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

2. 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

3. 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

4. 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

5. 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

6. 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