Scotland’s care system FOUR times as effective as in England yet Neil Mackay argues its ‘apocalyptic’ on behalf of business just hoping to charge us more

Professor John Robertson OBA

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In the Herald today, the commonly hyperbolic Neil Mackay has the above, and:

More than 60% of social care charities risk imminent closure leaving the nation’s most vulnerable citizens in peril. Our Writer at Large reports

THE numbers are as astonishing as the severity of the warning. More than 200 charities, which provide health and social care across Scotland, are sending out an SOS saying the sector risks collapse.

If this was more than just another example of a corporate hack writing on behalf of corporations and other business interests to scare us into paying them more, how would this be possible?

Four times as many, per head, waiting for a social care assessment or package in England than in Scotland

From People requiring a social care assessment and care at home services published today by Public Health Scotland:

The number of people estimated to be waiting on a social care assessment for a package of care to enable them to live independently at home or in the community was 6,461 on 7 April 2025. The estimated number of people assessed and waiting for a care at home package was 2,852 on 7 April 2025.

https://www.publichealthscotland.scot/publications/people-requiring-a-social-care-assessment-and-care-at-home-services/people-requiring-a-social-care-assessment-and-care-at-home-services-29-april-2025/

That’s a total of 9 313 ‘waiting for an assessment of their needs or for help to begin.

All things being equal, with 10 times the population, you might expect England to have around 100 000 on their waiting list , but:

From the Local Government Association in November 2024 (latest data I can find):

There has been increasing interest in the use of metrics relating to waiting lists and waiting times for adult social care assessment, provision of support and direct payments and reviews of support. This is particularly relevant in light of growing demand (over 400,000 waiting for an assessment of their needs or for help to begin) and increasing complexity of need.

Four times as many waiting for a social care assessment or package.

https://www.local.gov.uk/publications/understanding-management-and-monitoring-waiting-lists-adult-social-care#:~:text=This%20is%20particularly%20relevant%20in%20light%20of%20growing,help%20to%20begin%29%20and%20increasing%20complexity%20of%20need.

How many private care homes have closed in recent years? Only 5% . https://www.heraldscotland.com/news/23937550.care-homes-scotland-hundreds-premises-close-decade/

One thought on “Scotland’s care system FOUR times as effective as in England yet Neil Mackay argues its ‘apocalyptic’ on behalf of business just hoping to charge us more

  1. …and of these Private Care Homes which have closed , how many were not meeting the standards of Care required by law and did not wish to spend money on meeting these , and how many were closed simply because they did not provide the level of profit that their shareholders demanded ?

    Large Private Care Homes were also the most culpable during the Covid years in NOT providing adequate care for their ”customers ” .

    Liked by 3 people

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