Summary

  • The Scottish government's social care minister has confirmed plans for a full National Care Service are to be scrapped

  • Maree Todd says she recognises the plans as they stand do not have the support of MSPs

  • A key proposal to create a new national care board has been dropped in favour of an advisory body - ending any notion of a National Care Service

  • The justice secretary Angela Constance earlier made a statement on the deaths of two young people while they were detained at Polmont Young Offenders' Institution

  • Katie Allan, 21, and 16-year-old William Brown, also known as William Lindsay, took their own lives in separate incidents at the facility in 2018.

  • Constance says the deaths of both young people should never have happened

  • She says there will be reviews into how long it takes to start and complete inquiries

  • The minister says prison isn't always the answer for young people

  • Earlier, First Minister John Swinney faced questions from opposition party leaders and MSPs at FMQs

  1. Scrapping of the National Care Service: The headlinespublished at 16:16 Greenwich Mean Time 23 January

    Now if you're just joining us, here's a reminder of the key lines that emerged in the statement from the Social Care Minister on the future of the National Care Service:

    • Maree Todd told the chamber the first part of the National Care Service Bill would be dropped and revised proposals put in parts two and three of the legislation
    • The first part of the bill would have transferred responsibility for social care away from councils to a new national body - this will now be scrapped
    • However, the bill will enshrine Anne's Law which allows people in care homes to receive visits from a named loved one even in restricted measures
    • The minister said the right to breaks for unpaid carers would be introduced
    • A National Care Service advisory board will be introduced urgently with a wide remit
    • The advisory board will start meeting in March
    • There will be an overhaul of eligibility criteria in social care
    • Tory MSP Sandesh Gulhane called on Maree Todd and Health Secretary Neil Gray to resign
    • Labour's Jackie Baillie highlighted nearly £30m of taxpayers' money has already been "wasted" on the bill and she too called on Neil Gray to resign

    That's it as far as our live coverage of an extremely hectic day at the Scottish Parliament is concerned.

    The editor today was Paul McLaren and the writers were Craig Hutchison and Ashleigh-Keenan Bryce.

  2. Critical importance of having the right care in placepublished at 16:00 Greenwich Mean Time 23 January

    Lisa Summers
    BBC Scotland health correspondent

    Ashleigh Milroy
    Image caption,

    Ashleigh Milroy

    Ashleigh Milroy gets support from Thistle Foundation.

    Having good social care has allowed her to live independently, complete a degree in psychology and volunteer for many organisations.

    "The difference is everything. I'm having a great experience now which means I can do all the things a person with additional support needs would do - like live independently, like attend my church and see friends - but all these things wouldn't be possible if I didn't have the right support.

    "When you don't know what's happening and you don't know where people are coming from it's really quite scary and it puts you in a very vulnerable position."

    Ashleigh says there needs to be a significant investment in social care

    "It's a really big responsibility as they allow someone to live an independent life, and for wider society it needs to be prioritised as a really good job to get the right workers.

    "Because if you are not working with the right people, it can really affect people's mental health and their whole life."

  3. 'We desperately need reform 'published at 15:57 Greenwich Mean Time 23 January

    Lisa Summers
    BBC Scotland health correspondent

    Mark Hoolahan is the chief executive of the Thistle Foundation
    Image caption,

    Mark Hoolahan is the chief executive of the Thistle Foundation

    The government has been announcing the scrapping of much of its controversial National Care Service.

    But what do people at the sharp end think of the current system?

    Mark Hoolahan, the chief executive of the Thistle Foundation in Edinburgh's Craigmillar, says: "We desperately need reform, so to be four years beyond the review into social care is deeply disappointing.

    "The Scottish government could be investing more in the social care workforce. We are still in a position where social care workers are paid 15% less than people who work in equivalent roles in the NHS and that's outrageous really."

  4. I hope this pause allows time for discussion, says Toddpublished at 15:54 Greenwich Mean Time 23 January

    Before the session winds up, Scottish Lib Dem leader Alex Cole-Hamilton criticises the amount of money "wasted" on the government's controversial plans.

    He says every year spent building the National Care Service is time the minister could have spent improving the care system.

    Cole-Hamilton asks whether the minister will apologise to people stuck in hospital waiting for a care package, to community carers unable to offer support due to a lack of time and the families who do not have the wrap-around care they need.

    The minister says thousands of people who use the care service in Scotland have said things need to change, while pressing for the Scottish government to continue with the creation of the National Care Service.

    Todd adds: "I hope that this pause and this further clarity on what it is we're trying to achieve with primary legislation will enable those parties who have been opposed to change from the very conception will come round the table and contribute to shaping the change we need to see in Scotland."

