The Problem with Care Homes

In one of her lunchtime briefings this week Nicola Sturgeon pointed out, rather pointedly, that most care homes are private businesses. Calton thinks that she was trying to suggest that they pull their weight in the current crisis. Chutzpah on stilts. Here's why:

Even before the Covid-19 pandemic, Scotland's care homes were underfunded. This is because local councils do not pay enough to cover the cost of care for those who are not self-funded. They are subsidised by those who are paying for their care out of their savings or the sale of their home. If the ratio of council-funded clients to self-funded clients in a home gets too large the home becomes financially unviable. If a care home becomes financially unviable it may have to close. For years the Scottish Government has been cutting the cash it gives to local councils, causing them in turn to look for savings in things like the cost of care, so the buck stops with the First Minister here.

In normal times, care homes manage infectious diseases like norovirus and they use disposable gloves and aprons, which they procure like any other business on the open market. Now they have been faced with a new, highly infectious, respiratory infection which also requires the use of face masks at time when there is a world-wide shortage of all PPE and associated price-hiking. This is costing them extra, unexpected expenditure when they are already cash-strapped (see above). Health Secretary Jeane Freeman patted herself on the back recently because she had distributed one week's worth of PPE to every care home in Scotland. One week's worth!!! I'm sure it was welcome but it's hardly going to plug the ongoing hole in the dyke!

Care homes have also been asked to take a lot of extra residents at short notice recently as the NHS cleared out its hospitals in preparation for an influx of Covid-19 patients. This was a huge transfer of liability from the state-funded NHS to the private sector. None of these patients were tested for the virus for the first few weeks. Now we have a massive problem with Covid-19 in Scotland's care homes, including one on Skye. Oh but never mind - according to Nicola Sturgeon they are private businesses who need to step up to the plate. Problem solved.

Sturgeon's comments were in response to a journalist pointing out that many private care homes are on their knees and may not survive the current crisis. What Sturgeon needs to realise, and realise fast, is that care homes are essential businesses. ESSENTIAL. If the Scottish Government can find the cash to prop up Prestwick and Ferguson, it should find the cash to support our care homes. Otherwise where are the residents still left after Covid-19 has done its worst going to live?