ALLIANCE response to the National Care Service proposals (KPMG)
- Area of Work: The ALLIANCE
- Type: News Item
- Published: 24th May 2022

The ALLIANCE has responded to a document written by KPMG about the proposed models for social care in Scotland.
Last week, the Scottish Government shared documentation produced by KPMG on proposals for social care in Scotland, building on their previous work on the Current Operating Model and Target Operating Model for social care.
The ALLIANCE has produced a briefing in response to the call for comment on the last meeting of the KPMG reference group – the Future System Workshop – for the proposed National Care Service (NCS). That meeting outlined a range of potential approaches to the structuring of the NCS (with slides and further detail embargoed). No accompanying documentation was produced; instead, attendees were asked to respond to the content of the meeting, and to answer the following question:
“Noting that the proposed changes are about being best able to deliver the intended future system and deliver the enablers to make it work – what further feedback would you wish to provide?”
Our response, which drew on the range of relevant feedback from members around earlier documentation produced by KPMG, is available here. The two-day turnaround period allocated to the submission of written responses, and the limited publishable information available, did not allow for sharing with our membership.
As stated in our earlier responses, whilst we recognise the time constraints within which the development of a National Care Service is operating, we have concerns about the structure, accessibility, and design of the process undertaken by KPMG to develop a business case, and particularly the limited means and time for people to meaningfully discuss and input – which is fundamentally at odds with a co-production approach.
Our briefing highlights that it is essential to embed equality, human rights, and co-production in the proposed National Care Service in order to achieve the enablers which have been outlined to date by the business case process and wider engagement and to achieve transformational and positive change that works for everyone. We outline key case studies around social care data collection and the role of lived experience within Integrated Joint Boards.
Our earlier responses to the Current Operating Model and Target Operating Model are available on our website.
If you have any feedback on our responses, please email hannah.tweed@alliance-scotland.org.uk.
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