More than 80 per cent of independent home care services are concerned about being able to survive this year, a new survey has found.
The study by Scottish Care, which represents independent providers of social care, found 86 per cent were concerned about their sustainability and survival in 2018 and 24 per cent were "extremely concerned".
Half of home care services did not apply for local authority contracts in 2017 due to sustainability and capacity, while 40 per cent handed work back to councils last year on these grounds.
The online survey, carried out the last month, represents 5,893 home care staff across Scotland caring for more than 12,000 people per week.
Scottish Care chief executive Donald Macaskill said: "We are not crying wolf when we stress the precarious nature of home care in the current climate, with the results of this survey emphasising how genuinely close to collapse we are in Scotland.
"It shows that half of the services we represent feel unable to compete for contracts because the rates and conditions at which they are set by local authority make the delivery of dignified care impossible to sustain. And of those who do try to make it work, 40 per cent are forced to hand that work back because it is not viable to continue operating.
"It means we have a huge number of home care services willing and able to provide high quality care in people's own homes but who are stifled from doing so by a drive to the bottom by local authorities in terms of pay and conditions offered to those services delivering that care.
"The inability of services to recruit and retain staff and to pay them a good wage further cripples these essential services. We are faced with a reality where a quarter of services are not sure they will still be operating this time next year."
He called for urgent action for integration and funding of social care services.
Mr Macaskill added: "It is all very well to join up health and social care systems on paper and as structures. But real partnership which puts people at the centre needs to be worked at, not just spoken about.
"We need to work very hard in 2018 to ensure we still have a social care system able to care for our vulnerable older citizens. At the moment this survey suggests that there are worrying signs that we will not."
Concerns over the funding of social care were echoed by the local government body Cosla, with health spokesman Peter Johnston stating they had raised the issue with the Scottish Government as part of the 2018-19 spending review.
But he said: "It is wrong not to recognise that Scottish local government has driven up standards in relation to pay and conditions when we have promoted and supported, encouraged and negotiated contracts which include the Scottish living wage.
"There are other factors which affect sustainability in care at home including the current market configuration, individual business models and, critically, the ability to recruit and retain staff.
"We are facing a significant workforce issue in adult social care and this has the ability to get worse as more demand and further policies come into the system, things like extending free personal care to under-65s.
"The cuts to public funding and the dearth of care workers means that we all need to change our approach, service design and business models.
"We would look to providers to work with us to provide solutions which are sustainable for all. We would also look to Scottish Government and the Scottish Parliament to support us in this with an adequate settlement for local government."
Why are you making commenting on The Herald only available to subscribers?
It should have been a safe space for informed debate, somewhere for readers to discuss issues around the biggest stories of the day, but all too often the below the line comments on most websites have become bogged down by off-topic discussions and abuse.
heraldscotland.com is tackling this problem by allowing only subscribers to comment.
We are doing this to improve the experience for our loyal readers and we believe it will reduce the ability of trolls and troublemakers, who occasionally find their way onto our site, to abuse our journalists and readers. We also hope it will help the comments section fulfil its promise as a part of Scotland's conversation with itself.
We are lucky at The Herald. We are read by an informed, educated readership who can add their knowledge and insights to our stories.
That is invaluable.
We are making the subscriber-only change to support our valued readers, who tell us they don't want the site cluttered up with irrelevant comments, untruths and abuse.
In the past, the journalist’s job was to collect and distribute information to the audience. Technology means that readers can shape a discussion. We look forward to hearing from you on heraldscotland.com
Comments & Moderation
Readers’ comments: You are personally liable for the content of any comments you upload to this website, so please act responsibly. We do not pre-moderate or monitor readers’ comments appearing on our websites, but we do post-moderate in response to complaints we receive or otherwise when a potential problem comes to our attention. You can make a complaint by using the ‘report this post’ link . We may then apply our discretion under the user terms to amend or delete comments.
Post moderation is undertaken full-time 9am-6pm on weekdays, and on a part-time basis outwith those hours.
Read the rules hereLast Updated:
Report this comment Cancel