‘It feels like we don’t exist’: The human cost of social care cuts
Angela Carson struggles to pull the damp laundry out of her washing machine. Her hands are so weak she can barely stop them from shaking.
The 65-year-old places the wet clothes onto her lap and slowly moves herself in a wheelchair through the small kitchen to another room, so they can dry.
Angela suffers from the lingering after-effects of a rare condition, Guillain-Barre syndrome, that attacks her nerves. It means she struggles to walk without two sticks by her side. Her husband Graham, who is in a motorised wheelchair, can only look on.
The 67-year-old was born with the muscle-wasting disease muscular dystrophy and now has limited movements – just in his hands – to operate the chair.
Angela struggles to walk without two sticks by her side
Angela suffers from the after-effects of Guillain-Barre syndrome, while Graham has muscular dystrophy
For the last seven years, the pair have relied on carers to come into their home several times a day to help with their everyday needs, including getting Graham in and out of bed using a hoist, personal hygiene, and preparing meals.
It was a week before Christmas when they received the devastating news: their local council was cancelling all of Angela’s care, and reducing Graham’s support. The decision was non-negotiable and came as a big shock to them both.
“They just said it was being stopped,” says Angela tearfully. “They said it was to promote independence. But I don’t see how, when I can’t do the things they say I can do.”
The council says Angela can prepare meals, walk, and shop – tasks she says are a struggle.
West Lothian Council took the decision to stop their care
‘Urgent action needed’
A few weeks earlier, their local authority, West Lothian Council, issued a downbeat but honest public statement about its finances, saying that the crisis facing councils was of a “magnitude never experienced” and that “urgent action” was needed.
Graham and Angela’s care is paid for by the council. It posted on Facebook about having an £8.1m overspend, fuelled in part by rising social care costs. It said it needs to make savings.
Not long after, social workers knocked on the door of Graham and Angela’s bungalow in Livingston to review their care package. The council said these reviews are done annually and are based on need, not cost.
A spokesperson for the West Lothian Health and Social Care Partnership said: “This process is critical to monitor the progress and effectiveness of the care being provided to individuals and ensures that assessed and essential care needs are met.”
Angela and Graham on their wedding day
They added: “A consistent and fair approach is applied when reviewing or assessing an individual’s care, with any changes to a care plan being made on the basis of assessed need and not to address financial pressures. “
‘Social care is broken’
But Angela and Graham aren’t so sure.
“The social care system is broken”, says Graham.
“The council has overspent by millions of pounds. They’re cutting back and it’s hard to see it any other way.”
Graham Carson says the social care system ‘is broken’
Graham is right – councils are struggling to pay for social care. This financial pressure means the demand for care has outstripped the ability to provide it.
In England, 2.6 million people over 50 cannot currently access the care they need, according to the charity Age UK. Social care is devolved – the governments of Scotland, Wales, and Northern Ireland all spend more per capita on social care than the Westminster government spends in England.
The council just said her care ‘was being stopped’, Angela Carson says
In response to Graham and Angela’s situation, the Scottish government said it “understands the importance of social care support for those who need help living independently and we know the concerns changes to these services cause”.
It acknowledged that while it has overall control of social care, it is up to local authorities to ensure people have the right support.
A Sky News survey of homecare providers across England, Scotland and Wales indicates a worrying trend of cuts to these vital services in the last two years.
Of the care providers who responded, 83% told Sky News their local council had cut the number of care packages. And 81% of care providers in the survey said councils had cut the number of hours they’re willing to fund, suggesting carers spend less time in people’s homes.
‘We’ve really got to crack on’
The UK government has published plans to reform the social care system, aiming to establish a National Care Service designed to bring it closer to the National Health Service.
Health and Social Care Secretary Wes Streeting announced the formation of an independent commission, chaired by Baroness Louise Casey, to develop comprehensive proposals for organising and funding social care. Her full recommendations are expected in 2028.
