A National Care Service for Scotland consultation

From Scottish Government

This consultation sets out our proposals to improve the way we deliver social care in Scotland.

The importance of our social care services has never been clearer than during the pandemic. In future, we want to make sure that our social care system will consistently deliver high quality services to everyone that needs them, throughout Scotland. Social care is an investment in our communities and our economy. We want to change the system from one that supports people to survive to one that empowers them to thrive, with human rights at the heart of it.

Social care includes support for people with physical disability, learning disabilities or mental health conditions, older people and those with dementia, people with or recovering from alcohol or drug addictions, those who are, have been or are at risk of being homeless, and children and families who may need additional support, or where children are unable to live with their own families.

The Independent Review of Adult Social Care recommended the creation of a National Care Service, with Scottish Ministers being accountable for adult social care support. However, the Scottish Government’s ambition is to go beyond that. This consultation therefore seeks views on creating a comprehensive community health and social care service that supports people of all ages.

We propose that the National Care Service will define the strategic direction and quality standards for community health and social care in Scotland. It will have local delivery boards which work with the NHS, local authorities, and the third and independent sectors to plan, commission and deliver the support and services that the people of Scotland require.

Our proposals will also take forward recommendations of the Independent Review of Adult Social Care around:

  • ensuring that care is person-centred and human rights based
  • providing greater recognition and support for unpaid carers
  • improving conditions for the workforce
  • commissioning for public good, and
  • more effective approaches to scrutiny and improvement of social care services.

Read the consultation paper.

Why your views matter

This consultation focuses on exploring the proposals for significant cultural and system change that will need to be supported by primary legislation.  The Independent Review of Adult Social Care made clear that changes to systems are needed to deliver improvements in the quality of social care and support. 

The priority in considering these proposals must be improving outcomes for the people who access care and support. 

We want to hear views from as many people as possible to shape a better future – including people who access care and support, carers, members of the workforce and those who may access care and support in the future – which includes everyone. We want everyone who may be affected by these changes to have an opportunity to comment on them.

Consultation events

A series of online engagement events are being held in August, September and October to enable stakeholders, individuals and communities to come together to share their views on the National Care Service.

Some of these events will cover all aspects of the consultation, and some will be themed towards specific aspects of the consultation. These consultation events will offer people the opportunity to come together to discuss the National Care Service, and to understand the need for change within social care. A summary report will be produced from each event for the Scottish Government to consider alongside the official consultation responses. 

Find details below for events and registration.

NCS Consultation Engagement Event  – All aspects of the Consultation: Monday 16th August 2021 – 10.00 – 12.00 Click here to register

NCS Consultation Engagement Event  – Improving care for people: Thursday 2nd  September 2021 –  – 18.00 – 20.00 Click here to register

NCS Consultation Engagement Event – Community Health and Social Care Boards: Friday 10th September 2021 – 14.00 – 16.00 Click here to register

NCS Consultation Engagement Event – Scope of NCS: Monday 13th September 2021 – 14.00 – 16.00 Click here to register

NCS Consultation Engagement Event – Commissioning of Services: Tuesday 14th September 2021 – 10.00 – 12.00 Click here to register

NCS Consultation Engagement Event – Regulation: Wednesday 22nd September 2021 – 14.00 – 16.00 Click here to register

NCS Consultation Engagement Event – Fair work and valuing the workforce: Thursday 23rd September 2021 – 18.00 – 20.00 Click here to register

NCS Consultation Engagement Event – Fair work and valuing the workforce: Tuesday 28th September 2021 – 10.00 – 12.00 Click here to register

NCS Consultation Engagement Event – All aspects of the Consultation: 4th October 2021 – 14.00 – 16.00 Click here to register

Street Cones premiere

ELHSCPs Justice Social Work service have been working with Street Cones (Road to Change) to help people with Community Payback Orders to complete some of their unpaid work hours during the Covid pandemic. They would now like to invite you to watch the livestream – a short video focusing on themes identified from the performance, followed by a panel Q&A and the opportunity to submit questions via YouTube/Facebook.

You can register for the event here – https://booksandcovers.eventbrite.com

The Local Third Sector Needs You – Can You Be Their Voice?


