Triangle reflects on attending the Scotland that cares – Scottish Parliamentary Reception event – 7th March 2023

I’m Jim Borland, the Implementation Lead for Triangle in Scotland and it was my privilege to attend the recent Scottish Parliamentary Reception event hosted by Oxfam, promoting a new campaign ‘A Scotland that cares’.

The campaign is focused on why making a commitment to valuing and investing in care within the National Performance Framework is so vital to drive progress towards a Scotland that cares. The campaign has been launched to coincide with the first review of the National Outcomes framework in five years. It sets out the argument that to build a fairer and more resilient country, the Scottish government must set a National Outcome for Scotland to fully value and invest in all forms of care and all those who provide it. Too many carers face deep personal and financial costs, including poverty. With the cost-of-living crisis deepening pressures on those who rely on or provide care are increasing. Only once this standard exists, can we then all work together to create positive change for society.

A New National Outcome on Care

The campaign has created a blueprint for a new National Outcome on Care, but it requires public support and the political will to change the current situation and work towards improving the situation for those who experience and provide care across Scotland.

The event was organised by Oxfam Scotland and sponsored by Karen Adam, MSP for Banffshire and Buchan Coast. There were approximately 60 attendees’ from interested agencies, including staff from some of the 55 organisations that currently support the campaign. These included Carers Scotland, Carers Trust, One Parent Families Scotland and Scottish Care, as well as a variety of MSPs from constituencies across Scotland. I am proud to say that Triangle is also one of the supporting organisations.

Support the campaign

Jamie Livingston, the head of Oxfam Scotland opened the event describing his lived experience of caring for his sister who died after battling cancer.  He highlighted the practical issues facing those requiring care and those providing it, but also the issues for the carers once their caring role ends. He talked about his sister’s determination to be active in improving the situation.  Highlighting her efforts of contacting, all the political leaders in Scotland to raise awareness of the lack of support for all those needing and providing care. He has taken his sisters positive action through to this campaign. Whilst many current Scottish political parties already support future change, there is an opportunity for everyone, especially those who experience care and those who provide it to add their voice to the call by taking action via the campaign website: https://ascotlandthatcares.org.

Karen Adam MSP, then highlighted her own lived experience of being a carer, outlining the need for financial support and appropriate resources being made available to help individuals being cared for or fulfilling the very difficult carer’s role itself. She highlighted the need for the carers voice to be heard, valued and rewarded for the work that they do.

Jamie Livingston provided background information on the campaign, which started in 2021 during the Covid-19 pandemic. At the time, it was clear those being cared for, and their carers were excluded from many aspects of the pandemic recovery plans. This was highlighted by the fact care and carers are invisible in all 11 Scottish National Performance framework outcome indicators.  

Together with several partner agencies, the drive to change started with the intention to ensure a permanence to investment in the caring role.  Together with the development and publication of policy via a new National Outcome on Care. Working in conjunction with the University of the West of Scotland (UWS) the partnership developed a blueprint for a new National Outcome. It is hoped to be the basis for potential care indicators specifically linked to carers and the caring role in Scotland. Jamie also highlighted the upcoming consultation phase of the Scottish Government’s review of National Standards and urged individuals and organisations alike to be involved in this consultation and support change to the National Outcomes.

Seven new national indicators have been identified to measure progress:

  • The quality of life of carers, care workers and those experiencing care;
  • The quality of care for all;
  • The financial wellbeing of carers, care workers and those experiencing care;
  • The voice and influence of carers, care workers and those experiencing care;
  • Access to education and training;
  • The adequacy of funding for care;
  • The job quality of social care and childcare workers

Oxfam Scotland: “We want Scotland to fully value and invest in those experiencing care and all those providing it because… Scotland’s one million unpaid carers are the bedrock of health and social care, without whom the care system would collapse. Despite saving Scotland £10.9 billion each year, too often they experience poverty, loss of employment and ill health simply because they care. This must change!”

