That's why scam emails fake the sender info, and why phone scammers fake the caller ID. Not to mention that an inability to fake the presentation number will make tracking the scammers much easier as well.
I agree about the email faking because the recipient has time to read it. However I don't believe that many/most people, particularly the elderly who are the main targets, will have the time or the presence of mind to check out a calling number while it is ringing or after the conversation begins. They might recognise a number if it is one of a very small circle (but my mother cannot even remember mine); otherwise they will either not pick up any call on principle, or they will hang up on hearing a stranger's voice on principle (or when they hear the usual scam openings), or they will be drawn into the conversation. Once in the conversation, scammers are skilled at keeping the victim tied in, to prevent them from summoning anyone else in the house, or checking the calling number against a phone book, for example.
My phone and address book is about 50 pages long with several entries per page, and includes banks, building societies, relatives, and people I have known over the years and only now contact with Xmas cards. Any of those could legitimately phone me any time, for example to tell me an uncle I have not seen for years has died. I am hardly going to leaf through that book to compare with the caller display every time I get a phone call, and in any case the deceased uncle's widow might be on a different number by now, and she is hardly likely to start by telling me that my PC has a virus or the £350 iPhone I ordered from Scamazon is on its way. Even after years, I would recognise her from voice and context.
Recognising a scam is obvious once you realise they are a thing. From comments in other forums it is amazing how many people are still unaware of them. Something like a government leaflet campaign would help.
WRT tracking, from your previous comments you seem to have some inside knowledge of the phone system. Assuming these scams come from abroad via the internet and enter the UK phone system at some point (presumably at the phone connection of a mule in the UK) , even if the originating UK phone number is spoofed, surely BT (or other phone company) could still determine who is making the UK connection? Or are all the local connections made with a mobile phone and the SIM thrown away afterwards?