This is the second edition of the new In Common newsletter from the pro-independence think tank Common Weal. To get it sent direct to your inbox…
This week's edition comes from Nick Kempe. Nick was a social worker who became head of service for older people in Glasgow and, since retirement, has been trying to reform the care system as part of Common Weal’s Care Reform Group.
Reluctant to commit to an NCS, the Scottish Government asked Derek Feeley, a former civil servant responsible for the system, to “independently” review adult social care. Feeley’s recommendations, published in February 2021, advocated more top-down management of resources, exercised by ministers through strengthened"integration" structures and the continuation of private profit in care.
In the year before the publication of the NCS Bill in June 2022 the new Scottish Government initiated some consultation, set up numerous internal working groups and, behind the scenes, engaged KPMG to design a secret “Target Operating Model”. That may explain why the NCS Bill took the Feeley recommendations much further, removing care from local authorities and handing extraordinary powers to Scottish ministers.
While it's positive the Scottish Government has created spaces where officers can hear what the social care system is really like, ministers’ responses have been to reiterate the need for respect and dignity. That cannot happen without far more fundamental changes to the system and the Scottish Government has still not explained how these discussions might affect the draft bill.
Almost every other aspect of the NCS, however, lies within the powers of the Scottish Parliament. We could therefore move towards the blueprint set out in Caring for All by changing how the system uses existing resources. For example, basing staff in accessible community hubs; empowering care workers to take decisions with the people they care for; replacing competing services with locally based services co-designed to meet collective needs.
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