When Sky News asked Mr Streeting about why the survey of care providers indicates such worrying cuts when plans for reforms are years away, the minister said in Labour’s first six months in power “we’ve delivered the biggest expansion of carers allowance since the 1970s”.
“We’ve made sure that we’re delivering real improvements through the disabled facilities grants, people’s homes,” he added.
He also pointed to additional funding from the chancellor and said the first findings of the Casey Commission will come next year.
When pressed on what action is being taken to help people without care in their homes right now, Mr Streeting said: “I know we’ve really got to crack on.”
In response to the survey, Councillor David Fothergill, chairman of the Local Government Association’s Community Wellbeing Board, said councils are acutely aware of the challenges facing social care providers.
“As of March 2024, over 400,000 older and disabled people were waiting for care to start, their care needs assessed, or direct payments. Without immediate government funding, vital services face significant risks, impacting those who rely on care and their families,” he said.
Dr Jane Townson, chief executive of the Homecare Association, says around half of care providers are operating at a loss, with many withdrawing from council contracts due to inadequate funding.
“The consequences are stark,” she said.
“Unlike other businesses in the economy, homecare providers cannot simply raise their prices. This is because almost 80% of homecare services are purchased by councils and the NHS, who fix fee rates.
“Ethical homecare providers want to reward care workers fairly and provide safe, good quality care. The government is making it more difficult to do so.
“This means older and disabled people face having their care reduced or stopped.”
Read more from Sky News:
How a vulnerable man was failed by his carer
Starmer vows to ‘take on NIMBYs’
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Graham and Angela’s care is paid for by the council
Scotland’s National Care Service plan scrapped
Plans for a National Care Service in Scotland were well under way until last Thursday, when the government there said it would be scrapped.
More than £30m has already been spent on the policy over the last three years. It was one of the boldest public service reforms of the SNP’s 17 years in power.
Following the announcement, Conservative MSP Dr Sandesh Gulhane accused the government of being a “shower of charlatans”. He wrote on social media: “Let’s call this what it is: £30million of taxpayers’ money flushed down the drain by a government with a proven track record of failure.”
The reality for Angela is that no one is coming to care for her right now. She has to do everything herself.
“It is terrible. I go to bed and that’s all I can think about. I feel I don’t exist – that if I wasn’t here anymore it wouldn’t matter.”
The exclusive data in this article was collected via an online survey between 14-17 January sent to domiciliary care providers that are members of the Homecare Association, Scottish Care and Care Forum Wales. The survey went out to 2,650 home care providers in England, Scotland and Wales. There were 336 responses.
Have you been affected by cuts to social care? We’d like to hear from you. Email nick.martin@sky.uk
The flying of St George’s flags across the country are creating “no-go” zones for NHS staff, with some facing frequent abuse, health bosses have warned.
Several NHS trust chief executives and leaders have said staff feel intimidated by the national symbols, including when they make home visits.
The findings follow a survey conducted among senior managers, 45% of whom were extremely concerned about discrimination towards staff.
A leader of a trust said anonymously that there were safety issues around how they work in the community, with nurses regularly visiting patients in their homes alone.
He said: “You’re going in on your own, you’re locking the door behind you.
“I have been into homes with people who have been convicted of sex offences, and we go in and provide care to them.
“It can be a really precarious situation, and they [the nurses] handle that absolutely brilliantly.
“The autonomy and the clinical decisions that they make within that, I think, is fantastic.
“We saw during the time when the flags went up – our staff, who are a large minority of black and Asian staff, feeling deliberately intimidated.
“It felt like the flags were up creating no-go zones. That’s what it felt like to them.
“You add that on top of real autonomous working, that real bravery of working in people’s homes, with an environment… [where] it feels like it’s an area that’s designed to exclude them.
“Our staff continue to work in that environment, and I think they deserve our real praise and thanks as a nation, frankly, for doing that within those really difficult circumstances.”
He added his trust had also seen “individual instances of aggression towards staff”.