Delegate System Election Summer 2021

Volunteer Centre East Lothian (VCEL) operates a delegate system to co-ordinate representation of the third sector at strategic partnerships, groups and meetings. This system is managed by VCEL as the Third Sector Interface and operates on two levels.

Elected Delegates

Elected Delegates represent East Lothian’s third sector within the East Lothian Partnership and Health and Social Care Strategic Planning frameworks. Elections are undertaken in a two year cycle. An election of new delegates will be taking place in summer 2021. Voting is open to all organisations who register with VCEL.

Specialist Delegate Pool

VCEL also recruits a pool of delegates who can represent East Lothian’s third sector on strategic planning project teams, short life working groups and one off or specialist groups.

If you would like to know more about the role, need a representative to attend meetings or interested in becoming a delegate for the third sector in East Lothian please complete the Delegate Nomination Form.

Public consultation opens on Blindwells/Cockenzie development area

Public consultation opens on Blindwells/Cockenzie development area

A public consultation opened on Monday, on plans to ensure a major area of development in the county can become a national example of environmentally-friendly and inclusive development.

The consultation aligns with the Council’s National Development bid submitted last month. The area has been identified as a place-based response to East Lothian Council’s Climate Change Strategy, approved by Cabinet on the 21st January 2020 and interacts with the existing communities of Tranent, Prestonpans, Cockenzie and Port Seton and Longniddry and Macmerry.

The public consultation will ask all interested parties for their views on all or part of the strategy, which focuses on:

  • Access and Movement
  • The Water Environment
  • Culture, Heritage and Leisure
  • Greenspace and Biodiversity
  • Strong Communities, Regeneration and Enterprise

It is based around a study, drawn up in partnership with ELC, the Scottish Government, The Lothian Drainage Partnership, SEPA, Scottish Water and Scottish Natural Heritage, called ClimatEvolution Vision and Action Plan.

Spokesperson for Environment, Councillor Norman Hampshire, said: “The vision and action plan is not a finalised masterplan for the area, rather it is a high level document which sets out an ambitious vision for the area over the coming 30 years. This is a unique opportunity for anyone with an interest in the area to give us their views. We will look carefully at all consultation responses as we want to ensure we are putting forward the very best proposals for this key area of East Lothian – for the benefit of all its residents present and future and for the communities as a whole.

“It’s an exciting opportunity to ensure that one of the key areas of East Lothian, which is one of the fastest growing local authority areas in Scotland, is developed in an innovative way. We’re looking at how developments can be carbon neutral and bring forward major community benefits such as healthy walking and cycling links, an attractive natural environment, employment opportunities, innovative energy generation and first class leisure facilities.

“It’s not all about what’s new, though. We are looking at enhancing the existing local environment and making the most of the area’s unique history as well as its mining and agricultural heritage and the site of the Battle of Prestonpans.”

Potential projects for the area contained in the vision document include:  

  • New transport hubs linking rail, road, cycling and walking
  • Facilities linked to the transport hubs detailing the history of the area including the Battle of Prestonpans, which may attract tourism
  • Outdoor leisure facilities
  • Climate resilient planting programme
  • Use of underground water, including mine water, to create geothermal energy

While elements of public consultation, such as public meetings, will not be taking place – plans are being developed to make the consultation as inclusive as possible while doing things in a slightly different way to standard procedures, including putting more emphasis on online resources and more active engagement with community councils, Area Partnerships and other community groups.

The council’s aim is to have the Climate Evolution Zone designated as a nationally-important development – so an amended report based on the consultation responses needs to be finalised before the end of 2020.

The consultation is open until 26 July. 

Meet Deidre Quigley, Clinical Nurse Manager, Primary Care

Deidre says…

I am delighted to be working  as Clinical Nurse Manager in Primary Care, I am based at CWIC in Musselburgh. I will be working with clinical staff in primary care and ELHSCP to develop the CWIC and CTAC services. There are lots of challenges ahead due to COVID-19 restrictions but the teams are keen to get back to delivering care to meet the community needs and we are in the process of getting services restarted.

I have previously worked in NHS Borders, HIS and NHS Grampian.

