What is Health and Social Care Integration?
Integration of health and social care is the Scottish Government’s programme of reform to improve services for people who use adult health and social care services.
It will ensure that health and social care provision across Scotland is more joined-up and seamless, especially for people with long term conditions and disabilities, many of whom are older people.
New legislation requires all Health Boards and Councils to start to integrate their health and social care services for adults from 1 April 2015.
This will ensure that services are better coordinated for all people who use health and social care services.
Integration is not about starting again as all health and social care organisations in Falkirk, Stirling and Clackmannanshire work well together and there are already many successful examples of joint working which can be built on.
What are the main aims of Health and Social Care integration?
Health and Social Care Integration aims to:
- Make it easier and quicker to access services and support
- Help people to stay fit and healthy so that they can live safely and independently in their own home for as long as possible
- Provide care that is tailored to individual needs
- Make better and more effective use of the resources and skills available
- Deliver services in a joined up way by bridging gaps and removing duplication
- Make it easier for staff to share information, expertise and experience
- Respond to the different health and social care needs of local communities
Health and Social Care Integration in Forth Valley
There will be two health and social care partnerships that cover the Forth Valley area – one for Falkirk and one for Stirling and Clackmannanshire. These new bodies will be responsible for ensuring that people get joined up and seamless support and care and that they can live as independently in their own homes as long as possible. These two partnerships will also be responsible for some hospital based services.
How will health and social care integrate?
Earlier in 2014, both partnerships reached agreement in principle to pursue the body corporate model of health and social care integration. They asked officers to develop a draft integration scheme which would come back to both organisations for approval.
The body corporate model involves delegation by the Local Authority and Health Board of the functions within scope of integration to a new entity, the Integration Joint Board, which will be responsible for overseeing the planning, management and delivery of relevant functions.
Which services will be integrated?
A background note has been developed by The Scottish Government to provide further information on the legislation that sets out the scope of the health and social care functions to be included in integration. It describes which health and social care functions must and may be integrated under the legislation, to improve outcomes for people using health and social care services.
Services identified in the background note include:
- all adults and older people in social work services
- all adult primary and community health services, along with a proportion of hospital sector provision e.g. district nurses and mental health services
- some services provided in hospital
- some housing support services restricted to aids and adaptations
For more information see the summary list or visit: http://www.scotland.gov.uk/Resource/0046/00460184.pdf
What is a Chief Officer?
The chief officer is accountable to the Integration Joint Board (IJB) for the planning, development and delivery of the IJB’s three year strategic plan. The Chief Officer will also be responsible, in time, for the operational delivery of services that the Partnership will be responsible for.
Shiona Strachan is the Chief Officer for the Clackmannanshire and Stirling Health and Social Care Partnership and Patricia Cassidy is the Chief Officer for the Falkirk Health and Social Care Partnership.
Who are the Chief Officers accountable to?
Each Health and Social Care Partnership will be managed by the Chief Officer who will report directly to both the Chief Executive of the health board and the respective local councils. The Scottish Government has set out nine key indicators which the new Health and Social Care Partnerships will be monitored against.
What does Health and Social Care Integration (HSCI) Mean for People and Their Families?
Health and Social Care Integration is all about putting people first – services will be more focused on individuals and tailored to their individual needs.
Service users won’t need to do anything differently – services will be more joined-up behind the scenes and health and social care staff will be working side-by-side to support individuals and communities.
Working together will help us provide even better services for our communities and, where appropriate, people will receive care closer to home.
It will also help us deliver services that meet the needs of increasing numbers of older people, many of whom have long-term and complex needs.
What are the benefits for services users and carers?
The aim of integration is to provide a seamless response to everyone who uses adult health and social care services, putting the person at the heart of all decisions made.
By having a more joined-up (integrated) approach, this will help each partnership to improve services to meet the needs of the people, their carers and communities. By working together to deliver combined care and support, we will help keep vulnerable people healthier and independent for longer.
Do I need to do anything to get services?
No. These changes just mean that health and social care staff will be working more closely together to improve care and support delivered.
How will service users and carers be involved?
It is important that service users and their carers are involved. This will begin by asking people about the draft vision and outcomes. Each Partnership will also use this opportunity to ask people how they would wish to be involved in the future. This builds on existing consultation groups that are in place.
So what happens next?
Local authorities and NHS boards are preparing the following documents:
By April 2015
An Integration Scheme: this must include which model of integration will be used, the functions which are to be delegated, how the delegated functions will be delivered and monitored, and what method of calculating payments to support delivery of delegated functions will be utilised.
By April 2015
A Consultation Plan: to ensure service users, carers, clinicians and care professionals are involved in the preparation, implementation and monitoring of plans designed to meet the needs of the local population.
By April 2016
A Strategic Plan: for the area which sets out how the partnership will meet both locally and nationally agreed outcomes. This will also include the development of Locality Delivery Plans.
Clackmannanshire and Stirling Health and Social Care Partnership
Programme Manager, Health & Social Care Integration – Clackmannanshire and Stirling
Address: Admin Building, Stirling Community Hospital, Livilands, Stirling FK8 2AU