The Journey Towards System Change Iona Colvin, Director, NAHSCP Keith Redpath, Director, West Dunbartonshire HSCP IHM Scotland Conference & Exhibition 2015 Thursday 8 th & Friday 9 th October 2015 West Dunbartonshire Health & Social Care Partnership

“A Joint Future” – (The First Attempt)  1999/2000 – National Recognition of the Need for Change  2002 – New Legislation – Anything You Can Do, We Can Do Together – Better?  But Optional!!

2006 – CHP/CHCPs (The Second Attempt)  No More NHS Trusts  Single Geographic Boards  CHPs (or CHCPs) Created – Co-Terminosity with Local Authority Boundaries  Variable Success (Audit Scotland)  Still Optional Involvement of Local Authority Services

Scottish Parliament Elections 2012 Manifesto Commitments  Both SNP and Labour Recognise the Need for a Step Change in Service Planning and Delivery  Labour – National Care Service  SNP – Integrate Health & Social Care  Outcome – Public Bodies (Joint Working) (Scotland) Act 2014 (The Third Attempt)

Implementation Issues  Still Inconsistency of Approaches  Power and Control Issues as Opposed to Just Resistance to Change  “We’re Being Taken Over” Just Do It

Preparation  Working with other authorities  Systematic programme  Involving Politicians  Governance  Legislation – outcomes 3 rd Time Lucky? What’s different?

Outcomes for people …….  What’s the story?  Older Adults and Complex Needs  People with Mental Health problems  Children and Young People What’s Different?

Who is involved?  Partnership in widest sense  Elected members/Board Non Executives/Acute  Staff and NHS Contractors  Service Users and Carers  Third and Independent Sector What’s Different?

Strategic Approach  Vision for Service  A Strategic Plan  Aligned Change Resource  ICF What’s Different?

Change Approach  Ideas & Innovation Fund  Reshaping Care for Older People – sustainability  Service Review & Change Team  Staff  Service Users  GPs and other contractors  Wider NHS & Council Strategic Change Programme What’s Different?