• Over 80% stated that councils have reduced the number of care packages that would previously have been awarded.
• 90% stated that councils have reduced the overall number of hours commissioned within care packages.
• Over 90% stated that councils have asked providers’ to complete care tasks that are unrealistic within the commissioned time.

Such reductions place untold stress on the sustainability of vital care providers across Scotland and diminishes access to an adequate level of person-led care. As commissioning and procurement bodies cut packages beyond the true cost of adequate care for our communities, care providers are struggling to stay afloat amongst increasing operational costs:

“For the first time in 27 years I am genuinely scared for our future.” 

Reversing this reduction in service availability is vital, with funding for care providers that is commensurate to the true cost and value of the vital work they do.

Sky News’ report reaffirms the inadequacy of time and task models of commissioning homecare and housing support, typified by 15-minute visits and the lack of person-led care on offer:

“How are carers supposed to provide high quality care if they only have 5 minutes! This is not enough time to take off your jacket let alone assess the persons wellbeing.” 

As opposed to tailored packages that meet the individual needs of service users, carers must complete multiple complex tasks within this narrow timeframe (personal care, medication administration and meal preparation). Increasingly, basic needs cannot be met. Moreover, by removing the vital human element of care, individual citizens feel rushed and undignified.

The results also highlight a breakdown in partnership working between commissioning bodies, providers and service users when making significant decisions regarding the future of a care package:

“We seem to be in a situation where there is no transparency or honesty”. 

The whole adult social care sector must commit to greater communication with providers on any decisions that affect service delivery.

Scottish Care’s recent response to the Scottish Budget describes a “budget that kills”. Sky News report exemplifies this very real risk without sufficient support at all levels of government.

We must address the #SocialCareCrisis in Scotland. This begins with a truly ethical approach to commissioning and procurement that respects the true cost of care, communicates openly with service users and their care providers, and works collaboratively to advance the much needed change away from time and task models of care. These steps are vital to safeguarding a care system that prioritises dignity and delivers high-quality, person-led care.