Ethical commissioning

Ethical commissioning

The Bill requires both the Scottish Government and the newly created care boards to create a strategic plan setting out their vision, objectives and budgets for those services they are responsible for delivering as part of the National Care Service. The Scottish Government and care boards must also develop an ethical commissioning strategy for care delivery which will inform their approach to planning and obtaining goods and services as part of the National Care Service. Ethical commissioning strategies should set out “arrangements for providing services and how those arrangements have been designed to ensure they best reflect the NCS principles”. To support ethical commissioning and procurement of social care services, the Scottish Government is proposing to create a National Commissioning and Procurement Structure of Standards and Processes, to be developed “together with people with lived experience”. If you agree with these proposals in the Bill select the thumbs up button If you agree with these proposals in the National Care Service Bill click the thumbs up button (👍) in the rating section below. If you disagree with these proposals click the thumbs down button (👎) in the rating section below. If you are unsure about the proposals and feel you need to know more about them click the question mark button (❓) in the rating section below. If you have any additional comments about this proposal please provide them in the comment section below.


A national commissioning and procurement structure needs to recognise the experience of those currently managing procurement - mostly parents/relatives acting on behalf of those in receipt of care packages. The flexibility to devolve responsibility and funding to those closest to the person in need is important. They will operate in accordance with best practice and bring local knowledge to the procurement process.

I believe there is a focus of government effort on creating strategies, or frameworks, which are very long winded documents, but very little effort in considering how it will be implemented. It is drafted and ‘thrown over fence’ for local authorities or quasi new boards to deal with, without consideration or planning for what is involved.

Will any of this give us (unpaid carers) the resources and support that we need. I think not. It does not require a national commissioning structure, just common sense.

It is a very vague statement. What exactly is entailed by ethical commissioning needs spelled out!

I truly welcome this. The present neoliberal management of social care has done exceptional harm to service users. We need a system which meets the ethics of social work and the rights of their clients to live a 'full life' of equal participative citizenship.

Training needs to be provided for Ministers and Care Boards into what ethical looks like and what person centred care looks like. Also training into how to commission effectively. The Bill needs to put in this stipulation and provision.

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