Integration
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Integration ELPF 18 th February 2013
description
Integration. ELPF 18 th February 2013. Headlines. Scotland’s 65+ population projected to rise by 21% between 2006 – 2016 By 2031 it will have risen by 62% For the 85+ age group specifically, a 38% rise is projected for 2016 And, for 2031 the increase is 144%. - PowerPoint PPT Presentation
Transcript of Integration
Integration
ELPF
18th February 2013
Headlines
• Scotland’s 65+ population projected to rise by 21% between 2006 – 2016
• By 2031 it will have risen by 62%
• For the 85+ age group specifically, a 38% rise is projected for 2016
• And, for 2031 the increase is 144%
Projected Health and Social Care expenditure for Scottish population aged 65+
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
2007/08 Actual 2011 2016 2021 2026 2031
£m
NHS Social Work
22%
74%
“Simply doing more of the same is not sustainable”
Scottish Government Proposals
Integration of health and social care:
Primary legislation bringing together operational and financial health and social care resources.• Person centred• Nationally agreed outcomes • Jointly accountable officer• Integrated budgets• Clinical and professional leadership
Not about creating new strategies
• build on existing good practice and joint strategies;
• an enabler to more effective, efficient and responsive front line services
• more effectively support staff to deliver seamless services
• Better engagement
• Joint Director of H&SC – already in place
• High level sponsorship - Leadership groups in Council and NHS Lothian
• Governance – Shadow arrangements in place and developing
• Programme arrangements developed
• Existing joint working – firm foundations
Firm foundations
• Joint commissioning
• Intermediate Care
• Change Fund
• Unscheduled Care planning
• IT pilot
Services– CHP– Social Care– Hosted
• REAS• Learning Disabilities• Addictions
– Council• Telecare/Community Alarms• Other?
NHS Lothian BoardCEC Full Council
Shadow Health and Social Care Partnership
Health wellbeing and Housing Committee
CHP Sub Committee
Governance
Professional Advisory Committee
Service users & Carers
Third Sector
Providers
Membership of shadow Health and Social Care Partnership
• 7 Councillors
• 7 NHS– 4 Trustees– 1 Partnership Rep– 2 Chair + Vice Chair of Professional Advisory
Committee
Key factors• Key to success:
– Fostering new behaviours at all levels– Challenging old bureaucracies and creating
new approaches– Think differently - facilitate new ways of working– Develop new accountabilities– Engagement of professions and service
users/patients• This is a leap of faith!
‘Obstacles are those frightful things you see when you take your eyes off your goals’ Henry Ford 1863-1947