My most recent post was  in NHS Lothian as District Nurse Team Manager for the SE Locality in Edinburgh. My clinical background is district nursing but I have an interest in QI – I completed the Scottish Patient Safety Fellowship in 2014.

I worked for two years at Healthcare Improvement Scotland within the Ihub focusing on national frailty and falls programmes.

I love to run with my chocolate lab Bonnie and have been training for the Edinburgh half marathon (if it ever happens!)  I love to spend time travelling, outdoors and with family and friends so have found life in lockdown difficult! On the plus side my IT skills have improved with ZOOM and MS Teams.

Dementia Awareness Week 2020

For people living with dementia, living at home gives them more independence and also means they can continue to enjoy their own familiar environment. The right home environment can help them to stay safe, physically active and also provide prompts to keep them mentally stimulated and in touch with friends and family. Find out more here – https://bit.ly/3cqcRoq

Mental Health Act Review – Mental Welfare Commission response

 Mental Health Act Review – Mental Welfare Commission response

‘A great opportunity; a chance to re-frame Scotland’s legislation in such a way that the human rights of people with serious mental illness are clearly at the centre.’

The Mental Health Act in Scotland is currently under review, and the Commission has just published its response to the Independent Review of Scottish Mental Health Law consultation.

The Commission has a statutory duty to monitor the use of the Act, and a duty to provide advice on the use of the Act. 

This response is informed by the Commission’s own experience of meeting those duties and responsibilities. It is also informed by people with mental illness and relatives/carers who have shared their experiences with the Commission.

Key points

Key points from the Commission’s response to the consultation include:

  • Scotland’s health and social care systems are substantially different from those that were in place in 2003 when the current Mental Health Act was passed by parliament. The new Act needs to take account of these changes.
  • People are more likely to be treated in the community, rather than in hospital, and the resources, support and care available in the community should be reviewed. We raise specific points in our response for those who are detained under the Act and also for those who are not detained but may need specific care such as children and young people, people with a diagnosis of personality disorder and perinatal mental health services.
  • The number of people being detained under the current Act rises every year. In order to make the right decisions for the future, the review needs to analyse, at an early stage, why this is happening.
  • The lengths of time people are detained, and the safeguards in place when they are detained, should be examined. We find that many detentions run for the maximum length of time allowed by the law, and those lengths of time have not changed for decades. We believe they could be shortened. 
  • The review should take account of developments in international law to ensure we can learn from other nations and should incorporate the UN Convention on the Rights of People with Disabilities.
  • While reviewing the Act is vital, it will only be effective if mental health services are adequately resourced. We ask that resources are considered at all key stages of the review.

From a lived experience and relative/carer’s perspective, issues include:

  • The current Act is clear about professionals’ roles, and detained patients’ rights; it provides safeguards and guidelines. However it does not work for everyone who has mental health issues but who is not subject to the law; those people do not have the protections the Act offers.
  • Resources are scarce, the lack of community support often leaves families trying to support the individual with limited knowledge and resources of their own.
  • Children and Adolescent Mental Health services (CAMHS) are stretched to the limit. While much work is being done in education services related to mental health and well-being, the systems for supporting a young person with a serious mental illness are unwieldy and inefficient, if present at all.
  • GPs sometimes struggle to get help for individuals with mental health issues often because of the lack of resource available to community mental health teams. Better communication between primary and secondary care and more seamless access to assessment would greatly improve the management of these individuals in the community.
  • This legislation is complex, and our response addresses many more issues. We encourage audiences to read it in full and ask us for further clarity or information.

Dr Arun Chopra, medical director, Mental Welfare Commission, said:

“We had been calling for a substantive review of this legislation for some time, and we very much welcome the Review’s aim to improve the rights and protections of people who may be subject to the law when receiving care and treatment.  

“Mental health legislation can restrict and deprive a person of their liberty and can impose treatment that they do not want or cannot consent to. Traditionally one purpose of legislation was to ensure that people who are unwell are treated to restore them to health and reduce any risks that their altered state of health might pose to their safety and that of others. A further purpose was to ensure that when someone is made subject to detention or treatment that they cannot or do not consent to, that there is a mechanism for this detention to be reviewed, and safeguards are in place to ensure that people are treated in accordance with their human rights. 
“Developments in International law would suggest that a Mental Health Act ought to go further and focus on the restoration of other rights that are impinged on by the presence of disability (such as serious mental illness). 

