Lothian Integrated Resource Framework Integrator Structure and Financial Mechanisms Alex McMahon NHS Lothian Acting Director – Strategic Planning & Modernisation Integrated Resource Framework Lothian Partnership

Lothian IRF Project – Progress Update Mapping – Health 90% complete Two Council Partners have provided data for mapping, other two are collating the data All 4 Council Partners have identified pilot projects City of Edinburgh – Older People Rehabilitation Pathways East Lothian – Community based services for Older People Midlothian – Community based care and treatment of Older People West Lothian – Early intervention and follow-up for children with substance misusing parents and children with ASD/Aspergers Integrated Resource Framework Lothian Partnership

Who is the integrator? Not a single person or group Specific to each project The person, group, or organisation best placed to help the project succeed. Integrated Resource Framework Lothian Partnership

Integrator Powers – Scope and Limitations Integrator manages project within timescales set in project outline Integrator manages resources allocated by IRF and transferred through financial mechanisms Projects approved by IRF Project Board – but still subject to Corporate Governance arrangements in each partnership organisation(s). Projects monitored to ensure outcomes meet targets agreed at inception Integrated Resource Framework Lothian Partnership

Financial Frameworks Integrated Resource Framework Lothian Partnership Specific to projects – dependent on timescales and financial value Inter-organisational resource flows only appropriate for relatively short timescales, and constrained by organisational SFIs Where resource flows are appropriate, these will be ring-fenced. Inter-organisational arrangements should be transparent and auditable. IRF has the potential to deliver data to inform National funding formulae for both Health and Local Government Formula adjustment automatically provides a short lifespan on inter-organisational arrangements. Integrated Resource Framework Lothian Partnership

Challenges Integrated Resource Framework Lothian Partnership Trust by partners that the Integrator can deliver on their behalf. Cultural differences between organisations and within each partner organisation, creation of single goal. Availability of funding with Public Sector budgets constrained in medium to long term Improved services for all does not necessarily mean improved services for individuals Equity of services across all partners. Political decisions making may not be convergent with that of other partners. Integrated Resource Framework Lothian Partnership