Why and how the Scottish Government must end private provision of children’s care

Policy Paper

Credits — Common Weal Care Reform Group. Lead author Nick Kempe with support and contributions from Craig Dalzell, Marion MacLeod, Kate Ramsden and Mark Smith

 

Overview

“The Promise”, the Scottish Government’s plan to implement the 2020 Independent Care Review of out-of-home children’s care, made a number of aspirational statements including the intent to remove profit-making from such care. The paper examines how much profit is extracted from this care sector, why these statements must be backed with solid action to remove such profits and how to do so.

On 17th June the Scottish Government introduced the Children (Care, Care Experience and Services Planning) (Scotland) Bill (‘the Bill’) to the Scottish Parliament. The Bill’s origins lie in the ‘Promise’, the plan for the implementation of the 2020 Independent Care Review, a major review of out-of-home care for children in Scotland. The Scottish Government had accepted the recommendations of the Review in full, and the Bill’s alleged purpose is to progress those recommendations that required legislative change.

The Promise made a number of aspirational statements, several of which related to the question of private, profit-making companies providing care services for children. Examples include, “Scotland must avoid the monetisation of the care of children and prevent the marketisation of care”; “Scotland needs to take a different approach to how it invests in its children and families. There is no place for profiting in how Scotland cares for its children.” and, “Scotland must make sure that its most vulnerable children are not profited from”. These aspirations were, however, qualified by the statement that, “The application of that principle must be delivered in a way that does not impact the current delivery of good, important services for children”.

The intentions of the Promise are referenced in the policy memorandum accompanying the Bill, “The Promise is clear that there is no place for profiting in how Scotland cares for its children and that Scotland must avoid the monetisation of the care of children and prevent the marketisation of care by 2030”. The memorandum and the Bill, however, go on to set out very different approaches to tackling this issue in foster care and in children’s residential care while failing to make any proposals to end profit-making, or the potential therefore in community or adoption services [Kempe, 2025]. No new analysis of the monetisation or marketisation of children’s care is offered in the policy memorandum. The Scottish Government has not even reported on what local authorities spend on private providers of children’s residential care although a Freedom of Information request in 2024 found that just 15 of Scotland’s 32 local authorities had spent £218m on privately run residential services [Goodwin 2024]. Instead, the Scottish Government appears to have relied on the reports produced by the Competition and Markets Authority three years ago on the children’s social care market to formulate its proposals [CMA 2022].

Rather than following the example of Wales, which now has legislation intended to eliminate profit from children’s care services, the Scottish Government has chosen to replicate what is in place in England, where the UK Government has set out plans to prevent companies from making ‘excessive’ profits from children’s residential care services. It is proposing to introduce provisions to allow Ministers to set requirements for greater financial transparency and powers to set a profit cap. The Scottish Government’s justification for taking a similar approach is that the Competition and Markets Authority found that there were lower profit levels in Scotland than England and Wales. They also wish to ensure, “sustainable provision of future residential childcare placements in Scotland”. In other words, they feared that public services would not be able to accommodate the children currently placed with private providers were these providers to withdraw from the market.

Most of the 79 organisations responding to the Scottish Parliament’s consultation on the Bill [Scottish Parliament 2025] were supportive of the commitment made in the Promise to remove profit from care but there were almost no suggestions for how this could be done or whether the Scottish Government’s proposals for greater transparency were workable. Only a handful of organisations, including Who Cares? Scotland, Unison Scotland and The Highland Council (which stated “What the Bill is proposing falls short of the commitments made in The Promise, as limiting profits does not equate to abolishing profits”) criticised the Bill for not going far enough. Moreover, many of the respondents repeated claims about the risks of removing private providers from the market without making any suggestions of what would be needed for the public and voluntary sector to fill the gap.

The further consultation the Scottish Government launched in August 2025, on Financial Transparency and Profit Limitation in Children’s Residential Care completely fails to consider the question of how profit could be removed entirely from children’s residential care. Instead, it asks how it could monitor profits more effectively and, potentially, at some unspecified time in the future, limit profit making [Scottish Government 2025]. We regard this consultation as deeply flawed and as failing to address a fundamental principle. Our response to the formal consultation questions has been published separately [Common Weal 2025].

Common Weal has produced this paper partly in response to that consultation, but, more importantly, to make the case for eliminating profit and removing private companies from the provision of children’s services. It is based on an analysis of the current children’s residential care market in Scotland and the profit being made from looking after vulnerable children.

