Dr Sally Witcher Profile picture
Sep 7, 2022 24 tweets 8 min read Read on X
Yesterday was my last day as @TheSCoSS Chair. Public appointees are rightly constrained in what they can say publicly. Now I'm not, there’s a lot I want to say on a lot of things! Thought I’d start with a wee🧵on personal reflections on my time with SCoSS & things to look out for
It’s been an extraordinary time since @TheSCoSS opened for business early 2019. Scottish social security barely existed except on paper. It’s sprung to life & learnt to walk, last week taking its biggest step yet with Adult Disability Payment replacing PIP.
It’s been an honour to play a part in creating a new Scottish system based on dignity, fairness & respect – qualities regrettably absent from social security elsewhere - & a rare joy to work on something with real scope to have a meaningful positive impact on people’s lives.
We’ve scrutinised loads of draft regulations, ensuring they conform to human rights & the principles in the Social Security Act 2018, also highlighting where expectations in the Charter apply. It helps embed them into action, so they’re not just warm words of good intent.
Personally I think the excellent social security principles should apply to all public services, and the way @TheSCoSS brings external expertise right into the very heart of the formal legislative process could have wider application. The Scottish social securit...
So too could a Charter like 'Our Charter', co-designed by people with lived experience of the service, who then co-designed a monitoring framework, where current recipients inform annual performance reports to Parliament, & a body like @TheSCoSS provides additional assurance.
The way people with lived experience have been built into the foundations & every subsequent brick of the Scottish social security edifice – not just informing its design but monitoring impact - is crucial. Because if is doesn’t work for them, what’s it all for?
But (big but) - can Scottish social security solve poverty? No! I’m afraid not. @TheSCoSS has had to confront the place where aspiration meets reality. There’s no point making recommendations you know can’t be delivered. For me that was sometimes a very bitter pill to swallow.
Constraints come in many forms, many (not all) emanating from what the UK Govt does/ doesn’t do/ might do. If Scottish Govt makes devolved provision more generous, they have to find the money. If UK Govt cuts social security benefits down south, that’s less £s for Scotland.
Some Scottish benefits act as passports for UK Govt provision (like additions to Universal Credit) – so long as the UK Govt continues to accept they do. If they don’t, at worst, more generous Scottish benefit could mean loss of UK benefit, leaving people worse off overall.
Some Scottish benefits, eg Scottish Child Payment, act as top-ups to UK benefit. So that means Scottish Govt has to depend on DWP for timely information on entitlement – not just at the start but ongoing. It means all the IT systems need to be able to speak to each other. Aargh!
Setting up a new system is a frustratingly slow process. The UK Govt has provided Scotland with ample examples for years of what happens when you try to make big change too fast. Guess what – it’s the recipients who pay the price for the resulting shambles (see my 1992 article👇) Article I wrote for Communi...
There’s never a dull moment trying to get a new devolved system to join up with super-complex ever-changing UK system, with no loose ends left dangling, no unforeseen consequences & no opportunities missed to find pathways to improvement through the labyrinth. They can exist!
Look at ADP. It should be a much easier, pleasanter process to apply (nb PIP recipients don’t need to apply). Face-to-face assessments will only be a last resort, no profit-driven private sector involvement, access to independent advocacy – and don’t forget the Charter.
People diagnosed with a terminal illness, regardless of life expectancy, can be fast-tracked to getting the maximum amount of both components. But otherwise the descriptors remain as with PIP. So too does the amount you get. At least for now.
There's to be a review of ADP next year. Constraints will still apply, who knows what money will be available, & there could be changes down south that might have an unavoidable impact. But if there's real scope to improve ADP it needs to be found.
Watch out for a UK Govt White paper, following a Green paper & consultation. This included ideas on redesigning the system, looking at Universal Credit (UK benefit) & PIP (devolved - now ADP). One idea floated was “in the future, we could look to create a new single benefit”(297) https://www.gov.uk/governme...
Look out too for the 5-year review of the Social Security Charter. @TheSCoSS must be consulted. Meanwhile, SCoSS must report if it gets evidence of expectations frequently not being met. The Charter is a useful tool. As I may have mentioned! socialsecurity.gov.scot/about/our-char….
There’s a consultation exercise happening right now, until 27 Oct, on the future for independent advice & scrutiny, among other things, which may bring changes for @TheSCoSS.
gov.scot/publications/s…
And take a look at @TheSCoSS’s business plan for 2022-23 – published yesterday and available on it’s recently launched independent website, where you’ll find all our reports and lots of other stuff you just know you can't wait to read😊
Finally watch out for adverts for a new Chair and 2 new Board members. While not always a cushy number(!) these are real opportunities to contribute skills, knowledge & experience (including lived) to a key area of policy with scope to make a positive difference to people’s lives
Positive difference is much-needed! We're living in incredibly difficult times: a cost-of-living catastrophe, an ongoing pandemic & massive inequality. We can give up, or we can fight back, using every ounce of determination, skill & creativity, & every tool we can make or find
It was a very tough decision to resign from @TheSCoSS – still much to do & many opportunities. I won't stop doing what I can to support the goals of Scottish social security. But I want to explore other ways to work for a safe #InclusiveNewNormal rooted in #RealRights.
I wish every success to the new Chair & Board, @BenMacpherson, the @SP_SJSS Committee that plays such a key role, all at @SocSecScot, all the hard-working officials & everyone who contributes to forging a much-needed system based on dignity, fairness & respect.

