Improving Outcomes through Health and Social Care Integration in Scotland

Dr Anne Hendry
National Clinical Lead for Quality
Joint Improvement Team, Scotland
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An older population is something to be celebrated, but brings with it fresh challenges. Well over half of the annual health and social care budget for older people in Scotland is spent on care in hospitals and care homes, often towards the end of life. Helping older people to remain active and independent is good for older people and for the public purse, and is at the heart of our Reshaping Care for Older People: A Programme for Change 2011 – 2021.

Co-produced with political, organisational and community interests, it aims to shift care towards care at home and in community settings supported by greater investment in preventative and anticipatory care and the use of technology to empower citizens and enable greater choice and control.

A key aspect is the use of a Change Fund (£300 million 2011-2015) released only on receipt of plans prepared and agreed between all partners including carers and the public. These local Change Plans are linked with integrated commissioning and innovation to redesign support and services.  The Public Bodies (Joint Working) (Scotland) Bill will provide a legislative framework to formally integrate community health and social care services  by 2015 to accelerate the pace of this change.   

The Joint Improvement Team (JIT) leads a whole system improvement network that supports all 32 local partnerships to test new approaches, spread good practice and use their collective resources more wisely to make greater impacts on individuals, their families and their communities.

This session will describe early progress:

  • use of technology to empower older people and their carers to have greater choice and control and to remain active, independent and connected with their families, friends and neighbourhoods
  • how ICT can enable local teams to deliver coordinated and integrated care and support at home, or closer to home
  • our approach to demonstrating impact through improved experience and outcomes - both personal and system outcomes.