General Question Time – in the Scottish Parliament at on 25 September 2025.
Jamie Halcro Johnston
Conservative
To ask the Scottish Government how many free personal care hours were assessed by local authorities to be needed, but were subsequently not delivered, in 2024-25. (S6O-04980)
Tom Arthur
Scottish National Party
The information that the member has requested for 2024-25 has not yet been published. However, the data that focuses on the uptake of free personal nursing care in previous years is available on the Scottish Government website, which provides published statistics. The 2024-25 data has a release date of November 2025.
The Scottish Government recognises that the cost of care can be high for people who are self-funding their residential care. That is why we have increased the rates paid for free personal and nursing care by 29.5 per cent since April 2020, providing an additional investment of £40 million over the past three years.
Jamie Halcro Johnston
Conservative
I thank the Minister for his answer, but I would welcome a little more detail in future.
Local councils assess the need for, and deliver, free personal care, but it was legislated for by this Parliament. The Scottish National Party’s website hails the policy as one of the landmark achievements of devolution, but too many old and vulnerable people across my Highlands and Islands region are being left waiting for months, if not years, for the support that they have been assessed as needing. Some are left languishing in already-crowded hospitals, because there is no care support available to get them home or no place available in one of our pressured care homes.
Does the minister accept the seriousness of the situation across the Highlands and Islands and across Scotland? Without repeating the usual excuses, what does he say to those who are waiting for care support that they have been assessed as needing but have been left waiting to receive it?
Tom Arthur
Scottish National Party
I make it clear that I do not want to see anyone waiting unduly for care that they have been assessed as requiring. We are working constructively and collaboratively with our partners across local government. That work is, intentionally, being led by the Cabinet secretary, with support from me, and we will continue to do that work.
We have put significant additional investment of £21.7 billion into health and social care this year, which includes £2.2 billion for social care. Those figures exceeded our original commitment, and we will continue engaging constructively with our partners to drive forward improvements.
Christine Grahame
Scottish National Party
Has the Labour Government’s increase in employer national insurance contributions had an impact on the delivery of free personal care?
Tom Arthur
Scottish National Party
Regrettably, it has. Since the start of the year, the sector has been making clear the costs that will be incurred as a consequence of the United Kingdom Government’s decision to increase employer national insurance contributions. The move will have a material impact, and we estimate that it will cost the sector more than £80 million this year.
It is, of course, further compounded by the UK Labour Government’s decision to restrict international visas for care workers. The decision has been roundly condemned by those operating in the sector, and I urge the UK Government to reverse its course.
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