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Vision

Integration of Adult Health and Social Care VHS Member event, Monday 1 July Grant Hughes, Scottish Government grant.hughes@scotland.gsi.gov.uk. Vision. People are supported to live well at home or in the community for as much time as they can

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Vision

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  1. Integration of Adult Health and Social Care VHS Member event, Monday 1 JulyGrant Hughes, Scottish Governmentgrant.hughes@scotland.gsi.gov.uk

  2. Vision • People are supported to live well at home or in the community for as much time as they can • They have a positive experience of health and social care when they need it

  3. Why integrate? • To address variability of health and social care outcomes in different parts of Scotland, particularly for frail, older people. • To make it easier to provide services to help people stay at home, rather than being admitted to hospital. • To make it easier to get people out of hospital quickly and back into a homely setting.

  4. What are Ministers looking for? • Consistency of outcomes • Applies in every council and health board • Statutory underpinning • Integrated budget • Someone clearly accountable for delivering agreed outcomes

  5. What are Ministers looking for? Cont. • Professionally led • Simplifies existing bodies and structures • Minimal disruption to staff and services • Robust public involvement

  6. What does the evidence tell us? • Planning for populations, not delivery structures • Pooling resources – money and people • Embedding GPs, other clinicians and care professionals in the processes of service planning, investment and provision • Very strong local leadership

  7. Progress • Consultation - May to Sept 2012 • Analysis report - 19 Dec 2012 • Scottish Government response - 13 Feb 2013 • Bill introduced to Parliament - 28 May 2013

  8. Key points from consultation • Scope: adults • Local flexibility • Importance of a “minimum position” • Access to robust, shared data • Importance of ensuring a strong role for local professionals

  9. Key features of legislation • Nationally agreed outcomes • Integration plan • Strategic Plans • Locality planning • Integrated budgets

  10. Principles of Integration Services should be planned so that they: • Are integrated from the point of view of recipients • Take account of the particular needs of different recipients • Take account of the particular needs of recipients in different parts of the area in which the service is being provided • Are planned and led locally in a way which is engaged with the community and local professionals • Best anticipate needs and prevent them arising, and • Make the best use of the available facilities, people and other resources

  11. National Outcomes for adult health and social care and scope • Focus on a needs based approach • Do not want to undermine the importance of local understanding of need, and local agreement of appropriate local outcomes and measures

  12. Governance and Joint Accountability • Need to ensure that statutory partners are jointly and equally responsible for the delivery of outcomes • Need to overcome differing organizational and political priorities • These have the potential to disrupt and lead to the breakdown of services

  13. Integrated budgets and resourcing • Budgets and resources will be integrated to focus attention on the outcome for individual • A more integrated approach to sharing information • Two models for financial integration: • The Body Corporate • Delegation between partners

  14. Jointly Accountable Officer (chief officer) & Workforce • Two workstreams developing proposals: Short Life Working Group and Strategic Workforce Development Group • The SLWG is developing the post of the JAO • The SWDG is looking at the longer term issues of training and organisational development

  15. Locality planning • Locality arrangements must reflect local needs and priorities • Professionals must be involved in determining locality arrangements, not just consulted • Must enable real traction on change and improvement • Importance of wider community – third sector, patients, service users and carers

  16. What next? • Bill Advisory Group • Working groups: • Outcomes and measurement • Governance and accountability • Integrated resources • Joint strategic commissioning • Workforce development and HR • + further work on locality planning

  17. “Public service providers must be required to work much more closely in partnership, to integrate service provision and thus improve the outcomes they achieve. . . Experience tells us that all institutions and structures resist change, especially radical change. However, the scale of the challenge ahead is such that a comprehensive public service reform process must now be initiated, involving all stakeholders.” The Christie Commission Report Commission on the future delivery of public services, June 2011

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