Satwat Rahman, CEO of One Parent Families Scotland, outlined the importance of this work, and why her organisation has been involved since its inception. Introducing four panel speakers, all with similar negative lived experience of the current support available. These experiences included:

  • The view that the carers’ role is predominately valued and seen as a priority only by family members, peers and caring services. General opinion was that there was little, or no value put on this role by external services, including education, employment, and financial services.
  • There was an expectation from external agencies that carers should ‘know what to do’, without any support.
  • Very limited support available for young carers, especially in the areas of education and finance – thus the carer’s own life and dreams have to be put on hold and suffer whilst they fulfil their caring role.
  • An overly complicated benefits system, which was off-putting to a lot of carers.
  • A lack of resources for those requiring care, or respite for the carers themselves. Demonstrating the need for infrastructure improvements in care provision as one size doesn’t fit all.

Consequently, the need for recognition around the importance of the carers role was emphasised.  Increased and appropriate funding for carers and carers services is needed, to assist carers to provide support and ensure the person requiring care is treated appropriately and with dignity.

Karen Hedge, deputy CEO of Scottish Care concluded the presentations highlighting the view that carers were seen as ‘Cinderella’ within Social Care services, and much more is required to support these individuals. She further emphasised the need for proper policy and legislation which in turn would require achievements to be measured to ensure compliance. Only then would Scotland be able to demonstrate we are a nation that cares.

I found all the personal stories and experiences very moving, particularly from the four panel members sharing their ‘lived’ experience.

As an organisation, Triangle is not directly involved in supporting individuals. We develop Outcomes Star’s for organisations who provide support to individuals in a wide range of social provision settings, including carers. The Carers Star was developed in partnership with the Social Enterprise in East Lothian (SEEL), The Carers Trust and funding from the Scottish Government. It provides a robust framework to assist practitioners work together with carers to help optimise the quality of their lives and assist them in their caring role.

We often discuss the importance of enabling and empowering people by being person-centred and strengths-based and this Star will assist in identifying a carers strengths and challenges to identify support needs to improve the carers situation. However, as highlighted by most of the speakers, the current apathy towards the carer’s role and lack of resources and finance available to support this role directly impacts what is achievable by a person or supporting organisation.

The culture around current care services in Scotland requires change if Scotland is to demonstrate that it values and invests in all individuals experiencing or providing care.

The event gave me plenty to think about and I am personally committed along with my colleagues within Triangle to support this campaign and I would urge anyone reading this post to add their voice to the campaign.

Support the campaign

Please visit the campaign website: https://ascotlandthatcares.org and sign up to the campaign to create change for this vital cohort of our society. Everyone will need to be cared for at some point in their life: as a child, in later life, or due to additional support needs. If you receive care or are a carer yourself, please let our political leaders know why valuing and investing in care matters to you.

Further information

If you would like further information about the Carers Star, please email us at info@triangleconsulting.co.uk

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CPD Session: The Outcomes Star™ and the Care Act 2014

In this session, Implementation Lead Rox Faulks will discuss how the Outcomes Stars supports alignment with the requirements of the Care Act 2014 concerning Well-being assessment and outcomes planning. This briefing will help you decide if the session will be of value to you.

Licensed Trainer CPD Session Tuesday 12th October 2021. 2 pm – 3 pm GMT

Briefing: The Outcomes Star™ and the Care Act 2014 with Outcomes Star Implementation Lead Rox Faulks

To sign up for this session, Register here

Does the Care Act 2014 apply to you?

The Care Act 2014 (the Act) is UK Legislation; however, due to Social Care being a devolved matter in Northern Ireland, Scotland and Wales, the Act generally* only applies in England. With this in mind: If your Outcomes Star Licensed Trainer role does not relate to service provision or commissioning within England, then this session will not be directly relevant to you.

 

What is the Care Act 2014?

