General Question Time – in the Scottish Parliament am ar 6 Mehefin 2024.
To ask the Scottish Government what its response is to the reported calls for a moratorium on the closure of publicly owned care homes. (S6O-03545)
No one wants to see the closure of good quality care homes. I understand the concern that that causes for residents and their families. Regrettably, there will be situations in which local authority-run care homes close for various reasons. Although we have overall responsibility for health and social care policy in Scotland, the statutory responsibility for delivering those services is for integration authorities, in consultation with people who use the services and in full awareness of the impact on them. It would not be appropriate for the Scottish Government to intervene directly in local decision making. I reiterate that no one wants to see the closure of good-quality care homes. I absolutely understand the concern that that is causing for residents and their families.
The minister knows that a disproportionate number of the care homes that have closed in recent years in Scotland were publicly owned and in rural areas, at a time when we have a delayed-discharge crisis. In Lanarkshire last year, 64 people died while they were stuck in hospital on delayed discharge. People in Clydesdale were promised a step-down facility but, instead, they are getting the closure of the McClymont house care home, which has space to provide that step-down facility, but is being closed. Even at this stage, will the minister step in and stop that closure? She has the power to do so because, ultimately, those partnerships are directly funded by the Government.
Colin Smyth is aware that I have met families who are impacted by the closure in that area. I have also met the chief officer and discussed that particular closure with the local integration joint board. The decision to close the care homes in South Lanarkshire was taken by the IJB. If I were to override local decision making in a Labour-run council area, members would be quick to criticise me for intervening in a matter of devolved competence.
Let me be clear—we do not want the closure of good-quality care homes and services. We understand the concern that that causes for residents and their families. We are acutely aware of the pressures that are faced at present by the social care sector as a whole, and we are very grateful for the efforts of the social care workforce, which continues to support our communities.
The statutory responsibility for delivering—
Thank you, minister.
—commissioning and—
Thank you, minister.
Clare Haughey has a brief supplementary question.
New data from the Home Office shows that the number of health and care worker visa applications was 76 per cent lower in January to April this year than it was in that period last year. Does the minister agree that that will negatively impact on day-to-day operation of publicly owned care homes? Does she also agree that the incoming United Kingdom Government should overturn the cruel immigration policies that harm our care sector?
Minister, please respond concisely and only on matters for which the Scottish Government has general responsibility.
I absolutely agree with Clare Haughey’s point. The workforce in social care is under real pressure and has been supported by immigrants for many years in Scotland. We need an immigration system that delivers a workforce to do important and vital work for our nation by looking after our loved ones, and we need a system that works in Scotland. The current system is absolutely broken and does not deliver to our needs in Scotland.