The costs of improving staff pay, terms and conditions need to be factored into the adult social care review in Scotland, Scottish providers have said.
Following a debate in the Scottish parliament on the review, the Coalition of Care & Support Providers in Scotland (CCPS) said: “Improvement is both essential and increasingly urgent, but it will come at a price.”
A CCPS review briefing note warns against a new National Care Service that takes a narrow focus on roles and structures and on the protection of existing powers. It said: “If power and control need to shift in order to deliver improved care and support, and relationships between institutions and agencies need to change, then that is something to which we should all commit ourselves.”
The providers’ representative says that among the priorities for reform are funding, and the need to challenge local decision-making. On commissioning, CCPS says: “The review has once again identified the connection between poor terms and conditions for staff, and poor commissioning practice, and we warmly welcome the recommendations addressing these matters.”
On regulation and inspection, CCPS calls for ‘improvement science’ to be explored.
Health secretary Jeane Freeman told the Scottish Parliament said that Scotland should see—and deliver on—adult social care “as an investment that we make collectively in ourselves and in each other”.
This will include implementing the real living wage for adult social care workers from 2021 and including workforce union representatives in contract discussions, she pledged.