  5. Analysis

    Why is social care so critical?published at 15:49 Greenwich Mean Time 23 January

    Lisa Summers
    BBC Scotland health correspondent

    Ask any A&E doctor what would make the biggest difference to the pressures they face in overcrowded emergency departments, and they will tell you - sort out social care.

    Around 2,000 beds each day in Scotland are taken up by patients who no longer need to be in hospital. To put that in perspective, the biggest hospital in the country, the Queen Elizabeth University Hospital has 1677 beds.

    These are all people who are well enough to go home but who are stuck in hospital because of a lack of appropriate social care.

    It leads to patients spending hours in A&E because there is no space on wards, or waiting in the back of an ambulance that cannot get back out on the road.

    Experts say investing in more resources for social care not only frees up space in hospital, but it is vital to the individuals who receive it.

    It allows them to live fuller and more independent lives. It helps them stay well and ultimately reduces hospital admissions.

  6. Green MSP welcomes 'small but positive' changes to social carepublished at 15:48 Greenwich Mean Time 23 January

    Gillian Mackay says she hopes this announcement will allow small but positive changes to social care.

    The Green MSP asks how the work of the lived experienced groups will be retained and how it will contribute to ongoing reform of social care.

    She asks whether the right to information and advocacy originally in part one of the bill will now be put into the bill elsewhere.

    The minister replies she recognises the voices of the lived experienced is vitally important.

    Todd adds she will be happy to engage with the MSP on advocacy as the bill progresses.

  7. Todd defends spending on National Care Servicepublished at 15:46 Greenwich Mean Time 23 January

    Jackie Baillie says three years on and with £30m of taxpayers' money have been spent on this bill, the National Care Service is no more.

    She says the money could have funded care packages, which could have funded an extra one million hours of care.

    Baillie recalls Humza Yousaf's statement that the creation of the National Care Service would be the most significant public sector reform since the creation of the NHS and be operational within the five-year lifetime of the parliament.

    She asks the minister whether it's time for Health Secretary Neil Gray to follow Yousaf and resign.

    Maree Todd says the government has delivered on a 25% funding increase for social care in this parliament two years early.

    She says, for context, the £30m spent on the National Care Service was spent in a system where £5bn is spent annually.

    Todd adds: "I don't think it's unreasonable to spend 0.2% of a budget to achieve change in a system that all of us agree is not currently working."

  8. Tory MSP says plan has been 'fatally flawed' from the startpublished at 15:45 Greenwich Mean Time 23 January

    It is now the turn of Brian Whittle to challenge Maree Todd on the whole concept of a National Care Service.

    The Tory MSP argues the government ignored the social care sector and their plan was "fatally flawed".

    "How can the sector trust that this Scottish government will ever listen to their expert opinions again?" he says.

    The minister hits back, arguing she works very closely with the sector and everyone agrees change is needed.

  9. What part of the National Care Service has the government scrapped?published at 15:41 Greenwich Mean Time 23 January

    As we have been reporting, the largest and most controversial part of the National Care Service has been ditched.

    The flagship scheme would have transferred responsibility for social care away from councils to a new national body.

    The legislation aimed to centralise adult social care and social work - delivered by local authorities - into a single body ultimately accountable to ministers.

    But the government could not get the support of the unions or the industry and it has now been scrapped.

  10. Care workers will have parity with NHS workers, says Toddpublished at 15:37 Greenwich Mean Time 23 January

    Back in the Holyrood chamber, Todd says it is "essential" to continue support for the workforce and the government is committed to fund the real living wage for adult in social care workers.

    She says there will be a sense of professionalism built into the sector, improving parity with the NHS workforce.

    At local level, integration joint boards will continue to plan and oversee community health with consideration to ensure the voice of lived experience is heard to increase accountability and transparency.

    The minister says she will also work with Highland partners who have ended their model of integration to align with the rest of Scotland's integration joint board model.

  11. Analysis

    The route to a National Care Servicepublished at 15:35 Greenwich Mean Time 23 January

    Andrew Kerr
    BBC Scotland political correspondent

    The Covid pandemic was perhaps the most critical issue which helped spur on the creation of a National Care Service.

    The care sector was frequently in the national spotlight in those times – almost five years ago now.

    The focus was on care homes at the time - but most social care is given in homes and local communities.

    The then-First Minister Nicola Sturgeon commissioned a review of adult social care by a former senior civil servant, Derek Feeley, in September 2020

    A National Care Service was proposed which would basically help national and local services work better together, lift care standards across the country to an appropriate level and ensure staff were properly rewarded.

    Laudable aims no doubt – but, in short, the plans that were put together lost the support of unions and councils while a number of heath boards voiced concerns.

