follow – or share -this link: Employee survey

This survey is completely confidential, and should only take about 10 minutes to complete.

The findings from all the research will help ensure that Social Care and ELC employers have the workforce they need going forward.

The surveys will close at 5pm on 17th May

2 weeks until conference & exhibition!

The Care at Home and Housing Support Conference & Exhibition is taking place on 17 May - in a fortnight's time!

There is still time to secure your place at this unique event - use the button below to view all the details about the programme, insight sessions, speakers and to book your place.

Scottish Care is delighted to be working with QCS for Redressing the balance: the potential of homecare. As main conference sponsor, we look forward to welcoming Head of Care Development (Scotland) Senga Currie, who will address delegates on the day.

Alongside the conference, we will again be bringing you an exhibition specifically curated for the care at home and housing support sector, including the following suppliers and regulators who there will be plenty of opportunities to interact with on the day:

#homecare19