Transcript Integration of Health and Social Care

Integration of Adult Health
and Social Care
What is the problem we are trying to
solve?
• Too much variability of health and social care in
different parts of Scotland, particularly for older
people.
• No incentive to help get people out of hospital
quickly and back into a homely setting.
• Much easier to get people admitted to hospital
than to arrange services that would keep them
at home.
Vision
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People are supported to live well at
home or in the community for as much
time as they can
They have a positive experience of
health and social care when they need it
What does the evidence tell us?
• Planning for populations, not delivery
structures
• Pooling resources – money and people
• Embedding GPs, other clinicians and care
professionals in the processes of service
planning, investment and provision
• Very strong local leadership
Proposals
1.Nationally agreed outcomes
2.Joint accountability
3.Integrated budgets
4.Locality service planning groups
What next?
• Formal consultation
• Legislative timetable
• Development of the Bill; working groups
• Parliament
– Health and Sport Committee
– Public Audit Committee
Framework for improvement
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Consistency of outcomes across Scotland;
Applies in every council and health board area;
Statutory underpinning;
Integrated budget to deliver some acute, community and
social care services;
Someone clearly accountable for delivering agreed
outcomes;
Professionally led by clinicians and social workers;
Simplifies rather than complicates existing bodies and
structures; and
Wherever possible, it should be achieved with minimal
disruption to staff and services.
Projected Demand for Health and Social Care, All Ages, 2008/09 prices.
Health and Social Care Demand Projections, £ mn, 2008/09 prices
15,000
14,000
13,000
Cost £mn
12,000
11,000
10,000
9,000
HLE constant
8,000
Change HLE = 0.5 change LE
7,000
Change HLE = Change LE
6,000
5,000
2010
2015
2020
Year
2025
2030
Delayed Discharge
3500
over 6 wks (43 days and over)
3000
Number of patients
2500
4 to 6wks
(29 to 42 days)
2 to 4wks
(15 to 28 days)
up to 2wks (up to 14 days)
2000
1500
1000
500
0
Apr
2001
Apr
2002
Apr
2003
Apr
2004
Apr
2005
Apr
2006
April
2007
Census
Apr
2008
Apr
2009
Apr
2010
Apr
2011
Apr
2012