File pic: iStock
Another NHS trust leader said a member of staff, who is white and has children of mixed heritage, had asked some people putting up flags to move so she could park her car.
“The individuals filmed what was happening, and then followed her, and she continued to receive abuse over a series of several days, not because she objected to the flags, but because she disturbed them,” they said.
“There are lots of stories like that. There are lots of stories where people have tried to take flags down outside of their own homes and have been abused and threatened as a consequence of that.”
The leader said the “springing up of flags everywhere has created another form of intimidation and concern for many, many of our staff”.
Daniel Elkes, chief executive of NHS Providers, which represents trusts, said: “The NHS has relied on overseas recruitment for a long time to ensure we have the right workforce.
“We have a really diverse workforce and without that you can’t deliver the NHS.
“We are trying to recruit from the very places where we provide healthcare so the intake into the NHS is representative of British people from more diverse backgrounds.”
Professor Nicola Ranger, the Royal College of Nursing’s general secretary, said: “Following a summer of further racist disorder, it is little wonder a growing number of nursing staff report feeling unsafe, particularly when having to work on their own and often at night.
“The government and all politicians have to stop pandering to dangerous anti-migrant sentiments and employers must prioritise tackling racism and work with trade unions to develop stronger mechanisms to protect staff.”
Read more from Sky News:
The rise of Christian nationalism in Britain
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A Department of Health and Social Care spokesperson said there was “no place for intimidation, racism or abuse in our country or our NHS”, adding that threats and aggression should be reported to police.
They said the government valued the “diversity of our NHS”, and that workers “must be treated with dignity and respect”.
“Our flags represent our history, our heritage, and our values,” they said. “They are a symbol of our nation and belong to all of us – not just some of us.”
The survey findings come ahead of strike action by resident doctors over pay and jobs due to take place on Friday for five days.
A woman caught with £5bn in Bitcoin in the UK’s highest ever value money laundering investigation has been jailed for 11 years and eight months – after nearly five years on the run.
Zhimin Qian, 47, sat up in bed looking stunned when police kicked open the bedroom door of an Airbnb in a York suburb on 22 April last year.
She vanished and went on the run after officers seized more than 61,000 Bitcoin in the country’s biggest cryptocurrency seizure in a raid of her rented £5m home next to Hampstead Heath.
Qian – who fled China after carrying out a huge fraud and arrived in the UK in 2017 on a false St Kitts and Nevis passport in the name of Yadi Zhang – pleaded guilty to two money laundering offences at Southwark Crown Court.
Police said she styled herself the “Goddess of Wealth” and wore imperial robes as her sales teams offered 300% returns at conferences in luxury hotels in China promoting her “Britain Nice Life Insurance” scheme.
In a slick video played to targets, the narrator says “Britain is a nation of glories and dreams” over footage of the Houses of Parliament, Oxford University, Windsor Castle, Buckingham Palace and the City of London.
Qian was already wanted in China over two other scams when she orchestrated the gigantic investment fraud, conning more than 128,000 victims from every province out of 40bn Yuan (around £4.6bn) between 2014 and 2017.
More than 80 people have been convicted in China over the scam, but Qian converted some of the proceeds into more than 70,000 Bitcoin and fled, crossing the border into Myanmar on a moped before arriving at Heathrow Airport in September 2017.
Jian Wen. Pic: CPS
The women rented a £17,000-a-month house in Hampstead. Pic: CPS
She recruited Jian Wen, who left her job in a south London Chinese takeaway, and the women moved into a £17,000-a-month rented £5m house next to Hampstead Heath, posing as the bosses on an international jewellery business.
They travelled extensively across Europe, buying jewellery and spending tens of thousands of pounds on designer clothes and shoes in Harrods, while Wen bought a £25,000 E-Class Mercedes and sent her son to the £6,000-a-term Heathside preparatory school.
Qian made extensive notes about her “grandiose” plans to increase her social standing.
