Integration of Adult Health and Social Care

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

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.

What are we looking for?

• Consistency of outcomes• Applies across councils and health boards• Statutory underpinning• Integrated budget• Clear accountable for delivery• Professionally led• Robust public/user/carer involvement

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

• Bill introduced to Parliament - 28 May 2013• Stage 1 almost complete Dec 2013• Working towards April 2014 for Royal Assent• Regulations and guidance consultation in 2014• Move towards implementation from April 2015

Progress

Key points from consultation

• Scope: adults not just older people• Local flexibility choice of model• Importance of a “minimum position” functions

and resources• Access to robust, shared data• Ensure a strong role for local professionals

Key features of legislation

• Nationally agreed outcomes – (7)• Integration plan - (Partnership Agreement)• Strategic Plans – (Commissioning Plan)• Locality planning – engine room for change• Integrated budgets – including some acute

Principles of IntegrationServices 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

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

What does all this mean for those people in transition?•Outcome focussed – people come first•Services are managed locally•Single budget and single point of accountability•Simplification of legislative and policy landscape