    The Scottish government now proposes more piecemeal changes to achieve improvements instead of a grand re-design.

  12. 'The SNP government could not run a bath'published at 15:32 Greenwich Mean Time 23 January

    Sandesh Gulhane tells the chamber almost £30m has been wasted which could have paid for the salaries of 1,200 social care workers.

    "This bill was fatally flawed," continues the Tory MSP and he accuses the minister of being "hapless and tone deaf" in her statement.

    He also accuses the government of "arrogance, failure and sheer waste" and adds "the SNP government could not run a bath".

    He calls on Maree Todd and Health Secretary Neil Gray to "do the right thing and resign".

    The minister insists she has listened very carefully and everyone is agreed change is needed in social care.

    Todd argues the Tories have not come forward with a single alternative idea and she insists she has removed the most contentious parts of the bill.

  13. How the unions and councils lost faith in the care service planpublished at 15:27 Greenwich Mean Time 23 January

    A care worker helps an elderly man get up from a sitting position on his bedImage source, Getty Images

    The government's plans for a National Care Service were dealt a significant blow in October last year when Scotland's largest trade union body withdrew its support.

    The Scottish Trades Union Congress (STUC) wrote to Health Secretary Neil Gray to raise concerns at the lack of funding for social care workers.

    It said plans for a National Care Service had lost support from stakeholders across Scotland and urged the government to focus its attention on addressing the "immediate issues" in social care.

    Council body Cosla had withdrawn its support for the proposals the previous month month.

    It said council leaders had concerns about the proposed legislation and that several organisations - including those in the care sector - had expressed doubt over the government's approach.

  14. Minister explains roles of advisory boardpublished at 15:26 Greenwich Mean Time 23 January

    Maree Todd says the advisory board will have a wide remit, providing advice on national programmes intended to support improvement, implementing a person-led approach and working to reduce the number of people in delayed discharge and the drugs mission.

    She says she will also work with people with high levels of need across current organisational and geographical boundaries and empowering people to understand their rights by publishing the charter of rights.

    The minister says work will also take place to overhaul eligibility criteria in social care.

  15. Care service advisory board to start meeting in Marchpublished at 15:25 Greenwich Mean Time 23 January

    The justice secretary says she will move quickly to introduce a National Care Service advisory board.

    Todd says it is her intention the board will consist of unpaid carers, those who work in the care sector, care providers, trade unions and local government.

    She says she expects the board to meet for the first time in March 2025 with the chairperson to be someone independent, ideally with lived experience of accessing or providing care themselves to hold the Scottish government and other partners to account.

  16. Todd says bill introduces breaks for unpaid carerspublished at 15:23 Greenwich Mean Time 23 January

    Todd says unpaid carers make an incredible contribution to communities and the health and social care sector.

    She says the bill will introduce a right to breaks for unpaid carers, building on the £88m invested through the carers act and £8m already provided for voluntary sector breaks and carer support payments.

    The minister says change is needed to support the vital role of social workers and sustainable reform is needed to futureproof the sector.

  17. Minister commits to enshrining Anne's Law in the billpublished at 15:23 Greenwich Mean Time 23 January

    The minister turns to the proposed Anne's Law, which would allow people in care homes to receive visits from a named love one even in restricted measures.

    It is named after Anne Duke, who died aged 63 in November 2021 after being cut off from her family while battling early-onset dementia during the Covid pandemic.

    Her family has campaigned for a change in the law, which was put into national standards in March 2022.

    A proposal for a national social work agency to provide a national standard for that area of care is expected to pass too.

    The minister says she is commited to enshrining Anne's Law in the bill.

  18. First part of the bill to be dropped through lack of supportpublished at 15:18 Greenwich Mean Time 23 January

    The minister says it is clear the government's proposals in the first part of the bill do not have the support of MSPs in the chamber.

    "We must deliver our Scottish National Care Service without legislating for structural reform."

    She announces she intends to remove part 1 of the bill at Stage Two and proceed with parts 2 and 3 only.

  19. 'The case for reform remains clear'published at 15:14 Greenwich Mean Time 23 January

    Social Care Minister Maree Todd says the government cannot let the lived experience which the National Care Service will be formed to be lost.

    ."The case for reform has remained clear," she says.

    The social care system is not delivering the care and support required and there is an overwhelming need for change now, she adds.

    The minister explains she will set out revised proposals for the National Care Service Bill and other urgent actions to be taken.

    She says she wants to improve the experience of everyone in Scotland who relies on care.

  20. National Care Service Bill to be revisedpublished at 15:11 Greenwich Mean Time 23 January

    Maree Todd tells MSPs she will set out revised proposals for the National Care Service Bill.