She wanted to meet a royal duke, hoped the Dalai Lama would anoint her as a reincarnated Goddess, and dreamed of ruling Liberland – an unrecognised micronation on the Croation side of the Danube – as Queen.
The women travelled extensively. Pic: Met Police
Wen tried to buy Hampstead property. Pic: Met Police
But the women came to the attention of police when they tried to buy a £24m seven-bedroom Hampstead mansion with a swimming pool, using more than £800,000 converted from Bitcoin.
Officers raided their home in October 2018 and seized £300,000 in cash and cheques, along with phones and laptops, and found a hand drawn “treasure map” leading from Harrods to a safety deposit box containing more devices.
When investigators finally accessed the cryptocurrency wallets stored on them, they thought someone had put the decimal point in the wrong place.
The 61,279 Bitcoin was then worth £1.4bn and has now soared to more than £5bn, making it the biggest ever cryptocurrency seizure in Britain and, until recently, the world.
Read more: How Chinese takeaway worker led police to biggest ever Bitcoin seizure
Police believed Qian had left the country, but shortly before Wen was found guilty of money laundering offences in March last year, Detective Constable Joe Ryan detected activity on a cryptocurrency exchange from a wallet linked to Qian, which hadn’t been used since 2019.
The exchange provided details of the account holder – Seng Hok Ling, a Malaysian national with a previous conviction for fraud in Hong Kong in 2015, who was living in Matlock, Derbyshire.
Seng Hok Ling arrives at a rented property. Pic: Met Police
Qian disguises her appearance while on the run. Pic: Met Police
Working on the theory he may be in contact with Qian, detectives stepped up the manhunt, which took them all over the UK, before they identified her at a detached house in a York suburb.
When police kicked open the upstairs bedroom door, there was Qian, lying under a bright red duvet and struggling to put on her top as she stared wide eyed at officers from behind her thick glasses.
Detective Constable Chris Woods told colleagues: “It’s her.”
A ledger and passwords found sewn inside a purpose-made concealed pocket in the jogging bottoms she was wearing, led investigators to Bitcoin and other cryptocurrency worth around £67m.
Ling had helped her stay on the run, providing false documents and money laundering services, and renting Airbnb properties, including a house in Glasgow and a remote farmhouse near Loch Tay in the Scottish Highlands.
The court heard he tried to get one passport in the name of dead Hong Kong actress Dianxia Shen.
Staff made to sign confidentiality agreements. Pic: Met Police
A rotating entourage of cooks, drivers and security guards were employed on lucrative contracts to look after Qian, who they assumed was a rich recluse.
They were made to sign strict confidentiality agreements, which barred them from using Chinese devices or apps and photographing, recording or videoing “anyone or anything indoors or outdoors” – with breaches resulting in dismissal and fines of up to $30,000.
Metropolitan Police officers travelled to Beijing and Tianjin to speak to victims of the fraud, some of whom had lost their life savings, seen their family collapse or been left unable to pay for medical care.
Chinese police officers were lined up to become the first in history to give evidence in a UK court, but Qian pleaded guilty on the first day of the trial, while Ling also admitted a money laundering charge.
The court heard that since being in prison Qian has had poetry published and her artwork displayed at an exhibition.
Wen was jailed for six years and eight months last year, and the sentencing of Qian and Ling marks the end of what the Met’s head of economic and cyber crime called “one of the longest running and most complex economic crime investigations” in the force’s history.
“She lived, while she was on the run in the UK, a relatively reclusive lifestyle. She had that entourage of people around her, but she didn’t venture out much,” he said of Qian.
“And we have some understanding from some of her musings and some of thoughts around what she may do with the rest of her money and her wealth and her life ultimately.
“But thankfully, we were able to catch her and bring her to justice before some of those dreams were realised.”
The fortune is now at the centre of a High Court battle between the UK government and thousands of Chinese victims.
Prosecutors have set up a compensation scheme but lawyers representing those who want to recover their investments say it should reflect the huge rise in the value of Bitcoin and not just what they put in.
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