Calendar An icon of a desk calendar. Cancel An icon of a circle with a diagonal line across. Caret An icon of a block arrow pointing to the right. Email An icon of a paper envelope. Facebook An icon of the Facebook "f" mark. Google An icon of the Google "G" mark. Linked In An icon of the Linked In "in" mark. Logout An icon representing logout. Profile An icon that resembles human head and shoulders. Telephone An icon of a traditional telephone receiver. Tick An icon of a tick mark. Is Public An icon of a human eye and eyelashes. Is Not Public An icon of a human eye and eyelashes with a diagonal line through it. Pause Icon A two-lined pause icon for stopping interactions. Quote Mark A opening quote mark. Quote Mark A closing quote mark. Arrow An icon of an arrow. Folder An icon of a paper folder. Breaking An icon of an exclamation mark on a circular background. Camera An icon of a digital camera. Caret An icon of a caret arrow. Clock An icon of a clock face. Close An icon of the an X shape. Close Icon An icon used to represent where to interact to collapse or dismiss a component Comment An icon of a speech bubble. Comments An icon of a speech bubble, denoting user comments. Comments An icon of a speech bubble, denoting user comments. Ellipsis An icon of 3 horizontal dots. Envelope An icon of a paper envelope. Facebook An icon of a facebook f logo. Camera An icon of a digital camera. Home An icon of a house. Instagram An icon of the Instagram logo. LinkedIn An icon of the LinkedIn logo. Magnifying Glass An icon of a magnifying glass. Search Icon A magnifying glass icon that is used to represent the function of searching. Menu An icon of 3 horizontal lines. Hamburger Menu Icon An icon used to represent a collapsed menu. Next An icon of an arrow pointing to the right. Notice An explanation mark centred inside a circle. Previous An icon of an arrow pointing to the left. Rating An icon of a star. Tag An icon of a tag. Twitter An icon of the Twitter logo. Video Camera An icon of a video camera shape. Speech Bubble Icon A icon displaying a speech bubble WhatsApp An icon of the WhatsApp logo. Information An icon of an information logo. Plus A mathematical 'plus' symbol. Duration An icon indicating Time. Success Tick An icon of a green tick. Success Tick Timeout An icon of a greyed out success tick. Loading Spinner An icon of a loading spinner. Facebook Messenger An icon of the facebook messenger app logo. Facebook An icon of a facebook f logo. Facebook Messenger An icon of the Twitter app logo. LinkedIn An icon of the LinkedIn logo. WhatsApp Messenger An icon of the Whatsapp messenger app logo. Email An icon of an mail envelope. Copy link A decentered black square over a white square.

Bishop Anne Dyer: There is no other word for it – the system for looking after our older people is in crisis

Post Thumbnail

I hesitate to say it, but when it comes to the provision of social care for the elderly, unwell, and physically most vulnerable people in Scotland, we are facing something of a crisis.

We are hearing the word ‘crisis’ quite a lot at the moment. We have had months of the ‘Brexit crisis’, as well as the ‘climate crisis’, ‘mental health crisis’ and the ‘housing crisis’. We might think that the word is being overused, but then when we stop to think about each of these issues, we have to say there is no getting away from it – we do face a number of crises at present.

Bishop Anne Dyer.

I would rather not use the word again, but when things are really, really serious, and not attending properly to this issue means that people will suffer badly, ‘crisis’ is the only word that can be used. This is not a new problem, rather it is a sustained and chronic crisis which, because there is so much to distract us, really is not getting the attention that it should.

Many of us will have personal experience of the challenge to find appropriate social care for family members. This might be because someone we know had to remain in hospital too long because it was just not possible to put a care package in place for them to return home. It might be because someone we know has special needs and the companies providing home carers cannot resource complex care requests. Or we might have first hand experience of daily home care visits.

In every neighbourhood there are those who receive home care visits each day. These are vital in supporting care in the community, so that the elderly and infirm can remain in their own homes for as long as possible. Each home care visit will be short and timed. The purpose might be personal care, feeding or supporting the taking of essential drugs. With each visit there might be some conversation. Whatever is done, for the one at home the visit rarely feels long enough, with older and frailer folk commenting that they can feel rushed. Even so, the help and assistance is gratefully received and not taken for granted.

For those who offer this home care service, the carers themselves, the experience of this work can be conflicting. On the one hand it is clear that the visits are important, and make all the difference to the client’s day. But carers too feel rushed, wish for longer contact time or a prolonged conversation, often feeling the pressure of the number of calls that they are required to make. The gap between how the job is done at present, and how they would like to do it can be significant.

The social care workforce in Scotland is over 200,000, of whom just over 80% are women. This dedicated workforce commonly experience precarious contracts of employment, unpredictable working hours and unstable earnings. Put these things together with the experience of rushed visits and it goes some way to explaining why there are just not enough carers available.

This crisis is not going away, it is ever present and increasing in seriousness. As the population ages, so does demand. Right now cash-strapped local councils and charities are not be able to fund what is needed, so we can say for certain that things will just get worse unless something changes. For several years now members of all political parties have spoken about a rethink, a massive overhaul of the whole system.

When people speak with politicians, charities, health professionals, church ministers or family members, what people say they want is health and social care that is integrated, that is joined up. People do not want to spend time in hospitals or other institutions unless they really have to. Most people want to be at home, or in a home-like environment. Care and health go together, and they should be planned and paid for together. Right now we have a long way to go to achieve what so many people hope for.

Better quality and more available home care will be costly. In the past few years most political parties have started to address this issue. They rarely say how we will pay for this. It is difficult to imagine real change without all those who are able paying more in taxes. The cost of care is just too high for us to be able to manage to meet the cost any other way. Can we make the care of the elderly and the infirm such a priority that we will do this?

There are signs now that we are approaching a general election. Of the many matters before us let’s place social and health care front and centre.


The Rt Rev Anne Dyer is Episcopalian Bishop of Aberdeen and Orkney and Scotland’s first female bishop