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Chamber

Meeting of the Parliament (Hybrid)16 February 2021

16 Feb 2021 · S5 · Meeting of the Parliament
Item of business
Adult Social Care (Independent Review)
MacGregor, Fulton SNP Coatbridge and Chryston Watch on SPTV

The independent review is an important step towards the creation of a national care service for Scotland, which will ultimately enable us to improve the experiences of everybody who uses social care support, their carers, their families and the workforce.

Covid-19 has changed the way that we think about many aspects of our lives and has made us think about the sort of country that we want to live in. I am pleased that the Government set up the review, which in time really could be a positive legacy of what has been a most difficult and tragic period in our history.

I am pleased that, as George Adam said, the review found many aspects of our adult social care system that should be commended, including the introduction of self-directed support, which has been particularly useful to many of my constituents. In addition, the Carers (Scotland) Act 2016 and the Scottish Government’s commitment in legislation to integrate health and social care should be celebrated. However, it is recognised that there is room for improvement and, once the 53 recommendations that have been made are implemented, they will result in even more support being provided. The recommendations are robust and will allow us to move to a new way of thinking in which collaboration is the key to ensuring that those with lived experience are listened to when we are designing and implementing a social care system that delivers for everyone.

By establishing a human rights approach to social care that incorporates equality and gives better support to unpaid carers, we will start to address the gaps that have been identified. We must also deliver fair work for the social care workforce, through increased and more effective investment. Our social care staff have shown just how much they deserve more recognition and higher pay, in working throughout the pandemic and putting themselves and their families at risk, often on low pay and with little recognition. Every one of them deserves our thanks and praise and our commitment to better their working conditions.

I recently spoke to a care home worker in my constituency who had been off work for a period after testing positive for Covid-19. Unfortunately, and to her surprise, she was not eligible for the self-isolation grant, which meant that she lost out on pay, and that made her feel really undervalued. I know that the self-isolation grant criteria have now been updated and that there is integration and overlap between various parts of the system, but even small things like that can make a big difference to people such as that care worker.

As other members have done, I will speak briefly about the important role that unpaid carers play. Supporting unpaid carers has been a priority for the SNP Government, both before and during the pandemic, which is why, in the Carers (Scotland) Act 2016, we established rights for all carers to support and advice. The Scottish Government continues to support local implementation of those rights, backed by additional investment that now stands at £39.5 million per year. That is particularly important now, when many carers are under additional pressure. The actual number of unpaid carers in Scotland could be as high as 800,000. We all know someone who is a carer, and we might even be one, either now or some time in the future.

I will take this opportunity to mention my gran. I was thinking about her this morning, as she always loved pancake Tuesday—I am not sure why, but she really went out of her way each year—and I was telling my kids about those memories. In the context of the debate, as I have said in the Parliament before, looking back to the late 1990s and early 2000s, I would probably have been classified as a young carer, because I and the rest of my family helped to care for my gran in her latter years. That is just what we chose to do; we did not think of ourselves as carers, and that is the point. It is likely that there are many people in that position today, which is why it is so important that support is made available through the Government.

At the heart of the review and our decisions is the opportunity to improve the lives of adults who receive care and those who give it. There are of course added financial benefits to the economy and we have an opportunity to invest in high-quality fair work but, first and foremost, we must ensure that the people of Scotland can equally enjoy their human rights, including the right to live with dignity, as well as rights to independent living, meaningful and active participation in Scottish society and opportunities for work and education.

I will conclude by talking about care homes, as others have done. MSPs of all parties and in all positions in Government—every one of us—will have been struck by the almost impossible dilemma and heartbreaking situation facing residents over the past year.

