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Do Holyrood’s claims about a National Care Service add up?
Unlike our NHS, what is being proposed is only a commissioning service — care from the private or third sector. This has serious implications for accountability and creeping privatisation, warns JOHN STEVENSON

COVID-19 exposed just how undervalued the adult care workforce is. Demoralised workers are leaving in droves. The recruitment crisis is so bad that the Integrated Joint Board (IJB) responsible for social care in Edinburgh has taken the unprecedented step of warning service users they might have to rely on family and friends for support. Other areas have issued similar warnings.

Action to bring dignity to the workforce and those who rely on it is therefore long overdue. That makes some aspects of the plans for a National Care Service (NCS) in Scotland very tempting.  

The Feeley Report, which recommended the NCS for adult care, acutely identified the sector’s problems. Plans like ethical commissioning, sectoral collective bargaining and fine words about union recognition have rightly won trade union support. But, you might ask, could these not be implemented anyway — NCS or not?

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