140 likes | 241 Vues
Scotland's 65+ population is set to rise significantly, prompting a transformation in health and social care. By 2031, the 85+ age group will see a projected 144% increase, necessitating a shift from traditional practices. The Scottish Government's proposals focus on integrating operational and financial resources, enhancing person-centered care, and creating jointly accountable systems. These advancements aim to foster collaboration, improve service delivery, and adapt to the growing needs of an aging populace. Successful integration relies on challenging old structures and embracing innovative approaches.
E N D
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+
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?
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
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