In the same item of business

The Deputy Presiding Officer (Christine Grahame) SNP
The next item of business is a debate on motion S5M-24134, in the name of Jeane Freeman, on the independent review of adult social care. There is no time in ...
The Cabinet Secretary for Health and Sport (Jeane Freeman) SNP
The independent review of social care gives us a clear road map for the future of care provision in Scotland. Central to its proposition is that we see—and d...
Neil Findlay (Lothian) (Lab) Lab
The cabinet secretary said that the report produces a plan for a system that is equivalent to the NHS. Can she elaborate on that?
Jeane Freeman SNP
In essence, the report tells us that, in everything that we do in its delivery and how we treat its workforce, we need to accord adult social care the same v...
The Deputy Presiding Officer SNP
I call Donald Cameron to speak to and move amendment S5M-24134.4. 16:14
Donald Cameron (Highlands and Islands) (Con) Con
I welcome the opportunity to open for the Scottish Conservatives in this important debate, and I place on record my party’s thanks to the advisory panel and ...
Monica Lennon (Central Scotland) (Lab) Lab
Scottish Labour has campaigned for improvements to our chronically underfunded care services for a long time. We believe that social care support in Scotland...
The Deputy Presiding Officer SNP
I call Alex Cole-Hamilton to speak to and move amendment S5M-24134.2. 16:29
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
It gives me great pleasure to rise for the Liberal Democrats. I welcome the publication of the report of the independent review of adult social care, which e...
Monica Lennon Lab
Does Alex Cole-Hamilton agree with Scottish Labour that the fight for 15 campaign is a fair ask, and does he support a rate of £15 an hour for social care wo...
Alex Cole-Hamilton LD
Monica Lennon made a compelling argument for that, and I do not see a reason why we would not support it, in particular given that, as she rightly said, 83 p...
The Deputy Presiding Officer SNP
Thank you for keeping to your time, Mr Cole-Hamilton. 16:35
John Finnie (Highlands and Islands) (Green) Green
The Scottish Green Party thanks everyone for their involvement in the review process and in what the cabinet secretary referred to as the “road map”. The Sco...
The Deputy Presiding Officer SNP
I call Lewis Macdonald to speak on behalf of the Health and Sport Committee. 16:41
Lewis Macdonald (North East Scotland) (Lab) Lab
I am glad to have the opportunity to speak in the debate and to highlight the Health and Sport Committee’s two-year inquiry into the future of social care, w...
Neil Findlay Lab
Will the member take an intervention?
Lewis Macdonald Lab
Certainly.
Neil Findlay Lab
As he is convener of the Health and Sport Committee, could the member tell me what evidence the committee took from stakeholders about integration and its su...
Lewis Macdonald Lab
The committee took a great deal of evidence on that. We have done so not only in this context but in the context of a number of inquiries over the years. Nei...
The Deputy Presiding Officer SNP
We come to the open debate. 16:48
Emma Harper (South Scotland) (SNP) SNP
I welcome the opportunity to speak in this extremely important debate and thank the organisations that have provided briefings, including the Scottish Associ...
Jeremy Balfour (Lothian) (Con) Con
I welcome the publication of the independent review of adult social care. There have been calls for an independent review from the third sector and social ca...
George Adam (Paisley) (SNP) SNP
I congratulate the convener of the Health and Sport Committee and the committee clerks on the pragmatic way in which they managed to ensure that we debated t...
Sandra White (Glasgow Kelvin) (SNP) SNP
I, too, very much welcome the opportunity to speak in the debate. I will begin by being positive—it is a positive review—so who better to quote than the chai...
Richard Leonard (Central Scotland) (Lab) Lab
I will begin by setting out where we find common ground on this subject. In his foreword to the review’s report, Derek Feeley said: “If we want a different ...
Ruth Maguire (Cunninghame South) (SNP) SNP
The independent review is an important step towards the creation of a national care service for Scotland. In creating that service, there must be a laser-lik...
Fulton MacGregor (Coatbridge and Chryston) (SNP) SNP
The independent review is an important step towards the creation of a national care service for Scotland, which will ultimately enable us to improve the expe...
The Presiding Officer (Ken Macintosh) NPA
Mr MacGregor, you are slightly over time already. Please bring your remarks to a conclusion.
Fulton MacGregor SNP
Okay. On the one hand, we have been dealing with a horrible virus that disproportionately affects our older generations and those in care homes, and on the ...
Alex Cole-Hamilton LD
It has been an excellent debate, with real passion having been displayed in some of the speeches. I will touch on that passion as I summate the Liberal Democ...