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Integration

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%.

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Integration

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  1. Integration ELPF 18th February 2013

  2. 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%

  3. Projected Health and Social Care expenditure for Scottish population aged 65+

  4. “Simply doing more of the same is not sustainable”

  5. 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

  6. 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

  7. 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

  8. Firm foundations • Joint commissioning • Intermediate Care • Change Fund • Unscheduled Care planning • IT pilot

  9. Services • CHP • Social Care • Hosted • REAS • Learning Disabilities • Addictions • Council • Telecare/Community Alarms • Other?

  10. Governance NHS Lothian Board CEC Full Council Health wellbeing and Housing Committee CHP Sub Committee Shadow Health and Social Care Partnership Service users & Carers Third Sector Professional Advisory Committee Providers

  11. 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

  12. 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!

  13. ‘Obstacles are those frightful things you see when you take your eyes off your goals’ Henry Ford 1863-1947

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