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More from @SalWitcher

Mar 15
Ok @guardian. Why are you publishing this unscientific, damaging, discriminatory rubbish? Why the wholly misleading headline? Why on #LongCovidAwarenessDay of all days? You have some serious explaining - & apologising - to do 🧵
theguardian.com/society/2024/m…
The ‘study’ this dreadful article concerns is pre-peer review & pre-publication, even as a pre-print.
Read 16 tweets
Jan 19
Landmark legal action – could be the first of many. Not just health boards but governments have failed to take Long Covid seriously – probably the biggest mass disabling event in the UK in our lifetimes - and it's still destroying lives. bbc.co.uk/news/uk-scotla…
Why are children still getting very ill from Covid & other preventable airborne infections? Why's nothing being done, though we now know Covid causes long-term bodily damage, dysregulates immune systems making it harder to fight off other infections, & reinfection makes it worse?
There has been so much learning about the widespread long-term damage even mild covid can do and about treatments that work. People like @drclairetaylor and @Sunny_Rae1 have been at the forefront. So why's the approach of most medical professionals still stuck in the dark ages?
Read 10 tweets
May 17, 2023
No, @jasonleitch, the removal of requirements to wear masks, and in social care settings the personal choice to wear them, is about as far from ‘a good thing’ as it is possible to get. Please allow me to explain why. No, don’t thank me, you’re welcome! 🧵bbc.co.uk/news/uk-scotla…
It’s not a good thing that people who are still clinically vulnerable will have no choice but to go into – even live in – unsafe environments where they run serious risk of being exposed to a life-changing/ ending virus. Whatever happened to the human right to life?
It’s not a good thing that government has shifted its policy from ‘remember to protect the vulnerable’ to ‘justify why you should’. It’s not a good thing that you’ve made taking action to protect yourself and other people into a rebellious act of defiance against authority.
Read 17 tweets
Apr 26, 2023
Am shaking with rage & shock. @SMS_plc guy arrived to fit smart meter not wearing a mask despite me making v clear when booked that essential due to my high clinical risk. Said he was exempt. I said I was sorry but unfortunately that meant he wasn't able to come into the house &
told him I'd made that clear when booking. He said I'd have to reschedule as he'd need to touch plugs, etc. I told him that was ok, Covid doesn't spread by touch [even if it did, easily rectified]. He insisted it was, I said no, in fact it wasn't, whereupon he angrily
slammed the door & stormed off. This is the kind of aggressive disciminatory behaviour clinically high risk people are subjected to these days. It's disgusting & unacceptable. I'll lodge a formal complaint - & @GoodEnergy you need to reconsider what companies you partner with.
Read 5 tweets
Jun 14, 2022
📢 Calling people at high clinical risk, unpaid carers & people with Long Covid. On 23/6 I’m giving evidence to the Covid-19 Recovery Committee’s inquiry into the communication of public health information. What would you say to them? 🧵[grateful for retweets!]
The session is on whether public health information about COVID-19 is accessible to and meets the needs of specific audiences going forward, including people in the shielding category and communities where there has been below average uptake in vaccination to date
In a week when we’re told a new wave is coming/ already here, herd immunity is probably impossible, long covid is a problem, boosters should be offered to all adults but hey! don’t panic, no need for restrictions (i.e. protections) what are we supposed to do?
Read 4 tweets
Apr 28, 2022
Dear @HumzaYousaf @DrGregorSmith @JasonLeitch @JohnHardenED Yesterday you published evidence you claim ‘clearly’ shows vaccines/new medicines mean there’s no need to retain the Highest Clinical Risk list, It’s far from clear to me. Please confirm my understanding 🧵
Evidence on vaccine efficacy consists of incomplete summaries of studies measuring different things using different methods, & includes studies that haven’t been peer reviewed. As you say “Many studies in this annotated bibliography will have several limitations”. Yes they do.
As for people added to the List by GPs – the 2nd biggest group, nearly 1/3 of people on the Highest Risk List, 50,778 people, it says: “Due to the range of conditions within this group, little research has been carried out on this specific group”. What there is looks dire.
Read 21 tweets

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