“The Review of Scotland’s Mental Health Act gives us a great opportunity to fully consider those developments, alongside the UN Convention on the Rights of Persons with Disabilities which came into force after our current Act. 

“Scotland’s legislation can be re-framed in such a way that the human rights of people with serious mental illness are clearly are the centre.’

‘While reviewing the Act is vital, it will only be effective if it is adequately resourced. We ask that resources are considered at all key stages of the Review.”

The full Commission response to the consultation can be read here.

The Commission will be seeking opportunities to discuss and share this response with others over the coming months.

Dr Chopra added: ‘The Commission would like the review to consider how a new Act might give emphasis so that any action taken under Act must be proportionate and that there is a duty of reciprocity to ensure that people who are subject to the Act or who have been, are able to receive the support and services they need for their recovery.’

Listen to Dr Chopra’s summary here (4 mins, audio)

The Mental Welfare Commission for Scotland
Thistle House
91 Haymarket Terrace
Edinburgh EH12 5HE

Welcome to Haddstock at Home!

Beki Dover, Director of Haddstock, writes…

Haddstock music and arts festival is moving online as a series of video events. We will use facebook/haddstock and our website www.haddstock.co.uk as platforms. Keep checking in as the line-up is being added to daily in the run-up to Haddstock at Home. Haddstock proper has been postponed until Sat 26th + Sun 27th Sept 2020.

Haddstock at Home that will take place on 30th + 31st May on social media and our website. The weekend will consist of live music videos recorded by some of our musicians during lockdown, album release exclusives and our main stakeholders including Art Point, ELPA, Low Impact Living, MADE in East Lothian, YMI/ Oi Musica as well as artists and performers are providing music and art activity videos. We will also post art and an authors’ interview/ writing process zoom video. We are encouraging families to create a festival arena in their homes and gardens and we’ll ask the public to nominate a community hero who will be given a locally produced gift from Haddstock. 

Our aim is to produce an online event at this stage that represents what we have set out to achieve and utilises 6 months of planning. We have a diverse range of stakeholders and contributors who need a platform at this difficult time and we hope that people at home will benefit from entertainment and creative inspiration.  

Hope you will join us next weekend.

With best wishes 


Beki Dover
Haddstock 2020
07834 981631

Update on Dementia Friendly walks in East Lothian

By Parvine Jazayeri

As we are going through some uncertain times, I thought it would be good if I shared some positive news with you all.

Over the past year, Ageing Well has been working very hard on a new project initiative – Dementia Friendly (DF) Walking. As most of you will already know, we run 10 Health Walks in East Lothian. To make our walks even more inclusive, we wanted to ensure everyone and anyone could access our walks. This was when Paths For All asked if we would be interested in introducing Dementia Friendly Walks – ofcourse I said yes. What does this mean? Basically, I have been through Cascade DF Walk Leader Training which has allowed me to train my Volunteer Walk Leaders. With more training, we have been able to adapt our walks, to ensure we are being inclusive. I have also had to create a Portfolio showcasing what we have done over the past year to grant us our accreditation. I have carried out consultations with DF groups, worked closely with new partners such as Alzheimer’s Scotland, worked closely with our Marketing Teams and so forth (the list goes on).

As you can see it has been a busy year but the hard work has paid off – we were awarded our accreditation this week!!! This is such a great achievement for the Ageing Well Project and we look to expand on this by have some Macmillan Move More Health Walks too.

I just want to say a massive thank you to everyone who has supported this project, especially the Walk Leaders – we could not have done this without you!

I would be grateful if you could share this good news story and although our Health Walks may not be operating at the moment, I hope you are all able to find some time to enjoy a walk close to your home.

Thank you and stay safe.


Parvine Jazayeri | Ageing Well Co-ordinator

Meadowmill Sports Centre | Off the B1361 | By Tranent | EH33 1LZ | t: 01620 827240 | m: 07718 117585  | www.eastlothian.gov.uk | www.activeeastlothian.co.uk