The Act came into effect in April 2015, supported by the Care and Support (Assessment) Regulations 2014. It is primarily for adults in need of care and support and their adult carers.**

 

The Care Act 2014 created a primary statutory responsibility on Local Authorities to promote individual Well-being and put people at the centre of their care and support. The Act defines well-being under nine areas and sets out 10 Wellbeing Eligibility Outcomes against which the Local Authority must assess need and apply the National Eligibility Criteria. It is to this core element of the Act that this CPD session relates.  The Act’s scope also includes Safeguarding Adults arrangements, the provision of Information and Advice to citizens, Commissioning for sustainability and diversity of the Care & Support market and integrative partnership working.

 

Is this session relevant to me and those I train?

This session will be of relevance to you if you or your Licensed Outcomes Star Practitioners that are

  • Connected to the Local Authority arrangements for the assessment of care and support needs of Adults or Carers (in England) against the Wellbeing Outcomes and the Eligibility Criteria of the Act
  • Or connected to the review of those care and support needs
  • Or expected to report on your provision’s impact outcomes directly correlating to the Wellbeing Outcomes and the Eligibility Criteria of the Act. More broadly, this session may be of value to you if you or your Licensed Outcomes Star Practitioners are.
  • Working with people who may have care and support needs that require assessment by the Local Authority under the Care Act 2014.
    • For example, you/your Licensed Star Practitioners support service users (adults or carers) within your services who you sometimes help to access an assessment of needs, intending to get more help and support in place for them. Perhaps by making a referral to the Local Authority or being present at assessments of need or reviews.

 

How will this session be of value to me?

This session will allow you to build confidence, ideas and understanding about

  • how the Outcomes Stars reflect the principles and values of the Care Act
  • how Outcomes Star outcome areas can map to the Wellbeing Outcomes and Eligibility Criteria of the Act
  • how your use of the Outcomes Star can integrate with your Care Act assessment and review processes
  • how your use of the Outcomes Star enables your Licensed Outcomes Star Practitioners to be objective advocates when referring for or supporting within, assessment of needs under the Care Act 2014. As with all our Licensed Trainer CPD sessions
  • you will have an opportunity to connect with others who have a shared interest in this topic area
  • the session will fuel ongoing conversation between us about how we can support you in this topic area moving forwards through information, resources and networking.

Ready to sign up for this session?

Register here

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Links to more information:

SCIE have recently updated their information and resources on the Act at www.scie.org.uk/care-act-2014. Watch their short introduction video here: https://youtu.be/l-yeoMMKIto

The Local Government Association website has a wealth of articles and resources at https://www.local.gov.uk/search/all/care%2Bact, including a guidance document precisely for Providers, which you can view here Guidance_on_the_impact_of_the_Care_Act.pdf (local.gov.uk)

*You can find out more about the UK Territorial extent and application at Care Act 2014 – Explanatory Notes (legislation.gov.uk)

** “The Care Act is mainly for adults in need of care and support, and their adult carers. There are some provisions for the transition of children in need of care and support, parent carers of children in need of care and support, and young carers. However, the main provisions for these groups (before transition) are in the Children and Families Act 2014.”
https://www.carersuk.org/help-and-advice/practical-support/getting-care-and-support/care-act-faq

How Carers First use the Carers Star in their work

Logo for Carers First - the words Carers First in purple on a white background
We recently caught up with Ferne Haxby – one of our Outcomes Star licensed trainers – and learned how the staff at Carers First use the Carers Star in their work.

I’ve been the Learning & Development Adviser for Carers First since 2016. My role includes ensuring the organisation is compliant by providing statutory training – GDPR and Safeguarding.  As well as championing compliance for Carers Frist, I author courses in a range of subjects that enhance the roles of the staff, source external learning providers, and arrange bespoke workplace training.

The Carers First staff team is committed to using the Outcomes Stars as part of their work; we have a large contingency who use the Carers Star.

The Carers Star is designed for use with a wide range of carers – anyone providing unpaid care for a relative or other person. It can be used by the carer whether they live with the person they care for or not. It’s primarily designed for adult carers but can be used with young carers.