It includes a critique of the CMA report, which shows that profits are even higher than the CMA estimates. It explains how it would be neither costly nor particularly risky to end private sector involvement in children’s services. It then goes on to argue that we cannot afford not to invest the money currently leaking out of children’s services into improved support for children, the need for which was described in the Promise.

 

Key Points

  1. The Scottish Government has committed to removing profit from fostering services but has reversed its stance on doing the same for residential child services.

  2. There are two kinds of residential care offered – residential only or residential with integrated schooling.

  3. There are 369 Children’s Homes in Scotland of which 180 or almost half are provided by the private sector. Seven of these are for children with learning disabilities. Between them these offer a total of 1,859 places. But private Children’s Homes are smaller on average so while almost half of homes are privately operated, that only represents about 37 per cent of children in care.

  4. Scotland has nearly twice as man private sector care places than it needs – half of the places filled in Scotland appear to be for children from outside Scotland sent here by their local authority or unaccompanied children of asylum seekers.

  5. The residential school market is separate and smaller, with 31 residential schools in Scotland offering a total of 466 places. Of these, 18 are run by voluntary organisations and 13 in the private sector with no public sector provision in Scotland.

  6. Profits in residential children’s services in Scotland were £28,000 per child. This compares to £44,000 per child in England. The Scottish Government has not checked or updated these figures but we show some providers in Scotland declare higher profit levels than the English average.

  7. Foster care (which is not included in residential children’s services) have a profit level of £9,100 in Scotland, compared to an average of £8,600 across Scotland, England and Wales.

  8. This is hard to explain since foster care services are supposed to be non-profit in Scotland and so the surplus should be zero. It also seems entirely non-consistent because this is given as a reason to make foster care all not-for-profit but yet a profit rate of four times that amount is acceptable in the Children’s Homes sector.

  9. That represents £10.2 million pounds being extracted from child residential services in private profit. This is a significant sum of money and represents four times the amount per child the proposals in the Bill to extend aftercare services to children who leave care before 16 will cost over their lifetimes.

  10. The Scottish Government has presented this as indicating the private sector is not more expensive, but this is because staff in the private sector are paid less and so have lower levels of training and professionalism. In addition, private care homes charge the public sector ‘extras’ for services which would be included in public provision, like escorting children back to their families.

  11. There is also an occupancy problem in the private sector. Any vacant place can wipe out the profitability of a Children’s Home and so there is a constant pressure to maintain full occupancy. An incentive not to return children to their families is a perverse one to include in a care service.

  12. This can all lead to children being placed in homes far from their family home. This is not good for the child or the family.

  13. The amounts of share capital in an average private sector care provider is £100 or less which means most services have been financed through loans. The source and amount of loan interest is not shown in abbreviated accounts and so may be from parent companies and so may represent unreported profits.

  14. Owners extract profits in unreported ways. First, by very high pay. One of the few Children’s Homes which report this paid a director £346,800, about twice that paid to the First Minister. Another way to make unreported profit is to lease properties from yourself at exaggerated rates. This appears to have been behind the financial collapse of at least one care home. Another is ‘management charges’, unspecified charges transferred to parent companies. One care company with no employees charged £812,000 for this. Another is through loans – providing interest-free loans to parent companies from surpluses (these are not technically profits) or providing loans to themselves at excessive interest rates.

  15. The trend direction is clear; the share of the market taken by private providers is increasing and they are merging and buying each other out and this is leading to a concentration of a small number of very big suppliers, as has happened in the adult care sector. This will only increase their market power.

  16. The Scottish Government has treated removing profit from children’s residential care as if it is very difficult but in fact there is no obligation to send any contracts to the private sector and a procurement framework for not-for-profit care already exists. There is no reasons to believe that the Scottish Government’s stated fear that it would lose capacity if it committed to only non-profit care is well-founded since the same staff would be looking for the same job.

  17. For this reason, the provision of care could easily be transitioned to a non-profit model.

  18. The profit margin in the private sector is such that the better terms and conditions in the public sector could be met without additional investment.

  19. A simple audit of care buildings would indicate how much it would cost to buy out existing buildings and transfer them to the public sector.

  20. The biggest barrier to a shift to a non-profit system is the fragmented nature of services as they stand. A central team in every local authority should reverse this and instead of countless ad-hoc placements, would coordinate the care provision across the whole local authority. This would ensure continuity of care for individual children and would result in a more cohesive service.

  21. So long as the Scottish Government holds its nerve then it is highly likely private providers would be willing to negotiate their exit from the system and for any who walk away, there are already procedures to enable government to take over that provision. There will certainly be very little sympathy for profit-extracting private businesses.

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