The Carers Star is fundamental to the assessment of carers and allows Carers First’s staff to develop other supporting skills such as motivational interviewing, negotiating and communication as part of their roles. Using this, we can work with carers, supporting and empowering them, making their lives as best as they can be.

I am fully committed to using the Outcomes Star and after initial training it is good to see the number of staff grow in their use of it.  Refresher and reflective training is my favourite, as I facilitate sessions whereby staff are sharing experiences, knowledge and best practice together.  Each time, there is something new to learn and share between staff and this allows us to use the Star to the optimum advantage to help our carers in their journeys as carers.

What is so good is that the Star is a life tool and even though there comes a time when carers are not carers anymore, some keep on our books and check in every now and then and are still using the action plans and development tools as they live their lives. 

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The adult care sector is extremely broad, but most services in this sector focus on helping people achieve the outcomes that matter in their lives. Explore the Stars available for the Adult Care sector.

Full materials are available for organisations with a Star Licence and training for all managers and workers using the Star.

Triangle have also developed a guide for using the Carers Star and other Stars in the context of the Care Act 2014.

Going back to my roots: Presenting the Carers Star to the Carers Awareness Day in Hong Kong

Stock photograph of a street in Hong Kong at night
Star co-creator Joy MacKeith reflects on how the Carers Star is taking her back to where she started life in Hong Kong

It is always exciting to have the opportunity to speak at an event about the Outcomes Star, but my presentation on the Carers Star to the Carers Awareness Day in Hong Kong this Friday is particularly meaningful to me.

I was born in Hong Kong and lived there until I was seven. My parents had travelled there from England just six months earlier so my father could take up a management post at the Nethersole Hospital on Hong Kong Island. He had been inspired by his aunt who had worked as a teacher in Shanghai and then Hong Kong from the 1930s to the early 1960s.  What a delight (just) over fifty years later to be able to share a tool I co-created with a Hong Kong audience of professionals, policy-makers and carers themselves.

Photograph of Joy MacKeith as a child with a group of people
Joy MacKeith, aged 6, with nurses from the Nethersole Hospital where her father worked

The annual event aims to promote the awareness of carers and their needs among the social service sector and policy makers. It is organised by Baptist Oi Kwan Social Service (BOKSS) a not-for-profit which provides a wide range of services across Hong Kong including children, youth and family services, services for older people and mental health services.

BOKSS have established a CARE College which provides training to carers, professionals and related agencies and raises awareness of the needs of carers. When they came across the Carers Star they recognised that the collaborative approach to assessment and action planning that is at the heart of the tool fitted perfectly with their holistic and participative approach. 

Image of the Carers Star in chinese
The Carers Star in Chinese

The Carers Star was developed by Triangle with the Carers Trust and Social Enterprise of East Lothian in Scotland. It covers seven key areas in which carers often need support including their own health, adapting to the caring role and making time for themselves. It is already widely used in the UK (including by The Carers Trust and Barnardos) and Australia (including by Australian National Carer Gateway and Uniting Care West), with over 30,000 readings on the Star Online. 

My presentation will introduce the Carers Star and outline its dual purpose as a key-work tool to support a structured and empowering conversation with a support worker, and an outcomes measurement tool providing valuable information about how things are changing for carers whilst they receive support. Sadly for me the event is completely online but on the positive side that will mean that I can be joined by colleagues Angela Kallabis and Laura Baker for the Q+A session. 

Percentage of service users moving forward in the seven Carers Star outcome areas

It is a long time since I lived in Hong Kong, but it is where life started for me and I still have vivid memories of my time there. I never could have dreamt that I tool I co-created would reach out so far into the world and pull me back, half a century later, to my roots. I will follow the journey of the Carers Star in Hong Kong with great interest and hope that it is as helpful there as it has been in the UK and Australia.

 

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The Carers Star was recently translated into Chinese in collaboration with Baptist Oi Kwan Social Service (BOKSS). For more information on the Stars and how to use them internationally or in translation take a look at our International section or contact Triangle for more information.